Which of the following interventions would be appropriate for a client recovering from a pacemaker insertion? (Select all that apply.)
1. Monitor vital signs every 15 minutes until stable.
2. Assess for chest pain.
3. Restrict movement of affected extremity.
4. Monitor electrocardiogram every 8 hours.
5. Begin intravenous fluid infusion at 150 mL/hr.
6. Reinforce dressing with excessive bleeding.
1, 2, 3
Interventions appropriate for a client recovering from a pacemaker insertion include monitoring vital signs every 15 minutes until stable, assessing for chest pain, restricting movement of the affected extremity, monitoring electrocardiogram ongoing and post a strip every 4 hours, and report excessive bleeding from the surgical site to the health care provider. Intravenous fluids at the rate of 150 mL/hr may or may not be needed.
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