The nurse is reinforcing teaching for a patient who has had a pacemaker implanted in the right side of the chest. Which patient statement indicates correct understanding of the discharge teaching?
a. "I may lift 20 pounds safely."
b. "I may move my arm freely."
c. "I may resume normal activity in 1 week."
d. "Grounded microwave ovens may be safely used."
ANS: D
Grounded microwave ovens may be safely used around pacemakers, which are now encased for protection. A. B. C. The patient is going to have activity, limb movement, and weight lifting restrictions after the insertion of a pacemaker.
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The family nurse completes a genogram map when conducting a family assessment. Appropriate information the nurse should include in the genogram map includes which of the following? (Select all that apply.)
A. Congenital diseases in the family B. Country of origin for family members C. Dates of birth for all family members D. Dates of divorce and deaths for family members E. Three or more generations
The patient has a reduced clearance rate for a drug usually secreted by the nephrons. The nurse should assess for malfunction in which of the following?
A) Osmosis in Bowman's capsule B) Active transport in distal tubules C) Filtration rate in glomerulus D) Rate of flow in collecting duct
The nurse is taking a health history from the family of a 3-year-old child. The statement or question by the nurse that would be most likely to establish rapport and elicit an accurate response from the family is:
1. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 2. "Hello, I would like to talk with you and get some information on you and your child." 3. "Tell me about the concerns that brought you to the clinic today." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply _____ before the procedure
a. TAC (tetracaine-adrenaline-cocaine) 15 minutes b. transdermal fentanyl (Duragesic) patch immediately c. EMLA (eutectic mixture of local anesthetics) 1 hour d. EMLA (eutectic mixture of local anesthetics) 30 minutes