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 ["D","E"]
Explanation
A. Assessment of Lower Extremities
Edema is common in renal failure but not specific to transplant rejection.
B. Sodium Level
Sodium level changes can occur with various conditions but are not specific to transplant rejection.
C. Lung Sounds
Lung sounds are important for respiratory issues but not directly indicative of kidney transplant rejection.
D. Creatinine Level
Elevated creatinine indicates possible kidney dysfunction or rejection.
E. Assessment of Incision Site
Signs of infection or inflammation at the incision site could indicate transplant issues.
F. Bowel Sounds
Hypoactive bowel sounds are related to gastrointestinal issues, not directly to transplant rejection.
G. Blood Pressure
Elevated blood pressure can be a consequence of many conditions but is not specific for transplant rejection.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Encephalopathy is correct.
Rational: The client is experiencing alterations in their level of consciousness and has an elevated ammonia level. Encephalopathy is indicative of liver failure due to cirrhosis.
Finding
Ammonia level is correct.
Rational: The client is experiencing encephalopathy which can be a result of an elevated ammonia level. An elevated ammonia level is indicative of liver failure due to cirrhosis.
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