QUESTION: "When the nurse instructs a pregnant client with a history of varicose veins about strategies to promote comfort, which of the following client statements indicates that the teaching has been successful?"
CHOICES
( O ) a.) "Lying down with my feet elevated should help."
( X ) b.) "Support hose can be put on just before bedtime."
( X ) c.) "Restricting milk intake may provide some relief."
( X ) d.) "Wearing knee-high stockings is better than pantyhose."
RATIONALE: The enlarging uterus exerts pressure on blood vessels carrying blood to and from the lower part of the body, especially the extremities, predisposing the client to varicosities. Prevention and management of varicosities includes lying down with feet elevated several times a day to promote venous return and avoiding anything that constricts the legs or thighs, such as round garters or knee-high hose. Supportive hose or elastic stockings may be helpful but should be applied as soon as the client awakens in the morning. Restriction of milk intake has no effect on varicosities. Knee high stockings could cause constriction and should be avoided. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None
