The nurse is caring for a 6-year-old child after open-heart surgery.When assessing the patient,the nurse notes that the position of the leads may be different in the pediatric population.Which lead placement explains this special consideration?
A)The position of the green lead can be changed to mirror one of the precordial lead positions.
B)The standard placement for V1 is at the fifth intercostal space,right sternal border.
C)The standard placement for V1 is at the fourth intercostal space,left sternal border.
D)In general,mechanisms of dysrhythmias are the same in children as they are in adults.

Question

Quizplus · Accepted Answer

The position of the brown lead can be changed to mirror one of the precordial (chest)lead positions,V1 to V6.The standard placement is for V1 at the fourth intercostal space,right sternal border.In general,the mechanisms of dysrhythmias are the same in children as they are in adults;however,the appearance of the arrhythmias on the ECG may differ because of developmental issues such as heart size,baseline heart rate,sinus and AV node function,and autonomic innervation.

The Nurse Is Caring for a 6-Year-Old Child After Open-Heart