Which nursing intervention is most appropriate following the implantation of a permanent pacemaker?
Promotion of activity to prevent thrombophlebitis
Provision of a quiet environment to avoid extraneous stimuli
Assessment of heart rate and rhythm and vital signs
Administration of anticoagulants to prevent clot formation
The Correct Answer is C
A. Activity may be restricted initially to prevent lead displacement; early ambulation is not the primary focus immediately after implantation.
B. A quiet environment is not directly related to pacemaker function or post-procedure safety.
C. Continuous assessment of heart rate, rhythm, and vital signs is critical to ensure the pacemaker is functioning properly and to detect complications such as arrhythmias or device malfunction.
D. Routine anticoagulants are not indicated solely for pacemaker implantation unless there is another underlying condition requiring them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A HR of 105 bpm after elective cardioversion is mildly elevated and not immediately life-threatening.
B. A client with an ICD that has fired twice in 6 hours and is receiving IV amiodarone is at high risk for life-threatening arrhythmias and requires immediate assessment.
C. Constipation post-EP procedure is uncomfortable but not an urgent concern.
D. New-onset atrial fibrillation requires monitoring and rate control but is generally less urgent than a client with recurrent ICD discharges.
Correct Answer is D
Explanation
A. Pain that is relieved by nitroglycerin is more characteristic of angina pectoris, not necessarily an acute myocardial infarction.
B. Pain that worsens with arm movement is more typical of musculoskeletal causes.
C. Pain that increases with deep breathing is more consistent with pleuritic pain, such as in pericarditis or pulmonary embolism.
D. Chest pain from an acute myocardial infarction is typically persistent, often lasting longer than 30 minutes, and may not respond to rest or nitroglycerin. This prolonged, unrelieved pain is a key clinical indicator of AMI.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.