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.

Answer and Explanation

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

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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.

A. Blood pressure in the arms and legs. B. Oxygen saturation in the extremities. C. Blood glucose levels before and after meals. D. Blood flow through the heart's chambers.

Correct Answer is A

Explanation

A) This choice is correct. The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the arms and legs. The test involves using a blood pressure cuff and Doppler ultrasound to measure blood pressure in the ankles and arms. The ratio of ankle to brachial pressure helps assess the severity of peripheral vascular disease and determine if there is reduced blood flow to the legs.

B) This choice is incorrect because oxygen saturation in the extremities is not directly measured with an ankle-brachial index (ABI) test. Oxygen saturation is commonly measured using pulse oximetry, which assesses the percentage of hemoglobin in the blood that is saturated with oxygen.

C) This choice is incorrect because an ankle-brachial index (ABI) test is not used to measure blood glucose levels before and after meals. Blood glucose levels are typically assessed using a blood test or fingerstick glucose monitoring in clients with diabetes.

D) This choice is incorrect because an ankle-brachial index (ABI) test does not evaluate blood flow through the heart's chambers. It focuses on assessing blood pressure and blood flow in the arms and legs to diagnose peripheral vascular disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is A

Explanation

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