A patient who has a permanent pacemaker must have surgery to repair a bowel obstruction. Which information should the nurse provide this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "Because the surgical area is in your abdomen, the fact that you have a pacemaker is not important.".
2. "Some changes in medication given during the surgery will be necessary.".
3. "Your surgeon will need information about the type of pacemaker.".
4. "Your pacemaker will have to be turned off before surgery.".
5. "Cardiac monitoring during surgery will be different because you have a pacemaker.".
2,3
Rationale 1: The presence of a pacemaker is a significant complication in all surgeries.
Rationale 2: Succinylcholine can cause muscle fasciculations that interfere with pacemaker function.
Rationale 3: The surgeon will need information about the type of device, lead system, and availability of technical support.
Rationale 4: There is no reason for the pacemaker to be turned off. Implantable cardioverter defibrillators are turned off prior to surgery.
Rationale 5: Cardiac monitoring during surgery is the same for all patients.
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