The nurse teaches a 65-year-old obese client who works as a greeter in a store regarding care of the client's varicose veins. Which of the following statements, if made by the client, indicates the need for further teaching?
A) I can sit with my legs crossed at the knees.
B) I elevate my legs on breaks and in the evening.
C) I have joined weight watchers to help me lose my excess weight.
D) I will get some support stockings from the medical supply company.
A
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Sitting with legs crossed should be avoided as it increases stasis of blood. Venous return can be enhanced by elevating the legs several times a day. Elastic support stockings may be prescribed. Obesity compounds the age-related changes of weakened vein walls and reduced ability to respond to increased venous pressure.
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