Certified Emergency Nurse (CEN) Practice Test

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What should be avoided when applying transcutaneous pacing pads?

Placing pads on wet skin

Using two pads too close together

Applying medication patches

When applying transcutaneous pacing pads, it is crucial to avoid applying medication patches first and foremost because they can interfere with the pacing capabilities of the pads. Medication patches can cause skin irritation or an unintended release of medication due to the electrical current passed through the pads. The presence of a patch may also lead to improper contact and hinder the efficiency of the pacing, potentially compromising patient safety during an urgent procedure.

While placing pads on wet skin, using two pads too close together, or using pads on bony areas are considerations that need attention, the impact of medication patches is particularly significant. Therefore, ensuring the area is free of any medication patches is essential for safe and effective transcutaneous pacing.

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Using pads on bony areas

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