A client with peripheral vascular disease (PAD) is at risk of developing complications related to impaired skin integrity. What should the nurse include in the plan of care to prevent skin breakdown?

Encouraging the client to massage the legs daily.

Applying adhesive tape to secure dressings.

Inspecting the skin regularly for redness or signs of breakdown.

Using a donut-shaped cushion for sitting.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because encouraging the client to massage the legs daily may not be appropriate for individuals with peripheral vascular disease (PAD). Vigorous massage can damage fragile blood vessels and exacerbate skin breakdown or injury.

B) This choice is incorrect because applying adhesive tape directly to the skin can cause skin trauma and increase the risk of skin breakdown. Dressings should be secured using appropriate medical tapes or dressings that are designed for skin protection.

C) This choice is correct. Regularly inspecting the skin for redness, discoloration, or signs of breakdown is crucial for early detection of impaired skin integrity in clients with peripheral vascular disease (PAD). Prompt identification and intervention can help prevent the development of pressure ulcers or wounds.

D) This choice is incorrect because using a donut-shaped cushion for sitting is generally not recommended for preventing skin breakdown. Donut cushions can increase pressure on the area around the coccyx and may cause more harm than good. Clients at risk of skin breakdown should be repositioned regularly and encouraged to shift their weight to relieve pressure on vulnerable areas.

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Correct Answer is D

Explanation

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.

A. Increase the dosage if experiencing leg pain. B. Take the medication on an empty stomach. C. Avoid grapefruit juice while on cilostazol. D. Use compression stockings to promote blood flow.

Correct Answer is C

Explanation

For a client with peripheral vascular disease (PAD) who is prescribed cilostazol, the nurse should provide the following instruction:

C) Avoid grapefruit juice while on cilostazol.

Grapefruit juice can interact with certain medications, including cilostazol, and may lead to increased levels of the medication in the bloodstream. This can potentially cause adverse effects or interfere with the intended therapeutic effects of cilostazol. Therefore, clients taking cilostazol should be advised to avoid grapefruit juice.

The other options are not appropriate:

A) Increasing the dosage of cilostazol without consulting a healthcare provider is not recommended and can be dangerous.

B) Cilostazol can be taken with or without food, so taking it on an empty stomach is not necessary.

D) While compression stockings can be used for some individuals with PAD, their use should be discussed with the healthcare provider and is not specific to cilostazol instructions.

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A client with peripheral vascular disease (PAD) is at risk of developing complications related to impaired skin integrity. What should the nurse include in the plan of care to prevent skin breakdown?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A client with peripheral vascular disease (PAD) is prescribed cilostazol, a medication that improves blood flow in the legs. The nurse should instruct the client to:

Correct Answer is C

Explanation

A nurse is assessing a client with peripheral vascular disease. Which non-invasive test can the nurse use to assess blood flow in the legs and detect blockages?

A nurse is preparing a client for a non-invasive test to assess blood flow and blood pressure in the legs. The nurse informs the client that this test is called:

A client with a history of hypertension, hyperlipidemia, and obesity is at risk for developing peripheral vascular disease (PAD) due to:

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?

A nurse is providing education to a client about peripheral vascular diseases. The nurse explains that these diseases primarily affect which body system?

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?

A client with peripheral vascular disease (PAD) is prescribed cilostazol. The nurse should instruct the client to report which adverse effect immediately?

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