The nurse is reviewing an electrocardiogram (ECG) rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. What is the correct interpretation based on these characteristics?

1. Normal sinus rhythm
2. Sick sinus syndrome
3. Sinus bradycardia
4. First-degree heart block


1
Rationale 1: Normal sinus rhythm is defined as regular rhythm with a rate of 60 to 100 beats per minute. The PR and QRS measurements are normal, 0.12 to 0.20 second and 0.06 to 0.10 second respectively.
Rationale 2: The rhythm is regular, which is not a characteristic of sick sinus syndrome.
Rationale 3: The rate is too fast for sinus bradycardia.
Rationale 4: The PR interval is within normal limits, which does not meet the criteria for first-degree block.

Nursing

You might also like to view...

While planning a lecture on healthy lifestyle choices for a high school class, the school nurse should be aware that which of the following statements is most supported by current research?

1. Children with lower self-efficacy scores tend to have a lower consumption of high-fat foods. 2. The most effective way to prevent or lower obesity rates in adolescents is to present them with facts about dietary intake. 3. Children with lower self-efficacy scores have been associated with more frequent violent behaviors than have children with higher self-efficacy scores. 4. Approaches that address choices, consciousness, efficacy, and behavioral factors are unlikely to encourage adaptation of healthy lifestyles in adolescents.

Nursing

In which situation would a "meeting before the meeting" be advisable?

1. The nurse is managing a standing committee on the unit. 2. The nurse is meeting with a social group to establish a plan for weight loss by walking. 3. The nurse has written information to distribute to members before the meeting. 4. The nurse expects the disagreement that started in the last meeting to carry over into this meeting.

Nursing

A woman who spoke English was an immigrant from the Middle East, attending the clinic for the first time with two female friends. When a male nurse attempted to get a health history, the woman refused to respond to his questions

Which of the following actions should be taken by the nurse? a. Ask a female nurse to talk with the client b. Ensure that the client has privacy, with the two female friends waiting outside before trying again c. Explain that the woman cannot see a physician until the nurse obtains a health history and does an initial examination d. Stress that the clinic is free and she does not have to pay extra to see both the nurse and the physician

Nursing

Which section of the report allows a nurse researcher to review critical summary numbers for each test?

a. Results b. Discussion c. Literature review d. Methods

Nursing