A nurse is evaluating a client with a temporary pacemaker. The patient's ECG tracing shows each P wave followed by the pacing spike. The nurse's best response is which of the following?
a) Reposition the extremity and turn the patient to left side.
b) Obtain a 12-lead ECG and a portable chest x-ray.
c) Check the security of all connections and increase the milliamperage.
d) Document the findings and continue to monitor the patient.
Answer: d) Document the findings and continue to monitor the patient
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