Author Question: Which of the following should the nurse instruct an elderly client diagnosed with chronic venous ... (Read 33 times)

Pineappleeh · **on:** Jul 22, 2018

Which of the following should the nurse instruct an elderly client diagnosed with chronic venous insufficiency?

1. Keep the legs dependent as much as possible and elevate only when asleep
2. Standing will prevent the progression of the disease
3. Cross legs only at the knees
4. Wear elastic hose as prescribed

Question 2

A client from another culture tells the nurse that he is constipated. The initial action by the nurse in this situation is which of the following?

1. Determine what the client means by constipation
2. Obtain an order for a laxative and an enema if needed
3. Encourage the client to increase fluid intake and activity
4. Assess the diet for adequacy of fiber and fluids

mcabuhat · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Wear elastic hose as prescribed

Rationale:
Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The nurse should instruct the client to avoid sitting or standing for long periods of time. The legs should be elevated during rest and when asleep. Crossing the legs should be avoided.

Answer to Question 2

1. Determine what the client means by constipation

Rationale:
The nurse should first carefully evaluate the client's concern and question the person as to what he considers to be constipation. Determining the client's normal frequency of bowel movement, consistency of stool, and effort in passing stool is important before deciding to act. The other suggestionsachievin g adequate fluid intake, exercising, including fiber in the diet, and using a laxative (and possibly an enema)may be appropriate once the nurse has adequately assessed the client's concern of constipation.