NPU2303 VIVA Questions With
Answers
Q1 What is the rationale for obtaining an ECG from Mrs Firth? And name two
other indications for obtaining an ECG (Standard 1 & 6) - ANSWER Rationale
- Appears short of breath
- Complained 8/10 central chest pain
- Maintaining saturations of 88-92
- ^symptoms of conditions affecting the heart, ECG can diagnose
Indications
- Any change in pathophysiology:
o Dizziness
o Heart palpitations
Q2 What are the nursing considerations before and after recording an ECG,
and what would you communicate to your patient? Demonstrate how you
would document your actions (Standard 1, 6 & 7) - ANSWER Nursing
Considerations before
- obtain informed consent from the patient
- Clean, hair free skin
, - place the patient in a semi-recumbent position
- are the electrodes in full contact with the patient's skin
- And all are in the correct location, or the reading will be incorrect
- patient privacy and keeping dignity
Nursing considerations after
- The chest should not be left exposed and can be covered back up with
blankets or allow the patient to re-dress as necessary.
- The ECG electrodes should be removed if the patient is not likely to require
further or serial ECGs, but otherwise can be left in place for up to 24 hours
before needing to be replaced
- record a set of obs to go along with the ECG and read the ECG to look if it is
normal
Q3 You have obtained the ECG. The patient is in sinus rhythm. What are the
characteristics of a sinus rhythm ECG tracing? What actions would you take if
your patients ECG was not in sinus rhythm? (Standard 2, 5, 6) - ANSWER - P
Wave- depolarisation and contraction
- QRS complex- depolarisation & contraction of ventricles
- T wave- repolarisation of ventricles
- Rate should be 60-100
- Rhythm should be regular
- QRS narrow
Answers
Q1 What is the rationale for obtaining an ECG from Mrs Firth? And name two
other indications for obtaining an ECG (Standard 1 & 6) - ANSWER Rationale
- Appears short of breath
- Complained 8/10 central chest pain
- Maintaining saturations of 88-92
- ^symptoms of conditions affecting the heart, ECG can diagnose
Indications
- Any change in pathophysiology:
o Dizziness
o Heart palpitations
Q2 What are the nursing considerations before and after recording an ECG,
and what would you communicate to your patient? Demonstrate how you
would document your actions (Standard 1, 6 & 7) - ANSWER Nursing
Considerations before
- obtain informed consent from the patient
- Clean, hair free skin
, - place the patient in a semi-recumbent position
- are the electrodes in full contact with the patient's skin
- And all are in the correct location, or the reading will be incorrect
- patient privacy and keeping dignity
Nursing considerations after
- The chest should not be left exposed and can be covered back up with
blankets or allow the patient to re-dress as necessary.
- The ECG electrodes should be removed if the patient is not likely to require
further or serial ECGs, but otherwise can be left in place for up to 24 hours
before needing to be replaced
- record a set of obs to go along with the ECG and read the ECG to look if it is
normal
Q3 You have obtained the ECG. The patient is in sinus rhythm. What are the
characteristics of a sinus rhythm ECG tracing? What actions would you take if
your patients ECG was not in sinus rhythm? (Standard 2, 5, 6) - ANSWER - P
Wave- depolarisation and contraction
- QRS complex- depolarisation & contraction of ventricles
- T wave- repolarisation of ventricles
- Rate should be 60-100
- Rhythm should be regular
- QRS narrow
