Question

A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

a. 'I will keep my legs elevated above my heart level whenever possible.'

b. 'I should apply heat to my legs to improve blood flow.'

c. 'I will cross my legs while sitting to promote circulation.'

d. 'I will wear tight-fitting compression stockings to prevent swelling.'

Answer 1

The correct self-care instruction for a client with venous insufficiency is 'I will keep my legs elevated above my heart level whenever possible,' as it helps in reducing edema and facilitates venous return.

Step-by-step explanation:

The nurse is teaching a client with venous insufficiency about self-care. Among the options provided, the statement that accurately indicates the client understands the teaching is: 'I will keep my legs elevated above my heart level whenever possible.' This approach helps reduce edema and the pooling of blood in the lower limbs, aiding in the return of blood to the heart.

Using graduated compression stockings is also beneficial, as they provide graduated pressure that helps the veins return blood to the heart more efficiently. They are especially recommended during long periods of immobility, such as long-haul flights or when someone must stand or sit for extended periods. While crossing the legs might seem to aid circulation superficially, it can actually impede venous return. Similarly, applying heat directly to the legs does not improve the underlying issue of venous insufficiency.