The nurse is observing the client's rhythm strip on the cardiorespiratory monitor when suddenly the P wave disappears. The nurse interprets this to mean:
1. The ventricle is no longer contracting.
2. Only the left ventricle is contracting.
3. The atria are not contracting.
4. The client's heart is no longer ejecting blood.
3
Rationale: The P wave is an indication of atrial contraction, and absence of this wave would mean that either the atria are not contracting or they are fibrillating, and the fibrillation wave is so small as to not be seen on that particular lead. The QRS reflects ventricular contraction.
You might also like to view...
What are some reasons the nurse might withhold food and fluids from a client? Select all that apply
A) A competent and informed client refuses them. B) A son decides that it is his father's time to die. C) It is determined to be more harmful to administer them than to withhold them. D) A schizophrenic client believes that they are being poisoned. E) The nurse thinks that the client is in too much pain.
Menopause is said to have occurred if a woman has not had a menstrual period for ____________________ year/years
Fill in the blank(s) with correct word
The post–percutaneous transluminal coronary angioplasty client complains of severe chest pain. What is the nurse's best action?
A. Administer IV morphine as ordered PRN. B. Administer sublingual nitroglycerin. C. Notify the physician. D. Perform a standard 12-lead ECG.
Parents can foster resolution of the psychosocial conflict of trust versus mistrust during infancy by
a. Allowing the infant to assimilate to the environment b. Disciplining the infant c. Consistently meeting the infant's needs d. Limiting the infant's interaction with strangers