A client with a complete heart block receives a permanent pacemaker. Which discharge instructions should the nurse include when teaching this patient?
1. "Do not use your right arm for 6 weeks to avoid injury to the pacemaker incision."
2. "Do not use a microwave to cook your food even if you stand 10 feet from the oven."
3. "Do not fly on commercial airplanes as long as you have the pacemaker."
4. "You will be taught to take your pulse, and should check it daily when you get home."
Answer: 4
1. Restriction of movement is only for 24 hours.
2. Microwaves may be used as long as proper distance is maintained.
3. Airplane flights are not restricted.
4. It is important to monitor the pulse and report a pulse rate greater or lesser than five beats of the preset pulse.
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