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 B
Explanation
Choice A reason: Garlic, ginger, and ginkgo biloba do not typically increase the effects of antidepressant medications. Instead, they may interact with other medications and alter their effectiveness.
Choice B reason: Garlic, ginger, and ginkgo biloba are known to have blood thinning properties, which means they can increase the effects of oral anticoagulants, potentially leading to an increased risk of bleeding.
Choice C reason: There is no widespread evidence to suggest that garlic, ginger, and ginkgo biloba decrease the effects of antianxiety medications. However, they may interact with other medications and should be used cautiously.
Choice D reason: While garlic has been noted for its potential to lower blood pressure, it is not commonly associated with a decrease in the effects of antihypertensive medications. In fact, it may enhance their blood pressure lowering effects.
Correct Answer is ["D","E"]
Explanation
Choice A reason: Bradycardia, or a slower than normal heart rate, is not typically an indication of infection. It can be related to other health issues or medication effects.
Choice B reason: An increase in platelets, or thrombocytosis, can occur in response to various conditions, but it is not a specific indicator of infection in diabetic foot pain.
Choice C reason: An increase in RBCs, or erythrocytosis, is generally not associated with infection. It could indicate other conditions such as polycythemia vera.
Choice D reason: Localized edema, or swelling, can be a sign of infection, especially if accompanied by other symptoms such as redness, warmth, and pain.
Choice E reason: An increase in neutrophils, a type of white blood cell, often indicates the body's response to an infection. Neutrophils are part of the immune system's first line of defense against pathogens.
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