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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Refusing to leave home can be a sign of anxiety or other issues but is not specific to confabulation.
B. Reminiscing about the past is a normal behavior and does not indicate confabulation.
C. Compulsive and ritualistic behaviors are more related to obsessive-compulsive disorders rather than confabulation.
D. Confabulation involves making up stories to fill in memory gaps and is a coping mechanism seen in some clients with dementia.

A. Heart rate B. BP C. Weight D. Urine output

Correct Answer is A

Explanation

A. A decrease in heart rate can indicate adequate fluid resuscitation as it suggests improved circulatory status and reduced compensatory tachycardia, which is a response to hypovolemia.
B. An increase, rather than a decrease, in blood pressure would typically indicate improved fluid status and perfusion following adequate fluid resuscitation.
C. Weight changes are not an immediate indicator of fluid resuscitation adequacy. Weight reflects overall fluid balance over a longer period.
D. An increase, not a decrease, in urine output is expected with adequate fluid resuscitation, as improved renal perfusion results in better urine production.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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