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    Ati ew n300 med surg final proctored exam

    The nurse is caring for a patient who is 24 hours post pacemaker insertion. Which nursing intervention is most appropriate at this time?

    Explanation & Rationale

    A. Reinforcing the pressure dressing may be needed immediately post-procedure but is less appropriate 24 hours after insertion unless bleeding occurs. B. Assessing the incision for redness, swelling, or discharge is essential at 24 hours to monitor for signs of infection or complications. C. Encouraging range-of-motion exercises too soon may risk dislodging the pacemaker leads; usually, arm movement is limited initially. D. Applying wet-to-dry dressings is not standard care for a pacemaker insertion site and may cause trauma or infection

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