Author Question: The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P ... (Read 54 times)

Awilson837 · **on:** Jun 25, 2018

The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P waves. How should the nurse document this finding?

a. Premature ventricular contraction (PVC)
b. Atrial flutter
c. Ventricular tachycardia (VT)
d. Premature atrial contraction (PAC)

Question 2

The nurse is caring for a patient in the postoperative period after enucleation. Which intervention is most important?

a. Provide emotional support.
b. Educate the patient about permanent prosthesis placement.
c. Resume diet as ordered.
d. Educate the patient about postoperative medications.

akemokai · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Atrial flutter displays a sawtooth appearance generated from small ineffective contractions prior to the QRS complex. An abnormally shaped P wave appears on the electrocardiogram (ECG) before the QRS wave in PAC. PVC is seen as an early beat without a P wave and with a wide QRS complex. VT is seen as three or more PVCs in a row with a ventricular rate of greater than 100 beats/min.

Answer to Question 2

A
Postoperatively, the nurse should observe for signs of complications such as excessive bleeding, swelling, increased pain, elevated temperature, or displacement of the implant. Losing an eye is a devastating experience even when there has been a long period of painful blindness preopera-tively. Understanding of the emotional impact and support of the patient are prime nursing re-sponsibilities. The permanent prosthesis is placed about 6 weeks after the surgery, and while it is important to teach the patient about prosthetic placement and medications, providing support is most important.