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. 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.

A. Lateral segment of the right lower lobe B. Lateral segment of the left lower lobe C. Posterior segment of the right middle lobe D. Posterior segment of the right lower lobe

Correct Answer is A

Explanation

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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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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Naxlex Comprehensive Predictor Exams

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