A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?

Crossing the legs while sitting to reduce leg swelling.

Elevating the legs above heart level when resting.

Applying warm compresses to the legs to relieve discomfort.

Wearing tight-fitting compression stockings throughout the day.

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because crossing the legs while sitting can impede blood flow and worsen symptoms of chronic venous insufficiency (CVI). Clients with CVI should avoid crossing their legs and keep them uncrossed to promote blood flow.

B) This choice is correct. Elevating the legs above heart level when resting is a beneficial self-care strategy for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return, reduce swelling, and alleviate discomfort.

C) This choice is incorrect because while applying warm compresses may provide temporary relief for some individuals with CVI, it is not a primary self-care strategy for promoting venous return. Warm compresses may be more suitable for acute injuries or inflammation.

D) This choice is incorrect because while wearing compression stockings is a recommended intervention for individuals with CVI, tight-fitting compression stockings can impede blood flow and cause discomfort. Compression stockings should be fitted appropriately by a healthcare professional to ensure optimal efficacy.

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Correct Answer is A

Explanation

A) This choice is correct. A non-healing ulcer on the lower leg is a significant concern and requires immediate intervention. Non-healing ulcers can be a complication of peripheral vascular disease and may indicate impaired blood flow and tissue damage. Prompt assessment and treatment are necessary to prevent infection and promote wound healing.

B) This choice is incorrect because occasional leg cramps at night can be a common symptom, especially in older adults, and are not typically indicative of an acute medical emergency.

C) This choice is incorrect because mild coolness of the feet bilaterally can be a sign of reduced blood flow, but it is not an immediate concern requiring urgent intervention. However, it should be further assessed to determine the severity of the vascular condition.

D) This choice is incorrect because visible varicose veins on the calves, while often a cosmetic concern, are not typically associated with immediate risks. Varicose veins are dilated and twisted veins that result from venous insufficiency but are not an urgent medical condition.

A. Headache. B. Diarrhea. C. Muscle cramps. D. Dizziness.

Correct Answer is D

Explanation

A) This choice is incorrect because headache is a common side effect of cilostazol but is generally not a severe adverse reaction that requires immediate reporting. Headaches can be managed with over-the-counter pain relievers if needed.

B) This choice is incorrect because diarrhea is a known side effect of cilostazol but is not typically severe or life-threatening. Clients should be encouraged to stay hydrated and notify their healthcare provider if it becomes bothersome.

C) This choice is incorrect because muscle cramps can occur as a side effect of cilostazol, but they are not considered an urgent adverse reaction. Mild muscle cramps can often be managed with stretching and hydration.

D) This choice is correct. Dizziness is a significant adverse effect of cilostazol and should be reported immediately. Cilostazol can cause a drop in blood pressure, leading to dizziness, lightheadedness, and a risk of falls. If a client experiences severe dizziness or fainting, they should seek medical attention promptly.

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A nurse is providing education to a client with chronic venous insufficiency (CVI) about self-care strategies. What should the nurse recommend to the client to promote venous return?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

Correct Answer is A

Explanation

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?

Correct Answer is D

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 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?

A client with a history of hypertension, hyperlipidemia, and obesity is at risk for developing peripheral vascular disease (PAD) due to:

A client with peripheral vascular disease (PAD) is prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

A nurse is caring for a client with peripheral vascular disease (PAD) who experiences intermittent claudication. What should the nurse encourage the client to do during episodes of leg pain?

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

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