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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - After an endovascular stent graft placement for an AAA, clients should avoid heavy lifting for at least 2 weeks to prevent stress on the graft site and minimize the risk of complications.
B) Incorrect - Stopping all blood-thinning medications is not advisable after an endovascular stent graft placement. These medications may be prescribed to prevent blood clots around the graft site.
C) Incorrect - While follow-up CT scans are essential to monitor the success of the procedure and assess the aneurysm's stability, they are not expected to be frequent. The frequency of follow-up scans will be determined by the healthcare provider based on the client's progress.
D) Incorrect - Beginning a rigorous exercise routine immediately after the procedure is not recommended. Clients should gradually resume physical activity as guided by their healthcare provider to avoid complications and promote proper healing.
Correct Answer is A
Explanation
A) Correct - Fasting for at least 8 hours before cerebral angiography is essential to reduce the risk of aspiration during the procedure, as it involves the injection of contrast dye.
B) Incorrect - Chest pain is not a normal sensation during cerebral angiography. If chest pain occurs during the test, the client should inform the healthcare team immediately.
C) Incorrect - While some procedures, like angioplasty, require lying flat for several hours to prevent bleeding, cerebral angiography does not typically require this position after the test.
D) Incorrect - It is essential to stay hydrated after cerebral angiography to help flush out the contrast dye from the system. The client should be encouraged to drink fluids, unless contraindicated for another reason.
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