After teaching a client who has an implantable cardioverter- defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?
"I will avoid sources of strong electromagnetic fields."
"Now I can discontinue my antidysrhythmic medication."
"I would participate in a strenuous exercise program."
"I would wear a snug-fitting shirt over the ICD."
The Correct Answer is A
A. Clients with ICDs should avoid strong electromagnetic fields, which can interfere with the device’s function. This is crucial for safety.
B. Discontinuing antidysrhythmic medication is not recommended unless instructed by the healthcare provider, as it could increase the risk of arrhythmias.
C. Strenuous exercise may be too strenuous for someone with an ICD and could increase the risk of arrhythmias or lead to ICD activation.
D. A snug-fitting shirt is generally not recommended because it may place pressure on the ICD site and cause discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement indicates that the client may not fully understand the care required for the drainage tubes. Drainage tubes typically do not "fall out" on their own; they need to be removed by a healthcare provider. The client should be instructed to care for the tubes, monitor drainage, and report any concerns to their healthcare provider.
B. It is appropriate to measure the drainage each day and report it if it exceeds the expected amount. This helps ensure that the surgical site is healing properly.
C. The client should be cautious with the positioning of the drainage tubes to avoid kinking or pulling, which could interfere with drainage and cause complications.
D. A foul odor from the drainage could indicate an infection, so it is appropriate for the client to contact their primary healthcare provider if this occurs.
Correct Answer is D
Explanation
A. Potassium chloride is used to treat hypokalemia, not as a warfarin antidote.
B. Vitamin E does not counteract warfarin’s effects and may increase bleeding risk.
C. Protamine sulfate is the antidote for heparin, not warfarin.
D. Vitamin K is the appropriate antidote for excessive warfarin, as it promotes the synthesis of clotting factors inhibited by warfarin.
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