A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

The procedure is performed using a small incision in the leg.

It is essential to keep the leg immobile after the procedure.

The procedure uses sound waves to visualize blood flow.

There is a risk of allergic reaction to contrast dye.

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because arteriography is an invasive procedure that involves the insertion of a catheter through a blood vessel, typically in the groin or arm, to inject contrast dye directly into the arteries. It is not performed using a small incision in the leg.

B) This choice is incorrect because keeping the leg immobile after an arteriography is not necessary. However, the client will be asked to rest and avoid strenuous activities for a few hours following the procedure.

C) This choice is incorrect because the procedure that uses sound waves to visualize blood flow is a Doppler ultrasound, not an arteriography. Arteriography involves the use of contrast dye and X-rays to visualize the arterial blood vessels.

D) This choice is correct. Arteriography requires the use of contrast dye to enhance the visualization of blood vessels during X-ray imaging. There is a risk of an allergic reaction to the contrast dye, and clients should be informed about this potential complication before the procedure. Precautions may be taken, and the client's medical history should be reviewed to identify any contraindications to the use of contrast dye.

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Correct Answer is B

Explanation

A) This choice is incorrect because elevating the legs above heart level for only 15 minutes daily may not provide sufficient benefit for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Continuous and prolonged elevation, along with compression therapy, is more effective in reducing swelling.

B) This choice is correct. Applying compression bandages or stockings is a standard intervention for managing edema and skin changes in clients with chronic venous insufficiency (CVI). Compression helps improve venous return and reduce swelling in the lower legs.

C) This choice is incorrect because soaking the legs in hot water is not recommended for clients with chronic venous insufficiency (CVI). Hot water may cause skin irritation and worsen skin changes associated with CVI.

D) This choice is incorrect because encouraging long periods of standing can worsen symptoms in clients with CVI. Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.

A. Elevating the legs above heart level while sitting. B. Applying direct heat to the affected extremities. C. Crossing the legs while seated to improve venous return. D. Limiting physical activity to avoid exacerbating symptoms.

Correct Answer is A

Explanation

A) This choice is correct. Elevating the legs above heart level while sitting can improve venous return, reducing swelling and promoting blood circulation in the legs. This position helps counteract the effects of gravity on blood flow.

B) This choice is incorrect because applying direct heat to the affected extremities is not a recommended method for improving blood circulation in peripheral vascular disease. Heat can cause vasodilation, which may exacerbate symptoms such as swelling and pain.

C) This choice is incorrect because crossing the legs while seated can impede venous return and contribute to blood pooling in the legs. It is not a recommended activity for individuals with peripheral vascular disease.

D) This choice is incorrect because limiting physical activity is not recommended for individuals with peripheral vascular disease. Regular physical activity, such as walking, can actually improve blood circulation and overall vascular health. However, individuals with peripheral vascular disease should be cautious not to overexert themselves and should consult with their healthcare provider regarding appropriate levels of physical activity.

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A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that:

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Naxlex Comprehensive Predictor Exams

A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

Correct Answer is B

Explanation

A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?

Correct Answer is A

Explanation

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