A medical assistant is applying EKG electrodes to a patient who is sweating profusely and reports chest pain. Which of the following actions should the assists take to acquire an adequate tracing?
Ensure the skin is clean and dry.
Apply conductive gel to the patient's chest.
Shave the electrode sites.
Place the electrodes below the clavicle.
The Correct Answer is A
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sitting behind a desk and looking at the computer: This posture may appear distant and disinterested, as it creates a physical barrier and lacks engagement.
B. Sitting on the edge of a chair and leaning forward: This body language conveys attentiveness and engagement, indicating care and interest in the conversation with the patient.
C. Standing across the room. Standing across the room can seem impersonal and distant, which may not effectively communicate care and interest.
D. Standing over the patient: Standing over the patient can be intimidating and may convey dominance rather than care and support.
Correct Answer is D
Explanation
A. Abandonment: Abandonment involves the discontinuation of care without proper transition, not failure to document.
B. Assault: Assault involves causing apprehension of imminent harm, which is not related to documentation.
C. Battery: Battery refers to physical harm or unauthorized touching, not documentation issues.
D. Negligence: Negligence involves a failure to provide adequate care or follow procedures, such as not documenting adverse reactions properly.
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