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:
Increased thirst is not a specific sign of congestive heart failure.
Choice B rationale:
A rise in blood pressure is not a specific sign of congestive heart failure.
Choice C rationale:
Dizziness when standing up too quickly could be a sign of orthostatic hypotension, not specifically congestive heart failure.
Choice D rationale:
Weight gain of 2 lbs or more in 24 hours could indicate fluid retention, a common sign of congestive heart failure.

A. They increase blood cholesterol. B. They must be hydrogenated. C. They interfere with metabolism. D. They block absorption of nutrients.

Correct Answer is A

Explanation

Choice A rationale:
Saturated fats increase blood cholesterol levels, which can lead to atherosclerosis and heart disease.
Choice B rationale:
The need for hydrogenation is not a reason to avoid saturated fats. Hydrogenation is a process that turns unsaturated fats into saturated fats.
Choice C rationale:
Saturated fats do not interfere with metabolism in a way that would be a reason to avoid them.
Choice D rationale:
Saturated fats do not block the absorption of nutrients. They are themselves a source of dietary energy.

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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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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.).