A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?

Physical therapy

Serum cardiac enzyme levels

MRI of the chest

Low sodium diet

Answer and Explanation

The Correct Answer is C

Choice A reason: Physical therapy may be prescribed postoperatively to aid in recovery, but it does not directly interfere with the function of a pacemaker.

Choice B reason: Checking serum cardiac enzyme levels is a common practice after heart surgery to assess for any damage to the heart muscle, which would not typically require clarification in the context of pacemaker insertion.

Choice C reason: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is Incompatible, due to the risk of the magnetic field affecting the device's operation.

Choice D reason: A low sodium diet may be recommended for patients with heart conditions to manage blood pressure and fluid retention, but it is not directly related to the care of a pacemaker.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect. Synthetic casts typically dry much faster than plaster casts. Plaster casts can take 24 to 48 hours to fully harden, while synthetic casts made from materials like fiberglass or plastic can harden within a few hours.

Choice B reason: This is the correct statement. Synthetic casts are indeed lighter than plaster casts. They are made from materials like fiberglass, which is lighter than the traditional plaster of Paris used in plaster casts.

Choice C reason: This statement is incorrect. Plaster casts are generally heavier than synthetic casts. The weight of a cast can be an important consideration, especially for children or for those who may have difficulty managing a heavier cast.

Choice D reason: This statement is incorrect. Both plaster and synthetic casts require specialized equipment for application, but it is not specific to plaster casts. The application involves similar steps for both types, including the use of a stockinette, padding, and then the casting material itself.

A. Wash your hair with a mild protein shampoo. B. Apply powder liberally to sensitive skin areas. C. Use a sun blocking agent with a sun protection factor of at least 15. D. Avoid using moisturizing lotions on your skin. E. None F. None

Correct Answer is C

Explanation

Choice A reason: This is incorrect. While gentle hair care is important, it is not as critical as sun protection for SLE patients.

Choice B reason: This is incorrect. Powder can be drying, and SLE patients often need to keep their skin moisturized.

Choice C reason: This is correct. SLE patients are often photosensitive and need to protect their skin from UV rays.

Choice D reason: This is incorrect. SLE patients should keep their skin well moisturized to prevent dryness.

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A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?

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