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 ["1720"]

Explanation

IV solution: 1,000 mL
- The client received 1,000 mL of IV fluids.
6 oz of coffee: 180 mL
- 1 oz = 30 mL, so 6 oz × 30 = 180 mL.
6 oz of water: 180 mL
- 6 oz × 30 = 180 mL.
180-mL bowl of soup: 180 mL
- Soup is already measured in mL, so this remains 180 mL.
3 oz of flavored gelatin: 90 mL
- 3 oz × 30 = 90 mL.
3 oz of ice cream: 90 mL
- 3 oz × 30 = 90 mL.

Total intake: 1,000 + 180 + 180 + 180 + 90 + 90 = 1,720 mL

The total intake from all sources over the 8-hour shift is 1,720 mL.

A. Orthopnea B. Dyspnea C. Peripheral edema D. Frothy sputum

Correct Answer is C

Explanation

A. Orthopnea: Orthopnea is more commonly associated with left-sided heart failure.

B. Dyspnea: Dyspnea is more indicative of left-sided heart failure, where fluid backs up into the lungs, causing difficulty breathing.

C. Peripheral edema: Peripheral edema is a classic symptom of right-sided heart failure due to the backup of blood in the systemic circulation, leading to fluid retention in the lower extremities.

D. Frothy sputum: Frothy sputum is typically associated with left-sided heart failure due to pulmonary congestion and edema.

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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

Correct Answer is ["1720"]

Explanation

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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