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when preparing a patient for jewelry
a standard 12- lead EKG, an
EKG tech should instruct (it causes AC interference on the EKG tracing)
the patient to remove
what?
brachial artery
when taking an infant's
pulse, what site is the most
(easiest site to obtain a pulse in an infant because of it's
appropriate for an EKG
proximity to the surface of the skin)
tech to use?
Where should a tech on the patient's back
place leads for a patient
who is in an immobile
fetal position?
What accurately describes second-degree AV heart block or Morbitz type II
the rhythm observed during
an exercise stress test? (has some P waves without a QRS
complex, but the PR interval is
(has some P waves without a constant)
QRS complex, but the PR
interval is constant)
,what actions should an tech check that the tracing is free from artifacts and then
take next after completing disconnect the patient from the machine
a standard 12-lead EKG
on a patient?
A patient has a ventricular wide QRS interval
pacemaker. What rhythm
patterns should the tech
expect after a pacing
spike?
"press the record button on the device when you begin
to feel dizzy or have chest pain"
What instructions should
the tech include for a
(a transtelephonic monitor with loop memory creates a
patient that uses a
recording of the electrical activity of the heart for the
transtelephonic monitor
segment of time before, during, and after an episode
with loop memory?
when the patient presses the record button).
A patient is having a electrical activity between the right arm and left arm.
standard 12-lead EKG. The
tech should identify what
information is recorded by
lead I?
holter monitor
What intervention should the
tech expect the provider to
(typically prescribed for patients who experience
prescribe for a patent
palpitations, syncope, dizziness, chest pain,
experiencing heart
lightheadedness, or are taking antidysrhythmics)
palpitations
What artery is the best to radial
use to measure the heart
rate for an adult patient (easiest to access and most palpable for an adult patient)
following an exercise
stress test?
While performing an exercise dizziness
stress test for a patient, the
provider stops the test due (indicates decrease in cardiac output. provider should stop if this
happens)
to what findings?
, 150/min
Calculate the ventricular
rate in the tracing using (1,500/10 = 150/min)
the 1500 method
A patient's radial pulse rate is between the 5th and 6th ribs, at the left midclavicular line
irregular. The provider then
takes the patient's apical
pulse. the tech should
recognize that what location
is used?
What lead is created when Lead V1
the tech places the
electrode to the right of
the patient's sternum at
the fourth intercostal
space?
40/min
Using the 6-second method,
calculate the approximate
(4 x 10 = 40/min)
ventricular rate in tracing
below
During a telemetry, what on the right lower leg
location should a tech place
the ground electrode?
A patient who has left sternal border, fourth intercostal space (mirrored to it's
dextrocardia is about to standard placement)
have a 12-lead EKG. in what
location should the tech
place the electrode for
lead V1?
, "i understand your frustration. my role as the tech is to
conduct the test correctly. the provider is qualified to
A patient is upset that the
interpret the results"
tech cannot share the
results of an EKG tracing.
(this statement uses therapeutic communication by
What response should the
acknowledging the patient's frustration and explaining
tech make?
the facts. sharing the results with the patient is not
within the tech's scope of practice)
cyanosis
What patient findings
indicate myocardial (lack of oxygen, which causes the patient's lips and
infarction? fingernails to turn blue, this should be identified as a
common manifestation of myocardial infarction)
What should the tech myocardial Ischemia
suspect when a ST segment
depression and T wave (classic presentation includes ST segment depression and T wave
inversion)
inversion in multiple leads
are observed?
report of tingling sensations in the lower extremities
What findings should
indicate to the tech that (can caused by poor perfusion or lack of blood flow
the patient is experiencing to the extremities. poor perfusion is a sign of cardiac
an adverse reaction during distress and can lead to tissue damage due to a lack
an exercise stress test? damage due to a lack of oxygenation)
What reason should the the electrodes will not conduct accurately after two EKG tracings
tech recognize that resting
tab electrodes should not be
used for more than two
consecutive EKG tracings
after a second standard 12-
lead EKG is performed
immediately following the
first test?
Sinus dysrhythmia
A patient is having
irregularities in their
(is characterized by changes in the patient's
respiration's on an EKG