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 A

Explanation

A) This choice is correct. As individuals age, the risk of peripheral vascular diseases increases due to several factors, including the weakening of arterial walls and the accumulation of plaque in the arteries (atherosclerosis). Aging is associated with changes in blood vessels, such as decreased elasticity and increased stiffness, which can contribute to the development of peripheral vascular diseases.

B) This choice is incorrect because while physical fitness can influence the risk of cardiovascular diseases, age-related changes in blood vessels can still increase the risk of peripheral vascular diseases, even in physically fit individuals.

C) This choice is incorrect because the risk of peripheral vascular diseases does not remain stable with no significant changes. Aging is associated with various physiological changes that can impact cardiovascular health and increase the risk of peripheral vascular diseases.

D) This choice is incorrect because while gender and ethnicity can influence the risk of certain conditions, age is a significant independent risk factor for the development of peripheral vascular diseases. The age-related changes in blood vessels apply to individuals of all genders and ethnicities.

Questions

A. Elevating the legs above heart level for 15 minutes daily. B. Applying compression bandages to the legs. C. Soaking the legs in hot water to reduce swelling. D. Encouraging long periods of standing to promote circulation.

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.

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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 educating a client about risk factors for peripheral vascular diseases. The client asks about the role of age in developing these conditions. The nurse explains that as individuals age, the risk of peripheral vascular diseases:

Correct Answer is A

Explanation

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

A nurse is teaching a client about the contributing factors to peripheral vascular diseases. The nurse explains that the most common cause of peripheral artery disease (PAD) is:

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 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 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 (PAD) is experiencing intermittent claudication and reports difficulty walking. What should the nurse encourage the client to do to improve exercise tolerance?

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: