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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.

Choice B rationale:

Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.

Choice C rationale:

Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.

Choice D rationale:

Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.

A. Provider's name. B. Client's full name. C. Facility room number. D. Identification number the facility assigns. E. Client's telephone number.

Correct Answer is ["B","D","E"]

Explanation

The correct answers are B, D, and E.

Choice A Reason: The provider’s name is not an acceptable client identifier for medication administration. The provider’s name is associated with the person who prescribes or orders the medication, not the client who is to receive it. It does not reliably identify the individual for whom the service or treatment is intended.

Choice B Reason: The client’s full name is a primary and acceptable identifier. It is unique to the individual and is used to match the service or treatment to that individual. It is one of the most common identifiers used in healthcare settings to ensure that the correct patient receives the correct medication.

Choice C Reason: The facility room number is not an acceptable identifier. Room numbers can change if patients are moved, and they are not unique to an individual. Therefore, they do not reliably identify the person for whom the service or treatment is intended.

Choice D Reason: An identification number the facility assigns, such as a medical record number, is an acceptable identifier. It is unique to the client and is used across healthcare settings to track patient information, including medication administration.

Choice E Reason: The client’s telephone number can be considered an acceptable identifier, especially in settings where other identifiers might not be available. It is unique to an individual and can be used to verify the client’s identity.

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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.).

Nursing Test Bank

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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.).