Which of the following clients would be at high risk for developing primary varicose veins? Select all that apply
A) A 47-year-old waitress who works 12-hour shifts three or four times/week
B) A morbidly obese (>100 pounds overweight) male who works behind the counter of a convenience store 10 hours/day, 5 days/week
C) A 56-year-old male who has been immobile due to back surgery and has developed a deep vein thrombosis
D) A Marathon runner who has completed three marathons in the past 3 months
E) A new peritoneal dialysis client who has been utilizing a home machine and performing dialysis every evening beginning at 8 PM
Ans: A, B
Feedback:
Prolonged standing and increased intra-abdominal pressure are important contributing factors in the development of primary varicose veins. Because there are no valves in the inferior vena cava or common iliac veins, blood in the abdominal veins must be supported by the valves located in the external iliac or femoral veins. Immobility may cause DVTs (a secondary cause of varicose veins). Peritoneal dialysis has no effect on the development of varicose veins.
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