The nurse is providing teaching for a 59-year old male client who has an implantable cardioverter–defibrillator (ICD). Which of the following is an accurate teaching point for the correct use of the device?
A) Teach the client to stand up when he feels a shock from the ICD.
B) If the client feels a shock when alone, tell him to call 911 or the physician.
C) Tell the client not to call the physician if a family member is present after a shock.
D) CPR should not be started until two shocks have been felt by the client.
B
Feedback:
Teach the client to lie down when he or she feels a shock from the ICD. If the client is alone when this occurs, he or she should call 911 or the physician; if someone is with him or her, the client should lie down, and the other person should call the physician. If the person becomes unconscious, a family member or caregiver should call 911 . CPR should not begin unless four to seven shocks have been noted.
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