Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is one way to improve perfusion in patients with LEAD?

1. Increase sodium intake

2. Revascularization procedures

3. Complete bed rest

4. Minimize fluid intake

The correct answer is: Revascularization procedures

Improving perfusion in patients with Lower Extremity Arterial Disease (LEAD) is critical for promoting healing, reducing pain, and improving overall limb function. Revascularization procedures are aimed at restoring blood flow to the affected areas by either bypassing blocked arteries or dilating them. This direct approach addresses the underlying problem by enhancing vascular supply, which is essential for tissue health and healing. Increased perfusion can improve oxygen delivery and nutrient transport to tissues, ultimately leading to better outcomes for the patient. Increasing sodium intake, recommending complete bed rest, or minimizing fluid intake do not support the goal of improving blood flow. Instead, these practices could potentially exacerbate other health issues or lead to complications that further impair circulation. For instance, increasing sodium can lead to fluid retention and increased blood pressure, which in turn may not be beneficial for peripheral circulation in the context of LEAD. It is crucial for treatment strategies to focus on enhancing blood flow through methods like revascularization that directly target the vascular occlusions associated with the disease.