The nurse is notified by the cardiac monitoring technician that a patient on continuous cardiac monitoring is having frequent alarms
When the nurse enters the patient's room, the patient is in no apparent distress, sitting in the chair and eating. Which are appropriate nursing interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Confirm that lead wires are properly connected.
2. Assess the placement of electrodes.
3. Remove and reapply new electrodes if nonadherent.
4. Assess skin sites and move an electrode if the skin appears irritated.
5. Call for assistance.
1,2,3,4
Rationale 1: Nursing actions include assessing lead wire connections.
Rationale 2: Nursing actions include assessing the placement of electrodes.
Rationale 3: Nursing actions include changing electrodes every 24 to 48 hours or removing and reapplying electrodes that are dislodged or nonadherent.
Rationale 4: Nursing actions include assessing and documenting skin condition under the pads and moving pads to alternate sites to avoid skin irritation.
Rationale 5: As the patient is in no apparent distress, assistance is not required.
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