Question

the nurse has reinforced home care instructions to a client who had a permanent pacemaker inserted. which educational outcome has the greatest impact on the client’s long-term cardiac health? answer options: 1 knowledge of when it is safe to resume sexual activity 2 the ability to take an accurate pulse in either the wrist or neck 3 an understanding of the importance of proper microwave oven usage 4 an understanding of why vigorous arm and shoulder movement must be avoided initially

Explanation:

To determine the educational outcome with the greatest impact on long - term cardiac health for a client with a permanent pacemaker:

• Option 1: Knowledge of when to resume sexual activity is important but not as critical for long - term cardiac health as avoiding actions that could damage the pacemaker.
• Option 2: The ability to take a pulse is a useful skill, but it is more of a monitoring tool rather than a factor that directly impacts the longevity and proper functioning of the pacemaker.
• Option 3: Microwave oven usage has no direct impact on a cardiac pacemaker. Pacemakers are designed to be unaffected by normal microwave use.
• Option 4: Avoiding vigorous arm and shoulder movement initially (and understanding why) is crucial. Vigorous movement of the arm and shoulder where the pacemaker is implanted can dislodge the pacemaker leads, which would severely affect the pacemaker's function and the client's cardiac health in the long term.

Answer:

1. An understanding of why vigorous arm and shoulder movement must be avoided initially