Certified Wound Ostomy Nurse (CWON) Practice Test

What is the typical indication for elevation of legs in LEVD treatment?

1. To promote arterial circulation

2. To relieve local pain

3. To decrease venous pressures and reduce edema

4. To enhance lymphatic drainage

The correct answer is: To decrease venous pressures and reduce edema

Elevating the legs in the treatment of lower extremity venous disease (LEVD) is primarily done to decrease venous pressures and reduce edema. When the legs are elevated, gravity aids in the return of blood to the heart, thereby alleviating the pressure in the veins of the lower extremities. This can significantly help in managing the symptoms associated with venous insufficiency, such as swelling and discomfort. The elevation encourages venous drainage by allowing the blood to flow more easily against the effects of gravity, thus alleviating the pooling that typically occurs in individuals with LEVD. This approach is particularly beneficial for reducing swelling, which is a common issue in these patients. Consequently, leg elevation is a fundamental part of conservative management and is often recommended alongside other interventions such as the use of compression therapy.