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 C

Explanation

Choice A rationale:
Surgical procedures are not part of chiropractic medicine. Chiropractors use hands-on spinal manipulation and other alternative treatments.
Choice B rationale:
Acupuncture is a form of traditional Chinese medicine, not chiropractic medicine. It involves inserting thin needles into specific points on the body.
Choice C rationale:
Spinal manipulation is a key component of chiropractic medicine. Chiropractors use it to restore joint mobility and alleviate pain.
Choice D rationale:
Prescription medications are not typically part of chiropractic medicine. Chiropractors focus on hands-on treatments and lifestyle modifications.

A. Total parenteral nutrition (TPN). B. Nasogastric. C. Parenteral. D. Enteral.

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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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.).

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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Which of the following actions should the nurse take? (Select all that apply.).