Start continuous cardiac monitoring. The nurse should also evaluate the client's vital signs to determine stability after the procedure and check for pacemaker capture by feeling the client's pulse rate and comparing it to the electrical rate seen on the cardiac monitor.
The nurse should attach the continuous cardiac monitoring when the patient enters the post-anesthesia care unit following pacemaker implantation in order to evaluate the pacemaker's performance. Pacer spikes should be discernible before the P waves and QRS complexes if the atrioventricular (dual-chambered) pacemaker is functioning appropriately (electrical capture). The continuous cardiac monitoring medical professional should be informed right away if the pacemaker is not functioning properly for example, failing to capture or detect.
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