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. Check the tubing connections for leaks. is incorrect. Slow, steady bubbling in the suction control chamber is normal if suction is correctly set up.
B. Check the suction control outlet on the wall. is correct. If there is slow, steady bubbling, it may indicate that the suction control pressure needs adjustment.
C. Continue to monitor the client's respiratory status. is incorrect. While monitoring is always important, it does not address the issue of the bubbling in the suction control chamber.
D. Clamp the chest tube. is incorrect. Clamping the chest tube is not appropriate and can lead to complications.
Correct Answer is ["B","D","E"]
Explanation
A. Hypotension is not typically associated with ESRD; hypertension is more common due to fluid retention and alterations in renin-angiotensin system.
B. Bone pain is common in ESRD due to disturbances in calcium and phosphate metabolism, leading to renal osteodystrophy.
C. Bradypnea is not an expected finding; however, patients may exhibit Kussmaul respirations if they have metabolic acidosis.
D. Slurred speech is a typical finding in ESRD.
E. Pruritus is a common symptom in ESRD due to the buildup of uremic toxins and alterations in calcium and phosphate metabolism.
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