A nurse is providing discharge instructions to a client who had peripheral artery bypass surgery. What should the nurse include in the teaching?

Avoid walking or leg exercises for the first week after surgery.

Elevate the affected leg above heart level while resting.

Apply direct pressure to the surgical incision if it starts bleeding.

Take hot baths to relieve any leg discomfort.

Answer and Explanation

The Correct Answer is B

A) Incorrect - Encouraging early ambulation and leg exercises is essential after peripheral artery bypass surgery to promote blood circulation and prevent complications like deep vein thrombosis.

B) Correct - Elevating the affected leg above heart level while resting can help reduce swelling and promote blood flow, aiding in the healing process after peripheral artery bypass surgery.

C) Incorrect - Applying direct pressure to the surgical incision if it starts bleeding may worsen the bleeding. Instead, the client should apply gentle pressure with a clean cloth and seek immediate medical attention if bleeding does not stop.

D) Incorrect - Taking hot baths is not recommended after peripheral artery bypass surgery. Heat may dilate blood vessels and increase blood flow, potentially causing complications at the surgical site.

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Correct Answer is C

Explanation

A) Incorrect - While resting and elevating the legs can provide relief for some vascular conditions, it may not effectively manage intermittent claudication. Resting during pain may help temporarily, but it does not address the underlying cause.

B) Incorrect - Applying direct heat to the affected area is not recommended for managing intermittent claudication. Heat may worsen the condition and should be avoided.

C) Correct - Regular physical exercise is the most appropriate intervention for managing intermittent claudication. Engaging in supervised exercise programs, such as walking, can improve peripheral circulation and reduce symptoms.

D) Incorrect - Over-the-counter painkillers may provide temporary relief but do not address the underlying cause of intermittent claudication. Relying solely on painkillers may lead to delayed diagnosis and treatment of PVD.

A. Monitoring for signs of stroke B. Assessing the surgical incision for bleeding C. Administering pain medications D. Encouraging coughing and deep breathing

Correct Answer is A

Explanation

A) Correct - Monitoring for signs of stroke is the priority during the immediate postoperative period for a client who underwent carotid artery endarterectomy. The procedure involves removing plaque buildup from the carotid artery, which can potentially dislodge and cause a stroke.

B) Incorrect - Assessing the surgical incision for bleeding is important, but it is not the priority when compared to monitoring for signs of stroke after a carotid endarterectomy.

C) Incorrect - Administering pain medications is essential for the client's comfort, but it is not the priority during the immediate postoperative period when there is a higher risk of stroke.

D) Incorrect - Encouraging coughing and deep breathing is a standard postoperative nursing intervention, but it is not the priority in this situation. The focus should be on monitoring for stroke symptoms.

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A nurse is providing discharge instructions to a client who had peripheral artery bypass surgery. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with peripheral vascular disease (PVD) complains of intermittent claudication. What intervention should the nurse recommend to manage this condition?

Correct Answer is C

Explanation

A nurse is caring for a client post-endarterectomy for carotid artery stenosis. What is the priority nursing intervention during the immediate postoperative period?

Correct Answer is A

Explanation

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