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:
The P wave on an ECG represents atrial depolarization, which is when the atria contract.
Choice B rationale:
The T wave represents ventricular repolarization, which is when the ventricles relax.
Choice C rationale:
The QRS complex represents ventricular depolarization, which is when the ventricles contract.
Choice D rationale:
The ST segment represents the period when the ventricles are depolarized.
Correct Answer is D
Explanation
Choice A rationale:
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It’s not the same as a feeding ostomy.
Choice B rationale:
Nasogastric refers to a tube that is placed through the nose into the stomach. It’s not a term for a feeding method.
Choice C rationale:
Parenteral refers to routes of administration that are not oral or enteral, such as intravenous. It’s not the same as a feeding ostomy.
Choice D rationale:
Enteral feeding is the correct term for feeding a patient through a feeding ostomy. It involves delivering nutrition directly to the stomach or small intestine.
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