A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?

"I will expect to have occasional hiccups."

"I will have to disconnect my garage door opener."

"I will notify the airport screeners about my pacemakers."

"I will take my pulse every 3-4 days."

Answer and Explanation

The Correct Answer is C

A.   Occasional hiccups are not a common side effect of having a pacemaker. However, some patients may experience hiccups if the pacemaker’s lead irritates the diaphragm or other nearby structures. While hiccups are not a primary concern, they are not a standard expectation for all patients.
B.   There is no need to disconnect a garage door opener due to having a pacemaker. Modern pacemakers are designed to be shielded from interference caused by common household electronic devices. The statement indicates a misunderstanding of the precautions necessary for managing a pacemaker.
C.   This statement indicates a correct understanding of pacemaker care. It is important for patients with pacemakers to inform airport security screeners about their device before going through metal detectors or body scanners.
D.   Regular monitoring of the pulse is important for patients with pacemakers, but taking the pulse every 3-4 days may not be necessary unless specifically advised by the healthcare provider. Typically, patients are instructed to monitor their pulse more frequently if they experience symptoms such as dizziness, fainting, or irregular heartbeats.

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Correct Answer is C

Explanation

A. Left ventricular hypertrophy (LVH) refers to the thickening of the walls of the left ventricle, which often results from chronic high blood pressure or other conditions that increase the workload on the heart. While LVH is an important cardiac issue, it is not a direct complication of pericarditis.
B. Increased cardiac output (the volume of blood the heart pumps per minute) is generally not a direct complication of pericarditis. In fact, pericarditis often affects cardiac output in a different way.
C. Cardiac tamponade is a serious and potentially life-threatening complication of pericarditis. It occurs when fluid accumulates in the pericardial space, exerting pressure on the heart and impeding its ability to fill and pump effectively. This condition can lead to reduced cardiac output, hypotension, and symptoms of shock.
D. Hypertension (high blood pressure) is a common condition that can contribute to a range of cardiovascular issues, but it is not a direct complication of pericarditis.

A. Patient with history of mitral valve prolapse B. Patient post op endovascular graft procedure for a 5.7cm abdominal aortic aneurysm with a urine output of 35mL/hr C. Patient with infecting endocarditis having new onset flank pain and hematuria D. Patient awaiting discharge after pacemaker surgery 2 days ago

Correct Answer is C

Explanation

A. While mitral valve prolapse requires ongoing monitoring, it is not a critical or immediately life- threatening condition.
B. A urine output of 35 mL/hr is slightly low but not critically concerning. This patient can be monitored closely and interventions can be implemented if necessary, but they do not require immediate attention.
C. New-onset flank pain and hematuria in a patient with infective endocarditis suggest a potential complication, such as renal infarction or abscess. These conditions can be life-threatening and require prompt intervention.
D. While this patient requires ongoing monitoring, they are not in a critical condition and can be seen after addressing the patient with infective endocarditis.

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A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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