RN Targeted Medical Surgical Cardiovascular Peerless Academic Ascendancy.

A nurse is caring for a client following insertion of a permanent pacemaker. Which of the following client statements indicates a potential complication of the insertion procedure? "I can't get rid of these hiccups" hiccups can indicate that the pacemaker is stimulating the chest wall or diaphragm, which can occur as a result of a lead wire perforation A nurse is assessing a client who has a history of DVT and is receiving warfarin. Which of the following findings should indicate to the nurse that the medication is effective? INR 2.0 the nurse should identify that an INR of 2.0 is within the desired reference range of 2.0-3.0 for a client who has a DVT and is receiving warfarin to reduce the risk of a new clot formation and stroke A nurse is caring for a client who is being treated for heart failure and has a prescription for furosemide. The nurse should plan to monitor for which of the following adverse effects of the medication? lightheadedness furosemide can cause a substantial drop in BP, resulting in lightheadedness or dizziness A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse? "I took my warfarin last night according to my usual schedule" clients who are scheduled for a CABG should not take anticoagulants, such as warfarin, for several days prior to the surgery to prevent excessive bleeding