The nurse doing discharge teaching on a patient with a newly inserted permanent pacemaker teaches the patient to:

A) Start lifting the arm above the shoulder right away to prevent shoulder restriction
B) Avoid cooking with a microwave oven
C) Avoid exposure to high-voltage electrical generators
D) Avoid walking through store and library antitheft devices


Ans: C
Feedback: High-output electrical generators can reprogram pacemakers and should be avoided. Recent pacemaker technology allows patients to safely use most household electronic appliances and devices (eg, microwave ovens). The affected arm should not be raised above the shoulder for one week following placement of the pacemaker. Antitheft alarms may be triggered, so patients should be taught to walk through them quickly and avoid standing in or near these devices. These alarms generally do not interfere with pacemaker function.

Nursing

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