Which intervention by a new nurse who is caring for a patient who has just had an implantable cardioverter-defibrillator (ICD) inserted indicates a need for more education about care of patients with ICDs?
a. The nurse assists the patient to do active range of motion exercises for all extremities.
b. The nurse assists the patient to fill out the application for obtaining a Medic Alert ID.
c. The nurse gives amiodarone (Cordarone) to the patient without first consulting with the health care provider.
d. The nurse teaches the patient that sexual activity usually can be resumed once the surgical incision is healed.
ANS: A
The patient should avoid moving the arm on the ICD insertion site until healing has occurred in order to prevent displacement of the ICD leads. The other actions by the new nurse are appropriate for this patient.
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