A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)
Do not have a microwave oven in the home.
Request to be scanned with a handheld metal detector when in the airport.
Count your pulse for 1 min each morning.
Do not wear tight clothing over the insertion area.
Resume activities that can cause jolting, such as horseback riding, after 4 weeks.
Correct Answer : B,C,D
A. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid having them in the home.
B. Handheld metal detectors can interfere with pacemaker function, so it is safer to request a manual search at security checkpoints.
C. Monitoring the pulse daily helps to ensure the pacemaker is functioning properly and to detect any irregularities early.
D. Wearing tight clothing over the insertion area can cause discomfort and may interfere with the function of the pacemaker.
E. Activities that involve jolting or the risk of impact to the pacemaker should be avoided until cleared by a healthcare provider, and this period may extend beyond 4 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Granulocytes are typically not decreased in ITP; they are more relevant for infections or bone marrow conditions.
B. RBC levels are not typically affected in ITP; the primary issue is with platelet counts.
C. WBC levels are generally normal in ITP, though they can vary in other conditions.
D. Platelets are expected to be decreased in ITP, which is characterized by an immune-mediated destruction of platelets.
Correct Answer is B
Explanation
A. The visibility of the eyelets on the chest tube is not a critical indicator for immediate notification unless other issues are present.
B. Movement of the trachea toward the unaffected side can indicate tension pneumothorax or other significant issues requiring immediate intervention.
C. Crepitus around the insertion site can indicate subcutaneous emphysema, which may be a complication but not an immediate emergency.
D. Bubbling in the water seal chamber during exhalation is a normal finding, as it indicates that the chest tube is functioning to allow air to escape.
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