A patient is diagnosed with atrial fibrillation. Which characteristics of this rhythm should the nurse expect to observe on this patient's cardiac monitor? (Select all that apply.)

a. Smooth P waves
b. Irregular rhythm
c. F waves with sawtooth pattern
d. PR interval 0.12 to 0.20 second
e. QRS complex not more than 0.10 second
f. Abnormal beat alternates with normal beat in a 1:1 ratio


ANS: B, E
Atrial fibrillation is an irregular rhythm with a normal QRS interval. A. P waves are absent. C. F waves are seen in atrial flutter. D. There is no PR as P waves are absent. F. Premature ventricular contractions that occur every other beat are referred to as bigeminy.

Nursing

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