Which client is in need of follow-up education by the nurse?

Question

Quizplus · Accepted Answer

The nurse needs to provide education to the client with a venous leg ulcer who refuses to wear compression stockings. Compression is essential for the treatment of chronic venous insufficiency, venous ulcer healing, and prevention of ulcer recurrence. The client will need individual evaluation to determine what level of compression is needed. Assessment of the ankle-brachial index (ABI) should be performed as well. An ABI of <0.9 suggests concurrent PAD and the need for lower levels of compression therapy. There are several options that the nurse can explore with the client to decide which compression device will work best in the situation (custom-fitted elastic compression stockings, elastic tubular support bandages, Velcro wrap, paste bandage with elastic wrap, or a multilayer bandage system). (Option A) Dangling a limb over the side of the bed is a common practice among PAD clients to relieve pain. There is no need for this client to discontinue this practice as it allows gravity to maximize blood flow. (Option B) Immersing hands in warm water can decrease vasospasm in this client with Raynaud's phenomenon. (Option D) This practice should be encouraged by the nurse. It can help prevent venous thromboembolism following surgery. Educational objective: The nurse needs to educate the client with a venous leg ulcer that wearing some kind of compression stockings is essential for healing and prevention of ulcer recurrence.

Which Client Is in Need of Follow-Up Education by the Nurse