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. 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.

A. Deep vein thrombosis (DVT) B. Raynaud's disease C. Peripheral artery disease (PAD) D. Varicose veins

Correct Answer is C

Explanation

A) This choice is incorrect because while smoking can be a risk factor for deep vein thrombosis (DVT), diabetes and hypertension are not significant risk factors for this condition. DVT is more commonly associated with prolonged immobility, surgery, or trauma.

B) This choice is incorrect because Raynaud's disease is not directly related to smoking, diabetes, or hypertension. Raynaud's disease involves blood vessel spasms and is more commonly associated with exposure to cold temperatures or stress.

C) This choice is correct. Peripheral artery disease (PAD) involves the narrowing or blockage of arteries in the extremities, leading to reduced blood flow. Smoking, diabetes, and hypertension are significant risk factors for the development of PAD. Smoking damages blood vessels, diabetes increases the risk of atherosclerosis (plaque buildup in arteries), and hypertension can lead to arterial damage and narrowing.

D) This choice is incorrect because varicose veins are typically caused by weakened or damaged valves in the veins, leading to the pooling of blood and the development of enlarged and twisted veins. Smoking, diabetes, and hypertension are not primary risk factors for varicose veins.

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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) 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 client has a history of smoking, diabetes, and hypertension. The nurse should recognize that these risk factors contribute to the development of which peripheral vascular disease?

Correct Answer is C

Explanation

A client with suspected peripheral vascular disease is scheduled for an ankle-brachial index (ABI) test. The nurse explains that this test measures:

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 cold feet due to reduced blood flow. Which self-care measure should the nurse recommend to the client?

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?

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) reports experiencing numbness and tingling in their feet. The nurse should suspect:

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

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?