A client who underwent a peripheral angioplasty asks the nurse about wound care for the insertion site. What should the nurse instruct the client to do?
"Avoid showering or bathing for 24 hours after the procedure."
"Keep the insertion site dry and covered with a dressing."
"Clean the insertion site with hydrogen peroxide daily."
"Rub the insertion site gently with a washcloth during showers."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Monitoring for signs of stroke is the priority during the immediate postoperative period for a client who underwent carotid artery endarterectomy. The procedure involves removing plaque buildup from the carotid artery, which can potentially dislodge and cause a stroke.
B) Incorrect - Assessing the surgical incision for bleeding is important, but it is not the priority when compared to monitoring for signs of stroke after a carotid endarterectomy.
C) Incorrect - Administering pain medications is essential for the client's comfort, but it is not the priority during the immediate postoperative period when there is a higher risk of stroke.
D) Incorrect - Encouraging coughing and deep breathing is a standard postoperative nursing intervention, but it is not the priority in this situation. The focus should be on monitoring for stroke symptoms.
Correct Answer is A
Explanation
A) Correct - Checking for allergies to iodine or shellfish is a priority assessment after a peripheral arteriography because contrast dye containing iodine is used during the procedure. An allergic reaction to the dye can be life-threatening and requires immediate intervention.
B) Incorrect - Assessing for pedal pulses bilaterally is important in general, but it is not the priority assessment immediately after a peripheral arteriography.
C) Incorrect - Monitoring blood glucose levels may be relevant for clients with diabetes, but it is not the priority assessment after a peripheral arteriography.
D) Incorrect - Evaluating respiratory rate and oxygen saturation is essential in many post-procedure assessments, but it is not the priority immediately after a peripheral arteriography. The focus is on assessing for any immediate allergic reactions to the contrast dye.
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