A nurse is planning care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care? (Select All that Apply.)

Intermittent pneumatic compression pumps

Ankle-brachial index test

Layered wraps

Elevation of legs

Exercise

Answer and Explanation

Correct Answer : A,C,D,E

A. Intermittent pneumatic compression pumps: Intermittent pneumatic compression pumps can help improve circulation in the lower extremities by assisting with venous return. These devices inflate and deflate sequentially, promoting venous blood flow and reducing edema in clients with peripheral venous disease.

B. Ankle-brachial index test: The ankle-brachial index (ABI) test is a non-invasive vascular study used to assess peripheral arterial disease (PAD). It compares the blood pressure in the ankle with the blood pressure in the arm to evaluate arterial circulation.

C. Layered wraps: Layered wraps, such as compression bandages or stockings, are typically used in the management of venous insufficiency and venous ulcers. They are not as commonly utilized in peripheral venous disease, however, they may be beneficial for some clients with PVD.

D. Elevation of legs: Elevating the legs above the level of the heart can help reduce edema and improve venous return in clients with peripheral venous disease. Gravity assists in draining blood from the lower extremities back toward the heart, thereby reducing swelling and discomfort.

E. Exercise: Regular physical activity, particularly lower extremity exercises such as walking, can promote venous return and improve circulation in clients with peripheral venous disease. Exercise helps to pump blood back to the heart, reducing venous stasis and the risk of complications such as venous thrombosis.

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Correct Answer is D

Explanation

A. Massaging the legs frequently can exacerbate symptoms of peripheral venous disease by increasing venous pressure and worsening edema. It is not recommended for managing this condition.

B. Keeping the legs in a dependent position can further impair venous return and exacerbate symptoms. Elevating the legs above the level of the heart when possible is recommended to reduce venous congestion.

C. Decreasing activity can lead to deconditioning and worsen symptoms over time. Encouraging regular, moderate physical activity is important for improving venous circulation and overall vascular health.

D. Inspecting the legs daily for changes in color, size, and temperature is an essential component of managing peripheral venous disease. Changes such as skin discoloration, swelling, or increased warmth can indicate worsening venous insufficiency or the development of complications such as venous ulcers. Early detection allows for prompt intervention and prevention of complications.

A. Leave the client alone while ensuring safety, to allow the client to work through behaviors and feelings during the transition period. B. Provide opportunities for education and continually evaluate the client's preferences and goals for care. C. Limit the members of the team who can help the client while transitioning, to avoid adding confusion or uneasiness. D. Inform the client about the need to move prior to the actual event.

Correct Answer is B

Explanation

B. Provide opportunities for education and continually evaluate the client's preferences and goals for care:
This is the most effective intervention. Providing education and involving the client (to the extent possible) in decision-making helps reduce anxiety and build trust. Even though individuals with Alzheimer's disease may have limited memory and cognitive abilities, ongoing communication about the transition and individualized care plans can help ease the process. Additionally, continuously evaluating the client's preferences and goals ensures that the care plan remains person-centered and aligns with their needs, helping to minimize relocation stress.

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A nurse is planning care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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