A nurse is caring for a client with chronic venous insufficiency (CVI). Which intervention should the nurse include in the client's plan of care?
Encouraging prolonged standing to promote blood flow.
Elevating the legs above heart level when resting.
Applying warm compresses to the legs to reduce swelling.
Wearing tight-fitting compression stockings.
The Correct Answer is B
A) This choice is incorrect because encouraging prolonged standing can worsen symptoms of chronic venous insufficiency (CVI). Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.
B) This choice is correct. Elevating the legs above heart level when resting is a beneficial intervention for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return and reduces swelling in the legs.
C) This choice is incorrect because applying warm compresses to the legs may provide temporary relief for some individuals, but it is not a primary intervention for managing chronic venous insufficiency (CVI).
D) This choice is incorrect because tight-fitting compression stockings are commonly used to manage chronic venous insufficiency (CVI), but they should be fitted appropriately by a healthcare professional. Wearing overly tight compression stockings can impede blood flow and cause discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because peripheral vascular diseases primarily affect the cardiovascular system, not the respiratory system. The respiratory system involves the lungs and the exchange of gases, while the cardiovascular system involves the heart and blood vessels.
B) This choice is correct. Peripheral vascular diseases are conditions that affect the blood vessels outside the heart and brain, including the arteries and veins in the extremities (arms and legs). These diseases can lead to reduced blood flow, pain, and various complications.
C) This choice is incorrect because peripheral vascular diseases do not primarily affect the nervous system. While some peripheral vascular diseases may have neurological implications, they are not primarily neurological disorders.
D) This choice is incorrect because peripheral vascular diseases do not primarily affect the gastrointestinal system. The gastrointestinal system involves the digestion and absorption of nutrients, which is not directly related to peripheral vascular diseases.
Correct Answer is A
Explanation
A) This choice is correct. Smoking is the most significant risk factor for peripheral artery disease (PAD). Smoking damages blood vessels, promotes atherosclerosis (plaque buildup in arteries), and narrows blood vessels, leading to reduced blood flow to the extremities.
B) This choice is incorrect because while a sedentary lifestyle can be a contributing factor to peripheral vascular diseases, it is not the most common cause of PAD.
C) This choice is incorrect because while family history can play a role in the development of PAD, it is not the most common cause. Other modifiable risk factors, such as smoking and diabetes, have a more significant impact on PAD.
D) This choice is incorrect because high dietary sodium intake is not a direct cause of PAD. However, reducing sodium intake can benefit overall cardiovascular health, especially for individuals with hypertension.
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