ECG Chapter 7

1. Irregularity or loss of rhythm of the hearbeat

Anti-arrhythmic

Ambulate

Dysrhythmia

Holter

2. Exercise electrocardiography

Myocardial infarction

Oscilloscope

Palpitation

Stress ECG

3. Follow the steps for applying the ambulatory monitor 1. Identify the patient 2. Explain the procedure 3. Rmove the patient's clothes from the waist up and use a drape for female patients 4. Prepare the chest for lead placement 5. Remove the adhesive backing and apply the electrodes at the correct sites 6. Attach the lead wires 7. Secure the lead wires to the electrodes with tape 8. Attach the cable to the monitor 9. Start the monitor and make sure that it is functioning correctly 10.Record the start time in the patient's diary 11.Place the monitor in its holder and strap it comfortably to the patient 12.Give the patient the diary and review the instructions 13.Record the procedure in the patient's chart

True

False

4. Heart attack

Myocardial infarction

Oscilloscope

Palpitation

Stress ECG

5. Fainting

Syncope

Stress ECG

Palpitation

Myocardial infarction

6. During ambulatory monitoring, you will need to record your activities and any symptoms in your diary

True

False

7. Wear a loose fitting shirt, preferably one that buttons down the front, and you will be more comfortable during the procedure

True

False

8. Fast, irregular hearbeat sensation felt by the patient

Myocardial infarction

Oscilloscope

Palpitation

Stress ECG

9. Medication given to prevent arrhythmias

Anti-arrhythmic

Ambulate

Dysrhythmia

Holter

10. Ambulatory monitor

Anti-arrhythmic

Ambulate

Dysrhythmia

Holter

11. Mr. Casler is having an ambulatory (Holter) Monitor attached and asks you how long it will remain in place. You answer would be

2 to 4 hours

24 to 48 hours

Up to 30 days

Only during his hospital stay

Submit

13. Monitor or TV-type device used to view the ECG

Myocardial infarction

Oscilloscope

Palpitation

Stress ECG

14. Walk

Anti-arrhythmic

Ambulate

Dysrhythmia

Holter

15. Mr. Booth, you may take a tub bath as long as you do not let the monitor drop into the water

True

False

he may take only sponge baths

Explanation

he may take only sponge baths

16. Your patient Mrs. Jackson asks, "Why am I having this ambulatory monitor attached when I just had an ECG the other day? What would be your best answer?

Ambulatory monitors record your heart activity in a different way than an ECG does

It is necessary to monitor your heart while you are walking. That is why it is called ambulatory monitoring

I can't answer that question. You should speak to your doctor

17. Mr. Booth you should not take your heart medications during the ambulatory monitoring procedure unless instructed to do so by the physician

True

False

he should take medication as normally, unless specially instruction by the physician

Explanation

he should take medication as normally, unless specially instruction by the physician

18. Ms. Buckwalter is attached to a telemetry monitor. How long will she have the monitor in place?

2 to 4 hours

24 to 48 hours

Up to 30 days

Only during his hospital stay

19. Mr. Jones will be attached to a transtelephonic monitor. How long will he have the monitor in place?

2 to 4 hours

24 to 48 hours

Up to 30 days

Only during his hospital stay

20. Which of the following is not a common use of the ambulatory monitor?

To monitor the heart during exercise

To monitor the heart during a typical day

To evaluate pacemaker function

To correlate symptoms and heart activity

21. You should avoid alcohol and caffeine during ambulatory monitoring

True

False

the patient should stay normal activity during ambulatory

Explanation

the patient should stay normal activity during ambulatory