When a client requires defibrillation, in which order will the nurse accomplish the following steps?
Deliver the electrical charge
Check the location of other personnel and call out "I'm clear, you're clear, everybody's clear."
Turn the defibrillator on
Place the paddles on the client's chest
Select the appropriate energy level
The Correct Answer is C,E,D,B,A
C. Turn the defibrillator on – The first step is to power on the defibrillator to prepare for use.
E. Select the appropriate energy level – Choose the correct joule setting for the defibrillation (e.g., 200 J biphasic, per protocol).
D. Place the paddles on the client’s chest – Ensure proper paddle or pad placement for effective shock delivery.
B. Check the location of other personnel and call out "I'm clear, you're clear, everybody's clear." – Safety is essential; make sure no one is touching the client or bed.
A. Deliver the electrical charge – Once everyone is clear, press the shock button to deliver the charge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,E,D,B,A
Explanation
C. Turn the defibrillator on – The first step is to power on the defibrillator to prepare for use.
E. Select the appropriate energy level – Choose the correct joule setting for the defibrillation (e.g., 200 J biphasic, per protocol).
D. Place the paddles on the client’s chest – Ensure proper paddle or pad placement for effective shock delivery.
B. Check the location of other personnel and call out "I'm clear, you're clear, everybody's clear." – Safety is essential; make sure no one is touching the client or bed.
A. Deliver the electrical charge – Once everyone is clear, press the shock button to deliver the charge.
Correct Answer is B
Explanation
A. Peripheral vascular disease is not a direct complication of atrial fibrillation, though both may coexist due to shared risk factors.
B. Atrial fibrillation increases the risk of thrombus formation in the atria, especially the left atrial appendage. If a clot dislodges, it can travel to the lungs, causing a pulmonary embolism, or more commonly, to the brain causing a stroke.
C. Bradycardia is not typical of atrial fibrillation, which usually presents with a rapid and irregular heart rate.
D. Hypertension is a risk factor for developing atrial fibrillation but not a direct complication of it.
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