The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P waves. How should the nurse document this finding?

a. Premature ventricular contraction (PVC)
b. Atrial flutter
c. Ventricular tachycardia (VT)
d. Premature atrial contraction (PAC)


B
Atrial flutter displays a sawtooth appearance generated from small ineffective contractions prior to the QRS complex. An abnormally shaped P wave appears on the electrocardiogram (ECG) before the QRS wave in PAC. PVC is seen as an early beat without a P wave and with a wide QRS complex. VT is seen as three or more PVCs in a row with a ventricular rate of greater than 100 beats/min.

Nursing

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The nurse assesses a client with a history of alcoholism who is hospitalized with anorexia, dysphagia, odynophagia, and chest pressure after eating. Which nursing diagnosis is a priority for this client?

A) Ineffective Coping B) Imbalanced Nutrition: Less Than Body Requirements C) Disturbed Sensory Perception D) Disturbed Thought Processes

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Which of the following organizations would the nursing advisor recommend that the nursing student join to best meet the student's current needs?

a. National League for Nursing c. International Coun-cil of Nurse b. American Nurses Association d. National Student Nurses Association

Nursing

The laboring patient who is at 3-cm dilation and 25% effaced is asking for analgesia. The nurse explains the analgesia is usually not administered prior to the establishment of the active phase. Why is analgesia not provided at this time?

A) This would cause fetal depression in utero B) This may prolong labor and increase complications C) The effects would wear off before delivery D) This can lead to maternal hypertension

Nursing

The monitoring of program activities, such as hours of service, number of providers used, number of referrals made, and amount of money spent to meet program objectives, is an ex-ample of which of the aspects of program evaluation?

1. Relevance 2. Progress 3. Efficiency 4. Effectiveness

Nursing