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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.).

A.

Keep the client NPO after midnight.

B.

Inspect the electrode pads.

C.

Instruct the client to breathe normally.

D.

Administer an analgesic prior to the procedure.

E.

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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Related Questions

Correct Answer is B

Explanation

Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.

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

Explanation

Choice A rationale:
Smoking is a modifiable risk factor for heart disease. Quitting smoking can significantly reduce the risk of heart disease.
Choice B rationale:
Exercise is a modifiable risk factor for heart disease. Regular physical activity can help lower the risk of heart disease.
Choice C rationale:
Family history is a non-modifiable risk factor for heart disease. You can’t change your family history.
Choice D rationale:
Diet is a modifiable risk factor for heart disease. Eating a healthy diet can help lower the risk of heart disease.
Choice E rationale:
Age is a non-modifiable risk factor for heart disease. You can’t change your age.

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