You are assisting a RN with discharging a patient who had a permanent pacemaker placed two days ago for sustained bradycardia. You are reinforcing the discharge teaching, what statement by the client indicates a need for further teaching?

A. "I can go back to the gym and do light weight baring exercise and yoga.": Patients must avoid vigorous upper body activity and lifting heavy weights for several weeks to prevent lead dislodgement. Yoga often involves stretching the arms above the shoulder, which can pull on the newly implanted pacemaker leads. This statement reflects a misunderstanding of the immediate postoperative activity restrictions required for device stability. B. "I will report any new dizziness or lightheadedness to my health care provider.": These symptoms may indicate pacemaker malfunction, such as failure to pace or loss of capture. Dizziness suggests that the heart rate is not being maintained at a level sufficient for adequate cerebral perfusion. Reporting these signs is a critical component of post-implantation safety and monitoring. C. "I will take my pulse every day and left my health care provider if my heart rate is less than 60 beats per minute.": Monitoring the daily pulse ensures the pacemaker is maintaining the programmed minimum heart rate. A rate lower than the set threshold indicates a potential battery or electrode problem that requires urgent evaluation. This demonstrates the patient's understanding of how to monitor their own cardiac stability. D. "I will avoid raising my arm over my head until cleared by my health care provider.": Restricting the range of motion on the affected side prevents the accidental pulling or displacement of the cardiac leads before they have scarred into place. This is a standard instruction during the first few weeks following a permanent pacemaker procedure. It is essential for ensuring long-term device functionality and successful healing.