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In addition, magnetic fields, such as those used for airport screenings, can interfere with the function of the Holter monitor and should be avoided.Ģ. The client should be advised to not work around high voltage equipment because areas of high voltage can interfere with the function of the electrocardiogram monitoring.
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The electrodes could also become detached from the skin if they get wet, which would also interfere with the accuracy of the reading. The client should avoid taking a shower or bath or swimming while wearing the monitor. The monitor should be kept dry to ensure that it functions properly. Correct: The nurse should teach this client to continue the usual activities while wearing the monitor with a few exceptions. While this is a positive change, it is not the most significant indicator of client improvement.ġ., 3., and 4. Since this client had previously been vomiting, improved skin turgor would indicate the antiemetic is working well and the client is able to retain fluids. Incorrect: Skin turgor specifies the hydration status of a client. While this is a positive change in the client's condition, it is not the best evidence noted by the nurse.Ĥ.
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Incorrect: The client's denial of any further mouth pain signifies that the mouthwashes have decreased mouth inflammation and stomatitis. This option suggests that the antiemetic is working well, but there is not enough evidence to demonstrate significant client improvement.ģ. Incorrect: The ability to eat three meals daily does not mean that the client is actually absorbing those nutrients successfully. A weight gain of two pounds in a week would be the best specific indicator of improvement.ġ. A ten pound weight loss over one month is significant but expected because of the reported vomiting and stomatitis. Correct: Chemotherapy typically causes gastrointestinal disturbances severe enough to interfere with a client's ability to eat or absorb nutrients.