The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Atrial flutter

Ventricular tachycardia

Atrial fibrillation

Sinus tachycardia

Answer and Explanation

The Correct Answer is A

A.   Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B.   Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C.   Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D.   Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.

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

Explanation

First, Hodgkin lymphoma (HL) is commonly characterized by painless lymphadenopathy and is not painful, as stated above. Secondly, HL is often characterized by a low-grade fever rather than a high fever. Third, the presence of Bence-Jones cells in a laboratory test is not associated with Hodgkin lymphoma but indicates multiple myeloma, a different type of cancer. Fourth, Hodgkin disease is indeed a form of cancer; it is a malignancy of the lymphatic system. The nurse's statement that it is "not really cancer" is incorrect and misleading. Fifth, palliative radiation therapy is typically used to relieve symptoms in advanced stages of cancer or non-curative scenarios. However, for stage 1 Hodgkin lymphoma, the treatment usually involves chemotherapy and/or radiation therapy with curative intent, not palliative. Joe's nurse should provide accurate information about the nature of Hodgkin's disease and its treatment options, which are based on the stage and specific characteristics of the lymphoma.

A. Stewed apples B. White bread C. Well done steak D. Carrot sticks

Correct Answer is C

Explanation

A. Stewed apples are generally safe for a client with leukemia unless there are specific dietary restrictions.
B. While white bread is not typically contraindicated for leukemia patients, it is generally advisable to consume whole grains for better nutrition.
C. Well-done steak may pose a risk of bacterial contamination, especially for immunocompromised individuals such as those with leukemia. Therefore, it is advisable to avoid undercooked or raw meats.
D. Carrot sticks are generally safe and nutritious for individuals with leukemia unless there are specific dietary restrictions.

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The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

Which of the following foods should a client with leukemia avoid?

Correct Answer is C

Explanation

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