A client with chronic lymphangitis of the lower extremities asks ...

[asmith134]

A client with chronic lymphangitis of the lower extremities asks the nurse how often she should wear elastic stockings. The nurse should explain:
 
  1. It is only necessary to wear them if you notice an increase in swelling.
  2. You should wear them when your legs feel heavy or are painful for you.
  3. You should wear them at all times, only taking them off to bathe.
  4. It is best to wear them during your waking hours and to remove them when sleeping.

Question 2

The nurse learns that a client with sepsis has developed disseminated intravascular coagulation (DIC). The nurse should plan to:
 
  1. Check peripheral pulses and capillary refill frequently.
  2. Restrict fluid intake to prevent vascular fluid overload.
  3. Keep the client in a low Fowler's position to promote venous return.
  4. Encourage frequent ambulation in the hallway.

[alexisweber49]

Answer to Question 1

Answer: 4

1. Management of chronic lymphangitis includes use of intermittent pressure devices or elastic stockings. They should be removed while sleeping, since the legs will be elevated and this allows for air circulation to the skin.
2. Management of chronic lymphangitis includes use of intermittent pressure devices or elastic stockings. They should be removed while sleeping, since the legs will be elevated and this allows for air circulation to the skin.
3. Management of chronic lymphangitis includes use of intermittent pressure devices or elastic stockings. They should be removed while sleeping, since the legs will be elevated and this allows for air circulation to the skin.
4. Management of chronic lymphangitis includes use of intermittent pressure devices or elastic stockings. They should be removed while sleeping, since the legs will be elevated and this allows for air circulation to the skin.

Answer to Question 2

Answer: 1

1. Identification of impaired circulation will alert the nurse to impaired tissue perfusion secondary to microvascular blood clotting.
2. Restricting fluids can enhance blood clotting.
3. Semi-Fowler's position improves lung expansion and oxygenation.
4. Bedrest should be maintained to decrease oxygen demand.

[asmith134]

Thank you

[alexisweber49]

No problemo