Which ECG finding is most consistent with atrial fibrillation?

Correct answer: B. Irregularly irregular rhythm with no distinct P waves

  • A. Regular rhythm with a P wave before every QRS
  • B. Irregularly irregular rhythm with no distinct P waves
  • C. Wide QRS complexes occurring at a regular slow rate
  • D. Saw-tooth flutter waves with a regular ventricular rhythm

Explanation

Atrial fibrillation produces chaotic atrial activity, absent distinct P waves and an irregularly irregular ventricular rhythm. A regular rhythm with clear P waves suggests sinus rhythm, while saw-tooth waves suggest atrial flutter.

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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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