An older adult client is being discharged after implantation of a permanent pacemaker. The client should be instructed to avoid which item?

Microwave oven.

Security wand.

Toaster.

Electric blanket.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Microwave oven: Microwaves do not generate electromagnetic interference strong enough to affect a pacemaker. The client can safely use a microwave without risk to the device’s function.

B. Security wand: Hand-held security wands used in airports or some buildings can emit electromagnetic fields that may interfere with pacemaker function. The client should avoid prolonged or close exposure and notify security personnel about the pacemaker.

C. Toaster: Household appliances such as toasters generate minimal electromagnetic interference and are safe for clients with pacemakers. Normal use does not affect device operation.

D. Electric blanket: Modern electric blankets produce low-level electromagnetic fields that are generally considered safe for pacemaker recipients. Brief, standard use does not interfere with pacemaker function.

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Correct Answer is C

Explanation

Rationale:
A. "As soon as you feel better, you can stop taking the medication.": Stopping antibiotics early can lead to incomplete eradication of the infection, antibiotic resistance, and relapse. Symptom improvement does not indicate that the infection has been fully treated.

B. "For an additional one to two days after your symptoms have subsided.": While some infections may require a short period of therapy after symptom resolution, standard practice for respiratory infections treated with Augmentin is a full prescribed course, not just a day or two beyond symptom improvement.

C. "The time period is usually for seven to 10 days in a row.": Augmentin (amoxicillin/clavulanate) is typically prescribed for a 7–10 day course for most respiratory infections. Completing the full course ensures effective bacterial eradication and reduces the risk of resistance.

D. "Until you have been afebrile for twenty-four hours.": Fever resolution does not guarantee complete infection clearance. Relying solely on temperature could result in premature discontinuation of therapy. The prescribed full course is required regardless of fever status.

A. Monitor ETT markings between 22 and 26 cm at teeth line. B. Check for capillary refill of 3 seconds or less. C. Auscultate for presence of bilateral breath sounds. D. Obtain a portable chest x-ray to verify ETT location. E. Assess for symmetrical chest movement.

Correct Answer is ["A","C","D","E"]

Explanation

Rationale:
A. Monitor ETT markings between 22 and 26 cm at teeth line: Proper placement is often estimated using standard depth markings on the ETT. Securing the tube at an appropriate depth ensures it is in the trachea rather than the esophagus, reducing the risk of hypoxia or lung injury.

B. Check for capillary refill of 3 seconds or less: Capillary refill assesses peripheral perfusion, not airway placement. It does not provide any information regarding correct ETT positioning or ventilation effectiveness.

C. Auscultate for presence of bilateral breath sounds: Listening to breath sounds in both lungs confirms that the tube is in the trachea and not selectively intubating one bronchus. Bilateral sounds indicate effective ventilation and proper tube placement.

D. Obtain a portable chest x-ray to verify ETT location: Chest radiography is the definitive method to confirm correct ETT placement in the trachea and its depth above the carina. This is standard practice after intubation in an emergency setting.

E. Assess for symmetrical chest movement: Observing equal chest rise and fall during ventilation indicates the ETT is correctly positioned in the trachea and that both lungs are being ventilated. Asymmetry may suggest endobronchial intubation or pneumothorax.

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An older adult client is being discharged after implantation of a permanent pacemaker. The client should be instructed to avoid which item?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client received a prescription for augmentin to treat a respiratory infection. The client asks the clinic nurse, "How long will I need to take the medication?" Which is the nurse's best response?

Correct Answer is C

Explanation

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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