Question

The nurse has provided self-care activity instructions to a client after insertion of an implanted cardioverter-defibrillator (ICD). The nurse determines that further instruction is needed if the client makes which statement?

1."I need to avoid doing anything that could involve rough contact with the ICD insertion site."
2."I can perform activities such as swimming, driving, or operating heavy equipment as I need to."
3."I should try to avoid doing strenuous things that would make my heart rate go up to or above the rate cutoff on the ICD."
4."I should keep away from electromagnetic sources such as transformers, large electrical generators, and metal detectors, and I shouldn't lean over running motors."

Answer 1

The client with an ICD needs correct information regarding electromagnetic exposure, as their statement reflects a misunderstanding of the necessary precautions which could lead to undue restrictions in daily life.

Step-by-step explanation:

The client who has recently had an implanted cardioverter-defibrillator (ICD) requires instruction on post-procedure self-care activities. If the client suggests, "I should keep away from electromagnetic sources such as transformers, large electrical generators, and metal detectors, and I shouldn't lean over running motors," further instruction is indeed needed.

This is because while it is necessary to maintain a safe distance from strong electromagnetic fields, everyday activities involving household electromagnetism, like leaning over a motor briefly, should not be a significant concern for someone with an ICD, as long as the exposure is not prolonged. However, it is important for individuals with an ICD to avoid strong magnetic fields, like those produced by MRIs, and to be aware of certain restrictions regarding metal detectors and powerful industrial equipment. The client's statement indicates a misunderstanding, suggesting an exaggerated perception of the required precautions, and the nurse must clarify realistic expectations for living with an ICD.