A nurse is caring for a client who was recently admitted and has symptomatic bradycardia.
The nurse is caring for the client immediately following the insertion of the permanent pacemaker.
Complete the following sentence by using the list of options.
The nurse should monitor the client for
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
- Incisional Site Bleeding: This is important to check as it indicates possible complications like infection or hematoma formation at the pacemaker insertion site.
- Bradycardia: It is essential to ensure that the pacemaker is functioning correctly and managing bradycardia as intended. Continuous monitoring is needed to detect any issues related to pacemaker settings or lead placements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blockage of the ET tube by the client's tongue would not typically result in asymmetric chest wall expansion.
B. If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
C. Infection of the vocal cords is not related to the absence of chest wall expansion.
D. Passage of the ET tube into the esophagus would lead to the absence of breath sounds in both lungs, not just the left side.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}
Explanation
1. Provider Consult
Angina: Not typically associated with immediate provider consultation.
MI: Requires immediate consultation for treatment decisions, such as medication or interventions.
2. Client's Initial Report of Manifestations
Angina: Can present with discomfort or pressure that is transient and relieved by rest or nitroglycerin.
MI: Can present similarly but is often more severe and sustained; discomfort may be a precursor to a myocardial infarction.
3. Treadmill Stress Test
Angina: Often used to provoke symptoms under controlled conditions for diagnosis.
MI: Not used during an acute phase; rather, diagnostics are performed through EKG and cardiac enzyme tests.
4. Result of Nitroglycerin Therapy
Angina: Relief from nitroglycerin indicates angina.
MI: Nitroglycerin might not provide relief; other treatments and diagnostics are needed.
5. 12 Lead EKG Report
Angina: ST depression and T-wave inversion can occur with angina.
MI: These EKG changes can indicate ischemia, which could be part of an acute MI if accompanied by other severe symptoms or in the presence of persistent symptoms.
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