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A Nurse Is Providing Care to a Client with a Temporary

Question 10

Multiple Choice

A nurse is providing care to a client with a temporary pacemaker.The nurse observes a spike on the ECG.What should the nurse do first?


A) Notify the healthcare provider that the client is having an arrhythmia.
B) Document the client's rhythm,pacing spikes,and post strip in the client's chart.
C) Complete the pain assessment because this is an irregular finding and causes pain.
D) Delegate this client to the UAP until the temporary pacemaker is not needed.

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