The health care provider is planning to treat a client who has symptomatic, infranodal, third-degree heart block following cardiac surgery with temporary pacing. Which type of pacing would be most appropriate for this client?

A. Global pacing
B. Universal pacing
C. Synchronous pacing
D. Asynchronous pacing


D
Asynchronous pacing is most often used for clients who are profoundly bradycardic because it is found in clients with infranodal blocks or in those who are asystolic. This type of pacing fires at a fixed rate, regardless of the client's intrinsic rhythm.

Nursing

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The nurse is reviewing the characteristics of autosomal dominant inheritance. Which are true about these characteristics? (Select all that apply.)

a. A carrier state exists. b. The phenotype appears in consecutive generations. c. Males and females are equally likely to be affected. d. Parents who have affected children are usually asymptomatic. e. Children of an affected parent have a 50% chance of being affected.

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A middle-aged client is struggling with life changes, including menopause. What is the best response by the nurse to this client?

1. "Don't worry—menopause can't last forever." 2. "There are some very good antidepressants you can take." 3. "What did your mother do to get through menopause?" 4. "There is a menopause support group that meets every 2 weeks."

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An elderly patient with dementia paces the hallway and often wanders. The nurse documents that the patient is exhibiting which type of behavior characteristic of dementia?

a. Passive behavior b. Functionally impaired behavior c. Involuntary psychomotor behavior d. Nonaggressive psychomotor behavior

Nursing

Which patients will the nurse determine are in need of perineal care? (Select all that apply.)

a. A patient with rectal and genital surgical dressings b. A patient with urinary and fecal incontinence c. A circumcised male who is ambulatory d. A patient who has an indwelling catheter e. A bariatric patient

Nursing