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:

Increase the dosage if experiencing leg pain.

Take the medication on an empty stomach.

Avoid grapefruit juice while on cilostazol.

Use compression stockings to promote blood flow.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

A) This choice is incorrect because angiography is an invasive procedure that involves the injection of contrast dye into the blood vessels to visualize their structure and blood flow. It is not a non-invasive test.

B) This choice is incorrect because venography is an imaging test that involves the injection of contrast dye into a vein to visualize its flow. It is not commonly used to assess blood flow and blood pressure in the legs.

C) This choice is correct. Doppler ultrasound is a non-invasive test that uses sound waves to assess blood flow and blood pressure in the legs. It helps identify areas of reduced blood flow, blockages, and abnormalities in the blood vessels.

D) This choice is incorrect because magnetic resonance imaging (MRI) is a diagnostic imaging technique that provides detailed images of the body's internal structures using a magnetic field and radio waves. While it can be used to assess blood vessels, it is not the primary test for evaluating blood flow in peripheral vascular diseases.

A. Instructing the client to avoid eating or drinking for 24 hours before the procedure. B. Informing the client of the need for general anesthesia during the procedure. C. Explaining that the procedure involves making a large incision in the abdomen. D. Informing the client that a catheter will be inserted through a blood vessel.

Correct Answer is D

Explanation

A) This choice is incorrect because avoiding eating or drinking for 24 hours before the procedure is not typically required for a percutaneous transluminal angioplasty (PTA) with stent placement. The client may be instructed to avoid eating or drinking for a few hours before the procedure to prevent aspiration during sedation, but a 24-hour fast is not necessary.

B) This choice is incorrect because percutaneous transluminal angioplasty (PTA) with stent placement is typically performed under local anesthesia or conscious sedation, not general anesthesia. General anesthesia is not required for this procedure.

C) This choice is incorrect because percutaneous transluminal angioplasty (PTA) with stent placement is a minimally invasive procedure that does not involve making a large incision in the abdomen. It is usually performed using small punctures or incisions in the groin or arm to insert a catheter.

D) This choice is correct. A percutaneous transluminal angioplasty (PTA) with stent placement involves the insertion of a catheter through a blood vessel, typically in the groin or arm, to reach the narrowed or blocked artery. The catheter is used to inflate a small balloon and place a stent to open the artery and improve blood flow. Providing information about the catheter insertion is essential for the client's understanding of the procedure.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

Explanation

A client with peripheral vascular disease (PAD) is scheduled for a percutaneous transluminal angioplasty (PT with stent placement. What pre-procedure information should the nurse provide to the client?

Correct Answer is D

Explanation

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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: