A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)
Do not have a microwave oven in the home.
Request to be scanned with a handheld metal detector when in the airport.
Count your pulse for 1 min each morning.
Do not wear tight clothing over the insertion area.
Resume activities that can cause jolting, such as horseback riding, after 4 weeks.
Correct Answer : C,D
A. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid having them in the home.
B. Airport security staff should be informed about the pacemaker, but handheld metal detectors should be avoided because prolonged exposure can interfere with pacemaker function. Instead, the client should request a manual search.
C. Monitoring the pulse daily helps to ensure the pacemaker is functioning properly and to detect any irregularities early.
D. Wearing tight clothing over the insertion area can cause discomfort and may interfere with the function of the pacemaker.
E. Activities that involve jolting or the risk of impact to the pacemaker should be avoided until cleared by a healthcare provider, and this period may extend beyond 4 weeks.
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Related Questions
Correct Answer is B
Explanation
A. Instructing the client on the use of crutches is important but not as immediately critical as monitoring for complications.
B. Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.
C. Medicating the client for pain is important but secondary to immediate assessment for complications.
D. Directing the client to perform exercises of the ankle and toes is important for recovery but not as urgent as monitoring for postoperative complications.
Correct Answer is B
Explanation
A. Bounding peripheral pulses are more associated with fluid overload, not diabetes insipidus.
B. Tachycardia can occur in diabetes insipidus due to dehydration and fluid loss.
C. Hypertension is not a typical finding; clients with diabetes insipidus often have low blood pressure due to fluid loss.
D. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus.
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