A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

Amiodarone administration

Epinephrine administration

Defibrillation

Airway management

Answer and Explanation

The Correct Answer is C

A.   amiodarone is a medication used to treat ventricular fibrillation administered after defibrillation.
B.   Epinephrine is also used in cardiac arrest, but it is administered after unsuccessful defibrillation attempts.
C.   Defibrillation is the immediate life-saving intervention for ventricular fibrillation. It delivers a high- energy shock to the heart to try to restore normal rhythm.
D.   While important in cardiac arrest, it is not the immediate priority. Defibrillation takes precedence.

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Correct Answer is C

Explanation

A. This is the action of medications like anticholinergics, not lidocaine.
B. Lidocaine does have local anesthetic properties, but it's not used in this context to relieve pain. It's used for its anti-arrhythmic properties.
C. Lidocaine is a class IB anti-arrhythmic medication. It suppresses abnormal heart rhythms, making it a crucial drug in treating cardiac arrest.
D. This is the action of thrombolytic medications like tissue plasminogen activator (tPA), not lidocaine.

A. Pacemaker spikes with each T wave B. Pacemaker spikes before each P wave C. Pacemaker spikes before each QRS complex D. Pacemaker spikes after each QRS complex

Correct Answer is C

Explanation

A. Pacemaker spikes with each T wave indicates a malfunctioning pacemaker.
B. Pacemaker spikes before each P wave would indicate atrial pacing, not ventricular pacing.
C. A ventricular pacemaker stimulates the ventricles to contract, so the pacing spike should precede the QRS complex.
D. Pacemaker spikes after each QRS complex would indicate a malfunctioning pacemaker.

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A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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