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 A

Explanation

A. Hemorrhagic stroke is often associated with a sudden, severe headache, high blood pressure, and neurological symptoms such as seizures and vomiting due to the rupture of a blood vessel in the brain.
B. Thrombotic stroke is typically characterized by the gradual onset of symptoms due to a clot forming in an artery supplying the brain, not usually presenting with sudden severe headache and vomiting.
C. Transient ischemic attack (TIA) presents with temporary neurological symptoms that resolve within 24 hours and does not usually involve seizures, severe headache, or significantly elevated blood pressure.
D. Embolic stroke occurs when a blood clot travels to the brain, leading to sudden onset of symptoms, but it is less commonly associated with the severe headache, vomiting, and hypertension seen in hemorrhagic stroke.

A. Immunoglobulin M (IgM) B. Immunoglobulin E (IgE) C. Immunoglobulin G (IgG) D. Immunoglobulin A (IgA)

Correct Answer is B

Explanation

A. Immunoglobulin M (IgM) is primarily involved in the initial immune response and is not specific for allergic reactions. It does not indicate allergy sensitivity.

B. Immunoglobulin E (IgE) is associated with allergic reactions and is elevated in response to allergens. A positive result on the RAST test reflects elevated IgE levels, indicating an allergy.

C. Immunoglobulin G (IgG) is associated with long-term immunity and is not specifically indicative of allergic reactions. It does not reflect immediate hypersensitivity responses.

D. Immunoglobulin A (IgA) is involved in mucosal immunity and does not typically indicate allergies. It is not the relevant marker for a positive RAST test result.

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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

Correct Answer is A

Explanation

A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test (RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result?

Correct Answer is B

Explanation

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