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. Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It refers to pain, cramping, or weakness in the legs that occurs during physical activity and is relieved by rest. This symptom is due to reduced blood flow and oxygen supply to the muscles during exercise.

B) This choice is incorrect because deep vein thrombosis (DVT) typically presents with symptoms such as swelling, warmth, and tenderness in the affected leg, but it does not cause pain that is relieved by rest.

C) This choice is incorrect because Raynaud's phenomenon primarily affects the fingers and toes, causing them to turn white, then blue, and finally red due to blood vessel spasms in response to cold or stress. It is not associated with pain in the legs during walking.

D) This choice is incorrect because chronic venous insufficiency involves symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it is not characterized by pain that occurs with walking and is relieved by rest.

A. Smoking. B. Sedentary lifestyle. C. Family history of PAD. D. High dietary sodium intake.

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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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?

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

A nurse is teaching a client about the contributing factors to peripheral vascular diseases. The nurse explains that the most common cause of peripheral artery disease (PAD) is:

Correct Answer is A

Explanation

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?

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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?

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