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

What is a contraindication for dynamic compression therapy?

1. Uncompensated heart failure

2. Stable chronic venous insufficiency

3. Recent minor surgery

4. Mild lymphedema

The correct answer is: Uncompensated heart failure

Dynamic compression therapy is utilized to promote lymphatic drainage, improve venous return, and reduce edema. However, there are specific situations where this therapy might pose risks to the patient. Uncompensated heart failure is a contraindication because it can result in an overload of the cardiovascular system. When dynamic compression devices are employed, they can increase venous return and blood volume to the heart, leading to potential exacerbation of heart failure symptoms, such as increased pulmonary congestion and worsening edema. In contrast, stable chronic venous insufficiency and mild lymphedema are typically considered suitable for dynamic compression therapy as they help manage symptoms and prevent progression. Recent minor surgery, depending on the specifics of the procedure and overall patient condition, may allow for the use of compression as well, though one would exercise caution based on the surgical site and healing status. Thus, the presence of uncompensated heart failure distinctly flags a risk, making it a contraindication for the use of dynamic compression therapy.