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Med Surg Nursing Care of Patient on Telemetry with Complete Solutions

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Med Surg Nursing Care of Patient on Telemetry with Complete Solutions How should you respond if a patient on telemetry begins to show signs of chest pain? First, assess the patient's vital signs, oxygenation, and comfort level. Notify the healthcare provider immediately and prepare for furthe...

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  • November 11, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med Surg Nursing Care of Patient on Telemetry
  • Med Surg Nursing Care of Patient on Telemetry
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Med Surg Nursing Care of Patient on
Telemetry with Complete Solutions
How should you respond if a patient on telemetry begins to show signs of chest pain?


✔✔First, assess the patient's vital signs, oxygenation, and comfort level. Notify the healthcare

provider immediately and prepare for further interventions, such as oxygen therapy or a 12-lead

ECG.




What are common causes of telemetry alarms in a stable patient?


✔✔Common causes include patient movement, lead dislodgement, or improper electrode

placement, all of which can lead to signal loss or false alarms.




Why is it important to check the electrode placement on a telemetry patient?


✔✔Proper electrode placement ensures clear, accurate signal transmission and helps prevent

artifacts or incorrect data, which could lead to missed arrhythmias or other cardiac issues.




How would you manage a patient who is experiencing frequent telemetry alarms due to

movement?


✔✔Reassure the patient, explain the importance of minimizing movement to ensure accurate

monitoring, and check the electrode placement to ensure it’s secure.

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, What are the risks associated with leaving a patient on telemetry for an extended period?


✔✔Extended telemetry use can lead to skin irritation from electrodes, patient discomfort, and the

potential for false alarms or over-monitoring, so regular reassessment and skin checks are

essential.




When a patient on telemetry shows signs of dizziness or fainting, what should be the first step in

management?


✔✔Immediately check the telemetry monitor for any abnormal heart rhythms, assess the

patient's blood pressure, and ensure their safety by supporting them if needed.




How do you explain telemetry monitoring to a patient for the first time?


✔✔Inform the patient that telemetry is a continuous heart monitoring system that allows

healthcare providers to check their heart function in real-time without needing to stay in bed or

remain attached to a traditional heart monitor.




What interventions should be prioritized if telemetry shows a sudden drop in heart rate?


✔✔Assess the patient’s symptoms, such as dizziness or fatigue, and notify the healthcare

provider immediately. Prepare to intervene with measures like atropine if bradycardia is

symptomatic or life-threatening.

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