A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

Elevating the legs above heart level for 15 minutes daily.

Applying compression bandages to the legs.

Soaking the legs in hot water to reduce swelling.

Encouraging long periods of standing to promote circulation.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because elevating the legs above heart level for only 15 minutes daily may not provide sufficient benefit for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Continuous and prolonged elevation, along with compression therapy, is more effective in reducing swelling.

B) This choice is correct. Applying compression bandages or stockings is a standard intervention for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Compression helps improve venous return and reduce swelling in the lower legs.

C) This choice is incorrect because soaking the legs in hot water is not recommended for clients with chronic venous insufficiency (CVI). Hot water may cause skin irritation and worsen skin changes associated with CVI.

D) This choice is incorrect because encouraging long periods of standing can worsen symptoms in clients with CVI. Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

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Correct Answer is C

Explanation

A) This choice is incorrect because increasing sodium intake can lead to fluid retention and exacerbate swelling, which is counterproductive for clients with peripheral vascular disease (PAD).

B) This choice is incorrect because limiting fluid intake can lead to dehydration and is not typically recommended for individuals with PAD. Adequate hydration is important for overall health and vascular function.

C) This choice is correct. A low-fat and low-cholesterol diet is essential for individuals with peripheral vascular disease (PAD) to reduce the buildup of plaque in the arteries (atherosclerosis) and improve blood flow. Lowering dietary intake of saturated fats and cholesterol helps manage cardiovascular risk factors.

D) This choice is incorrect because consuming high amounts of caffeine can lead to increased heart rate and blood pressure, which may be detrimental for clients with PAD. Moderate caffeine intake is generally recommended.

A. Cardiac catheterization B. Electrocardiogram (ECG/EKG) C. Magnetic resonance angiography (MRA) D. Pulmonary function test (PFT)

Correct Answer is C

Explanation

A) This choice is incorrect because cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart chambers or coronary arteries. It is used to assess the heart's structure and function, not blood flow in the legs.

B) This choice is incorrect because an electrocardiogram (ECG/EKG) is a non-invasive test that records the electrical activity of the heart to assess heart rate and rhythm. It is not used to assess blood flow in the legs.

C) This choice is correct. Magnetic resonance angiography (MRA) is a non-invasive imaging technique that uses a magnetic field and radio waves to create detailed images of blood vessels. It can assess blood flow in the legs, identify blockages, and provide valuable information about the vascular status of the extremities.

D) This choice is incorrect because a pulmonary function test (PFT) is a test used to assess lung function and diagnose respiratory conditions. It is not used to assess blood flow in the legs or detect peripheral vascular disease.

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A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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