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 C
Explanation
A) Incorrect - A high-stress lifestyle can contribute to various health issues, but it is not a genetic risk factor for aneurysms. Stress may exacerbate hypertension, which is a known risk factor.
B) Incorrect - Smoking history is a behavioral risk factor rather than a genetic one. Smoking damages blood vessels and increases the risk of aneurysms through direct and indirect mechanisms.
C) Correct - A positive family history of aneurysms is a genetic risk factor. Having a first-degree relative with a history of an aneurysm increases an individual's risk of developing one.
D) Incorrect - A sedentary lifestyle is a behavioral risk factor for aneurysms, not a genetic one. Lack of physical activity can contribute to hypertension and other risk factors.
Correct Answer is A
Explanation
A) Correct - After an endovascular stent graft placement for an AAA, clients should avoid heavy lifting for at least 2 weeks to prevent stress on the graft site and minimize the risk of complications.
B) Incorrect - Stopping all blood-thinning medications is not advisable after an endovascular stent graft placement. These medications may be prescribed to prevent blood clots around the graft site.
C) Incorrect - While follow-up CT scans are essential to monitor the success of the procedure and assess the aneurysm's stability, they are not expected to be frequent. The frequency of follow-up scans will be determined by the healthcare provider based on the client's progress.
D) Incorrect - Beginning a rigorous exercise routine immediately after the procedure is not recommended. Clients should gradually resume physical activity as guided by their healthcare provider to avoid complications and promote proper healing.
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