A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?
"The next pacemaker check will be when the batteries need to be replaced."
"My pacemaker will need reprogramming if I stand too close to a microwave oven."
"I will take my pulse weekly."
"The pacemaker can be checked from home by using the telephone."
The Correct Answer is D
A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.
B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.
C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.
D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.
Correct Answer is D
Explanation
A. Radiofrequency catheter ablation is a long-term treatment for recurrent VT, not an immediate intervention.
B. CPR is indicated for pulseless VT, but this client has a carotid pulse.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, but this client is still perfusing.
D. Synchronized cardioversion is the appropriate treatment for unstable VT with a pulse, as it delivers a timed shock to restore normal rhythm.
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