A client with peripheral artery disease (PAD) is scheduled for an angioplasty. What information should the nurse provide to the client about the procedure?
"You'll need to avoid all food and drink for 24 hours before the procedure."
"You may experience some chest pain during the angioplasty, which is normal."
"You'll be under general anesthesia for the duration of the procedure."
"You'll need to lie flat and keep your leg straight for several hours after the procedure."
The Correct Answer is D
A) Incorrect - Complete fasting is typically not required for an angioplasty procedure. The client may receive specific instructions about food and drink restrictions, but a 24-hour fasting period is unnecessary.
B) Incorrect - Angioplasty is not associated with chest pain. It is primarily performed to improve blood flow in narrowed or blocked arteries, such as those in the legs in PAD.
C) Incorrect - Angioplasty is usually performed with local anesthesia, not general anesthesia. The client will be awake but may receive sedation to help them relax during the procedure.
D) Correct - After the procedure, the client is typically advised to lie flat and keep the leg straight for several hours to prevent bleeding and promote vessel healing. This position helps to apply pressure at the site of the angioplasty.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - The presence of a bruit (a turbulent blood flow sound) over the abdominal area is a priority finding when assessing for an AAA. It indicates possible turbulence caused by blood flow through the dilated artery and should be promptly reported for further evaluation.
B) Incorrect - Clubbing of the fingers is not a specific finding associated with AAA or peripheral vascular disorders. It may be related to respiratory or cardiac issues but is not relevant to this assessment.
C) Incorrect - Decreased urinary output may indicate kidney dysfunction or renal artery involvement in aneurysms, but it is not a priority finding compared to the presence of a bruit, which directly points to the aneurysm.
D) Incorrect - Cyanosis of the extremities may suggest compromised peripheral circulation, but it is not directly related to an AAA assessment. The presence of a bruit is more specific to aneurysm evaluation.
Correct Answer is C
Explanation
A) Incorrect - Avoiding all physical activities is unnecessary and may lead to deconditioning and other health issues. Moderate physical activity is generally encouraged for clients with aneurysms to maintain cardiovascular health.
B) Incorrect - While reducing sodium intake can be beneficial for managing hypertension, it is not a direct preventive measure for aneurysm progression. The primary focus should be on reducing risk factors like smoking and hypertension.
C) Correct - Smoking cessation is crucial in preventing the progression of thoracic aortic aneurysms. Smoking is a significant risk factor for aneurysm development and growth, and quitting can help reduce the risk of rupture.
D) Incorrect - Limiting fluid intake is not a preventive measure for thoracic aortic aneurysm progression. Adequate hydration is important for overall health and should not be restricted unless specifically recommended by a healthcare provider for other reasons.
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