Medical Surgical Myocardial Infarction #9

Question

The nurse is caring for a client who requires insertion of an automatic internal cardioverter-defibrillator and is preparing information for home management and safety. Which information by the nurse is most important for client instruction?

Answers

  1. Self-management of anxiety through biofeedback.
    • Rationale:

      This answer is not correct because instruction on self-management of anxiety through biofeedback is not the most important instruction needed for home management and safety. The priority client teaching regarding home management and safety is to always wear a Medic-Alert device such as a medic alert necklace or bracelet. This will notify emergency personnel in the event the client cannot communicate.

  2. Keeping a log of activities that occur near electromagnetic sources.
    • Rationale:

      This answer is not correct because the client should avoid machines with magnetic fields, such as an MRI. Therefore, there is no reason to log the times of exposure.

  3. Encouraging swimming alone as a healthy activity.
    • Rationale:

      This answer is not correct because swimming may be restricted by the healthcare provider for a period of time; however, if allowed, clients must not swim alone. There should be someone available to call emergency personnel if the client experiences a cardiac event and needs emergency help.

  4. Instruction on use of a Medic-Alert device.
    • Rationale:

      This answer is correct because client education regarding home management and safety is essential for a client with an automatic internal cardioverter-defibrillator. The client should be taught the importance and use of a Medic-Alert device such as a medic alert necklace or bracelet. Having these devices on the client’s body will alert emergency workers in the effect of the client being unable to communicate. Emergency workers will know better how to assist the client so not to deliver unnecessary additional shocks and the ICD can provide data regarding what event occurred prior to the client becoming unconscious or unable to communicate.

Overview

The priority client teaching regarding home management and safety is to always wear a Medic-Alert device such as a medic alert necklace or bracelet. This will notify emergency personnel in the event the client cannot communicate.

Explanation

Learning Outcomes

Client education regarding home management and safety is essential for a client with an automatic internal cardioverter-defibrillator. The client should be taught the importance and use of a Medic-Alert device such as a medic alert necklace or bracelet. Having these devices on the client’s body will alert emergency workers in the effect of the client being unable to communicate. Emergency workers will know better how to assist the client so not to deliver unnecessary additional shocks and the ICD can provide data regarding what event occurred prior to the client becoming unconscious or unable to communicate.

Test Taking Tip

Never assume a client knows anything, unless they are able to verbalize or demonstrate. It is better to repeat something they know than to miss important concepts.

Video Rationale