What important information should be included in discharge planning for a client with a new permanent pacemaker?

The recommendation to take the pulse daily and report any changes to the health care provider is crucial information for a client with a new permanent pacemaker. Regularly monitoring the pulse allows the patient to keep track of their heart rate and rhythm, helping to identify any issues such as bradycardia (a slower than normal heart rate) or other irregularities that may indicate the pacemaker is not functioning correctly. Prompt reporting of any changes, such as a significant drop in pulse rate or the development of symptoms like dizziness or fainting, ensures that the healthcare provider can intervene as necessary to maintain the patient's safety and well-being.

In contrast, advising clients to discontinue all medications could potentially endanger their health, as many medications are vital for managing conditions like arrhythmias or heart failure. Suggesting that clients refrain from all physical activity would be inappropriate since moderate activity is usually encouraged post-operation, depending on the individual's condition and post-surgical instructions. Lastly, the idea of only visiting the provider if symptoms worsen neglects the importance of regular follow-up care and proactive monitoring, which are key in managing health issues effectively after receiving a pacemaker.