A nurse is caring for a client who was recently admitted and has symptomatic bradycardia.
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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dizziness is not a primary finding of right ventricular failure but may be associated with other conditions.
B. Crackles in the lungs are more associated with left ventricular failure.
C. Dry, hacking cough is not a primary symptom of right ventricular failure but may be seen in left-sided heart failure.
D. Hepatomegaly is a common finding in right ventricular failure due to increased pressure in the venous system.
Correct Answer is ["A","E"]
Explanation
A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.
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