The nurse is planning discharge teaching for a patient with a newly inserted permanent pacemaker. What is the priority teaching point for this patient?
A) Start lifting the arm above the shoulder right away to prevent chest wall adhesion.
B) Avoid cooking with a microwave oven.
C) Avoid exposure to high-voltage electrical generators.
D) Avoid walking through store and library antitheft devices.
Ans: C
Feedback:
High-output electrical generators can reprogram pacemakers and should be avoided. Recent pacemaker technology allows patients to safely use most household electronic appliances and devices (e.g., microwave ovens). The affected arm should not be raised above the shoulder for 1 week following placement of the pacemaker. Antitheft alarms may be triggered so patients should be taught to walk through them quickly and avoid standing in or near these devices. These alarms generally do not interfere with pacemaker function.
You might also like to view...
The nurse is caring for a client who has been in a coma for several days. Appropriate care for the client's eyes includes: Standard Text: Select all that apply
1. Clean the eyes with saline solution and cotton balls. 2. Instill artificial tears into lower eyelids as ordered. 3. Monitor eyes for exudate. 4. Eyes require no special hygiene. 5. Administer moist compresses every 2–4 hours.
One of the most important tools for communicating with mentally ill clients is
1. therapeutic talking. 2. therapeutic listening. 3. administering medications. 4. following the client's care plan.
The researcher asks another nurse to use a study instrument to score a questionnaire completed by study participants. The researcher has previously used the instrument to score the questionnaire and will compare the two results
Which type of reliability is this researcher trying to establish? 1. Internal consistency. 2. Stability. 3. Homogeneity. 4. Equivalence.
The patient is a paraplegic who possesses good arm and hand strength. When the following devices are compared, which would be most appropriate for this patient?
a. Axillary crutch b. Platform crutch c. Lofstrand crutch d. Standard crook cane