A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

The T wave is in the inverted position.

The P wave falls before the QRS complex.

The QRS duration is 0.20 seconds.

The P-R interval measures 0.22 seconds.

Answer and Explanation

The Correct Answer is B

A. The T wave in the inverted position can indicate ischemia or electrolyte imbalances but does not define normal sinus rhythm.
B. The P wave falling before the QRS complex is characteristic of normal sinus rhythm.
C. A QRS duration of 0.20 seconds is within the normal range and does not specifically define normal sinus rhythm.
D. The P-R interval typically ranges from 0.12 to 0.20 seconds, and a slightly prolonged interval here wouldn't necessarily exclude normal sinus rhythm.

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Correct Answer is D

Explanation

A. Klebsiella is typically treated with other antibiotics, such as cephalosporins or carbapenems.
B. Pseudomonas aeruginosa is usually treated with antipseudomonal penicillins or cephalosporins.
C. Candida is a fungal infection treated with antifungals like fluconazole.
D. Vancomycin is particularly effective against methicillin-resistant Staphylococcus aureus (MRSA), making it the preferred treatment for MRSA infections.

A. Pneumococcal vaccine B. Level of consciousness C. Influenza vaccine D. Health history E. Fluid intake F. Age G. Smoking history

Correct Answer is ["A","C","E","F"]

Explanation

A. The client has not received pneumococcal vaccine, which increases susceptibility to pneumococcal pneumonia.
B. The client is oriented to time place and person which is normal.
C. The client has not received influenza vaccine, which increases susceptibility to pneumococcal pneumonia.
D. The client has no significant health history other than the primary concern.
E. The client's fluid intake seems to be reduced, as indicated by their decreased urination and reports of not drinking much water due to a sore throat, which can contribute to the risk of infection.
F. Being 70 years old increases susceptibility to respiratory infections like pneumonia.
G. No history of smoking reduces risk compared to smokers, but is still a risk factor in pneumonia development.

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A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

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