The nurse is caring for a client who has a single-chamber atrial pacemaker. Which of the following findings would the nurse expect to observe on the client's electrocardiogram strip?

1. Pacemaker spike on the T wave
2. Pacemaker spike before the P wave
3. Occasional wide and distorted QRS complex
4. Prolonged PR interval with normal QRS complex



Answer :

Final answer:

The nurse would expect to see a pacemaker spike before the P wave and a prolonged PR interval with a normal QRS complex on the client's ECG due to the single-chamber atrial pacemaker.


Explanation:

The nurse caring for a client with a single-chamber atrial pacemaker would expect to observe a pacemaker spike before the P wave on the client's electrocardiogram strip. This spike indicates the initiation of the electrical impulse in the atrium by the pacemaker.

Additionally, the nurse might notice a prolonged PR interval with a normal QRS complex, signifying a delay in the transmission of the electrical signal from the atria to the ventricles.

Understanding these ECG abnormalities helps healthcare providers monitor and manage pacemaker function effectively.


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