A nurse is taking care of a patient who has undergone pacemaker implantation. What investigations should the nurse order for this patient?
  1. Exercise ECG testing, echocardiogram, CT scan of chest
  2. Electrocardiogram, echocardiogram, chest X-ray
  3. Exercise ECG testing, stress echocardiogram, chest X-ray
  4. Echocardiogram, coronary angiography, chest X-ray
Explanation
Answer- B - The nurse should order electrocardiogram, echocardiogram, chest X-ray for this patient. Post permanent pacemaker implantation, the clinician should perform an electrocardiogram, echocardiogram, perform a physical assessment, monitor peripheral blood flow and look for swelling and evaluate cardiac pain. Chest X-ray should also be performed pre and post pacemaker placement.
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