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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Comminuted is correct. A comminuted fracture occurs when the bone breaks into several pieces, which matches the description of the tibia being splintered into multiple fragments.

B. Impacted is incorrect. An impacted fracture occurs when the ends of the bone are driven into each other.

C. Transverse is incorrect. A transverse fracture occurs in a straight line across the bone shaft.

D. Oblique is incorrect. An oblique fracture occurs at an angle across the bone shaft.

A. Secure the drain to the client's bed sheet. B. Expel the air from the JP bulb after emptying to re-establish suction. C. Measure the drainage every hour for the first 8 hr postoperative. D. Remove the JP drain when the drainage has ceased, covering the opening with sterile gauze.

Correct Answer is B

Explanation

A. Securing the drain to the client's bed sheet is not an appropriate method for securing the JP drain; it should be secured to the client’s gown or clothing to avoid tension on the drain.

B. Expelling the air from the JP bulb after emptying to re-establish suction is necessary to ensure that the drain continues to function correctly by maintaining negative pressure.

C. Measuring the drainage every hour for the first 8 hr postoperative is more frequent than necessary; monitoring can be done every 4-8 hours depending on the protocol.

D. Removing the JP drain when the drainage has ceased, covering the opening with sterile gauze is incorrect; the drain should be removed per the surgeon’s orders, and the site should be covered with a sterile dressing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fractured tibia as a result of a fall. The client’s x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?

Correct Answer is A

Explanation

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