Cardiac-Vascular Nursing (CVRN) Practice Exam

What symptom might a patient with chronic venous obstruction frequently complain of?

1. Thin, shiny skin

2. Hair loss of the affected extremity

3. Diminished sensory function

4. Swelling of the lower legs

The correct answer is: Swelling of the lower legs

Chronic venous obstruction often leads to increased venous pressure, resulting in fluid accumulation in the lower extremities. This accumulation manifests as swelling, or edema, particularly in the legs and ankles. Patients typically report this swelling, especially after periods of prolonged sitting or standing, as the gravitational forces exacerbate the condition. In contrast, thin, shiny skin, hair loss on the affected extremity, and diminished sensory function may be more associated with arterial issues or long-term venous insufficiency rather than acute symptoms of chronic venous obstruction. Thus, swelling of the lower legs is a direct and common symptom experienced by patients suffering from chronic venous obstruction.