Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

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What information is NOT required to be recorded by a client wearing a Holter monitor?

  1. Activity

  2. Medications

  3. Chest pains

  4. Diet

The correct answer is: Diet

When caring for a patient wearing a Holter monitor, it is essential to record certain types of information to correlate the monitor’s data with the patient's symptoms and daily activities. Activity, medications, and chest pains can all have direct implications on the heart's performance and the monitoring results, allowing healthcare providers to analyze how these factors might affect cardiac activity over a 24- to 48-hour period. Recording activity helps in understanding how daily routines may influence heart rhythms. Documenting medications ensures that the monitor's data can be interpreted in the context of any pharmacological influences on heart function. Noting the occurrence of chest pains provides critical information regarding potential arrhythmias or cardiac events during symptomatic episodes. Diet, while important in the overall management of health and cardiovascular conditions, is not typically a direct requirement for Holter monitoring. While certain dietary choices can affect cardiovascular health, the immediate effects are generally less pertinent to the data being captured by the monitor compared to the other aspects that provide more relevant insights into a patient's cardiac status during the monitoring period.