CRNE Canadian Registered Nurse

Category - Wellness

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A continuous cardiac monitor worn by a client begins to sound its alarm. No ECG complexes are noted. The next action of the nurse is to:

Notify the physician
Activate the emergency medical system
Assess the placement of the lead
Notify the nurse manager

Explanation

Answer: C - The absence of ECG complexes suggests asystole or a lead displacement. The nurse has to assess the status of the client and the lead placement to determine the accuracy of the findings.

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