The ECG shows regular P waves and regular QRS complexes, but the P waves have no consistent relationship to the QRS complexes. The ventricular rate is 36 beats per minute. Which rhythm is most likely present?

Correct answer: A. Complete heart block

  • A. Complete heart block
  • B. First-degree heart block
  • C. Sinus bradycardia
  • D. Atrial fibrillation

Explanation

Complete heart block causes atrioventricular dissociation, so the atria and ventricles beat independently. First-degree block has a prolonged but constant PR interval, sinus bradycardia keeps P waves linked to QRS complexes, and atrial fibrillation lacks regular P waves.

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Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.

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