Certified Wound Ostomy Nurse (CWON) Practice Test

Which type of dynamic compression therapy involves the legging being applied once or twice a day for a duration of 1-2 hours?

1. Sequential compression therapy

2. Static compression therapy

3. Continuous compression therapy

4. Intermittent compression therapy

The correct answer is: Sequential compression therapy

The correct choice is associated with sequential compression therapy, which is designed to enhance venous return and reduce swelling in the extremities. This type involves the use of a legging device that applies compression intermittently, effectively mimicking the natural muscle pump action of the legs during movement. In sequential compression therapy, the legging is applied for specific time frames, often one or two hours at a stretch, once or twice a day, allowing for intervals of compression and rest. This technique encourages blood flow and minimizes the risk of complications associated with venous stasis, particularly in patients at risk for deep vein thrombosis or those with chronic venous insufficiency. This approach stands in contrast to static compression therapy, which provides a continuous, unchanging level of pressure; continuous compression therapy that maintains pressure without any intermittent release; and intermittent compression therapy that also involves cyclical pressure similar to sequential compression but may not specify the same duration or timing of application. Each of these alternatives can be useful in their right contexts but does not match the specific application details noted in the question.