A nurse is caring for a client with peripheral vascular disease (PAD) who undergoes angioplasty with stent placement. Which post-procedure instruction should the nurse include in the client's education?
Limiting fluid intake to prevent swelling.
Avoiding walking for the first 24 hours.
Taking dual antiplatelet therapy as prescribed.
Applying ice packs to the incision site.
The Correct Answer is C
A) This choice is incorrect because limiting fluid intake is not a standard post-procedure instruction following angioplasty with stent placement. Adequate hydration is important for recovery and overall health.
B) This choice is incorrect because walking is generally encouraged following angioplasty with stent placement. Early mobilization helps prevent complications such as blood clots and promotes blood flow through the treated vessel.
C) This choice is correct. After angioplasty with stent placement, clients are often prescribed dual antiplatelet therapy, which typically includes aspirin and another antiplatelet medication such as clopidogrel. Dual antiplatelet therapy helps prevent blood clots from forming around the stent and reduces the risk of stent re-narrowing (restenosis).
D) This choice is incorrect because applying ice packs to the incision site is not a standard post-procedure instruction after angioplasty with stent placement. Ice packs are not typically used for this type of procedure, and the incision site is usually managed with sterile dressings and wound care.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because increased blood viscosity (thickness) is not primarily associated with hypertension, hyperlipidemia, or obesity. It is more commonly associated with conditions such as polycythemia or dehydration.
B) This choice is incorrect because hypercoagulability of the blood is not a direct risk factor associated with hypertension, hyperlipidemia, or obesity. Hypercoagulability is more commonly associated with conditions such as certain clotting disorders.
C) This choice is incorrect because impaired cardiac function is not a direct risk factor for the development of PAD in the context of hypertension, hyperlipidemia, or obesity. However, impaired cardiac function can contribute to heart-related peripheral vascular diseases, such as congestive heart failure.
D) This choice is correct. Hypertension, hyperlipidemia, and obesity are significant risk factors for the formation of atherosclerotic plaques in the arteries. Atherosclerosis involves the buildup of plaque, including cholesterol and other substances, on the arterial walls, leading to narrowed and hardened arteries, reducing blood flow to the extremities and contributing to PAD.
Correct Answer is B
Explanation
A) This choice is incorrect because encouraging prolonged standing can worsen symptoms of chronic venous insufficiency (CVI). Prolonged standing increases venous pressure in the legs and can lead to further swelling and discomfort.
B) This choice is correct. Elevating the legs above heart level when resting is a beneficial intervention for individuals with chronic venous insufficiency (CVI). Elevating the legs helps improve venous return and reduces swelling in the legs.
C) This choice is incorrect because applying warm compresses to the legs may provide temporary relief for some individuals, but it is not a primary intervention for managing chronic venous insufficiency (CVI).
D) This choice is incorrect because tight-fitting compression stockings are commonly used to manage chronic venous insufficiency (CVI), but they should be fitted appropriately by a healthcare professional. Wearing overly tight compression stockings can impede blood flow and cause discomfort.
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