Question 1

The nurse recognizes the following indications as appropriate for continuous cardiac monitoring.

Accepted Answer

The answer of The nurse recognizes the following indications as...

Question 2

The nurse is obtaining a 12-lead ECG on a patient and notices that the ECG cannot be interpreted.Which of the following interventions are appropriate for the nurse to take?

Accepted Answer

Inspecting the electrodes for secure placement ensures proper contact with the skin, repositioning wires that move can prevent artifacts, and reminding the patient to remain still helps obtain a clear tracing. Repositioning electrodes that are already correctly placed is unnecessary.

Question 3

The nurse is obtaining a 12-lead ECG on a patient with syncope.Which of the following actions,if taken by the nurse,are effective at reducing the presence of artifact in the ECG tracing?

Accepted Answer

Talking produces artifact that may necessitate repeating the 12-lead ECG.The ECG machine should be turned on first in order to help identification of electrodes and lead issues upon application.Position the patient in the supine position.Remove the patient's gown to expose the patient's chest and arms.

Question 4

The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause dysrhythmias?

Accepted Answer

The answer of The nurse is reviewing the patient's medications...

Question 5

Some patients may have allergies,or more commonly,sensitivities to the adhesive used to affix the leads.In these cases,_____________ are available from various manufacturers.

Accepted Answer

The answer of Some patients may have allergies,or more commonly,sensitivities...

Question 6

ECG tracings that cannot be interpreted are known as _________________.

Accepted Answer

The answer of ECG tracings that cannot be interpreted are...

Question 7

_______________ develops when a person is exposed to an excessive number of alarms.

Accepted Answer

The answer of _______________ develops when a person is exposed...

Question 8

After obtaining a 12-lead ECG,the nurse records the date and time the ECG was obtained,the reason for obtaining the ECG,and who the ECG was given to for interpretation in the patient's chart.After this documentation,what is the appropriate action of the nurse?

Accepted Answer

The nurse's priority after obtaining a 12-lead ECG is to immediately report any unexpected outcomes to the healthcare provider. This ensures appropriate intervention and treatment can be started promptly. Repositioning the patient to a position of comfort may also be necessary but is not the priority at this time. Reporting to nursing assistive personnel that the 12-lead ECG is completed is not necessary as they should already be aware that the ECG was ordered. Inviting family caregivers to visit at the bedside is not necessary at this time and should not take precedence over addressing potential health concerns.

Question 9

The nurse is caring for a patient on continuous cardiac monitoring who is experiencing occasional premature ventricular contractions.Which of the following actions demonstrate appropriate protocol?

Accepted Answer

The nurse should regularly review alarm trends and waveforms to monitor the patient's condition (A), respond to alarms as they occur (B), and document rhythm strips to maintain accurate records (C). Reporting unexpected outcomes should be done promptly, not just at the end of the shift.

Question 10

The nurse is assessing if the patient needs a 12-lead ECG.Which of the following indications,if identified,indicates that a 12-lead ECG should be obtained?

Accepted Answer

A 12-lead ECG is indicated for suspected acute coronary syndromes including myocardial infarction, evaluation of syncope, and disorders of the cardiac rhythm. History of smoking alone is not a specific indication for a 12-lead ECG.

Question 11

When preparing the skin before ECG electrode placement,clipping the hair in the electrode area is preferred over shaving due to risk of _________________.

Accepted Answer

The answer of When preparing the skin before ECG electrode...

Question 12

The nurse identifies the appropriate equipment necessary to obtain a 12-lead ECG and gathers the following supplies.

Accepted Answer

The answer of The nurse identifies the appropriate equipment necessary...

Question 13

The nurse is caring for a patient who has chest discomfort.While obtaining the 12-lead ECG,the patient complains of feeling very anxious.Which of the following interventions should the nurse take in caring for the patient's anxiety?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 14

A patient is being monitored on a continuous cardiac monitor.The nurse directs the nursing assistive personnel (NAP)to immediately report which of the following patient findings?

Accepted Answer

The answer of A patient is being monitored on a...

Question 15

When describing the rationale for connecting electrodes to each limb and around the heart,the nurse shares with the patient which appropriate explanation?

Accepted Answer

A 12-lead ECG does not construct a three-dimensional view of the heart.A 12-lead ECG does not cardiovert the heart.Limb electrodes do not eliminate artifact.The leads view a specific portion of the heart's surface to help determine which part has sustained damage,origin,and flow of the impulse.

Quiz 26: Cardiac Care