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A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

Synchronized Cardioversion

Repeat electrocardiogram (ECG)

Assessment of blood pressure

Immediate Defibrillation

Answer and Explanation

The Correct Answer is D

Rationale:

A. Synchronized cardioversion is not appropriate for pulseless ventricular tachycardia.

B. A repeat ECG is not necessary for pulseless ventricular tachycardia.

C. Assessment of blood pressure is not the priority in pulseless ventricular tachycardia.

D. Immediate defibrillation is the priority in pulseless ventricular tachycardia to restore a perfusing rhythm.

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Correct Answer is B

Explanation

Rationale:

A. Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.

B. Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.

C. Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.

D. Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.

A. Notify the provider of the client's allergy. B. Notify the dietary department of the client's allergy. C. Ask the client if any other foods cause such a reaction. D. Attach a wrist band indicating the client's allergy

Correct Answer is A

Explanation

Rationale:

A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.

B. Notifying the dietary department is not necessary in this situation.

C. Asking about other foods is important but not the priority at this time.

D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.

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A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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