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 C
Explanation
A) Incorrect - Mild incisional pain is expected after open surgical repair and can be managed with prescribed pain medications. It does not require immediate reporting.
B) Incorrect - Some incisional drainage with slight redness may be normal in the early postoperative period. However, increasing drainage or significant redness may indicate infection and should be reported to the healthcare provider.
C) Correct - Mild swelling of the legs may indicate a fluid retention issue or impaired circulation, which can be a concern after AAA repair. It should be reported for further evaluation.
D) Incorrect - Sudden onset of chest pain is not directly related to the AAA repair and may indicate a different medical emergency that requires immediate attention.
Correct Answer is C
Explanation
A) Incorrect - Endovascular stent graft placement is a treatment option for popliteal artery aneurysms, but it is not considered the definitive therapy for all cases.
B) Incorrect - Medication management with anticoagulants is not the definitive therapy for popliteal artery aneurysms. Anticoagulants may be prescribed to prevent clot formation, but they do not address the aneurysm itself.
C) Correct - Surgical excision and graft placement are considered the definitive therapy for popliteal artery aneurysms. This procedure involves removing the aneurysm and replacing it with a graft to restore proper blood flow.
D) Incorrect - Conservative management with lifestyle changes may be recommended in certain cases, but it is not the definitive therapy for popliteal artery aneurysms, especially when the aneurysm poses a significant risk of rupture.
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