Exam 26: Cardiac Care

To determine the patient's and caregiver's levels of understanding of the rationale for obtaining the 12-lead ECG,the nurse most effectively uses which of the following statements?

After obtaining a 12-lead electrocardiogram (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?

While the nurse is performing a 12-lead electrocardiogram (ECG)tracing,the patient complains of crushing chest pain.The nurse recognizes that the timing of the chest pain is important to note for which of the following reasons?

The nurse is supervising a nursing student while applying electrodes for continuous cardiac monitoring to an elderly patient.The nurse recognizes the need for further education when the student makes which comment about polarity while attaching the monitor leads to the electrode?

A patient is being monitored on a continuous cardiac monitor.The nurse directs the unregulated care provider (UCP)to immediately report which of the following patient findings? (Select all that apply.)

The nurse is preparing to apply electrodes for continuous cardiac monitoring to a newly admitted adult with syncope.Which action by the nurse follows appropriate procedure?

The nurse changes the electrocardiogram (ECG)electrodes on a patient who is on a continuous cardiac monitor.The patient tells the nurse that the electrodes were just changed the previous day.Which of the following rationales is the correct explanation for the nurse to share with the patient?

The nurse is caring for a patient on continuous cardiac monitoring.The nurse assesses the rhythm as regular with a normal PQRST complex and a rate of 62 beats per minute.Which analysis is the correct interpretation of this cardiac rhythm?

The nurse has explained to the patient that a 12-lead electrocardiogram (ECG)is indicated.The patient refused to have the procedure done citing that she fears that the electrodes will cause harm to her heart.The nurse recognizes that which of the following patient rationales are contraindications for a 12-lead ECG?

The nurse is assessing several patients who have returned from surgery when a 12-lead electrocardiogram (ECG)is ordered for a newly admitted patient.Prioritizing patient needs,the nurse determines that obtaining the 12-lead ECG can be most appropriately delegated to which member of the health care team?

Identify the first step toward establishing appropriate alarms and response expectations.

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

The nurse recognizes the following indications as appropriate for continuous cardiac monitoring: (Select all that apply.)

The nurse is caring for a patient who has chest discomfort.While the nurse obtains the 12-lead electrocardiogram (ECG),the patient complains of feeling very anxious.Which of the following interventions should the nurse take in caring for the patient's anxiety? (Select all that apply.)

The nurse is caring for a 6-year-old child after open-heart surgery.When assessing the patient,the nurse notes that the position of the leads may be different in the pediatric population.Which lead placement explains this special consideration?

The student nurse is preparing to perform a 12-lead electrocardiogram (ECG)on an adult patient.Which action by the student should the nursing instructor question?

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

The nurse analyzes the patient's cardiac rhythm as follows: regular rhythm,rate 108 beats per minute,normal PQRST complex.The nurse interprets that the clinical significance of this cardiac rhythm is most likely related to which indication?

The nurse is obtaining a 12-lead ECG on a patient with chest discomfort and interprets the results as a very thick-lined waveform tracing.The nurse troubleshoots this tracing by performing which appropriate intervention?

The nurse understands that it is a priority to obtain the 12-lead electrocardiogram (ECG)on the patient newly admitted with chest pain because the ECG must be obtained within how many minutes of the onset of pain?