A client's telemetry monitor indicates ventricular fibrillation (VF). Which action should the nurse implement immediately?
Defibrillate with one shock.
Prepare for external pacing.
Administer atropine IV.
Give a dose of amiodarone IV.
The Correct Answer is A
A. Defibrillation is the immediate treatment of choice for ventricular fibrillation to restore a normal heart rhythm. It delivers an electric shock to the heart, which can stop the abnormal rhythm and allow the heart to resume its normal rhythm.
B. External pacing is not effective for ventricular fibrillation as it requires an organized electrical activity to pace.
C. Atropine is used for bradycardia, not ventricular fibrillation.
D. Amiodarone is used to stabilize the heart rhythm after defibrillation but is not the immediate treatment for VF.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Involving another nurse might not necessarily address the client's guarded and suspicious behavior.
B. Documenting the behavior is important for the client's records, but it doesn't address the immediate need for assessment.
C. Postponing the interview might not resolve the client's guarded behavior and could delay necessary assessment.
D. Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging the client to engage in conversation.
Correct Answer is A
Explanation
A. Obtaining a focused history to determine recent bleeding and use of anticoagulants is crucial to evaluate the risk of hemorrhage and guide treatment decisions, especially considering the symptoms suggest a possible stroke.
B. Initiating sequential pneumatic compression devices is not relevant to the immediate neurological symptoms.
C. Administering aspirin is contraindicated without confirming whether the stroke is ischemic or hemorrhagic.
D. Placing an indwelling urinary catheter is not an immediate priority compared to assessing the stroke symptoms.
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