Which of the following artifacts may occur if a patient is talking during an EKG?
Alternating current
Interrupted baseline
Somatic tremor
Wandering baseline
The Correct Answer is C
A. Alternating current: Alternating current interference is due to electrical equipment, not patient movement or talking.
B. Interrupted baseline: An interrupted baseline occurs when there is a break in the electrical connection, often due to a loose lead, not because of patient talking.
C. Somatic tremor: Somatic tremor can occur due to muscle movement, including that caused by talking. This can result in erratic, uneven spikes on the EKG tracing.
D. Wandering baseline: A wandering baseline is usually caused by improper electrode placement or poor skin contact, not talking. However, excessive movement, including deep breaths or large chest movements during talking, can contribute to a wandering baseline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Offer to review and research the problem: Offering to review and research the billing concern shows willingness to address the issue and provides the patient with assistance.
B. Inform the patient you will ask the provider to call them: Billing concerns should be handled by the administrative or billing department, not the provider.
C. Have the patient fill out a HIPAA form before proceeding: A HIPAA form is not required for addressing billing concerns; it is for accessing or disclosing protected health information.
D. Recommend the patient contact their bank: The bank is not responsible for billing concerns related to medical services; the issue should be addressed directly with the healthcare facility.
Correct Answer is C
Explanation
A. Apply the patch with sterile gloves. Sterile gloves are not required when applying a transdermal patch; clean, non-sterile gloves are sufficient to avoid contamination.
B. Apply the new patch in the same location as the old one. Transdermal patches should be rotated to different sites to avoid skin irritation, so applying the new patch in the same location is not recommended.
C. Write the date and time on the patch with each application. Writing the date and time on the patch is essential for tracking when the patch was applied and when it needs to be changed, making this the correct action.
D. Reinforce damaged patches with adhesive tape. Damaged patches should not be reinforced with tape, as this could alter the drug's delivery. Instead, the patch should be replaced.
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