A nurse is planning educational materials for a client who has a new pacemaker. Which of the following information should the nurse include?

Rationale: A. "Check your pulse rate for 30 seconds at different times throughout the day.": Clients with pacemakers should check their pulse daily at the same time and for a full minute to ensure the pacemaker is functioning properly. Shorter durations and inconsistent timing may lead to inaccurate assessments. B. "Limit strenuous physical activity for 8 weeks.” Limiting physical activity, especially involving the upper body, is essential to allow the pacemaker leads to secure in the myocardium. Strain or vigorous movement during the healing phase can displace the leads or disrupt healing. C. "Remain at least 3 feet away when watching television”: Modern televisions do not emit electromagnetic interference that would affect pacemaker function. There is no need for such distancing, making this instruction inaccurate and unnecessarily restrictive. D. "Expect to have intermittent, prolonged hiccups.” Persistent hiccups could indicate pacemaker lead displacement or diaphragmatic stimulation and should be reported immediately. They are not an expected or normal finding after pacemaker implantation.