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 asthma is not directly associated with an increased risk of atherosclerosis or peripheral vascular disease. Asthma is a chronic respiratory condition that affects the airways, not the blood vessels.
B) This choice is incorrect because osteoarthritis is a degenerative joint disease and is not directly linked to an increased risk of atherosclerosis or peripheral vascular disease.
C) This choice is incorrect because while hypothyroidism can impact cardiovascular health, it is not a primary risk factor for atherosclerosis or peripheral vascular disease. Hypothyroidism can lead to elevated cholesterol levels, but hypercholesterolemia is the specific condition related to increased cholesterol levels and atherosclerosis.
D) This choice is correct. Hypercholesterolemia, characterized by high levels of cholesterol in the blood, is a significant risk factor for atherosclerosis, which is the buildup of plaque in the arterial walls. Atherosclerosis is a common cause of peripheral vascular disease, leading to reduced blood flow to the extremities and various cardiovascular complications.
Correct Answer is C
Explanation
A) This choice is incorrect because hypertension (high blood pressure) is not a significant risk factor for venous insufficiency. Venous insufficiency involves the impairment of venous valves and blood flow in the veins, not arterial hypertension.
B) This choice is incorrect because atherosclerosis is associated with peripheral artery disease (PAD), not venous insufficiency. Atherosclerosis involves the buildup of plaque in the arteries, leading to reduced blood flow in the extremities.
C) This choice is correct. Deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, most commonly in the legs. DVT can lead to damage to the venous valves and veins, causing venous insufficiency and complications such as chronic venous insufficiency and venous ulcers.
D) This choice is incorrect because Raynaud's disease primarily affects the fingers and toes, causing them to spasm and change color in response to cold or stress. It is not directly related to the development of venous insufficiency.
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