— 降低風險 · MEDIUM · SATA —
護理師對一位新安裝永久性心律調節器的病人進行出院衛教，下列哪些陳述顯示需要進一步教學？（選所有適合的）
A nurse is providing discharge instructions to a client with a new permanent pacemaker. Which statements by the client indicate a need for further teaching? (Select all that apply.)
- AI should avoid lifting my arm above my head for several weeks我應該在幾週內避免將手臂舉過頭頂
- BI can use my cell phone on the side where the device is implanted✓ 正解我可以在裝置植入側使用手機
- CI need to avoid strong magnetic fields like MRI machines我需要避免強磁場，例如磁振造影（MRI）機器
- DI will check my pulse daily and record it我會每天檢查脈搏並記錄下來
- EI should place my arm in a sling indefinitely to protect the lead✓ 正解我應該長期將手臂置於吊帶中以保護導線
— Explanation · 中文詳解 —
安裝心律調節器後，手機不建議放在機器植入側的口袋或緊貼皮膚（距離至少 6 英吋），以免干擾訊號。另外，手臂不需永遠使用吊帶保護，術後初期（通常 2-4 週）限制活動即可，長期需適度運動防止肩關節僵硬。其餘選項皆為正確衛教內容。
Statements indicating a need for further teaching are that the client can use a cell phone on the implanted side and should place their arm in a sling indefinitely. Clients should keep cell phones at least six inches away from the pacemaker to prevent interference, and indefinite sling use is unnecessary and may lead to joint stiffness.
✦ 台美臨床差異
台灣對 MRI 相容型心律調節器之普及率與衛教規範與美國同步，強調需攜帶識別卡。