QuestionAugust 15, 2025

A client with a demand pacemaker has a telemetry tracing with a pacing spike but no corresponding QRS complex. The client's myocardium is eliciting a QRS after a delay of several seconds.Which telemetry interpretation should the nurse conclude? Loss of capture. Ventricular fibrillation. Capture from an ectopic focus A normal finding with a demand pacer.

A client with a demand pacemaker has a telemetry tracing with a pacing spike but no corresponding QRS complex. The client's myocardium is eliciting a QRS after a delay of several seconds.Which telemetry interpretation should the nurse conclude? Loss of capture. Ventricular fibrillation. Capture from an ectopic focus A normal finding with a demand pacer.
A client with a demand pacemaker has a telemetry tracing
with a pacing spike but no corresponding QRS complex. The
client's myocardium is eliciting a QRS after a delay of several
seconds.Which telemetry interpretation should the nurse
conclude?
Loss of capture.
Ventricular fibrillation.
Capture from an ectopic focus
A normal finding with a demand pacer.

Solution
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Answer

Loss of capture. Explanation 1. Identify the telemetry issue A pacing spike without a corresponding QRS complex indicates the pacemaker is not effectively stimulating the heart. 2. Determine the correct interpretation The delayed QRS complex suggests the heart is not responding immediately to the pacemaker's signal, indicating a failure in capturing the heart's electrical activity.

Explanation

1. Identify the telemetry issue<br /> A pacing spike without a corresponding QRS complex indicates the pacemaker is not effectively stimulating the heart.<br /><br />2. Determine the correct interpretation<br /> The delayed QRS complex suggests the heart is not responding immediately to the pacemaker's signal, indicating a failure in capturing the heart's electrical activity.
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