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Exam NCLEX-RN topic 5 question 90 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 90
Topic #: 5
[All NCLEX-RN Questions]

A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor. The nurse knows she has included the appropriate information in her teaching when the client tells her:

  • A. "He should remove the electrodes for bathing."
  • B. "Damage to his heart muscle will be recorded by the monitor."
  • C. "He is to keep a record of everything he does during the day."
  • D. "He is to refrain from activities that cause chest pain."
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Suggested Answer: C 🗳️
(A) The client should leave the electrodes in place during the entire time the test is ordered. He should not even remove the electrodes for bathing. (B) The Holter monitor will record cardiac electrical activity but will not record damage to his myocardium. (C) The client should keep a record of all of his activities so the physician can correlate the ECG findings with his activities. (D) The client should continue doing his regular activities. The purpose of the Holter monitor is to record heart activity during routine activities.

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