The nurse is planning discharge teaching for a client who just received a permanent pacemaker. Which topics should the nurse include? Select all that apply.

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11ecbb05_c954_7aab_b433_4faf058463a9_MD0009_00 Discharge teaching for the client with a permanent pacemaker should include the following: Report fever or any signs of redness, swelling, or drainage at the incision site. Carry a pacemaker identification card and wear a medical alert bracelet. Take the pulse daily and report it to the health care provider (HCP) if below the predetermined rate. Avoid MRI scans, which can affect or damage a pacemaker (Option A). Avoid carrying a cell phone in a pocket directly over the pacemaker and, when talking on a cell phone, hold it to the ear on the opposite side of the pacemaker (Option B). Notify airport security of a pacemaker; a handheld screening wand should not be held directly over the device (Option C). Avoid standing near antitheft detectors in store entryways; walk through at a normal pace and do not linger near the device. (Option D) The client should avoid lifting the arm above the shoulder on the side of the pacemaker until approved by the HCP as this can cause dislodgement of the pacemaker lead wires. (Option E) Microwave ovens are safe to use and do not interfere with pacemakers. Educational objective: Clients with permanent pacemakers should carry a pacemaker identification card, wear a medical alert bracelet, avoid MRI scans, avoid placing a cell phone over the pacemaker, and inform airport security personnel. Above-the-shoulder exercises should be avoided on the side of the pacemaker until cleared by the health care provider. Microwave ovens are safe to use.

The Nurse Is Planning Discharge Teaching for a Client Who