A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator. Which of the following information should the nurse include?
Explanation & Rationale
Rationale: A. Expect to have a rapid pulse rate for the first few weeks: A newly implanted ICD does not cause a rapid heart rate. In fact, it monitors for dangerous rhythms and delivers a shock if one is detected. A rapid pulse could signal a complication and should be reported immediately. B. Return in two weeks for a follow-up MRI: MRIs are generally contraindicated unless the ICD is MRI-compatible, which is not always the case. Strong magnetic fields can interfere with the device, so alternative imaging is typically used unless cleared by a cardiologist. C. Resume tub baths and swimming after 24 hr: Clients should avoid submerging the incision site in water until it is fully healed, typically after several weeks. Early immersion increases the risk of infection at the surgical site. D. Wear loose-fitting clothing: Loose clothing prevents irritation and pressure on the incision site during the healing process. It also helps reduce discomfort and lowers the risk of disturbing the ICD leads or dressing.