A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?

Rationale: A. "I need to check my pulse rate every day for a full minute." After pacemaker insertion, it is important for the client to monitor their pulse to ensure the pacemaker is working properly. The pulse should be checked daily for a full minute to detect any irregularities in heart rate. B. "I need to maintain pressure over the pacemaker site with an elastic bandage." Pressure should not be applied over the pacemaker site, as it could interfere with proper healing or dislodge the device. The pacemaker site should be kept clean and free from excessive pressure. C. "When a microwave oven is in use, I need to stay out of the room." Modern pacemakers are shielded from electromagnetic interference, such as from microwave ovens. The client can use a microwave without leaving the room, unless otherwise instructed by their healthcare provider. D. "The pacemaker will deliver a shock if I develop a dysrhythmia." Most permanent pacemakers do not deliver shocks; instead, they provide electrical impulses to regulate the heart's rhythm. A defibrillator, not a pacemaker, delivers shocks for life-threatening dysrhythmias.