Which action would the nurse perform when a client is in ventricular fibrillation Quizlet

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After assessing a client who is receiving an amiodarone intravenous infusion for unstable ventricular tachycardia, the nurse documents the findings and compares these with the previous assessment findings:
Vital Signs Nursing Assessment
Time: 0800
Temperature: 98° F
Heart rate: 68 beats/min
Blood pressure: 135/60 mm Hg
Respiratory rate: 14 breaths/min
Oxygen saturation: 96%
Oxygen therapy: 2 L nasal cannula

Time: 1000
Temperature: 98.2° F
Heart rate: 50 beats/min
Blood pressure: 132/57 mm Hg
Respiratory rate: 16 breaths/min
Oxygen saturation: 95%
Oxygen therapy: 2 L nasal cannula Time: 0800
Client alert and oriented.
Cardiac rhythm: normal sinus rhythm.
Skin: warm, dry, and appropriate for race.
Respirations equal and unlabored.
Client denies shortness of breath and chest pain.

Time: 1000
Client alert and oriented.
Cardiac rhythm: sinus bradycardia.
Skin: warm, dry, and appropriate for race.
Respirations equal and unlabored.
Client denies shortness of breath and chest pain.
Client voids 420 mL of clear yellow urine.
Based on the assessments, which action should the nurse take?
a. Stop the infusion and flush the IV.
b. Slow the amiodarone infusion rate.
c. Administer IV normal saline.
d. Ask the client to cough and deep breathe.

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Which action would the nurse perform when a client is in ventricular fibrillation?

Emergency treatment for ventricular fibrillation includes: Cardiopulmonary resuscitation (CPR). CPR mimics the pumping motion of the heart. It keeps blood flowing through the body.

What is the nurse's priority for the patient with ventricular tachycardia?

CORRECT: A client experiencing ventricular tachycardia who does not have a pulse should receive immediate defibrillation. The earlier defibrillation is performed, the greater the chance the client will survive.

When assessing a client who has atrial fibrillation the nurse would expect his pulse to be?

The normal heart rate is 60 to 100 beats per minute. In atrial fibrillation or flutter, the heart rate may be 100 to 175 beats per minute.

When ventricular fibrillation occurs in a CCU the first person reaching the client should?

When ventricular fibrillation appears, the nurse must immediately initiate CPR until the defibrillator is engaged, and should defibrillate up to three times if needed. The only true effective treatment for ventricular fibrillation is defibrillation, which should occur as soon as possible.

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