NCLEX RN Quiz # 993

NCLEX Examination,

Practice Question # 993.


nclex quiz


Continuous Electrocardiographic Monitoring

Continuous ECG monitoring is standard for patients who are at high risk for dysrhythmias. Two continuous ECG monitoring techniques are hardwire monitoring, found in critical care units and specialty step-down units, and telemetry, found in specialty step-down units and general nursing care units. Patients who are receiving continuous ECG monitoring need to be informed of its purpose and cautioned that this monitoring method will not detect symptoms such as dyspnea or chest pain. Therefore, patients need to be advised to report symptoms to the nurse whenever they occur.


The patient’s ECG can be continuously observed for dysrhythmias and conduction disorders on an oscilloscope at the bedside or at a central monitoring station by a hardwire monitoring system. This system is composed of three to five electrodes positioned on the patient’s chest, a lead cable, and a bedside monitor. Hardwire monitoring systems vary in sophistication but in general can do the following:

  • Monitor more than one lead simultaneously
  • Monitor ST segments (ST-segment depression is a marker of myocardial ischemia; ST-segment elevation provides evidence of an evolving MI)

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