A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Physical therapy
Serum cardiac enzyme levels
MRI of the chest
Low sodium diet
The Correct Answer is C
Choice A reason: Physical therapy may be prescribed postoperatively to aid in recovery, but it does not directly interfere with the function of a pacemaker.
Choice B reason: Checking serum cardiac enzyme levels is a common practice after heart surgery to assess for any damage to the heart muscle, which would not typically require clarification in the context of pacemaker insertion.
Choice C reason: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is Incompatible, due to the risk of the magnetic field affecting the device's operation.
Choice D reason: A low sodium diet may be recommended for patients with heart conditions to manage blood pressure and fluid retention, but it is not directly related to the care of a pacemaker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Enlarged distal extremities are a classic sign of acromegaly due to the overproduction of growth hormone, which affects the growth plates in the bones.
Choice B reason: Coarse facial features, including a protruding jaw and brow, enlarged nose, and thickened lips, are common in acromegaly due to the excessive growth of facial bones and soft tissues.
Choice C reason: Loss of color discrimination is not typically associated with acromegaly. This symptom may be related to other conditions affecting the optic nerve or the brain.
Choice D reason: Hepatomegaly, or an enlarged liver, can occur in acromegaly as a result of increased growth factor effects on the liver.
Choice E reason: Moon face is associated with conditions that lead to corticosteroid excess, such as Cushing's syndrome, but can also appear in acromegaly due to soft tissue swelling.
Correct Answer is B
Explanation
Choice A reason: Hypernatremia is not typically associated with prerenal AKI. Prerenal AKI is characterized by conditions that reduce blood flow to the kidneys, not directly causing high sodium levels.
Choice B reason: This choice is correct. Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Choice C reason: Hypophosphatemia, or low levels of phosphate in the blood, is not a typical finding in prerenal AKI.
Choice D reason: Hypercalcemia, or high levels of calcium in the blood, is not commonly associated with prerenal AKI. It is more often related to other conditions such as hyperparathyroidism or malignancy.
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