A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Physical therapy
Low-sodium diet
MRI of the chest
Serum cardiac enzyme levels
The Correct Answer is C
A. Physical therapy is generally appropriate and beneficial post-surgery for mobility and rehabilitation.
B. A low-sodium diet is often recommended for heart health but is not specific to pacemaker insertion.
C. MRI of the chest should be clarified because the magnetic fields from MRI machines can interfere with the pacemaker’s function.
D. Serum cardiac enzyme levels are relevant for monitoring heart function and are appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F"]
Explanation
A. Urine output: A decrease in urine output from 480 mL/8 hr to 320 mL/8 hr indicates reduced renal perfusion or worsening heart failure. This finding suggests potential fluid retention or impaired kidney function, requiring further investigation and action.
B. Oxygen saturation: A drop in oxygen saturation from 95% to 88% indicates worsening oxygenation and potential respiratory distress or fluid overload. This finding necessitates further assessment and possible intervention to manage the client's respiratory status.
C. Weight: An increase in weight from 80 kg to 82.1 kg suggests fluid retention, which is common in heart failure. This weight gain indicates worsening fluid balance and may require adjustment in treatment to address fluid overload.
F. Breath sounds: The presence of scattered crackles on Day 4 suggests pulmonary congestion or fluid accumulation, which is concerning in heart failure. This finding indicates a worsening of the client’s condition and requires further evaluation and management.
Explanation of Incorrect Options:
D. Temperature: The temperature has slightly decreased but is still within a normal range. This finding does not require immediate further action.
E. Blood pressure: Although there is a change in blood pressure from 108/50 mm Hg to 138/80 mm Hg, this increase is not as critical as the other findings. It is important but less urgent in this context compared to the issues with oxygen saturation, urine output, weight, and breath sounds.
Correct Answer is B
Explanation
A. Paresthesia, or abnormal sensation, can occur with spinal cord injuries but is not a primary type of disability specific to injury at T2-T3.
B. Paraplegia, or paralysis of the lower half of the body, is anticipated with a spinal cord injury at the T2-T3 level, affecting the thoracic region and below.
C. Quadriplegia, or paralysis of all four limbs, results from injuries at the cervical spinal cord levels, not the thoracic levels.
D. Hemiplegia, or paralysis on one side of the body, is typically associated with brain injuries or strokes, not spinal cord injuries at T2-T3.
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.