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 A
Explanation
A. Administer oxygen therapy. This is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.
B. Start an IV infusion of lactated Ringer's is not the immediate priority; oxygen therapy addresses acute symptoms of a pulmonary embolism first.
C. Initiate cardiac monitoring is important, but it is secondary to addressing the client's oxygenation needs.
D. Give morphine IV may be part of the treatment plan, but oxygen therapy is the most immediate intervention for a pulmonary embolism.
Correct Answer is ["24"]
Explanation
- First, determine the concentration of the heparin solution. In this case, it's 25,000 units in 500 mL, which means there are 50 units per mL.
- Next, calculate the required rate to deliver 1,200 units per hour. Since the concentration is 50 units per mL, divide 1,200 units by 50 units/mL to find the required mL per hour.
- The calculation will be 1,200 units/hr ÷ 50 units/mL = 24 mL/hr.
- Since the question asks to round to the nearest tenth or whole number, and the result is a whole number, the IV pump should be set to deliver 24.0 mL/hr.
Answer =24
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