Question

A patient is 2 days postoperative after having a permanent pacemaker inserted. The nurse observes that the patient is having continuous hiccups as the patient states, "I thought this was normal." What does the nurse understand is occurring with this patient?

a) Lead wire dislodgement
b) Faulty generator
c) Sensitivity is too low
d) Fracture of the lead wire

Answer 1

Continuous hiccups post pacemaker insertion are likely a sign of lead wire dislodgment, which should be confirmed and addressed by a medical professional.

Step-by-step explanation:

The nurse understands that the patient experiencing continuous hiccups after having a permanent pacemaker inserted could be exhibiting signs of lead wire dislodgment. Hiccups can be caused by stimulation of the phrenic nerve due to a lead that has moved from its original position. This is important to address promptly as it can affect the pacemaker's ability to properly stimulate the heart. Confirmation of lead wire position is typically achieved through an x-ray imaging of the patient's chest.