National Physical Therapy Examination (NPTE) Practice Exam

For a patient with popliteal artery occlusion, what is the BEST treatment option in the acute care setting?

1. Complete bed rest

2. Ankle pumps in bed

3. Use of compression stockings

4. Application of heat for pain relief

The correct answer is: Complete bed rest

In the acute care setting for a patient with popliteal artery occlusion, complete bed rest is the best treatment option. This management approach is crucial because rest minimizes movement, thereby reducing the risk of further vascular compromise or potential thrombus dislodgment, which can exacerbate the condition and lead to more severe ischemia. While active treatments and interventions may be necessary at later stages, initial management focuses on stabilizing the patient's condition, ensuring that the affected limb is not subjected to additional stress that can worsen the occlusion. The other options could complicate the clinical situation: ankle pumps could cause unnecessary movement and strain on the compromised artery; compression stockings may increase venous return but potentially decrease arterial flow to the already compromised area; and the application of heat might relieve pain but could also dilate blood vessels and exacerbate any underlying vascular issues, particularly in an area already suffering from reduced blood flow. Therefore, prioritizing complete bed rest helps ensure the best immediate outcomes for the patient in this acute stage.