Final answer:
When a nurse observes a pacemaker artifact followed by a QRS complex on an ECG rhythm strip for a client with a temporary pacemaker, it is normal and indicates that the pacemaker is functioning properly. The nurse should document these findings as normal.
Step-by-step explanation:
When a nurse notes a pacemaker artifact followed by a QRS complex on an ECG rhythm strip for a client with a temporary pacemaker, it indicates that the pacemaker is working correctly. The QRS complex represents ventricular contraction, which is triggered by the pacemaker. Therefore, the nurse should document these findings as normal.