What would be the priority intervention for the care of the client who is pulseless and has the following rhythm on the monitor?
Amiodarone 300mg IV bolus, Amiodarone 150mg bolus if needed
CPR
Cardioversion
Defibrillation
The Correct Answer is D
A. Amiodarone is an antiarrhythmic used to treat ventricular arrhythmias like monomorphic VT, but it is not the first-line treatment for a pulseless patient. Defibrillation should be performed immediately, and amiodarone can be administered after defibrillation if the rhythm persists.
B. CPR is essential for maintaining circulation in a pulseless patient, but defibrillation should be the first priority for monomorphic VT. CPR should be continued if defibrillation is not immediately available, but the most effective intervention is defibrillation to attempt to restore normal rhythm.
C. Cardioversion is used for stable, regular arrhythmias, but for a pulseless client in monomorphic VT, defibrillation is the appropriate first intervention. Cardioversion is typically used when the patient is conscious or stable and is not a priority for pulseless VT.
D. For a pulseless client with monomorphic ventricular tachycardia, defibrillation is the priority intervention. Defibrillation delivers an electric shock to the heart, which may terminate the abnormal rhythm and allow the heart to return to normal sinus rhythm. This is the most effective and immediate treatment for a pulseless client in ventricular tachycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A reduction in lump size and pain with oral contraceptives is expected and does not indicate a need to change the treatment plan.
B. Increased lump pain before menstruation is typical for fibrocystic changes and not a cause for concern.
C. Firm, movable lumps in the upper outer breast quadrants are characteristic of fibrocystic changes and do not suggest an alternative condition.
D. An area that is hot, pink, and tender indicates inflammation or possible infection (e.g., mastitis or abscess), requiring further evaluation and potentially altering the treatment plan.
Correct Answer is C
Explanation
A. A urine output lower than fluid intake over 8 hours is important to monitor but does not require immediate intervention compared to neurological deficits.
B. A headache rated 5/10 is a symptom of hypertensive emergency but not as critical as a loss of motor function, which indicates possible stroke.
C. Inability to move the left arm or leg is a neurological deficit suggestive of a stroke, which is a medical emergency requiring immediate reporting and intervention.
D. Tremors when extending the arms may indicate a less acute neurological or metabolic issue and are not as urgent as paralysis.
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