A nurse is caring for a client after peripheral artery bypass surgery. What should the nurse assess in the client to monitor the success of the procedure?

A) Incorrect - Complete fasting is typically not required for an angioplasty procedure. The client may receive specific instructions about food and drink restrictions, but a 24-hour fasting period is unnecessary.

B) Incorrect - Angioplasty is not associated with chest pain. It is primarily performed to improve blood flow in narrowed or blocked arteries, such as those in the legs in PAD.

C) Incorrect - Angioplasty is usually performed with local anesthesia, not general anesthesia. The client will be awake but may receive sedation to help them relax during the procedure.

D) Correct - After the procedure, the client is typically advised to lie flat and keep the leg straight for several hours to prevent bleeding and promote vessel healing. This position helps to apply pressure at the site of the angioplasty.

A) Incorrect - While monitoring urine output is essential, it is not the priority for a client post-abdominal aortic aneurysm repair. Other assessments take precedence to detect immediate complications.

B) Incorrect - Assisting with early ambulation is important for postoperative recovery, but it is not the priority when there might be a risk of complications from the surgery.

C) Correct - Assessing pedal pulses bilaterally is the priority nursing action post-abdominal aortic aneurysm repair. Diminished or absent pedal pulses could indicate compromised blood flow to the lower extremities, possibly due to a clot or embolism.

D) Incorrect - Monitoring blood glucose levels is relevant for some clients, but it is not the priority in this situation, unless the client has a specific history of diabetes or altered glucose levels that could impact their recovery.

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