Pacemaker Quiz

The nurse's client received a permanent pacemaker 2 days ago. The client has indicated near continuous hiccuping and muscle twitching. Which complication does the nurse suspect?

• Infection

• Cardiac tamponade

• Skeletal muscle/phrenic nerve stimulation

• Pacemaker malfunction

What is a potential complication of a pacemaker that is undersensing? Select all that apply.

• Vtach

• R on T syndrome

• Sinus Tachycardia

• Rapid atrial fibrillation

Which pacemaker complication is occuring when there is total loss of pacing spikes despite the intrinsic rhythm falling below the set rate?

• Loss of capture

• Undersensing

• Dislocation of pacing wire

• Oversensing

The nurse is completing discharge education to a client that received a permanent pacemaker/ICD. Which of the following statements from the client requires follow up from the nurse?

• "I will continue to play basketball at the rec center as soon as I get home."

• "I may need help with my ADL's especially in the first few weeks."

• "I will keep my pacemaker ID card in my wallet."

• "I will call my cardiologist tomorrow to make sure I have a follow-up appointment when I'm discharged.."

Which pacemaker complication is identified in attached rhythm strip>?

• Undersensing

• Oversensing

• Loss of pacing

• Loss of capture