A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching?
"I should have my doctor replace the battery in the pacemaker in a year."
"I need to record my pulse rate daily."
"I should avoid taking tub baths."
"I will remove my microwave oven from my home."
The Correct Answer is B
A. "I should have my doctor replace the battery in the pacemaker in a year.": Pacemaker batteries are designed to last several years, typically 5 to 15 years depending on device type and usage. Routine replacement within a year is unnecessary, and frequent interventions would increase procedural risks. Battery status is monitored during scheduled device interrogations.
B. "I need to record my pulse rate daily.": Regular monitoring of pulse rate helps the client detect irregularities or device malfunction. Recording daily heart rate allows for early identification of bradycardia, tachycardia, or missed pacing events, which can be reported promptly to the healthcare provider. This practice promotes ongoing self-management and safety.
C. "I should avoid taking tub baths.": Clients with pacemakers can safely bathe or shower once the insertion site has healed, as the device is completely implanted. There is no need to avoid tub baths indefinitely unless specifically instructed due to wound healing concerns. General restriction is not necessary for daily hygiene.
D. "I will remove my microwave oven from my home.": Modern pacemakers are shielded against interference from common household appliances, including microwave ovens. It is unnecessary to remove microwaves, as these devices do not pose a risk of pacemaker malfunction when used appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Have the client participate in a group therapy session: Group therapy may be overwhelming and overstimulating for a client in an acute manic episode. Rapid speech, distractibility, and hyperactivity can make it difficult to engage appropriately, potentially increasing agitation rather than providing therapeutic benefit.
B. Recommend the client participate in a basketball game with other clients: High-intensity, competitive activities like basketball can increase stimulation and risk of injury for a client experiencing mania. Physical exertion in a structured, low-stimulation environment is safer than group sports.
C. Encourage the client to ambulate around the unit: Walking or ambulating provides a safe outlet for excess energy while maintaining supervision. Structured, low-stimulation physical activity helps reduce agitation, promotes safety, and supports self-regulation during manic episodes.
D. Instruct the client to avoid napping during the day: Sleep deprivation can exacerbate manic symptoms. Encouraging rest and allowing the client to nap when fatigued is safer and helps stabilize mood. Preventing sleep would be counterproductive in managing mania.
Correct Answer is ["360"]
Explanation
- Convert ounces to milliliters
Ice cream: 4 oz × 30 mL/oz = 120 mL
Coffee: 8 oz × 30 mL/oz = 240 mL
- Calculate total fluid intake
Total intake = 120 + 240
Total intake = 360 mL
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