Following two defibrillation shocks, the client's electrocardiogram (ECG) continues to indicate ventricular fibrillation (VF). Which intervention should the nurse implement next?
Resume CPR immediately.
Obtain an arterial blood gas sample.
Perform the third defibrillation shock.
Administer an IV bolus of epinephrine.
The Correct Answer is C
Choice A: CPR is important but should be performed in conjunction with defibrillation. Since two defibrillation shocks have already been administered, the next step should be another shock.
Choice B : Obtaining an arterial blood gas sample is not the immediate priority when the client is in ventricular fibrillation. Defibrillation should be continued.
Choice C: Performing the third defibrillation shock is the next appropriate step in the advanced cardiac life support (ACLS) algorithm for ventricular fibrillation.
Choice D: Administering an IV bolus of epinephrine may be part of the ACLS protocol, but it is typically administered after defibrillation attempts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Socioeconomics can influence a person's ability to access and afford certain foods, but the statement does not directly address the nutritional guidelines for older adults.
Choice B: Nutritional meal planning for seniors should ideally involve input from a dietitian or healthcare provider, but the statement does not directly reflect an understanding of the nutritional guidelines.
Choice C: Dietary needs for seniors over and under age 70 can differ due to factors such as changes in metabolism, physical activity levels, and overall health. The statement recognizes the importance of tailoring the meal plan to meet the specific nutritional needs of both spouses based on their respective ages.
Choice D: Age is a factor in determining dietary needs for seniors, as nutritional requirements may change as individuals age. The statement acknowledges that age plays a role in meal planning for older adults.
Correct Answer is D
Explanation
Choice A: Milk products, canned salmon, and fresh oysters are sources of calcium and may be included in the diet but are not primary sources of potassium.
Choice B: Cranberry juice, butter, and hard candy are not significant sources of potassium and may not address the client's hypokalemia.
Choice C: Hard cheese, whole-grain cereals, and dried vegetables are not primary sources of potassium and may not provide an adequate potassium intake.
Choice D: Potatoes, bananas, and oranges are all good dietary sources of potassium and should be encouraged for a client with hypokalemia. Increasing potassium-rich foods can help correct low potassium levels.
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