A client's ECG shows slow, irregular QRS complexes that are wide and regular atrial rhythm. What is the nurse's interpretation of this observation?
A. Atrial flutter
B. Ventricular flutter
C. AV conduction block
D. Junctional dysrhythmia
C
The regular atrial rhythm together with the ventricular dysrhythmia indicates normal SA node conduction and blockage of conduction at the atrioventricular (AV) node. The impulses are being generated first in one ventricle and then spread to depolarize the other ventricle, resulting in an abnormally wide QRS complex.
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A nurse is conducting the health interview of a client. While interpreting the data
obtained from the health interview, which point should the nurse keep in mind? A) Assign equal significance to all the information B) Group similar data from the interview into clusters C) Refrain from revealing the conclusions of the interview to the client D) Focus only on the client's problems instead of the client's strengths
The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply
A) Mental health changes B) History of previous suicide attempt C) Higher socioeconomic status D) Greatly improved school performance E) Family disorganization F) Substance abuse
During a nurse-client interaction, the nurse will identify cognitive errors when he or she hears which of these statements? (You may select more than one answer.)
1. "I think I will do well on the next exam, because I have studied." 2. "I failed the last exam; I know I will fail the next one." 3. "Whenever I burn the toast in the morning, I know the whole day will be a mess." 4. "I never do anything right." 5. "My parents had a lot of problems, but I have learned from their mistakes."
The nurse evaluates the understanding of a patient on the relationship between body position and gastroesophageal reflux after a teaching session. Which statement by the patient would indicate that the teaching has been effective?
a. "I elevate the foot of the bed 12 to 16 inches." b. "I sleep on my stomach with my head turned to the left." c. "I sleep on my back without a pillow under my head." d. "I elevate the head of the bed 4 to 6 inches."