Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
EKG
Chapters 13-14
| Question | Answer |
|---|---|
| As a health care professional, your responsibilities with the ambulatory monitor include which of the following? | Applying and removing the monitor |
| Which of the following is an instrument that records the electrical activity of the heart during a patient's normal daily activities? | Ambulatory monitor |
| How long does an Holter monitor typically record an ECG? | 24 to 48 hours |
| How many leads are attached to a patient's chest with ambulatory monitoring? | 3 to 5 leads |
| What is another term for loss of consciousness (fainting)? | Syncope |
| What is the term for fast, irregular heartbeat sensations felt by the patient, which may or may not be associated with complaints of chest pain? | Palpitations |
| Which of the following is not a reason to use an ambulatory monitor? | To evaluate oxygen utilization by the myocardium |
| Why might ambulatory monitoring be used in addition to 12-lead ECG monitoring? | The patient was complaining of palpitations but did not have any symptoms during the 12-lead ECG. |
| Which of the following statements about telemetry monitoring is correct? | It consists of a small transmitting device attached to the chest with electrodes. |
| Which monitoring device can be worn on the wrist and records a bipolar lead I ECG tracing? | Symptom event monitor |
| Which type of monitoring device can be implanted under the skin with a single lead? | Loop recorder |
| Which type of ambulatory monitoring requires the patient to keep a diary of all daily activities, abnormal experiences, and symptoms? | Holter monitor |
| Which of the following patients is not a candidate for Holter monitoring? | Miss Jeffers, who is confused and living in a nursing home |
| Which type of monitoring device can hold up to 96 hours of data and allows licensed practitioners to capture significant cardiac events even when the patient is not experiencing symptoms? | MCOT device |
| Which type of ambulatory monitoring device is often used in a hospital? | Telemetry monitor |
| When would a patient use an event marker during ambulatory monitoring? | To mark the ECG tracing when symptoms occur |
| Which patient will be asked to keep a diary? | Ms. Fisher, whose physician ordered Holter monitoring this morning |
| Mrs. Hansen has an ambulatory monitor in place. What instructions do you give her regarding the electrodes? | If an electrode becomes loose, she should press it in the center to reapply; however, she must return to the clinic if one comes off completely |
| Which of the following instructions would be given to a patient scheduled for ambulatory monitoring? | Wear a loose-fitting shirt, preferably one that buttons down the front, and you will be more comfortable during the procedure. |
| During ambulatory monitoring, which of the following would not be recorded in the patient diary? | Trimming fingernails or toenails |
| When a Holter monitor is used, when should the patient start his or her diary? | When the monitor is turned on |
| Which of the following devices should a patient avoid while wearing an ambulatory monitor? | Electric blankets |
| When asked by a patient or the parent of a patient whether ambulatory monitoring is painful, what would be your best response? | The monitoring is not painful; however, there may be some discomfort while the electrodes are in place. |
| When preparing a patient for ambulatory monitoring, it is important to ensure that which of the following occurs? | The patient understands the physical requirements of the monitoring procedure |
| You need to prepare a 10-year-old boy for an ambulatory monitoring procedure. Which of the following should you include in your patient teaching? | Allow the child to touch the equipment before applying it. |
| Which of the following equipment will not be needed in preparation for applying an ambulatory monitoring device? | Oxygen supplies |
| How can you ensure that each electrode is firmly attached? | Run your finger around the edge of each electrode. |
| What is the last thing you should do before having the patient put on his or her shirt during ambulatory monitoring? | Run a baseline ECG tracing. |
| You are putting a new type of ambulatory monitor on Mrs. Farmer. It uses a five-lead system that is unfamiliar to you. What should you do before placing the electrodes? | Consult the manufacturer's instructions; they are the best resource for using new equipment. |
| You are preparing an 82-year-old patient for ambulatory monitoring. What precautions do you need to take when applying electrodes to this patient? | Manipulate the electrodes as little as possible when applying and removing them. |
| What should be done with a Holter monitor before entering a patient's room to begin the procedure? | Insert new batteries in the monitor. |
| Mr. Benson's Holter monitor was applied yesterday at 9:00 am. At that time, he was told to return this morning at 9:00 am to have the monitor removed. He arrives at 10:30 am but did not bring his diary. What should you do? | Ask him to return home to get the diary before removing the monitor. |
| Which of the following is a correct statement regarding the results received from an outside laboratory for ambulatory monitoring? | Results will be available in 7 to 10 days and placed on the chart for the physician to discuss with the patient. |
| Which of the following factors may reduce the accuracy of ambulatory monitoring? | The patient felt ill, so he did not follow his normal routine. |
| Mr. Freeman asked you about the results of his test. You saw the final report and knew there were abnormalities. How do you respond? | You tell him he needs to discuss the results with his physician. |
| Which of the following cardiac conditions cannot be confirmed by performing an ambulatory monitoring test? | Heart valve defects |
| What additional test is not likely to be ordered if the ambulatory monitor results are abnormal? | Pulmonary function test |
| What is the first step in reducing a patient's fear of ambulatory monitoring? | Help the patient understand the procedure. |
| Which of the following activities is not allowed during ambulatory monitoring? | Taking a tub bath |
| For ambulatory monitoring, why is it recommended that chest hair should be clipped, not shaved? | Clipping reduces the chance that the patient will scratch the skin, causing an artifact on the tracing. |
| What is the proper procedure for connecting electrodes for ambulatory monitoring to reduce tugging and pulling during patient movement? | Tape the electrodes in place. |
| While you are preparing Mrs. Trevor for ambulatory monitoring, she asks you a question that you cannot answer. What should you do? | Ask your supervisor or the licensed practitioner. |
| What does the term ambulating mean? | Walking |
| What is another name for a stress ECG? | Exercise electrocardiography |
| What is the purpose of antidysrhythmic medications? | To prevent cardiac rhythm abnormalities |
| In which type of monitoring is a continuous tracing of the heart always sent directly to a monitoring station to be viewed in real time? | Telemetry monitoring |
| Which type of monitoring device activates itself when its electrode feet are pressed onto the patient’s chest? | Symptom event monitor |
| Which type of monitor saves and transmits an ECG tracing for up to 5 minutes before a patient experiences symptoms? | Loop-memory monitor |
| What is the first thing you should do after removing a patient's ambulatory monitor? | Document and label the report, diary, and disk. |
| Which of the following tests is not typically ordered to follow up on results of ambulatory monitoring? | Exercise electrocardiography |
| Once the patient turns in the ambulatory monitor and diary, who is the person that typically provides the final interpretation of the ambulatory monitoring data? | Physician |
| Which of the following is one of the primary branches of the right coronary artery, providing blood to the posterior wall of the heart? | Posterior descending artery |
| Which of the following is one of the primary branches of the left coronary artery and supplies blood to both of the ventricles? | Left anterior descending artery |
| Which of the following is one of the primary branches of the right coronary artery and supplies blood to the walls of the right atrium and the right ventricle? | Marginal artery |
| What is the outermost layer of a blood vessel called? | Tunica adventitia |
| What is the middle layer of a blood vessel called? | Tunica media |
| What is the function of the tunica media? | Dilate and constrict to maintain homeostasis |
| What is the innermost layer of a blood vessel called? | Tunica intima |
| What is the function of the tunica intima? | Come in direct contact with the blood |
| The average person waits how many hours before seeking help for symptoms of a heart attack? | 3 hours |
| What is the term for an oppressive pain or pressure in the chest that occurs when the heart muscle does not receive enough oxygen due to partial or complete blockage of a coronary artery? | Angina |
| Approximately how many people in the United States suffer from angina? | 7 million |
| Which of the following conditions is not a common source of noncardiac chest pain? | cirrhosis of the liver |
| Which of the following are not symptoms that may occur due to blockage of the coronary arteries? | Edema and decreased urinary output |
| Which of the following is not a sign of unstable angina? | Chest pain occurs for shorter periods. |
| Which three groups of patients may present with atypical cardiac complaints or problems? | Women, the elderly, patients with diabetes |
| What percentage of women who are having a heart attack never experience chest pain? | 37% |
| A patient with diabetes is how many times more likely than patients without diabetes to experience a heart attack? | Two times |
| What is the term for the fatty deposits accumulated that are caused by elevated glucose level in the blood? | Atherosclerotic plaque |
| What condition caused by chronic diabetes impairs sensations or causes a loss of sensation? | Neuropathy |
| Which of the following are not common cardiac symptoms in elderly patients? | Hypertension and edema |
| Approximately what percentage of elderly patients present with atypical cardiac symptoms? | 50% |
| What causes STEMI? | Complete occlusion of a coronary artery |
| Which of the following changes does not typically occur in an ECG tracing with a STEMI? | Absence of P waves |
| Why does non-STEMI present a challenge to the health care team? | The ECG tracing does not reflect ST segment deviation or presence of a pathologic Q wave. |
| What is the term for inadequate flow of arterial blood, typically as a result of left ventricular failure? | Cardiogenic shock |
| What is the most common cause of heart failure? | MI |
| Which of the following are not symptoms of left ventricular failure? | Hypertension and increased thirst |
| What three symptoms, when presented together, are known as the "clinical triad" and are indicative of right ventricular failure? | Jugular vein distention, hypotension, and normal breath sounds |
| The mnemonic O-P-Q-R-S-T helps health care professionals remember the questions to ask when evaluating which of the following? | Pain or discomfort the patient is experiencing |
| hat is the S-A-M-P-L-E mnemonic used for? | Gathering additional medical information |
| What is Coumadin used for? | To reduce clot formation in the blood |
| Which of the following is one reason heart disease is slightly more common in men than in women? | Hormones produced during the childbearing years reduce the risk in women. |
| What is the broad term that refers to STEMI, NSTEMI, and unstable angina? | Acute coronary syndrome |
| when might sudden cardiac arrest occur? | When the heart's electrical system fails, often without warning |
| Which of the following is a common cause of right ventricular heart failure? | chronic lung disease |
| What minimally invasive procedure is frequently performed to open narrowed or blocked blood vessels? | Angioplasty |
| When angioplasty is performed on a coronary vessel, a stent is typically inserted to do what? | Help prevent restenosis |
| you are preparing Mrs. Bayfield for percutaneous coronary intervention. As you explain the procedure to her, she states, "They are going to put a stent in my heart, so why do they need to inject dye in my arm?" What should you tell Mrs. Bayfield? | The dye is used to find the exact location of the blockage. |
| A patient has been brought to the emergency department complaining of chest pain and dizziness. When assessing this patient, what should the health care professional do? | Gather information quickly and efficiently and report it immediately to the physician. |
| Treatment for hypovolemia may include which of the following therapies? | IV fluid challenge |
| What is the term for a concentrated amount of medication administered over a short period of time? | Bolus |
| What is the term for a medication that is administered intravenously to convert plasminogen to plasmin, which then breaks down the fibrin in a clot? | Thrombolytic agent |
| For which of the following patients is fibrinolytic therapy not appropriate? | A 52-year-old female patient with a blood pressure of 160/110 mmHg |
| Which of the following foods would be restricted in a patient's diet while he or she is taking Coumadin? | Spinach |
| Which of the following procedures is a reasonable alternative for a patient who has had heart failure and is not strong enough to withstand heart catheterization? | Enhanced external counter pulsation |
| which of the following memory tools is useful for gathering information regarding pain a patient is experiencing? | OPQRST |
| Which of the following memory tools is useful for gathering information regarding oral intake? | SAMPLE |
| The patient with chest pain will be going for a cardiac catheterization and the following orders have not been completed. Which one should be done last? | administer morphine |
| Which chambers or surfaces of the heart are at risk for infarction with a “widow maker”? | Anterior, lateral & septal surfaces of the left ventricle |
| Which of the following therapeutic measures may be performed on patients with recurrent angina or on heart failure patients who are typically not strong enough to withstand major surgery? | EECP |
Created by:
TIAVAU5906
Popular Medical sets