A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Physical therapy
Low-sodium diet
MRI of the chest
Serum cardiac enzyme levels
The Correct Answer is C
A. Physical therapy is generally appropriate and beneficial post-surgery for mobility and rehabilitation.
B. A low-sodium diet is often recommended for heart health but is not specific to pacemaker insertion.
C. MRI of the chest should be clarified because the magnetic fields from MRI machines can interfere with the pacemaker’s function.
D. Serum cardiac enzyme levels are relevant for monitoring heart function and are appropriate.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. The client's platelet count is within the normal range (150,000-450,000/mm³), indicating no increased risk for bleeding based on this parameter.
B. Although a diet with increased protein may be beneficial for overall health and wound healing, the primary concern here is the low WBC count, which indicates an increased risk of infection.
C. The client's WBC count is significantly low (1,400/mm³, with normal being around 4,000-11,000/mm³), indicating leukopenia and an increased risk of infection, a common side effect of cisplatin and other chemotherapy agents.
D. Erythropoiesis-stimulating agents are typically used for anemia management, but the primary issue here is the low WBC count, not the RBC count or hemoglobin levels.
Correct Answer is B
Explanation
A. Assistive personnel are generally not qualified to perform the double-check process for blood transfusion as it requires specialized training and certification.
B. An oncology nurse is a qualified staff member who has the necessary training and experience to correctly verify blood labels and client ID bracelets before transfusion.
C. A phlebotomist's role primarily involves drawing blood, not verifying blood products for transfusion.
D. A senior nursing student may not have the required experience or certification to perform the double-check process for blood transfusion safely.
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