A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
The client cannot travel by air due to security screening.
The client should hold his cell phone on the side opposite the ICD.
The client can carry his ICD in a small pocket.
The client should avoid the use of small electric devices.
The Correct Answer is B
A. The client cannot travel by air due to security screening is incorrect; clients with ICDs can travel by air but should inform security personnel about the ICD.
B. The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD’s functioning.
C. The client can carry his ICD in a small pocket is incorrect; the ICD is implanted and does not need to be carried.
D. The client should avoid the use of small electric devices is not entirely accurate; the client should follow specific guidelines but not avoid all small devices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Yellow sclera
Yellow sclera indicates jaundice, which could be a sign of liver dysfunction. Both isoniazid and rifampin can cause hepatotoxicity, and monitoring for jaundice is crucial to ensure the safety of the client.
B. Increasing AST level
AST level is slightly elevated but remains in the upper range of normal. Continued monitoring is necessary but may not require immediate reporting unless liver function significantly deteriorates.
C. Weight loss
Weight loss is consistent with the client’s condition and does not necessarily require immediate reporting unless it is severe or unmanageable.
D. Mantoux test result
The Mantoux test result is negative, which may be expected in the early phase of tuberculosis treatment. It should be monitored over time.
E. Increasing ALT level
ALT is slightly elevated but still within normal limits, though it's essential to continue monitoring for trends.
F. Reddish-orange urine color
Reddish-orange urine is a known side effect of rifampin and does not typically require immediate reporting
Correct Answer is C
Explanation
A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.
B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.
C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.
D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.
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