A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?

The client cannot travel by air due to security screening.

The client should hold his cell phone on the side opposite the ICD.

The client can carry his ICD in a small pocket.

The client should avoid the use of small electric devices.

Answer and Explanation

The Correct Answer is B

A. The client cannot travel by air due to security screening is incorrect; clients with ICDs can travel by air but should inform security personnel about the ICD.

B. The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD’s functioning.

C. The client can carry his ICD in a small pocket is incorrect; the ICD is implanted and does not need to be carried.

D. The client should avoid the use of small electric devices is not entirely accurate; the client should follow specific guidelines but not avoid all small devices.

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Correct Answer is B

Explanation

A. Driving the client to the nearest medical facility is not appropriate; professional emergency medical services are needed.

B. Notifying emergency management services ensures that the client receives professional medical evaluation and care immediately.

C. Providing water to test the gag reflex is not appropriate in an emergency situation and could pose a choking risk.

D. Performing carotid massage is not recommended and could worsen the condition; it is not a standard emergency procedure.

A. Blockage of the ET tube by the client's tongue B. Movement of the ET tube into the right main bronchus C. Infection of the vocal cords D. Passage of the ET tube into the esophagus

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.

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A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?

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