EKG Lead Placement
Where should you place the V4 electrode?
What is the 5th intercostal space at the mid-clavicular line?
Which wave represents atrial depolarization?
What is the P wave?
What should you tell an 8-year-old patient before applying EKG electrodes?
What is "I am going to apply some stickers to your belly, arms, and legs"?
You eliminate an artifact by plugging the machine into a different wall outlet. What caused the artifact?
What is AC interference?
What is the normal heart rate for an adult (older than 15 years)?
What is 60-100 bpm?
What term describes when a staff member makes derogatory comments about a patient's appearance?
What is slander?
For a patient with a below-the-knee left leg amputation, where do you place the right leg electrode?
What is the lower right abdomen or lower right thigh (leads must be level)?
What rhythm is characterized by irregularly irregular R-R intervals and absent P waves?
What is atrial fibrillation?
How long should a Holter monitor be worn?
What is 24-48 hours?
What causes a wandering baseline artifact?
What are loose electrodes, patient movement, dry electrodes, or improper skin preparation?
Which artery is the preferred site to measure heart rate in an adult patient following an exercise stress test?
What is the radial artery?
Which patient right is violated if an EKG tech releases information about a patient's diagnosis to their employer?
What is patient confidentiality? HIPAA
Which leads form Einthoven's Triangle?
What are Leads I, II, and III?
A variation in respirations that correlates with the EKG tracing indicates which dysrhythmia?
What is sinus dysrhythmia?
What position should a pregnant patient (25 weeks gestation) be in for a standard 12-lead EKG?
What is slightly on the left side with a pillow supporting the right hip?
An EKG shows uniform, small spikes across the tracing. What is the cause?
What is improper grounding?
What is the normal body temperature in an adult patient?
What is 98.6°F
What is the correct method to remove hair from electrode placement sites for telemetry monitoring?
What is using razor/clippers?
For a patient with dextrocardia, where should you place the V1 electrode?
What is the LEFT sternal border at the 4th intercostal space?
Which heart block is the most serious and should prompt observation for signs of decreased cardiac output that could lead to cardiac arrest?
What is third-degree AV block?
Which intervention should you expect a provider to prescribe for a patient experiencing heart palpitations?
What is a Holter monitor?
How should you resolve a wandering baseline on an EKG tracing?
What is relieving tension from the lead wires?
A PR interval spans four small boxes on EKG paper. What is its duration?
What is 0.16 seconds?
What should you do immediately after attaching telemetry lead wires to the electrodes?
What is checking the wire colors and identifications to ensure attachment to the correct electrode?
Name all three posterior leads and their placement locations.
What are V7 (posterior axillary line), V8 (tip of left scapula), and V9 (left scapular border) at the 5th intercostal space?
What is the difference between accelerated idioventricular rhythm and junctional rhythm?
What is that accelerated idioventricular rhythm has wide QRS complexes?
What are three activities a patient should avoid while wearing a Holter monitor?
What are bathing/showering, vigorous exercise, and removing electrodes?
All leads are giving no reading. Which limb should you check first?
What is the right leg (ground electrode)?
Describe the "300 method" for calculating heart rate.
What is counting the large boxes between R complexes and dividing into 300 (300, 150, 100, 75, 60, 50)?
Before leaving a patient's room who is on contact precautions, what should you do with your gloves?
What is remove them before leaving the room?