The nurse is caring for a client with a newly implanted permanent pacemaker who asks, "How do I change the battery?" What information will the nurse supply this client in answer to the question?
1. The battery generally lasts for 20 years or longer but will need to be surgically replaced when it wears out.
2. The battery is located in a small box the client can hang on your belt.
3. The battery doesn't need to be changed because it will last forever.
4. There is a small cord the client connects to the pacemaker and that plugs into the wall.
1
Rationale: The batteries in pacemakers generally last about 20 years but will require surgery to replace. The pacemaker is completely contained within the sac created, usually, in the upper chest, and there are no external components.
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The nurse is planning care for a client with a large area of erythema, swelling, and pruritic lesions on the hands and arms. Which nursing diagnosis should the nurse use to guide this client's care?
A) Impaired Social Interaction B) Anxiety C) Impaired Skin Integrity D) Situational Low Self-Esteem
The nurse anticipates preparing a patient who is allergic to shellfish for an arteriogram by
a. Obtaining baseline vital signs after the start of the procedure. b. Monitoring the extremity for neurocirculatory function. c. Keeping the patient on bed rest for the prescribed time. d. Administering an antihistamine medication to the patient.
For which of the following patients would it be most important to obtain an apical-radial pulse and calculate the pulse deficit? A patient who:
a. Had abdominal surgery 2 hours ago b. Suffered a fractured hip yesterday c. Is dehydrated from vomiting d. Has a heart or lung disease
Which of these statements is correctly phrased as a clinical question for evidence-based practice?
a. What is the best method to insert an enteral feeding tube in an adult patient? b. Are there differences in the characteristics of various brands of enteral feeding tubes? c. In addition to aspiration, what are the most problematic complications of enteral tube feedings? d. What method of determining stomach placement of enteral feeding tubes helps to prevent aspiration in adult patients?