Practice Quiz

NCLEX-PN

Category - Health Promotion

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Which of the following statements by a client with a newly-installed pacemaker indicates a need for the reinforcement of client teaching?
  1. “I will immediately report palpitations, chest pain, dizziness, fainting or prolonged hiccups.”
  2. “A deviation of my pulse rate of more than 4 to 5 beats per minute is to be expected during the first week of hospital discharge.”
  3. “I should wear an identification card or bracelet that indicates information regarding the pacemaker at all times.”
  4. “It would take at least 2 months for fibrosis to occur around the lead in the heart.”
Explanation
Answer: B - The nurse should reinforce to the client the need to check his own pulse at least every week to ensure that the preset rate remains constant. Any deviation from the preset rate of more than 4 to 5 beats per minute must be reported immediately to a health care provider. The client should also check his pulse when any unusual symptoms occur.
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