An elderly patient arrives to the health care provider's office complaining of a "sore" that would not heal on his lower leg
Upon assessment, the nurse finds thin, shiny, bluish brown pigmented desquamative skin. It is located medially over the lower leg. The nurse will educate the patient that the usual treatment is
A)
hydrotherapy to facilitate improvement in circulation.
B)
compression therapy to help facilitate blood flow back to the vena cava.
C)
initiation of Coumadin therapy to maintain an INR of 2 to 3 above norm.
D)
long-term antibiotic therapy to facilitate healing of the wound.
Ans:
B
Feedback:
: Treatment of venous ulcers includes compression therapy with dressings and inelastic or elastic bandages. Medications that help include aspirin and pentoxifylline. Occasionally skin grafting may be required. Hydrotherapy, Coumadin therapy, and long-term antibiotic therapy are usually not required for venous ulcers.
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