Question

Question 4 of 20 Your patient has just returned from a Permanent Pacer Insertion, is awake but confused and complains of light headed Based on the following strip what is the best nursing action? Readjust the chest leads to view the pacer better then ask a coworker to confirm lead placement O Continue to observe for 5 minutes, as this is a new pacemaker 0 Call a code blue and begin chest compressions O Call for help, turn patient onto left side, prepare for possible external pacing, and physician notification Question 5 0520

Answer 1

As per the scenario, the patient is conscious and oriented. If the nurse find an abnormal ECG rhythm at this time, she should check the device for malfunction, and adjust the leads to view the rhythm and also, she can ask a coworker to confirm it. Announcing code blue is not appropriate as the patient is responsive and alert. Continue to observe the same rhythm is not appropriate as it is important to rule out the cause of abnormal rhythm as soon as possible to prevent undesired complications. as patient is awake and responsive, the last option also inconvenient.

Thus the answer is, Readjust the chest leads to view the pacer better and ask co worker to confirm the lead placement.