The nurse is providing discharge instructions to a patient with an implantable cardioversion defibrillator. Which of the following should be included in these instructions?
1. never have an x-ray done
2. resume activities in 2 weeks
3. never have an MRI done
4. limit driving until having the defibrillator for 4 weeks
3
Rationale: Patients with implantable cardioversion defibrillators must adhere to restrictions and limitations such as driving restrictions in some states. Patients are advised that magnetic fields can deactivate the device and must be avoided. These patients should not receive diathermy treatment, magnetic resonance imaging, or lithotripsy. The patient should not be instructed to never have an x-ray. Resuming activities in 2 weeks will be dependent upon the patient and should not be instructed at this time. Driving will depend upon the patient's condition and state where the patient resides.
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