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

Which condition is classified as a form of chronic venous insufficiency?

1. Symptomatic lymphedema caused by obstruction

2. Transient edema from physical activities

3. Acute inflammation of joints

4. Localized fat deposition

The correct answer is: Symptomatic lymphedema caused by obstruction

Chronic venous insufficiency occurs when the veins are unable to effectively return blood from the legs back to the heart, leading to various symptoms, including swelling, pain, and skin changes. Symptomatic lymphedema caused by obstruction is classified under chronic venous insufficiency because it involves compromised lymphatic drainage, which is often associated with chronic issues related to venous return. This condition typically results from longstanding problems in the venous system, such as valve incompetence or obstruction, which are hallmarks of chronic venous insufficiency. The presence of swelling and potential skin changes due to chronic fluid accumulation aligns this condition with the expected outcomes of venous insufficiency, thus making it the correct choice in this context. In contrast, transient edema from physical activities is usually temporary and resolves quickly with rest, indicating a lack of chronicity. Acute inflammation of joints refers to conditions like arthritis, which do not involve chronic venous issues. Localized fat deposition is related to changes in body composition, not specifically tied to chronic venous function.