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 C

Explanation

A) This choice is incorrect because lying down and elevating the legs during episodes of intermittent claudication may provide temporary relief, but it does not address the underlying issue. Encouraging the client to stop and rest perpetuates the pain cycle and may hinder progress in managing PAD symptoms.

B) This choice is incorrect because deep breathing exercises are not directly related to managing intermittent claudication. While deep breathing exercises can be beneficial for relaxation and stress reduction, they do not specifically address the leg pain experienced during walking.

C) This choice is correct. Encouraging the client to continue walking during episodes of intermittent claudication helps build endurance and improves blood flow to the legs. Gradual increases in walking distance and duration can help the client tolerate longer periods of activity before experiencing pain.

D) This choice is incorrect because using a heating pad on the affected area is not recommended for managing intermittent claudication. Heat may not provide significant pain relief, and it does not address the underlying vascular issues causing the pain.

A. Asthma B. Osteoarthritis C. Hypothyroidism D. Hypercholesterolemia

Correct Answer is D

Explanation

A) This choice is incorrect because asthma is not directly associated with an increased risk of atherosclerosis or peripheral vascular disease. Asthma is a chronic respiratory condition that affects the airways, not the blood vessels.

B) This choice is incorrect because osteoarthritis is a degenerative joint disease and is not directly linked to an increased risk of atherosclerosis or peripheral vascular disease.

C) This choice is incorrect because while hypothyroidism can impact cardiovascular health, it is not a primary risk factor for atherosclerosis or peripheral vascular disease. Hypothyroidism can lead to elevated cholesterol levels, but hypercholesterolemia is the specific condition related to increased cholesterol levels and atherosclerosis.

D) This choice is correct. Hypercholesterolemia, characterized by high levels of cholesterol in the blood, is a significant risk factor for atherosclerosis, which is the buildup of plaque in the arterial walls. Atherosclerosis is a common cause of peripheral vascular disease, leading to reduced blood flow to the extremities and various cardiovascular complications.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peripheral vascular disease (PAD) who experiences intermittent claudication. What should the nurse encourage the client to do during episodes of leg pain?

Correct Answer is C

Explanation

A nurse is reviewing the medical history of a client with suspected peripheral vascular disease. Which condition is a significant risk factor for the development of atherosclerosis and peripheral vascular disease?

Correct Answer is D

Explanation

A nurse is assessing a client with suspected peripheral vascular disease. Which finding is most concerning and requires immediate intervention?

A client with diabetes asks a nurse about the increased risk of peripheral vascular disease (PAD) in diabetes. The nurse explains that diabetes contributes to PAD primarily through:

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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?

A nurse is providing education to a client with peripheral vascular disease (PAD). The nurse should instruct the client to perform which exercise to improve blood flow in the legs?

A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

A client with peripheral vascular disease (PAD) is experiencing cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?