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 C

Explanation

A) This choice is incorrect because decreased blood glucose levels are not associated with an increased risk of peripheral vascular disease (PAD) in diabetes. In fact, hypoglycemia (low blood glucose levels) can lead to acute complications but is not a significant factor in the development of PAD.

B) This choice is incorrect because increased insulin production is not a primary factor contributing to PAD in diabetes. Insulin is essential for glucose metabolism but does not directly impact blood vessel function.

C) This choice is correct. Diabetes can lead to impaired blood vessel function, primarily through the process of atherosclerosis. High blood glucose levels can damage blood vessel walls, leading to plaque buildup and narrowing of the arteries, reducing blood flow to the extremities and contributing to PAD.

D) This choice is incorrect because an elevated white blood cell count is not directly related to the increased risk of PAD in diabetes. While chronic inflammation and white blood cell count can play a role in atherosclerosis, it is not the primary factor contributing to PAD in diabetes.

A. Weightlifting. B. Running. C. High-impact aerobics. D. Walking.

Correct Answer is D

Explanation

A) This choice is incorrect because weightlifting is not typically recommended for individuals with peripheral vascular disease (PAD). High-intensity weightlifting can increase blood pressure and may not be suitable for clients with cardiovascular conditions.

B) This choice is incorrect because running, especially high-impact running, may be too strenuous for individuals with PAD and could lead to discomfort or injury. Low-impact exercises are generally preferred.

C) This choice is incorrect because high-impact aerobics can be too intense for individuals with PAD and may not be well-tolerated, especially if they experience leg pain during exercise.

D) This choice is correct. Walking is a low-impact exercise that can be beneficial for individuals with peripheral vascular disease. It promotes blood flow in the legs, increases circulation, and helps manage intermittent claudication (pain during walking) associated with PAD. Gradually increasing walking distance and duration can improve cardiovascular fitness and overall health.

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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 client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

Correct Answer is C

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?

Correct Answer is D

Explanation

A nurse is educating a client about risk factors for peripheral vascular diseases. The client asks about the role of age in developing these conditions. The nurse explains that as individuals age, the risk of peripheral vascular diseases:

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

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A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

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?

A client with peripheral vascular disease (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

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

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