Practice Question
A nurse is collecting data for a client who is experiencing peripheral venous disease.
Answer Choices:
Correct Answer:
Wear compression stockings.
Rationale:
Wear compression stockings
✅Graduated compression stockings improve venous return by applying external pressure to the lower extremities.
✅They help decrease venous stasis, reduce edema, and minimize the risk of ulcer progression.
✅Consistent use during the day promotes circulatory efficiency and long-term symptom relief.
✅Stockings should be applied in the morning before ambulation, when swelling is least.
✅Teaching proper application and daily wear is essential for adherence.
Perform calf pump exercises with 20 repetitions, four times a day
✅Calf muscle exercises stimulate the “muscle pump” mechanism, enhancing venous return.
✅These exercises reduce blood pooling, improve oxygen delivery, and prevent clot formation.
✅Regular activity throughout the day maintains circulation, especially in clients with impaired mobility.
✅They serve as a safe alternative to prolonged ambulation when pain or ulcers are present.
✅This intervention also promotes client independence and self-care.
Wear intermittent pneumatic compression pumps while in bed
✅These devices provide cyclical compression to the legs, mimicking venous return during immobility.
✅They are especially useful when the client is in bed to reduce venous stasis and DVT risk.
✅The device improves hemodynamics and prevents further complications such as ulceration.
✅Consistent use is most beneficial when ambulation is limited.
✅This complements, but does not replace, the use of compression stockings.
Elevate legs four times per day for 30 minutes
✅Leg elevation above heart level promotes venous drainage, decreases edema, and relieves pain.
✅Frequent elevation helps manage venous hypertension and prevents worsening of skin changes.
✅This practice also reduces the risk of venous ulcers and supports wound healing.
✅It should be encouraged especially after periods of standing or sitting with legs dependent.
✅Patient teaching should include avoiding prolonged dependent positions without relief.
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This question is from Custom Adult Hlth I Cardiovascular Test 2 which contains 59 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Adult Health
- Answer Choices: 6