61. A nurse should instruct a client with edema from venous stasis to avoid:
Select all that apply.
. Crossing the legs while sitting.
. Keeping the legs in a dependent position.
. Elevating the legs whenever possible.
. Taking frequent hot baths.
. Wearing support hose when sleeping.
. Walking every day.
Test-Taking Tip
The key word in the stem is "avoid." Consider how each option would affect venous return.
Content Area: Adult Health, Vascular; Integrated Process: Teaching and Learning; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
. . .
Answer 1 is correct because crossing the legs impedes circulation. Answer 2 is correct because maintaining a dependent position increases edema. Answer 3 is incorrect because elevating the legs above the heart will decrease edema. Answer 4 is correct because hot or warm water causes vasodilation, decreases venous return, and increases edema. Answer 5 is incorrect because wearing support hose increases venous return and decreases edema. Answer 6 is incorrect because walking increases muscle tone and increases venous return.