NCLEX RN Practice Question

The correct answer is to assess and notify the healthcare provider promptly. The described telemetry reading is consistent with atrial fibrillation (AF), an irregular rhythm where the atria quiver instead of contracting effectively. While the client is currently hemodynamically stable, this rhythm carries risks such as thromboembolism and potential loss of stable cardiac output. Immediate notification ensures timely management, identification of underlying causes, and the initiation of appropriate interventions, such as anticoagulation or rate/rhythm control. While administering oxygen may seem appropriate, there is no evidence the client is hypoxic, and unnecessary interventions should be avoided. Additionally, increasing cardiac monitoring alone does not address the underlying condition. Documentation is essential but should not delay immediate actions in managing a potentially serious rhythm change.