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 B
Explanation
A. Blurred vision is not a typical symptom of left-sided heart failure.
B. Difficulty breathing while performing activities, such as climbing stairs, is a classic symptom of left-sided heart failure due to pulmonary congestion.
C. Increased water intake is not directly indicative of left-sided heart failure.
D. Nocturia can occur in heart failure, but it is less specific than dyspnea on exertion.
Correct Answer is B
Explanation
A. The medication must be given as a rapid intravenous IV push due to its short half-life not slowly.
B. Asystole is a common and expected response after adenosine administration.
C. Adenosine has a very short half-life, contrary to this statement.
D. The onset of action is immediate, not in 5 minutes.
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