A patient is undergoing pre-operative teaching before his cardiac surgery. The nurse explains that a temporary pacemaker will be placed later that day, and it will be removed after the surgery
The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response?
A) "Monitoring for pacemaker malfunctioning and battery failure is something the nurse caring for you does."
B) "Monitoring for pacemaker malfunctioning and battery failure is something the technician down the hall does."
C) "Monitoring for pacemaker malfunctioning and battery failure is what the secretary at the nurse's station does."
D) "Monitoring for pacemaker malfunctioning and battery failure is something the physician caring for you does when he makes rounds every day."
Ans: A
Feedback: Monitoring for pacemaker malfunctioning and battery failure is a nursing responsibility. Options B, C, and D are incorrect answers to the patient's question.
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A patient has just begun been receiving skeletal traction and the nurse is aware that muscles in the patient's affected limb are spastic. How does this change in muscle tone affect the patient's traction prescription?
A) Traction must temporarily be aligned in a slightly different direction. B) Extra weight is needed initially to keep the limb in proper alignment. C) A lighter weight should be initially used. D) Weight will temporarily alternate between heavier and lighter weights.
The nurse is caring for a client who has been on complete bed rest for the past week. As the nurse assists the client to sit in the chair, the client becomes dizzy when the legs are dangled over the side of the bed
Which action by the nurse is the priority? 1. Returning the client to bed in the Trendelenburg position 2. Calling for help 3. Measuring the client's blood pressure 4. Having the client sit on the edge of the bed for several minutes, and encourage a few deep, slow breaths
A patient has been brought to the dermatology clinic after a mole excision on the back of his neck. A keloid has formed in this area. The nurse knows that the treatment plan for this patient may consist of which of the following interventions?
A) Topical corticosteroid B) Intralesional corticosteroid C) Biopsy D) Chemotherapy
A 26-year-old man has presented to the emergency department (ED) stating that he has suffered a severe ankle sprain during a basketball game
The triage nurse is conducting a rapid assessment of the patient's ankle and is including assessment of neurovascular status. In an assessment of neurovascular status, what parameters does the nurse examine? Select all that apply. A) The temperature of the patient's foot and ankle B) The skin integrity of the patient's foot and ankle C) The color of the patient's foot and ankle D) The patient's ability to move his toes E) The passive range of motion of the patient's ankle