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 B
Explanation
A. Attach the leads for a 12-lead ECG. While a 12-lead ECG is important in diagnosing chest pain, the client’s oxygenation is a priority and should be addressed before further diagnostics.
B. Initiate oxygen therapy. The priority in this scenario is to address the client's cyanosis and shortness of breath. Oxygen therapy improves oxygen delivery to tissues and should be the first intervention.
C. Obtain a blood sample. Obtaining cardiac enzyme levels is necessary for diagnosing myocardial infarction, but oxygen therapy should be initiated first to address immediate respiratory distress.
D. Insert the IV catheter. Inserting an IV catheter is important for administering fluids and medications, but it is not the most urgent action in the presence of hypoxia.
Correct Answer is D
Explanation
A. Headache: Headaches are not a common adverse effect of atenolol, a beta-blocker, though they can occur in some individuals. They are more frequently associated with other medications.
B. Cough: A persistent cough is usually associated with ACE inhibitors, not beta-blockers like atenolol.
C. Elevated Blood Pressure: Atenolol is an antihypertensive medication. Its purpose is to lower blood pressure, so elevated blood pressure would indicate therapy failure, not an adverse effect.
D. Bradycardia: Atenolol, a beta-blocker, slows down the heart rate and can lead to bradycardia (a heart rate that is too slow), which is a common adverse effect to monitor for.
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