How do you approach and manage patients requiring common cardiac monitoring procedures, such as Holter monitoring or stress testing?

Sample interview questions: How do you approach and manage patients requiring common cardiac monitoring procedures, such as Holter monitoring or stress testing?

Sample answer:

Holter Monitoring

• Indication: Suspected arrhythmia, syncope, or chest pain of uncertain etiology.
• Procedure:
  • Attach 5-7 electrodes to the patient’s chest and back.
  • Connect electrodes to a portable device that records heart activity continuously for 24-48 hours.
  • Instruct patient on device use and activity precautions (e.g., avoid showering, strenuous activity).
• Management:
  • Review Holter data for presence of arrhythmias, ischemic changes, or other abnormalities.
  • Correlate symptoms with Holter findings.
  • Use data to guide further evaluation or treatment.

Stress Testing

• Indication: Suspected coronary artery disease, assessment of exercise tolerance, or evaluation of known heart disease.
• Procedure:
  • Obtain baseline EKG and vital signs.
  • Have patient walk on a treadmill or bicycle while gradually increasing workload.
  • Monitor EKG, blood pressure, and symptoms.
  • Stop test if pre-determin… Read full answer

    Source: https://hireabo.com/job/2_0_3/Nurse%20Practitioner%20%28NP%29