EKG Acquisition #2 - Learning the basics

An EKG tech is performing a 12 lead EKG on a patient who had a below-the-knee amputation of the left leg. The tech should do the following : ____________

place both leg electrodes on the patient's thighs, equal distant from the patient's heart, parallel from one another

An EKG tech is preparing a patient who has Parkinson's for an EKG. What action should the tech take to reduce artifacts with tremors caused by Parkinson's?

Ask the patient to place their hands palms down under their buttocks to reduce artifacts on the EKG tracing associated with tremors caused by Parkinson's disease

An EKG tech should recognize that which of the following can result in an interrupted baseline on the patient's EKG tracing?

Corroded or dirty leads. Damaged cables. Can be corrected by cleaning the leads after each use and inspecting the cables and connections before each use.

An EKG tech preparing to apply electrodes prior to performing an EKG. What is a recommended method of removing oil and dirt from the patient's skin prior to electrode placement?

Use alcohol wipes

An EKG tech is preparing to perform a standard 12 lead EKG. Which of the following locations should the technician place the electrode for the Lead V1?

4th intercostal space at the right of the sternal border.

Which lead is located at the intersection of the midclavicular line and the 5th intercostal space for a standard 12 lead EKG?

V4

An EKG tech applies a pulse oximetry device to a patient who is under going a stress test. The pulse oximetry device provides about _________________________

oxygen saturation

An EKG tech is preparing to perform CPR on an adult patient who is unresponsive. What site should the tech use to palpate the patient's pulse prior to initiating CPR?

carotid

An EKG tech is preparing to apply leads to a patient who is scheduled for a 5 lead Holter monitoring system. Where should the ground electrode be applied?

right lower abdomen

An EKG tech notes that the tracing on an EKG is drifting away from the center of the paper. The tech should recognize this is an example of which artifact?

wandering baseline

Which of the following is a type of continuous monitoring performed in an inpatient health care facility?

telemetry

An EKG tech should identify this patient's condition during a stress test would require emergency intervention by the tech?

syncope (faint or dizzy)

An EKG tech is preparing to apply electrodes and leads for a patient who has a prescription for a Holter monitor. What should the tech do to insure the leads stay attached?

Apply tape to the lead wires

An EKG tech notes a positive deflection of the waveforms on lead aVR on a patient's standard 12 lead EKG tracing. What should the tech do?

Verify lead and electrode placement.

Following best practices, how frequently should an EKG tech disinfect lead wires and clips?

After each use

An EKG tech is performing a 12 lead EKG for a patient who has dextrocardia. In which of the following locations should the tech place the V5 lead?

right anterior axillary line, 5th intercostal space

An EKG tech is preparing a patient for an exercise stress test. What is the correct lead placement for the this procedure?

Limb leads are placed on the torso

An EKG tech should recognize that which of the following changes to the settings of the EKG machine will double the height of the tracing it produces?

20 mm/mV

An EKG tech is preparing to perform an exercise stress test for a patient. How should the tech prepare the skin for electrodes?

Shave areas with excess body hair before applying electrodes

An EKG tech is reviewing an EKG tracing and notices that the calibration mark measures 10 mm high and 10 mm wide. The should expect to find that the machine is using which settings?

50 mm/seconds