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tyty93 tyty93
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6 years ago
The nurse is instructing a client recovering from pacemaker insertion surgery on signs that the pacemaker might not be functioning correctly. What should the client be instructed to report?
 
  1. Weight gain of 5 pounds
  2. Activity tolerance
  3. Dizziness
  4. Diarrhea

Question 2

The family of a client with a pacemaker asks the nurse what information would help them better care for the client at home. Family members appear to be anxious and fearful. What should the nurse plan?
 
  1. Have Home Health check the client daily.
  2. Delay the client's discharge.
  3. Suggest that the client live in a skilled nursing facility.
  4. Teach the family CPR.

Question 3

A client has just been extubated after open-heart surgery. What should the nurse prepare the patient to begin?
 
  1. Oral fluids
  2. A soft diet
  3. Ambulation three times a day
  4. An incentive spirometer

Question 4

The nurse is providing instruction regarding nitroglycerin for angina to the client who will be discharged. The nurse should explain that the medication should be taken at the first indication of pain because:
 
  1. Pain will cause tissue damage.
  2. Pain indicates decreased blood flow to the heart.
  3. Pain in the legs could indicate overactivity.
  4. Nitroglycerin constricts blood vessels and increases blood pressure.
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Replies
wrote...
6 years ago
The answer to question 1

Answer: 3

1. Weight gain does not need to be reported, as it has no effect on pacemaker functioning.
2. The client should be better able to tolerate activity, as the heart rate should be normal.
3. Dizziness in a heart client can indicate a decrease in cardiac output and a failure of the pacemaker to perform appropriately.
4. Diarrhea is not a sign of a malfunctioning pacemaker.

The answer to question 2

Answer: 4

1. Home health is not necessary for this client. The nurse can teach the family and client what information they need to monitor care at home.
2. The client's discharge does not need to be delayed.
3. If the client is functional, the nurse can teach the family and allay fears so that the client can live at home.
4. To help decrease anxiety in the client and family, the nurse should teach how to take a pulse, signs and symptoms of pacemaker failure, emergency procedures, and CPR.

The answer to question 3

Answer: 4

1. The client who has just been extubated will continue to be n.p.o. until it is determined that the client is tolerating extubation.
2. The client will remain n.p.o. for a few days after extubation.
3. The client will not be walking until medications are stopped and the physician is sure the client is stable.
4. An incentive spirometer will help prevent lung collapse and improve oxygenation.

The answer to question 4

Answer: 2

1. Pain does not cause tissue damage. Pain is a sign that tissue damage might be occurring.
2. Pain indicates that blood flow to the heart has been compromised, and nitroglycerin will dilate the coronary arteries to restore flow to the muscle.
3. Pain in the legs does not affect chest pain.
4. Nitroglycerin dilates vessels and lowers blood pressure.
tyty93 Author
wrote...
6 years ago
Brilliant
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