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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22.5"]
Explanation
Ordered dose: 30 mEq
Available concentration: 20 mEq/15 mL
Calculation:
To find the volume needed: (30 mEq ÷ 20 mEq) ×15 mL = 22.5 mL
Therefore, the nurse should administer 22.5 mL of potassium chloride.
Correct Answer is A
Explanation
A. "I will need to apply electrodes to your chest and extremities." This is a correct statement. The nurse needs to apply electrodes to the chest and extremities in order to obtain the ECG reading.
B. "You may feel a slight tingling while the test is being done." An ECG is a non-invasive test and does not cause any sensation such as tingling. This statement is inaccurate.
C. "The radioactivity from the dye lasts only a few hours." There is no dye or radioactivity involved in a standard ECG. This statement would apply to imaging studies like a nuclear stress test, not an ECG.
D. "The test will be complete in 30 to 60 minutes." A standard ECG takes only a few minutes to complete. This statement would be inaccurate for this type of procedure.
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