An older male adult has peripheral edema and brownish skin below the knees bilaterally. Which goal does the nurse use specifically in this older adult's plan of care to manage his condition?
a. Promote perfusion to the periphery.
b. Maintain dependent positioning.
c. Protect skin from ultraviolet rays.
d. Promote lower extremity compression.
D
Feedback
A Incorrect. Perfusion to the peripheral tissues is not this older adult's problem.
B Incorrect. Dependent positioning uses gravity to pull fluid from higher to lower places; for this patient, the nursing care needs to counteract the gravity pull of fluids, so dependent positioning is contraindicated.
C Incorrect. Protecting skin from the sun is suitable care for all skin and not spe-cifically related to his condition.
D Correct. An older adult with brownish skin and peripheral edema has clinical indicators of venous insufficiency; therefore the basis of nursing care for this older adult is compression because compression helps to prevent venous pooling and fluid accumulation in dependent interstitial spaces and, thus, prevent edema.
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