Question

A provider has ordered a patient to wear a telemetry monitor at home. Which of the following statements by the patient indicates a need for further instruction? What would you do next?

a) “I should take a sponge bath while wearing this monitor.”

b) “I’ll keep track of my daily activities in a diary.”

c) “If an electrode comes off, I will reattach it at home.”

d) “I should wear loose clothing while wearing the monitor.

Answer 1

A) Shower is contraindicated while wearing a telemetry monitor. Because it can lead to wires wet and they get dysfunctional. Yes, the client can take a sponge bath while wearing telemetry monitor. Sponge bath will help to feel good and prevent many type of infections.

So it is correct.

B) patient is advices to record all his daily activities such as sitting, walking, stranous exercise, taking medicine etc. in a diary . The diary will be compared with the ECG recorded by the monitor.

It is correct.

C) "if an comes off, I will reattach is at home" is indication that the client need further education about telemetry monitor. Because wrong placement of the leads will leads to expremly false ECG results.

So it is indication that client need further more education

D) patient should wear loose clothing while wearing the telemetry monitor. It is because for comfort and convenience and to reduce artifacts. Wear loose fitting clothes over the lead and perform their usual activities , provided they keep the device dry.

Hence it's also correct

C) will be your answer.

Further you need to give client more education regarding telemetry monitor