A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?
Elevating the legs above heart level while sitting.
Applying direct heat to the affected extremities.
Crossing the legs while seated to improve venous return.
Limiting physical activity to avoid exacerbating symptoms.
The Correct Answer is A
A) This choice is correct. Elevating the legs above heart level while sitting can improve venous return, reducing swelling and promoting blood circulation in the legs. This position helps counteract the effects of gravity on blood flow.
B) This choice is incorrect because applying direct heat to the affected extremities is not a recommended method for improving blood circulation in peripheral vascular disease. Heat can cause vasodilation, which may exacerbate symptoms such as swelling and pain.
C) This choice is incorrect because crossing the legs while seated can impede venous return and contribute to blood pooling in the legs. It is not a recommended activity for individuals with peripheral vascular disease.
D) This choice is incorrect because limiting physical activity is not recommended for individuals with peripheral vascular disease. Regular physical activity, such as walking, can actually improve blood circulation and overall vascular health. However, individuals with peripheral vascular disease should be cautious not to overexert themselves and should consult with their healthcare provider regarding appropriate levels of physical activity.
Questions
Nursing Test Bank
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. 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.
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