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 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.

A. Soaking the feet in hot water to increase circulation. B. Wearing thick socks to insulate the feet. C. Using an electric blanket to keep warm. D. Avoiding exposure to cold temperatures.

Correct Answer is D

Explanation

A) This choice is incorrect because soaking the feet in hot water is not recommended for individuals with peripheral vascular disease (PAD) or cold feet. Hot water can cause burns or injuries, especially in clients with reduced sensation due to PAD.

B) This choice is incorrect because while wearing thick socks can provide some insulation, it is not a comprehensive solution for managing cold feet caused by reduced blood flow.

C) This choice is incorrect because using an electric blanket may not be specific to the feet and may not effectively address the issue of cold feet due to PAD.

D) This choice is correct. Avoiding exposure to cold temperatures is a recommended self-care measure for individuals with peripheral vascular disease (PAD) experiencing cold feet. Cold temperatures can further constrict blood vessels and reduce blood flow to the extremities. Clients should keep their feet warm and protect them from cold weather using appropriate footwear and clothing.

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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 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 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?

Correct Answer is D

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?

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 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?

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

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 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 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: