A patient received an implantable cardioverter-defibrillator (ICD). The nurse would include which instruction during discharge teaching for this patient?
1. "If a family member is in direct contact with you when the ICD discharges, he or she may experience a shock or tingling sensation.".
2. "You can activate the ICD whenever you feel a change in your heart rhythm.".
3. "The batteries of the ICD won't need to be replaced if the ICD never shocks the heart.".
4. "There should be no discomfort if the ICD discharges. You probably won't notice it.".
1
Rationale 1: Anyone in direct contact with the patient when the ICD discharges may receive a shock or tingling sensation.
Rationale 2: The ICD is programmed to automatically activate when detecting a potentially lethal cardiac rhythm. It cannot be activated by the patient.
Rationale 3: Batteries must be surgically replaced every 5 years or following manufacturer's instructions.
Rationale 4: Some patients experience significant discomfort with ICD discharge.
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