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 A

Explanation

A) This choice is correct. Numbness and tingling in the feet are symptoms associated with arterial insufficiency in peripheral vascular disease (PAD). Reduced blood flow to the extremities can lead to sensory changes and discomfort, including numbness and tingling.

B) This choice is incorrect because venous insufficiency is more commonly associated with symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it does not typically cause numbness and tingling in the feet.

C) This choice is incorrect because peripheral nerve compression can cause localized numbness and tingling, but it is not a primary symptom of peripheral vascular disease. Peripheral nerve compression may occur due to various factors, such as nerve impingement or entrapment.

D) This choice is incorrect because systemic inflammation is not a direct cause of numbness and tingling in the feet in peripheral vascular disease. Systemic inflammation can contribute to other conditions, but it is not the primary cause of sensory changes associated with PAD.

A. Mild incisional pain. B. Mild swelling in the feet. C. Pallor and coolness of the affected foot. D. Tingling sensation in the legs.

Correct Answer is C

Explanation

A) This choice is incorrect because mild incisional pain is common after peripheral artery bypass surgery and may be managed with prescribed pain medications. However, severe or worsening pain should be reported to the healthcare provider.

B) This choice is incorrect because mild swelling in the feet is a common post-operative finding after peripheral artery bypass surgery and may resolve with time. However, excessive or sudden swelling should be reported to the healthcare provider.

C) This choice is correct. Pallor (pale color) and coolness of the affected foot may indicate reduced blood flow to the extremity, which could be a sign of a complication such as graft occlusion or clot formation. These signs should be reported immediately for prompt evaluation and intervention.

D) This choice is incorrect because tingling sensation in the legs is common after surgery and may be related to changes in blood flow or nerve irritation. It is not typically a sign that requires immediate reporting unless it is severe or accompanied by other concerning symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

Correct Answer is A

Explanation

A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

Correct Answer is C

Explanation

A client with suspected peripheral vascular disease is scheduled for an ankle-brachial index (ABI) test. The nurse explains that this test measures:

A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?

A nurse is preparing a client for a non-invasive test to assess blood flow and blood pressure in the legs. The nurse informs the client that this test is called:

A client reports experiencing leg pain while walking that improves with rest. The nurse should suspect which peripheral vascular disease?

A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

A nurse is assessing a client with peripheral vascular disease. Which non-invasive test can the nurse use to assess blood flow in the legs and detect blockages?

A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

A nurse is providing education to a client with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?