Med Surg Nursing Care of Patient on
Telemetry
What would be indicated if a patient is experiencing a pulse deficit? - CORRECT
ANSWER-An arrhythmia such as atrial fib (AF), multifocal PACs or PVCs
Where would you place the white lead of an electrical monitor? - CORRECT ANSWER-
Upper right chest
Where would you place the black lead of an electrical monitor? - CORRECT ANSWER-
Upper left chest
Where would you place the green lead of an electrical monitor? - CORRECT ANSWER-
Right lower chest
Where would you place the red lead of an electrical monitor? - CORRECT ANSWER-
Left lower chest
What are various indications that could warrant a 48 hour telemetry? - CORRECT
ANSWER-Acute myocardial infarction, acute and subacute congestive heart failure,
thoracic surgery, acute stroke, complex major surgery
Nurses working on telemetry units receive training in.... - CORRECT ANSWER-12 lead
EKG, basic dysrhythmias, ACLS, and directed at care of the medical, surgical, or other
patient populations the unit provides for.
What might you find at the nursing station that monitors telemetry? - CORRECT
ANSWER-A 'slave' cardiac monitor, which each nurse can immediately see their
patient's cardiac rhythm or changes in rhythm
Who and where is continuous monitoring done by? - CORRECT ANSWER-A specially
trained EKG technician in a central location of the hospital
What is telemetry? - CORRECT ANSWER-Continual observation of the heart's
electrical activity used to identify abnormalities in rate, rhythm and conduction. It is also
used to evaluate pacemaker function and responses to various cardiac medications.
What mechanical processes does telemetry monitoring use? - CORRECT ANSWER-
Leads are attached to a portable monitor transmitter that sends the electrical signals to
a central monitor. This allows patients more freedom of movement.
Telemetry
What would be indicated if a patient is experiencing a pulse deficit? - CORRECT
ANSWER-An arrhythmia such as atrial fib (AF), multifocal PACs or PVCs
Where would you place the white lead of an electrical monitor? - CORRECT ANSWER-
Upper right chest
Where would you place the black lead of an electrical monitor? - CORRECT ANSWER-
Upper left chest
Where would you place the green lead of an electrical monitor? - CORRECT ANSWER-
Right lower chest
Where would you place the red lead of an electrical monitor? - CORRECT ANSWER-
Left lower chest
What are various indications that could warrant a 48 hour telemetry? - CORRECT
ANSWER-Acute myocardial infarction, acute and subacute congestive heart failure,
thoracic surgery, acute stroke, complex major surgery
Nurses working on telemetry units receive training in.... - CORRECT ANSWER-12 lead
EKG, basic dysrhythmias, ACLS, and directed at care of the medical, surgical, or other
patient populations the unit provides for.
What might you find at the nursing station that monitors telemetry? - CORRECT
ANSWER-A 'slave' cardiac monitor, which each nurse can immediately see their
patient's cardiac rhythm or changes in rhythm
Who and where is continuous monitoring done by? - CORRECT ANSWER-A specially
trained EKG technician in a central location of the hospital
What is telemetry? - CORRECT ANSWER-Continual observation of the heart's
electrical activity used to identify abnormalities in rate, rhythm and conduction. It is also
used to evaluate pacemaker function and responses to various cardiac medications.
What mechanical processes does telemetry monitoring use? - CORRECT ANSWER-
Leads are attached to a portable monitor transmitter that sends the electrical signals to
a central monitor. This allows patients more freedom of movement.
