Final answer:
A nurse should recognize a sawtooth pattern of atrial activity as atrial flutter.
Step-by-step explanation:
A nurse on a telemetry unit should recognize a sawtooth pattern of atrial activity as atrial flutter on an ECG. Atrial flutter is characterized by a rapid and regular atrial rhythm, with the atrial rate being much faster than the ventricular rate. The P-waves are replaced by F-waves, which are small, rapid atrial fibrillatory waves that give the ECG tracing a characteristic sawtooth appearance.