A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?

"I will need to apply electrodes to your chest and extremities."

"You may feel a slight tingling while the test is being done."

"The radioactivity from the dye lasts only a few hours."

"The test will be complete in 30 to 60 minutes."

Answer and Explanation

The Correct Answer is A

A. "I will need to apply electrodes to your chest and extremities." This is a correct statement. The nurse needs to apply electrodes to the chest and extremities in order to obtain the ECG reading.

B. "You may feel a slight tingling while the test is being done." An ECG is a non-invasive test and does not cause any sensation such as tingling. This statement is inaccurate.

C. "The radioactivity from the dye lasts only a few hours." There is no dye or radioactivity involved in a standard ECG. This statement would apply to imaging studies like a nuclear stress test, not an ECG.

D. "The test will be complete in 30 to 60 minutes." A standard ECG takes only a few minutes to complete. This statement would be inaccurate for this type of procedure.

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Correct Answer is A

Explanation

A. Shortness of breath while lying down: Orthopnoea is a common symptom of left-sided heart failure due to pulmonary congestion.

B. Pitting edema of the lower legs: Pitting edema is more commonly associated with right-sided heart failure, which leads to systemic venous congestion.

C. Right upper quadrant pain: Right upper quadrant pain is often associated with right-sided heart failure due to hepatic congestion, not left-sided heart failure.

D. Jugular venous distention: Jugular venous distention is a sign of right-sided heart failure, where there is systemic venous congestion.

A. Attach the leads for a 12-lead ECG. B. Initiate oxygen therapy. C. Obtain a blood sample. D. Insert the IV catheter.

Correct Answer is B

Explanation

A. Attach the leads for a 12-lead ECG. While a 12-lead ECG is important in diagnosing chest pain, the client’s oxygenation is a priority and should be addressed before further diagnostics.

B. Initiate oxygen therapy. The priority in this scenario is to address the client's cyanosis and shortness of breath. Oxygen therapy improves oxygen delivery to tissues and should be the first intervention.

C. Obtain a blood sample. Obtaining cardiac enzyme levels is necessary for diagnosing myocardial infarction, but oxygen therapy should be initiated first to address immediate respiratory distress.

D. Insert the IV catheter. Inserting an IV catheter is important for administering fluids and medications, but it is not the most urgent action in the presence of hypoxia.

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A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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