A nurse is caring for a client with chest pain who suddenly becomes unresponsive. The client is pulseless, and apneic. The code team places the client on the monitor which indicates ventricular fibrillation, what is the next priority action?
Amiodarone administration
Synchronized Cardioversion
Epinephrine administration
Defibrillation
The Correct Answer is D
Rationale:
A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.
B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).
C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.
D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.
B. Missing doses of medication can increase the risk of complications in atrial fibrillation.
C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.
D. Hypertension is a risk factor for atrial fibrillation.
Correct Answer is B
Explanation
Rationale:
A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.
B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.
C. Pacing activities is important but is not specific to sodium intake.
D. Naproxen is not typically used to manage discomfort in congestive heart failure.
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