A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

Mild incisional pain.

Mild swelling in the feet.

Pallor and coolness of the affected foot.

Tingling sensation in the legs.

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because mild incisional pain is common after peripheral artery bypass surgery and may be managed with prescribed pain medications. However, severe or worsening pain should be reported to the healthcare provider.

B) This choice is incorrect because mild swelling in the feet is a common post-operative finding after peripheral artery bypass surgery and may resolve with time. However, excessive or sudden swelling should be reported to the healthcare provider.

C) This choice is correct. Pallor (pale color) and coolness of the affected foot may indicate reduced blood flow to the extremity, which could be a sign of a complication such as graft occlusion or clot formation. These signs should be reported immediately for prompt evaluation and intervention.

D) This choice is incorrect because tingling sensation in the legs is common after surgery and may be related to changes in blood flow or nerve irritation. It is not typically a sign that requires immediate reporting unless it is severe or accompanied by other concerning symptoms.

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Correct Answer is C

Explanation

A) This choice is incorrect because encouraging the client to massage the legs daily may not be appropriate for individuals with peripheral vascular disease (PAD). Vigorous massage can damage fragile blood vessels and exacerbate skin breakdown or injury.

B) This choice is incorrect because applying adhesive tape directly to the skin can cause skin trauma and increase the risk of skin breakdown. Dressings should be secured using appropriate medical tapes or dressings that are designed for skin protection.

C) This choice is correct. Regularly inspecting the skin for redness, discoloration, or signs of breakdown is crucial for early detection of impaired skin integrity in clients with peripheral vascular disease (PAD). Prompt identification and intervention can help prevent the development of pressure ulcers or wounds.

D) This choice is incorrect because using a donut-shaped cushion for sitting is generally not recommended for preventing skin breakdown. Donut cushions can increase pressure on the area around the coccyx and may cause more harm than good. Clients at risk of skin breakdown should be repositioned regularly and encouraged to shift their weight to relieve pressure on vulnerable areas.

Questions

A. Recommending nicotine replacement therapy. B. Encouraging the client to switch to smokeless tobacco. C. Providing education on the benefits of smoking cessation. D. Advising the client to smoke fewer cigarettes per day.

Correct Answer is C

Explanation

A) This choice is incorrect because while nicotine replacement therapy can be helpful for individuals trying to quit smoking, it is not the priority intervention. The primary goal is to promote smoking cessation itself, as it provides the most significant health benefits.

B) This choice is incorrect because smokeless tobacco is not a safe alternative to smoking and is not recommended for promoting vascular health. Smokeless tobacco still contains harmful substances that can damage blood vessels and increase cardiovascular risks.

C) This choice is correct. Providing education on the benefits of smoking cessation is a priority intervention for a client with peripheral vascular disease (PAD) who has a history of smoking. Smoking is a significant risk factor for PAD and other cardiovascular diseases. Quitting smoking can lead to immediate and long-term health improvements, including improved blood flow and reduced risk of complications.

D) This choice is incorrect because advising the client to smoke fewer cigarettes per day is not sufficient to address the adverse effects of smoking on vascular health . Smoking cessation is the most effective approach to improve vascular health and reduce the risk of PAD-related complications.

Questions

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A nurse is providing discharge education to a client following peripheral artery bypass surgery. Which sign should the nurse instruct the client to report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is caring for a client with peripheral vascular disease (PAD) who has a history of smoking. The nurse should prioritize which intervention to promote vascular health?

Correct Answer is C

Explanation

A nurse is providing education to a client with peripheral vascular disease about ways to improve blood circulation. Which activity should the nurse recommend?

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A client with chronic venous insufficiency (CVI) presents with edema and skin changes in the lower legs. What should the nurse include in the plan of care to manage these symptoms?

A client with peripheral vascular disease is scheduled for an arteriography. The nurse should provide pre-procedure education, including informing the client that: