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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Temperature does not directly affect cardiac output, which is the volume of blood the heart pumps per minute.
Choice B rationale:
Heart rate is needed to calculate cardiac output as it is the number of heart beats per minute.
Choice C rationale:
Blood pressure is not used in the calculation of cardiac output.
Choice D rationale:
Respiratory rate does not directly influence cardiac output.
Correct Answer is B
Explanation
Choice A rationale:
Yoga involves gentle stretching and may not directly impact the phlebitis.
Choice B rationale:
Therapeutic massage could potentially dislodge a clot in the leg, leading to a dangerous condition called a pulmonary embolism.
Choice C rationale:
Acupressure, like yoga, involves gentle pressure and may not directly impact the phlebitis.
Choice D rationale:
Acupuncture involves the insertion of needles and could potentially cause harm, but it is less likely to dislodge a clot than massage.
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