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How should the nurse identify the rhythm shown in the diagram?

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A.

ventricular tachycardia

B.

asystole

C.

normal sinus rhythm

D.

ventricular fibrillation

Answer and Explanation

The Correct Answer is A

A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.

 

B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.

 

C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.

 

D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.


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View Related questions

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

Explanation

A. Decreased urine output: While not a direct sign of pneumonia, decreased urine output can be an objective finding indicative of dehydration, which often accompanies infections like pneumonia.

B. Headache: Although the client has a headache, it is a subjective symptom rather than an objective finding and is not a primary indicator of pneumonia.

C. Respiratory assessment: The respiratory assessment reveals shortness of breath, crackles in the right lower lobe, and tachypnea, which are commonly associated with pneumonia.

D. Chest X-ray: The chest X-ray shows areas of increased density and infiltrates in the right lower lobe, a hallmark finding that indicates pneumonia.

E. Religion: This does not relate to the clinical findings associated with pneumonia.

F. Bowel sounds: Normal bowel sounds are not indicative of pneumonia.

G. Perception of needles: This is irrelevant to the diagnosis of pneumonia.

Correct Answer is C

Explanation

A. A BMI of 26 is not classified as obese; obesity typically starts at a BMI of 30.

B. Underweight is defined as a BMI less than 18.5, which does not apply to this client.

C. A BMI of 26 falls within the overweight category, which is defined as a BMI between 25 and 29.9.

D. A healthy weight is classified as a BMI between 18.5 and 24.9, which does not include a BMI of 26.

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