A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?
Fatigue
Increased urine output
Sneezing
Rapid pulse
The Correct Answer is A
A. Fatigue: Fatigue may indicate that the pacemaker is not working effectively to maintain an appropriate heart rate and cardiac output, which can lead to symptoms such as weakness or tiredness.
B. Increased urine output: Increased urine output is not typically a sign of pacemaker malfunction. It could be related to other conditions but not directly linked to pacemaker issues.
C. Sneezing: Sneezing is not related to pacemaker function and would not indicate a malfunction.
D. Rapid pulse: A rapid pulse may occur in other cardiac conditions but is not commonly associated with pacemaker malfunction unless it is sustained and irregular.
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Related Questions
Correct Answer is C
Explanation
A. The stockings replace the need for postoperative leg exercises: Antiembolism stockings help reduce the risk of clots, but they do not replace the need for postoperative leg exercises, which help maintain circulation and prevent deep vein thrombosis (DVT).
B. The stockings prevent varicose veins: Antiembolism stockings are primarily used to prevent blood clots, such as DVT, not to treat or prevent varicose veins.
C. The stockings help to improve circulation and reduce the risk for clots: Antiembolism stockings are designed to promote venous return to the heart by applying graduated pressure to the legs, which helps improve circulation and reduce the risk of developing blood clots postoperatively.
D. The stockings are used to reduce pain: Antiembolism stockings are not intended to relieve pain. Their primary purpose is to prevent venous stasis and thromboembolism, especially in postoperative and immobile clients.
Correct Answer is A
Explanation
A. Frothy sputum: Frothy sputum is a classic symptom of pulmonary congestion caused by left-sided heart failure. It indicates fluid overload in the lungs.
B. Nocturnal polyuria: Nocturnal polyuria can occur with heart failure, but it is not a classic or hallmark sign of left-sided heart failure.
C. Jugular distention: Jugular venous distention is associated with right-sided heart failure due to systemic venous congestion, not left-sided heart failure.
D. Dependent edema: Dependent edema is more commonly associated with right-sided heart failure as a result of poor venous return and systemic congestion.
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