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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
The nurse is notified by the cardiac monitoring technician that a patient on continuous cardiac monitoring is having frequent alarms. When the nurse enters the patient’s room, the patient is in no apparent distress, is sitting in the chair and eating. Which are appropriate nursing interventions?
Standard Text: Select all that apply.
1. Confirm that lead wires are properly connected.
2. Assess placement of electrodes.
3. Remove and reapply new electrodes if nonadherent.
4. Assess skin sites and move an electrode if the skin appears irritated.
5. Call for assistance.
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2 Replies
Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1,2,3, & 4


5 is the only thing you wouldnt do, why would you call for assistance when the patient is in "no apparent distress"?
wrote...
Valued Member
11 years ago
Alarms may be triggered by loose or disconnected lead wires, poor electrode contact, excessive movement, electrical interference, or equipment malfunction. Nursing actions include assessing lead wire connections; assessing placement of electrodes and changing electrodes every 24 to 48 hours or removing and reapplying electrodes that are dislodged or nonadherent; assessing and documenting skin condition under the pads and moving pads to alternate sites to avoid skin irritation; and documenting ECG strips according to unit policy. Since the patient is in no apparent distress, assistance is not required.
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