How should the nurse interpret the rhythm depicted in the image?

normal sinus rhythm

sinus bradycardia

asystole

sinus tachycardia

Answer and Explanation

The Correct Answer is C

A. This would show a regular rhythm with a consistent rate (60-100 bpm) and clear P waves before each QRS complex, which is not present in asystole.

B. This indicates a slow heart rate (below 60 bpm) but would still display P waves and QRS complexes; asystole shows no electrical activity.

C. This is the correct interpretation as it represents a flatline on the ECG, indicating no electrical activity in the heart.

D. This would show a rapid heart rate (above 100 bpm) with present P waves, which is not the case in asystole.

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Correct Answer is C

Explanation

A. The right upper quadrant is typically associated with gallbladder or liver issues, not duodenal ulcers.

B. The right lower quadrant is primarily associated with appendicitis or other conditions involving the appendix.

C. The left upper quadrant is where the duodenum is located, making it the appropriate area to assess for pain related to a duodenal ulcer.

D. The left lower quadrant is often associated with conditions affecting the sigmoid colon or left ovary but not typically with duodenal ulcers.

A. Planning B. Assessment C. Implementation D. Evaluation

Correct Answer is B

Explanation

A. The planning phase involves setting goals and determining interventions based on the assessment data.

B. The assessment phase is where the nurse gathers information about the client's health history, including potential allergies, which is essential for safe care and diagnostic testing.

C. The implementation phase involves carrying out the planned interventions, which would include considerations for allergies but not the initial questioning about them.

D. The evaluation phase assesses the effectiveness of the interventions and the client's response to care, which is not the appropriate time to inquire about allergies.

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How should the nurse interpret the rhythm depicted in the image?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

Correct Answer is C

Explanation

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer is B

Explanation

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