The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to

  • School Del Mar College
  • Course Title NURSING NR120
  • Uploaded By KidKouprey1279
  • Pages 21

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65The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor toa. connect the recorder to a computer once daily.b. exercise more than usual while the monitor is in place.c. remove the electrodes when taking a shower or tub bath.d. keep a diary of daily activities while the monitor is worn.ANS: DThe patient is instructed to keep a diary describing daily activities while Holter monitoring is beingaccomplished to help correlate any rhythm disturbances with patient activities. Patients are taughtthat they should not take a shower or bath during Holter monitoring and that they should continuewith their usual daily activities. The recorder stores the information about the patient’s rhythm until theend of the testing, when it is removed and the data are analyzed.

66When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill,which assessment finding requires themostrapid action by the nurse?

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67A transesophageal echocardiogram (TEE) is ordered for a patient with possible endocarditis. Whichaction included in the standard TEE orders will the nurse need to accomplishfirst?

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68When admitting a patient for a cardiac catheterization and coronary angiogram, which informationabout the patient ismostimportant for the nurse to communicate to the health care provider?

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b. The patient is allergic to shellfish.c. The patient had a heart attack 1 year ago.d. The patient has not eaten anything today.ANS: BThe contrast dye used for the procedure is iodine based, so patients who have shellfish allergies willrequire treatment with medications such as corticosteroids and antihistamines before the angiogram.The other information is also communicated to the health care provider but will not require a changein the usual precardiac catheterization orders or medications.

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