After providing a patient with discharge instructions on the management of a new permanent pacemaker, the nurse knows that teaching has been effective when the patient states
a. "I will avoid cooking with a microwave oven or being near one in use."
b. "It will be 1 month before I can take a bath or return to my usual activities."
c. "I will notify the airlines when I make a reservation that I have a pacemaker."
d. "I won't lift the arm on the pacemaker side up very high until I see the doctor."
ANS: D
The patient is instructed to avoid lifting the arm on the pacemaker side above the shoulder to avoid displacing the pacemaker leads. The patient should notify airport security about the presence of a pacemaker before going through the metal detector, but there is no need to notify the airlines when making a reservation. Microwave oven use does not affect the pacemaker. The insertion procedure involves minor surgery that will have a short recovery period.
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