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
A. Return in two weeks for a follow up MRI: Clients with an implantable cardioverter/defibrillator (ICD) should generally avoid MRI unless the device is specifically labeled MRI-compatible. Magnetic fields can interfere with the ICD’s function and pose serious risks. B. Wear loose-fitting clothing: Loose clothing prevents friction or pressure over the ICD insertion site, which promotes comfort and reduces the risk of irritation or infection during the healing period after implantation. C. Expect to have a rapid pulse rate for the first few weeks: A rapid pulse is not an expected finding after ICD placement. If it occurs, it could indicate arrhythmia or improper device function, and should be evaluated promptly. D. Resume tub baths and swimming after 24 hr: Immersing the incision site in water within 24 hours increases the risk of infection. Clients are typically advised to avoid submerging the area until the incision has fully healed, usually after 2-4 weeks.