NursingPlex
    Sign In
    Nur 215 Mental Health Proctored Exam ( Montgomery Community College)

    What is the significance about the cardiac rhythm shown below?

    Explanation & Rationale

    Choice A reason: Independent atrial and ventricular beating occurs in conditions like third-degree heart block, where AV node conduction fails completely. The description lacks specific rhythm details, but the SA node firing with non-conducted beats suggests a partial conduction issue, not complete dissociation. Choice B reason: An atrial rate of 350 bpm or greater with a slower ventricular rate suggests atrial flutter or fibrillation. However, the description of regular SA node firing with non-conducted beats points to a conduction block, not a rapid atrial rhythm, making this less likely. Choice C reason: The SA node firing regularly with non-conducted beats describes a second-degree AV block, where some atrial impulses fail to reach the ventricles due to AV node or bundle branch issues. This matches the symptoms and is the most accurate interpretation of the rhythm. Choice D reason: A delayed but not blocked AV node impulse describes first-degree heart block, where all beats conduct with a prolonged PR interval. The description of non-conducted beats indicates a more severe conduction issue, such as second-degree block, making this choice incorrect.

    🔒 Submit your answer to reveal