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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "You will need to limit movement of the arm on the side of the pacemaker." After pacemaker placement, the client should limit movement of the arm on the side of the pacemaker to prevent dislodgement of the leads.

B. "Hiccups following pacemaker placement are an expected response." Hiccups can indicate that the pacemaker leads are stimulating the diaphragm, which is a sign of a complication and should be reported.

C. "You should avoid the use of cell phones after the pacemaker is placed." Modern pacemakers are well-shielded, and while the client should avoid placing a cell phone directly over the pacemaker, general use is safe.

D. "Swelling and redness of the operative site are normal findings for the first two weeks following the procedure." Redness and swelling at the operative site may indicate infection. The client should report these symptoms to their healthcare provider.

A. Complete heart block B. Ventricular Fibrillation C. Atrial fibrillation. D. Sinus tachycardia

Correct Answer is C

Explanation

A. Complete heart block: In complete heart block (third-degree heart block), the P waves are present, but there is no communication between the atria and the ventricles. This does not match the given scenario.

B. Ventricular Fibrillation: Ventricular fibrillation involves chaotic, rapid, and irregular electrical activity in the ventricles and is life-threatening. P waves are not present, but the description in the question points more to atrial fibrillation than ventricular fibrillation.

C. Atrial fibrillation: In atrial fibrillation, P waves are absent, and the ventricular rhythm is irregular. This matches the ECG description given in the question.

D. Sinus tachycardia: Sinus tachycardia involves a fast heart rate but still retains identifiable P waves and a regular rhythm, which is not the case here.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is scheduled to have a permanent pacemaker implanted. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurse should recognize the client is experiencing which of the following cardiac dysrhythmias?

Correct Answer is C

Explanation

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