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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Defibrillation is used in the case of life-threatening cardiac rhythms, such as ventricular fibrillation or pulseless ventricular tachycardia. It is not the first line of treatment for a stable patient with VT.
Choice B reason: CPR is initiated when a patient is unresponsive and not breathing or not breathing normally, indicating cardiac arrest. It is not indicated for a patient who is stable and experiencing VT.
Choice C reason: Elective cardioversion is a procedure where an electrical shock is delivered to the heart to convert an abnormal rhythm back to a normal sinus rhythm. It is typically used for rhythms such as atrial fibrillation or atrial flutter, not first line for VT.
Choice D reason: Radiofrequency catheter ablation is a procedure that uses radiofrequency energy to destroy a small area of heart tissue that is causing rapid and irregular heartbeats. In the case of VT, this procedure is used to target the area causing the abnormal rhythm and is a common treatment for recurrent VT.
Correct Answer is A
Explanation
Choice A reason: Eating foods at room temperature can help reduce nausea because strong odors from hot foods can increase the feeling of nausea.
Choice B reason: Increasing unsaturated fats is not specifically related to managing nausea and may not be beneficial in this context.
Choice C reason: Drinking more liquids with meals can sometimes increase nausea; it's often recommended to drink fluids between meals instead.
Choice D reason: Eating smaller meals can help manage nausea because large meals can overwhelm the digestive system when it's sensitive due to treatment.
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