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?

Instructing the client to avoid eating or drinking for 24 hours before the procedure.

Informing the client of the need for general anesthesia during the procedure.

Explaining that the procedure involves making a large incision in the abdomen.

Informing the client that a catheter will be inserted through a blood vessel.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

A) This choice is incorrect because peripheral vascular diseases primarily affect the cardiovascular system, not the respiratory system. The respiratory system involves the lungs and the exchange of gases, while the cardiovascular system involves the heart and blood vessels.

B) This choice is correct. Peripheral vascular diseases are conditions that affect the blood vessels outside the heart and brain, including the arteries and veins in the extremities (arms and legs). These diseases can lead to reduced blood flow, pain, and various complications.

C) This choice is incorrect because peripheral vascular diseases do not primarily affect the nervous system. While some peripheral vascular diseases may have neurological implications, they are not primarily neurological disorders.

D) This choice is incorrect because peripheral vascular diseases do not primarily affect the gastrointestinal system. The gastrointestinal system involves the digestion and absorption of nutrients, which is not directly related to peripheral vascular diseases.

A. Intermittent claudication. B. Deep vein thrombosis (DVT). C. Raynaud's phenomenon. D. Chronic venous insufficiency.

Correct Answer is A

Explanation

A) This choice is correct. Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It refers to pain, cramping, or weakness in the legs that occurs during physical activity and is relieved by rest. This symptom is due to reduced blood flow and oxygen supply to the muscles during exercise.

B) This choice is incorrect because deep vein thrombosis (DVT) typically presents with symptoms such as swelling, warmth, and tenderness in the affected leg, but it does not cause pain that is relieved by rest.

C) This choice is incorrect because Raynaud's phenomenon primarily affects the fingers and toes, causing them to turn white, then blue, and finally red due to blood vessel spasms in response to cold or stress. It is not associated with pain in the legs during walking.

D) This choice is incorrect because chronic venous insufficiency involves symptoms such as leg swelling, skin changes, and the development of venous ulcers, but it is not characterized by pain that occurs with walking and is relieved by rest.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A client with peripheral vascular disease (PAD) reports experiencing pain in their legs that occurs with walking and is relieved by rest. The nurse recognizes this symptom as:

Correct Answer is A

Explanation

A nurse is providing education to a client with peripheral vascular disease (PAD) about lifestyle modifications. Which dietary recommendation should the nurse include in the client's plan of care?

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

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

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

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

A client with peripheral arterial disease (PAD) has a non-healing ulcer on the foot. The nurse should prioritize which action in the client's plan of care?

A client with peripheral vascular disease (PAD) reports experiencing numbness and tingling in their feet. The nurse should suspect:

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: