Question

The client's telemetry reading shows a P wave before each QRS complex and the r ate is 78. Which action should the nurse implement ?

a. Document this as normal sinus rhythm.
b. Request a 12-lead ECG.
c. Prepare to administer the cardiotonic digoxin PO.
d. Assess the client's cardiac enzymes.

Answer 1

Based on the client's telemetry reading of a P wave before each QRS complex and a heart rate of 78, the nurse should document this as normal sinus rhythm.

Step-by-step explanation:

Based on the given information, the client's telemetry reading shows a P wave before each QRS complex and a heart rate of 78. This pattern is indicative of a normal sinus rhythm. A normal sinus rhythm is characterized by a regular rhythm with each heartbeat originating from the sinoatrial (SA) node, and the rate falls within the typical range of 60-100 beats per minute.

In this case, since the telemetry reading is showing a normal sinus rhythm with a heart rate of 78, the nurse should document this as normal sinus rhythm. It is important to note that other actions, such as requesting a 12-lead ECG or administering medications, are not necessary since the reading is within normal parameters.

Assessing the client's cardiac enzymes would not be relevant in this situation as it is more applicable for checking for cardiac damage or injury, which is not indicated by the given information.