A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease.
Which of the following actions should the nurse take? (Select all that apply.).
Keep the client NPO after midnight.
Inspect the electrode pads.
Instruct the client to breathe normally.
Administer an analgesic prior to the procedure.
Use alcohol to wipe the skin before placing the electrodes.
Correct Answer : B,C,E
Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Dyspnea is the medical term for shortness of breath.
Choice B rationale:
Ascites refers to the accumulation of fluid in the abdominal cavity, often due to liver disease, and is not another term for shortness of breath.
Choice C rationale:
Angina is a term for chest pain or discomfort caused by poor blood flow through the blood vessels of the heart, and is not another term for shortness of breath.
Choice D rationale:
Edema refers to swelling caused by excess fluid trapped in the body’s tissues, and is not another term for shortness of breath.
Correct Answer is A
Explanation
Choice A rationale:
Encouraging the client to take slow, deep breaths is a holistic approach that can help manage pain by promoting relaxation and reducing stress.
Choice B rationale:
Checking the client’s oxygen saturation level is a physiological assessment, not a holistic approach.
Choice C rationale:
Obtaining blood work is a medical intervention, not a holistic approach.
Choice D rationale:
Requesting a prescription for an analgesic is a pharmacological intervention, not a holistic approach.
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