A nurse assesses a client's electrocardiogram (ECG) and observes the reading shown below:
How should the nurse document this client's ECG strip?
a.
Ventricular tachycardia
b.
Ventricular fibrillation
c.
Sinus rhythm with premature atrial contractions (PACs)
d.
Sinus rhythm with premature ventricular contractions (PVCs)
ANS: D
Sinus rhythm with PVCs has an underlying regular sinus rhythm with ventricular depolarization that sometimes precede atrial depolarization. Ventricular tachycardia and ventricular fibrillation rhythms would not have sinus beats present. Premature atrial contractions are atrial contractions initiated from another region of the atria before the sinus node initiates atrial depolarization.
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