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EKG 13&14
| Question | Answer |
|---|---|
| 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 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 |
| 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 |
| 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. |
| 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 factors may reduce the accuracy of ambulatory monitoring? | The patient felt ill, so he did not follow his normal routine. |
| What additional test is not likely to be ordered if the ambulatory monitor results are abnormal? | Pulmonary function test |
| What is the proper procedure for connecting electrodes for ambulatory monitoring to reduce tugging and pulling during patient movement? | tape the electrodes in place |
| 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 right coronary artery and supplies blood to the walls of the right atrium and the right ventricle? | Marginal 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 |
| What is the outermost layer of a blood vessel called? | Tunica adventitia |
| Approximately how many people in the United States suffer from angina? | 7 million |
| What percentage of women who are having a heart attack never experience chest pain? | 35% |
| Which of the following are not common cardiac symptoms in elderly patients? | Hypertension and edema |
| Which of the following changes does not typically occur in an ECG tracing with a STEMI? | Absence of P waves |
| What 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 |
| 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 |
| When angioplasty is performed on a coronary vessel, a stent is typically inserted to do what? | Help prevent restenosis |
| 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 |
| 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 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 |
| 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:
Lecia220