A client with sepsis has a temperature of 40 Celsius. Which ...

[Diane]

A client with sepsis has a temperature of 40 Celsius. Which potentially life-threatening dysrhythmia is most likely to occur in this client?
 
  A) Bradyarrhythmia
  B) Tachyarrhythmia
  C) Wolff-Parkinson-White dysrhythmia
  D) Long QT dysrhythmia

Question 2

A client is scheduled for permanent pacemaker insertion. What instruction will this client need prior to discharge?
 
  A) Dizziness is to be expected.
  B) There are no special precautions.
  C) Wear a tight-fitting shirt to help hold the pacemaker in place.
  D) Use battery-powered equipment.

[jomama]

Answer to Question 1

Answer: B

This client is febrile and at risk for developing a tachyarrhythmia. Fever does not cause bradyarrhythmia. Wolff-Parkinson-White and long QT are both syndromes which are caused by genetic cardiac problems.

Answer to Question 2

Answer: D

The client should be instructed to use electrical equipment with a grounded plug and avoid using adapters or extension cords. Battery-powered equipment should be used instead. There are special precautions for the client to be aware of with a permanent pacemaker. The client should wear loose-fitting clothing. Dizziness is not to be expected and should be reported to the healthcare provider.