Exam 26: Cardiac Care

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The nurse changes the 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?

(Multiple Choice)
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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?

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

(Multiple Choice)
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The nurse identifies the appropriate equipment necessary to obtain a 12-lead ECG and gathers the following supplies.(Select all that apply. )

(Multiple Choice)
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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? (Select all that apply. )

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

(Multiple Choice)
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The nurse determines the needs to obtainment of a 12-lead ECG on a patient.The nurse assesses two identifiers to ensure patient safety.This practice is in compliance with which safety organization?

(Multiple Choice)
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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?

(Multiple Choice)
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The nurse is observing a nursing assistive personnel (NAP)perform a 12-lead ECG tracing on a newly admitted patient.The nurse recognizes that the NAP requires additional training on this skill when she observes which of the following erroneous lead placements?

(Multiple Choice)
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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? (Select all that apply. )

(Multiple Choice)
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The nurse is supervising a nursing assistive personnel (NAP)while applying electrodes for continuous cardiac monitoring to an elderly patient.The nurse recognizes the need for further education when the NAP attaches which monitor lead to the electrode?

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

(Short Answer)
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ECG tracings that cannot be interpreted are known as _________________.

(Short Answer)
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Reduction of alarm fatigue is an important nursing practice.The nurse addresses this concern when which of the following actions is implemented?

(Multiple Choice)
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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?

(Multiple Choice)
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