護理師為安裝永久性心律調節器的病人提供出院指導。應包含哪些內容？（選所有適合的）
A nurse is providing discharge instructions to a client who had a permanent pacemaker implanted. Which of the following should be included? (Select all that apply.)
- AAvoid lifting the arm on the operative side above the shoulder for several weeks✓ 正解術後數週內避免將手術側手臂舉過肩膀
- BIt is safe to have an MRI if needed for other conditions若其他狀況需要，進行磁振造影檢查是安全的
- CCheck the pulse daily and report any rate lower than the set rate✓ 正解每日檢查脈搏，並回報任何低於設定速率的情況
- DCarry a pacemaker identification card at all times✓ 正解隨時攜帶心臟節律器識別卡
- EMicrowave ovens should be avoided as they interfere with the device應避免使用微波爐，因為它們會干擾裝置
永久性心律調節器（permanent pacemaker）植入術後，病人需要接受詳細的出院指導，以確保裝置的正常運作、預防併發症並維持生活品質。護理師的衛教內容應涵蓋術後活動限制、裝置監測、識別卡攜帶以及避免可能干擾裝置的電磁場。這些指導對於病人理解如何安全地與心律調節器共存，並在出現問題時及時尋求醫療協助至關重要。 本題旨在評估護理師對心律調節器術後衛教的全面性與正確性。
Discharge instructions for permanent pacemaker patients should include limiting arm movement on the operative side to prevent lead displacement and checking the pulse daily to ensure the device maintains the programmed rate. Clients must also carry an identification card for emergencies and security screening, while being informed that modern appliances like microwaves are generally safe.
心律調節器術後衛教內容，包括活動限制、脈搏監測、識別卡攜帶及電磁場注意事項，在美國和台灣的臨床實務中是高度一致的。然而，隨著科技進步，新型的MRI條件兼容（MRI-conditional）心律調節器已問世，這方面的衛教需更新。無論在哪裡，護理師都應依據病人植入裝置的具體類型提供最新且精確的資訊。