A nurse is caring for a client who was recently admitted and has symptomatic bradycardia.

Exhibits

The nurse is caring for the client immediately following the insertion of the permanent pacemaker.

Complete the following sentence by using the list of options.

The nurse should monitor the client for
dropdown
and
dropdown
following permanent pacemaker placement.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Incisional Site Bleeding: This is important to check as it indicates possible complications like infection or hematoma formation at the pacemaker insertion site.
Bradycardia: It is essential to ensure that the pacemaker is functioning correctly and managing bradycardia as intended. Continuous monitoring is needed to detect any issues related to pacemaker settings or lead placements.

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Correct Answer is B

Explanation

A. Blockage of the ET tube by the client's tongue would not typically result in asymmetric chest wall expansion.
B. If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
C. Infection of the vocal cords is not related to the absence of chest wall expansion.
D. Passage of the ET tube into the esophagus would lead to the absence of breath sounds in both lungs, not just the left side.

A. Ecchymosis B. Skin integrity C. Temperature D. Color E. Sensation

Correct Answer is ["B","C","D","E"]

Explanation

A. Ecchymosis indicates bruising but is not a primary parameter for assessing neurovascular status.

B. Skin integrity is important to monitor for any signs of breakdown or infection.

C. Temperature helps assess for adequate blood flow and potential complications.

D. Color of the extremity indicates blood flow and can show signs of compromised circulation.

E. Sensation checks for nerve damage or impaired circulation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

A nurse is caring for a client in the ICU Exhibits For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.

A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy (DIC). Which of the following values should the nurse report to the provider?

A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?

A nurse is caring for a client. Exhibits Click to specify if the client statements indicate understanding or no understanding.