A client diagnosed with peripheral artery disease (PAD) asks the nurse about effective treatment options. What should the nurse include in the response?
"Minimally invasive angioplasty is the best treatment for PAD."
"Surgical bypass grafting is the most effective treatment for PAD."
"You should consider amputation as a definitive treatment for PAD."
"Medical management with lifestyle changes is often the first-line treatment for PAD."
The Correct Answer is D
A) Incorrect - While angioplasty may be effective for some cases of PAD, it is not always the best treatment option and may not be suitable for everyone.
B) Incorrect - Surgical bypass grafting is an option for severe cases of PAD, but it may not be the most effective treatment for all clients.
C) Incorrect - Amputation is considered a last resort for PAD and is only considered when all other treatment options have been exhausted and the limb is at risk for gangrene or life-threatening complications.
D) Correct - Medical management with lifestyle changes, such as quitting smoking, controlling blood pressure and cholesterol levels, and regular exercise, is often the first-line treatment for PAD. This approach aims to improve blood flow and manage symptoms before considering more invasive interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect - Avoiding physical activity for the first 6 weeks is unnecessary and may hinder the client's recovery. Gradual activity resumption is generally recommended after peripheral artery bypass surgery.
B) Correct - Light walking is a suitable form of physical activity to begin the day after peripheral artery bypass surgery. Gradual and controlled walking helps improve blood circulation and promotes healing.
C) Incorrect - Participating in strenuous exercises immediately after peripheral artery bypass surgery is not recommended. Strenuous activities can put stress on the surgical site and increase the risk of complications.
D) Incorrect - Waiting until fully recovered before engaging in any physical activity is unnecessary and may delay the client's recovery process. Controlled and gradual activity resumption is usually preferred.
Correct Answer is B
Explanation
A) Incorrect - Avoiding showering or bathing for 24 hours after the procedure is unnecessary. Clients can usually shower the day after the angioplasty, but should avoid soaking the insertion site in water.
B) Correct - Keeping the insertion site dry and covered with a dressing is the appropriate wound care for the first 24 hours after peripheral angioplasty. This helps prevent infection and protect the site.
C) Incorrect - Cleaning the insertion site with hydrogen peroxide daily is not recommended, as it may delay wound healing. Instead, clients should follow the healthcare provider's instructions on wound care.
D) Incorrect - Rubbing the insertion site with a washcloth during showers is not advisable, as it may irritate the area and interfere with proper wound healing. The insertion site should be gently washed without scrubbing.
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