A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which intervention is appropriate for the nurse to perform prior to defibrillating this client?

Test the equipment by delivering a smaller shock at 50 J.

Administer 2 mg of intravenous epinephrine.

Make sure that the defibrillator is set to the synchronous mode.

Ensure that everyone is clear of contact with the client and the bed.

Answer and Explanation

The Correct Answer is D

A. Testing the equipment with a smaller shock is unnecessary when preparing to defibrillate in an emergency.

B. Epinephrine is used in cases of cardiac arrest with no pulse, particularly in asystole or pulseless electrical activity (PEA), not immediately before defibrillation in ventricular fibrillation.

C. Synchronous mode is used for cardioversion, not for defibrillation. Defibrillation should be delivered in unsynchronized mode.

D. Before delivering a shock, it is essential to ensure that everyone, including the nurse, is clear of the client and any conductive surfaces like the bed. This prevents injury from the electrical shock.

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Correct Answer is B

Explanation

A. The excitement of family does not indicate an infection risk. Emotional support can aid recovery.

B. Handling cat litter, which can contain bacteria, is a potential source of infection. Given the client's sternal wound, exposure to such bacteria increases the risk of infection, including sepsis.

C. Attending a party may present social interaction risks, but it is not as directly related to infection risk as handling cat litter.

D. Having the water turned on does not pose a significant risk for infection or sepsis.

A. A client with multiple abdominal drains B. A client with right leg cellulitis C. A client who has viral pneumonia D. A client with chronic heart failure

Correct Answer is D

Explanation

A. Multiple abdominal drains increase infection risk.

B. Cellulitis poses a high risk of infection.

C. Viral pneumonia is contagious and poses a high infection risk.

D. Chronic heart failure does not pose an infection risk, making this the safest roommate choice.

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A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which intervention is appropriate for the nurse to perform prior to defibrillating this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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