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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. First-degree AV block shows a prolonged PR interval but not necessarily an irregular heart rate or a significant pulse deficit.

B. Atrial fibrillation is characterized by a rapid and irregular heart rate with a significant pulse deficit, which aligns with the client's symptoms.

C. Sinus tachycardia presents with a rapid but regular heart rate, not irregular palpitations.

D. Sinus bradycardia shows a slow heart rate and is not associated with an irregular heart rate or significant pulse deficit.

A. "Take this medication with orange juice." B. "Take this medication with food." C. "Sit upright or stand for at least 30 minutes after taking this medication." D. "Chew or suck on the tablet."

Correct Answer is C

Explanation

A. Take this medication with orange juice is incorrect; alendronate should be taken with plain water to avoid food or drink interactions.

B. Take this medication with food is incorrect; alendronate should be taken on an empty stomach to enhance absorption.

C. Sit upright or stand for at least 30 minutes after taking this medication helps prevent esophageal irritation and ensure the medication reaches the stomach.

D. Chew or suck on the tablet is incorrect; the effervescent tablet should be dissolved in water as directed.

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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)

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Naxlex Comprehensive Predictor Exams

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