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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 A

Explanation

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B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

Correct Answer is ["C","D","E"]

Explanation

A. Pertussis primarily affects the respiratory tract rather than just the nostrils.

B. Pertussis is caused by the bacterium Bordetella pertussis, making it a bacterial infection, not viral.

C. The bacteria release toxins that damage the cilia of the epithelial cells in the respiratory tract, disrupting their function.

D. Inflammation occurs in the lungs and airway due to the infection, contributing to symptoms such as cough.

E. The infection leads to excessive secretions that are difficult to expel, resulting in the characteristic whooping cough associated with pertussis.

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