ANATOMY

Detailed explanation-1: -Pacemaker leads may be positioned in the atrium (upper chamber) or ventricle (lower chamber) or both, depending on the medical condition.

Detailed explanation-2: -Which instruction should the nurse give to a patient that is scheduled for Holter monitoring? “Keep a diary of all activities and symptoms.” A Holter monitor is worn continuously for at least 24 hours while a patient continues with usual activity and keeps a diary of activities and symptoms.

Detailed explanation-3: -Monitor site for bleeding and infection for the first week. Bruising may be present. Avoid immersing the site in water for 3 days. Minimize arm and shoulder activity of affected arm and wear loose covering over incision for 1-2 weeks, to prevent dislodgement of new leads.

Detailed explanation-4: -Nursing Interventions Monitor the patient’s heart rate and rhythm, respiratory and pulse rates, and blood pressure frequently. Monitor the patient’s vital signs every 15 minutes for 2 hours after the procedure, every 30 minutes for the next 2 hours, and then every hour for 2 hours.

Detailed explanation-5: -The most important nursing action following cardiac catheterization is assessing the groin for bleeding and the leg for color, warmth (circulation) and pulse. Postcatheterization care involves monitoring vital signs every 15 minutes for an hour, then every 30 minutes for an hour or until stable.