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.
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Related Questions
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.
Correct Answer is ["A","E"]
Explanation
A. Place a pillow under the client's head.
Rationale: This action helps to prevent head injury during a seizure by cushioning the head.
B. Place the client into a supine position.
Rationale: This is incorrect because it can increase the risk of aspiration. The client should be placed in a side-lying position to allow the mouth to drain and prevent aspiration.
C. Apply restraints.
Rationale: This is incorrect as restraints can cause injury to the client during a seizure. The nurse should instead ensure the environment is safe and free from objects that could harm the client.
D. Insert a bite stick into the client's mouth.
Rationale: This is incorrect because inserting any object into the mouth during a seizure can cause dental injury or aspiration. The jaw should not be forced open.
E. Loosen restrictive clothing.
Rationale: This action helps to prevent injury and allows for easier breathing during a seizure. It also prevents any constriction that could occur due to muscle contractions.
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