A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?
Fatigue
Increased urine output
Sneezing
Rapid pulse
The Correct Answer is A
A. Fatigue: Fatigue may indicate that the pacemaker is not working effectively to maintain an appropriate heart rate and cardiac output, which can lead to symptoms such as weakness or tiredness.
B. Increased urine output: Increased urine output is not typically a sign of pacemaker malfunction. It could be related to other conditions but not directly linked to pacemaker issues.
C. Sneezing: Sneezing is not related to pacemaker function and would not indicate a malfunction.
D. Rapid pulse: A rapid pulse may occur in other cardiac conditions but is not commonly associated with pacemaker malfunction unless it is sustained and irregular.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Serum sodium level of 140 mEq/L (136-145): A sodium level of 140 mEq/L is within the normal range and does not warrant withholding furosemide.
B. Serum potassium level of 4.8 mEq/L (3.5-5.0): A potassium level of 4.8 mEq/L is also within the normal range, and this finding would not be a reason to withhold furosemide.
C. Oxygen saturation of 95%: An oxygen saturation of 95% is within normal limits and would not be a contraindication to administering furosemide.
D. Blood pressure of 80/40 mm Hg: Furosemide is a potent diuretic that can further lower blood pressure. A blood pressure of 80/40 mm Hg is already hypotensive, and administering furosemide could exacerbate this, potentially leading to shock. Therefore, the medication should be withheld.
Correct Answer is B
Explanation
A. Serum potassium 4.8 mEq/L: A potassium level of 4.8 mEq/L is within the normal range (3.5-5.0 mEq/L). Therefore, this is not a reason to withhold digoxin.
B. Report of blurred vision: Blurred vision can be a sign of digoxin toxicity, especially if the client sees yellow or green halos. This is an indication to withhold the medication and notify the provider.
C. Urine output 35 mL/hr: A urine output of 35 mL/hr is slightly below the average but not critical enough to withhold digoxin. Digoxin is not directly related to urine output.
D. Heart rate 66/min: A heart rate of 66/min is within the normal range. However, digoxin should be withheld if the heart rate is below 60 bpm, but in this case, the heart rate is adequate.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.