A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker.
Which of the following statements by the client Indicates that the teaching has been effective?

" I will use my cell phone on the ear opposite of my pacemaker."

"I can play softball with my family in 3 weeks."

“ I should perform arm exercises daily."

“I will go to my cardiologist's office when the battery needs to be changed."

Answer and Explanation

The Correct Answer is A

A. Using a cell phone on the ear opposite to the pacemaker helps minimize the risk of electromagnetic interference with the pacemaker function.

B. Engaging in activities such as playing softball may not be appropriate immediately after pacemaker insertion. The client should follow specific activity restrictions as advised by the healthcare provider.

C. While performing arm exercises is generally beneficial for overall health, the client should avoid strenuous activities that may strain the upper body or disrupt the pacemaker leads

immediately after insertion.

D. Pacemaker battery replacement is typically scheduled based on the device's longevity and is performed in a healthcare facility, not the cardiologist's office. The client should follow up regularly with the healthcare provider for device checks and monitoring of battery status.

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Correct Answer is B

Explanation

A. While creating a flexible daily schedule may be helpful, it does not directly address the core symptoms of OCD.

B. Gradually decreasing the time allowed for ritualistic behavior is a common technique used in exposure and response prevention therapy, which is an evidence-based treatment for OCD.

C. Offering solutions for problem-solving may be helpful in general, but it may not directly address the specific symptoms of OCD.

D. While meditation can be beneficial for managing stress and anxiety, it may not specifically address the compulsive thoughts and behaviors characteristic of OCD.

A. Apply oxygen at 3 L/min per nasal cannula. B. Review the chest x-ray report. C. Flush the catheter with sterile water. D. Obtain a peripheral blood glucose level.

Correct Answer is B

Explanation

A. Apply oxygen at 3 L/min per nasal cannula: While oxygenation is important, there is no

indication in the scenario that the client requires oxygen supplementation at this time. Checking oxygen saturation would be more relevant if there were respiratory concerns.

B. Review the chest x-ray report: This is the most appropriate action before initiating the IV

infusion to ensure proper placement of the central venous catheter and absence of complications such as pneumothorax or malposition.

C. Flush the catheter with sterile water: Flushing the catheter with sterile water is not necessary before starting the infusion, especially without confirming proper catheter placement through chest x-ray.

D. Obtain a peripheral blood glucose level: While monitoring blood glucose levels may be

important in certain clinical situations, it is not directly relevant to initiating an IV infusion of Ringer's lactate via a central venous catheter.

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A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker.Which of the following statements by the client Indicates that the teaching has been effective?

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A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker.
Which of the following statements by the client Indicates that the teaching has been effective?