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 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.

A. Hypertension B. Atherosclerosis C. Deep vein thrombosis (DVT) D. Raynaud's disease

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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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 nurse is caring for a client with chronic venous insufficiency (CVI). Which intervention should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A nurse is assessing a client with peripheral vascular disease. Which condition is a significant risk factor for the development of venous insufficiency?

Correct Answer is C

Explanation

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