A nurse is providing discharge teaching to a client who has a newly inserted permanent pacemaker. Which of the following instructions should the nurse include in the teaching?

"Place cellular phones on the ear opposite the side of the pacemaker.".

"Avoid showering for the first 2 weeks following surgery.".

"Avoid heavy lifting for 1 week following insertion.".

"Stand at least 2 feet away while using a microwave.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:
The nurse should instruct the client to place cellular phones on the ear opposite the side of the pacemaker to minimize the risk of electromagnetic interference. Although the risk of interference is low with modern pacemakers, it is still a precautionary measure. Placing the phone on the ear opposite the pacemaker reduces the likelihood of any potential electromagnetic interaction.
Choice B rationale:
The instruction in choice B, "Avoid showering for the first 2 weeks following surgery,”. is not appropriate. There is no need for the client to avoid showering after pacemaker insertion. In fact, maintaining good hygiene is essential to prevent infection at the incision site. The client can take a shower, but they should avoid soaking the incision area and patting it dry afterward.
Choice C rationale:
The instruction in choice C, "Avoid heavy lifting for 1 week following insertion,”. is not the best option. The recommended timeframe to avoid heavy lifting after a pacemaker insertion is usually around 4 to 6 weeks. This duration allows the surgical site to heal properly and reduces the risk of dislodging the pacemaker leads or causing damage.
Choice D rationale:
The instruction in choice D, "Stand at least 2 feet away while using a microwave,”. is not directly related to pacemaker care. While it is generally recommended to maintain a safe distance from microwaves during use, this instruction is not specific to clients with pacemakers.

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Correct Answer is C

Explanation

Choice A rationale:

Cauliflower is not a good dietary choice for a client with cholelithiasis. Cholelithiasis refers to the presence of gallstones, and certain foods, including cauliflower, can exacerbate symptoms in some individuals.

Choice B rationale:

Increasing the amount of egg yolks in the diet is not advisable for a client with cholelithiasis. Egg yolks are high in cholesterol and can contribute to gallstone formation.

Choice C rationale:

This is the correct choice. Desserts like angel-food cake are a better dietary option for a client with cholelithiasis. Angel-food cake is typically low in fat and cholesterol, making it a more suitable choice for those with gallbladder issues.

Choice D rationale:

Eating choice or prime cuts of meat is not recommended for clients with cholelithiasis. These types of meat are often higher in fat, which can trigger gallbladder symptoms.

A. Difficulty maintaining personal hygiene. B. Difficulty handling finances. C. Difficulty remembering names of new friends. D. Difficulty driving to and from familiar places.

Correct Answer is C

Explanation

Choice A rationale:

Difficulty maintaining personal hygiene is not typically an early indication of mild Alzheimer's disease. In the early stages, individuals can still manage personal hygiene.

Choice B rationale:

Difficulty handling finances may occur in the later stages of Alzheimer's disease, but it is not an early indication. In the early stages, the person might still manage financial matters.

Choice C rationale:

Difficulty remembering the names of new friends is a common early sign of mild Alzheimer's disease. It reflects the impairment of short-term memory that often occurs in the early stages of the disease.

Choice D rationale:

Difficulty driving to and from familiar places is more likely to be a mid-to-late-stage symptom of Alzheimer's disease. In the early stages, individuals might still drive familiar routes with minimal difficulty.

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A nurse is providing discharge teaching to a client who has a newly inserted permanent pacemaker. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about dietary options for a client who has cholelithiasis. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is assessing a client for manifestations of mild Alzheimer's disease. Which of the following findings should the nurse expect as an early indication of the disease?

Correct Answer is C

Explanation

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