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?

A. "I need to maintain pressure over the pacemaker site with an elastic bandage." is incorrect. After pacemaker insertion, clients should avoid applying pressure or heavy bandages over the site. They should keep the area clean and dry and follow wound care instructions, but pressure can dislodge leads or cause tissue damage. B. "The pacemaker will deliver a shock if I develop a dysrhythmia." is incorrect. A permanent pacemaker does not deliver shocks; it regulates heart rhythm by sending electrical impulses when the heart rate is too slow. Devices that deliver shocks, like implantable cardioverter-defibrillators (ICDs), are different from pacemakers. C. "When a microwave oven is in use, I need to stay out of the room." is incorrect. Modern pacemakers are shielded from electromagnetic interference from household appliances, including microwave ovens. Routine use is safe, and clients do not need to avoid the room. D. "I need to check my pulse rate every day for a full minute." is correct. Daily pulse monitoring helps the client assess the pacemaker’s function. Clients should report a consistently slow, rapid, or irregular pulse, which could indicate a device malfunction. This promotes early detection of complications and ensures safe long-term management.