Certified Wound Ostomy Nurse (CWON) Practice Test

Which treatment is NOT appropriate for improving perfusion in patients with LEAD?

1. Revascularization

2. Enforced bed rest

3. Medication therapy

4. Dynamic compression therapy

The correct answer is: Enforced bed rest

Improving perfusion in patients with Lower Extremity Arterial Disease (LEAD) is essential for promoting healing and preventing complications. The correct choice of enforced bed rest as inappropriate aligns with clinical practices, which emphasize the importance of maintaining mobility and encouraging blood flow. Revascularization, medication therapy, and dynamic compression therapy all contribute positively to enhancing blood flow and oxygen delivery to the tissues. Revascularization involves restoring blood flow through surgical or interventional methods, medication therapy may include vasodilators or antiplatelet agents that support vascular function, and dynamic compression therapy helps to enhance venous return and improve circulation. In contrast, enforced bed rest can actually hinder perfusion by reducing physical activity, which is critical for promoting circulation. In patients with LEAD, movement is important for stimulating blood flow and preventing further complications, such as muscle atrophy or deep vein thrombosis. Therefore, encouraging mobility, when medically safe, is preferred over bed rest to support proper perfusion and overall patient outcomes.