A client is to receive Synthroid 25 mcg PO daily. Synthroid unit dose available is 0.05 mg/ tablet. How many tablets (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

A. Cardiovert in the synchronized mode: Synchronized cardioversion is used for hemodynamically unstable but conscious patients with rhythms like atrial fibrillation or supraventricular tachycardia. It is not appropriate for a pulseless patient with ventricular fibrillation, as synchronization requires detectable R-waves.

B. Defibrillate immediately with a biphasic machine: The rhythm strip shows ventricular fibrillation (VF) a life-threatening arrhythmia characterized by chaotic, irregular waveform with no identifiable PQRST and no effective cardiac output. The patient is unresponsive and pulseless, making immediate defibrillation the priority action, as per Advanced Cardiac Life Support (ACLS) guidelines.

C. Take a full set of vital signs: The client is already unresponsive and pulseless, making a full set of vitals irrelevant at this moment. Immediate resuscitation efforts, including defibrillation and CPR, take priority.

D. Initiate cardiopulmonary resuscitation: While CPR is a critical part of the algorithm for pulseless rhythms, defibrillation is the first priority in ventricular fibrillation when a defibrillator is available and ready. CPR should be started immediately after the shock if no pulse returns.

A. Dilated: Peripartum cardiomyopathy is a form of dilated cardiomyopathy that can occur during the last month of pregnancy or within five months after delivery. It is characterized by ventricular dilation and impaired systolic function, leading to signs of heart failure in previously healthy women.

B. Restrictive: Restrictive cardiomyopathy is a rare form that involves impaired ventricular filling due to stiffened myocardial walls. It is typically associated with infiltrative diseases like amyloidosis or sarcoidosis, not with pregnancy or the postpartum period.

C. Hypertrophic: Hypertrophic cardiomyopathy is usually genetic and involves thickened ventricular walls, especially the interventricular septum. It is not linked to childbirth and tends to present earlier in life with symptoms like syncope or sudden cardiac death in young athletes.

D. Myocarditis: Myocarditis involves inflammation of the heart muscle due to infection or autoimmune causes. Although it can occur postpartum, it is not specifically associated with childbirth like peripartum cardiomyopathy, which is a distinct clinical entity.