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 B

Explanation

A) This choice is incorrect because while administering analgesics for pain relief is important for the client's comfort, it is not the priority in this situation. The non-healing ulcer may require further assessment and interventions beyond pain relief.

B) This choice is correct. In a client with peripheral arterial disease (PAD) and a non-healing foot ulcer, there is a risk of infection due to reduced blood flow and compromised tissue healing. Initiating prophylactic antibiotics is a priority to prevent or manage infection and promote wound healing.

C) This choice is incorrect because elevating the affected foot can be beneficial to improve blood flow in individuals with venous insufficiency or edema but may not be as effective for individuals with peripheral arterial disease (PAD).

D) This choice is incorrect because promoting regular foot inspections is essential for clients with peripheral vascular diseases, but in this case, the non-healing ulcer requires immediate attention. Proper wound care, including assessment, cleaning, and dressing, should be part of the client's plan of care, but antibiotic therapy is the priority in this situation.

A. Soaking the feet in hot water to increase circulation. B. Wearing thick socks to insulate the feet. C. Using an electric blanket to keep warm. D. Avoiding exposure to cold temperatures.

Correct Answer is D

Explanation

A) This choice is incorrect because soaking the feet in hot water is not recommended for individuals with peripheral vascular disease (PAD) or cold feet. Hot water can cause burns or injuries, especially in clients with reduced sensation due to PAD.

B) This choice is incorrect because while wearing thick socks can provide some insulation, it is not a comprehensive solution for managing cold feet caused by reduced blood flow.

C) This choice is incorrect because using an electric blanket may not be specific to the feet and may not effectively address the issue of cold feet due to PAD.

D) This choice is correct. Avoiding exposure to cold temperatures is a recommended self-care measure for individuals with peripheral vascular disease (PAD) experiencing cold feet. Cold temperatures can further constrict blood vessels and reduce blood flow to the extremities. Clients should keep their feet warm and protect them from cold weather using appropriate footwear and clothing.

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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 arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

Correct Answer is D

Explanation

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?

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 providing education to a client about peripheral vascular diseases. The nurse explains that these diseases primarily affect which body system?

A nurse is teaching a client with peripheral vascular disease about skin care. The nurse should instruct the client to:

A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

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?

A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?

A client has a history of smoking, diabetes, and hypertension. The nurse should recognize that these risk factors contribute to the development of which peripheral vascular disease?