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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Ecchymosis indicates bruising but is not a primary parameter for assessing neurovascular status.
B. Skin integrity is important to monitor for any signs of breakdown or infection.
C. Temperature helps assess for adequate blood flow and potential complications.
D. Color of the extremity indicates blood flow and can show signs of compromised circulation.
E. Sensation checks for nerve damage or impaired circulation.
Correct Answer is B
Explanation
A. Instructing the client on the use of crutches is important but not as immediately critical as monitoring for complications.
B. Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.
C. Medicating the client for pain is important but secondary to immediate assessment for complications.
D. Directing the client to perform exercises of the ankle and toes is important for recovery but not as urgent as monitoring for postoperative complications.
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