Lymphology Association of North America (LANA) Practice Exam

Which of the following is a relative contraindication for compression bandaging?

1. Chronic venous insufficiency (CVI)

2. All are true

3. Paralysis with sensory deficits

4. Arterial disease with an ABI below 0.5

The correct answer is: Paralysis with sensory deficits

Compression bandaging is a common therapeutic intervention used in the management of various conditions related to the lymphatic and venous systems. When assessing contraindications, it’s essential to understand the risks associated with certain medical conditions. Paralysis with sensory deficits is considered a relative contraindication for compression bandaging because it may lead to an inability to perceive irritation, discomfort, or complications associated with the bandaging, such as pressure ulcers or impaired circulation. The lack of sensory feedback puts the individual at greater risk, as they may not be able to recognize signs of complications developing due to the compression. This makes it crucial for healthcare professionals to evaluate the patient's overall condition and ensure that the benefits of compression outweigh the risks. On the other hand, chronic venous insufficiency (CVI) can often benefit from compression, as it helps improve venous return and reduce edema. Arterial disease with an ABI (Ankle-Brachial Index) below 0.5 is a significant concern because it indicates severe arterial insufficiency, where compression could potentially compromise perfusion to the tissues. The option that indicates all are true would not be valid as both CVI and arterial disease with critical ABI values can be treated or managed with caution and under specific guidelines. Therefore