The nurse is reinforcing discharge teaching for a patient who has had a permanent pacemaker inserted. What is important for the nurse to include? (Select all that apply.)

a. Patient should wear medical alert identification.
b. Patient should avoid all grounded appliances.
c. Patient may return to normal activities, including sports, in 3 weeks.
d. Patient should report dizziness, irregular heartbeats, and palpitations.
e. Patient should avoid magnetic fields and high voltage.
f. Patient should avoid lifting anything more than 10 pounds.


ANS: A, D, E, F
A, D, E, and F are correct. The patient should wear medical alert identification; report symptoms such as dizziness, irregular heartbeats, and palpitations; avoid magnetic fields and high voltage; and avoid lifting more than 10 pounds. B. Grounded appliances are not a hazard. C. Normal activity is resumed after 6 weeks, including sports.

Nursing

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