In a cardiac dysrhythmia clinic, a patient inquires about using acupuncture to help alleviate stress. The nurse's best answer is which of the following?
a. "It is acceptable, but do not use electro-acupuncture."
b. "It is very clearly contraindicated."
c. "Do not allow needles near the heart."
d. "You do not look like you have an infection, so it will be OK."
ANS: A
Electro-acupuncture can be described as percutaneous electrical nerve stimulation. Individuals with a pacemaker or with cardiac arrhythmias or epilepsy, or who are pregnant, should not use electro-acupuncture because the electrical current can impair functioning. Traditional acupuncture is not contraindicated in these patient groups. Needles are inserted at specific acupoints along identified meridians. Whether or not an infection is present, electro-acupuncture should not be used if the patient experiences cardiac dysrhythmias.
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