The nurse is providing discharge instructions to the client with peripheral vascular disease. Which of the following instructions should be included in the discussion with this client? Select all that apply.
1. Avoiding prolonged standing and sitting.
2. Limiting walking so as not to activate the “muscle pump.”
3. Keeping extremities elevated on pillows.
4. Keeping the legs in a dependent position.
5. Using a heating pad to promote vasodilation.
Elevating the extremities counteracts the forces of gravity and promotes venous return and reduces venous stasis. Walking is encouraged to activate the muscle pump and promote collateral circulation. Prolonged sitting and standing lead to venous stasis and should be avoided. Although heat promotes vasodilation, use of a heating pad is to be avoided to reduce the risk of thermal injury secondary to diminished sensation.
CN: Reduction of risk potential; CL: Create