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A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information: Heart rate: 92/min Rhythm: Irregular P wave:

Unable to identify PR interval:

Unable to measure QRS duration:

0.10 seconds Based upon this information,

thenurse should interpret the client's rhythm as indicating which of the following?

A.

Supraventricular tachycardia

B.

Atrial fibrillation

C.

Sinus bradycardia

D.

First-degree heart block

Answer and Explanation

The Correct Answer is B

A. Supraventricular tachycardia (SVT) typically has identifiable P waves; the absence of P waves suggests a different condition.  

 

B. Atrial fibrillation is characterized by an irregular rhythm, inability to identify P waves, and varying intervals. This interpretation aligns with the client's ECG findings.  

 

C. Sinus bradycardia would show identifiable P waves and a regular rhythm with a heart rate less than 60 bpm, which does not match the provided information.  

 

D. First-degree heart block would also show identifiable P waves and regularity in the rhythm with a prolonged PR interval, which is not indicated here.


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Correct Answer is D

Explanation

A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.

B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.

C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.

D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.

Correct Answer is C

Explanation

A. By age 6, while children can dress themselves, they may still need assistance with more complex grooming tasks, making this statement too absolute.

B. Counting backwards from 20 to 1 is typically expected by age 8, not age 7, indicating this statement is inaccurate regarding cognitive development.

C. Engaging in motor activities that require balance, such as jumping rope, is appropriate for children around age 6, demonstrating the expected physical development in this age group.

D. While children can use simple tools, mastery and effective use of tools like a screwdriver or hammer are more typical around ages 8 to 10, making this statement premature for age 6.

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