A nurse is conducting a basic life support (BLS) recertification class and is discussing automated external defibrillation (AED) when a member of the class asks the nurse to identify the correct location for the placement of conductive gel pads to
treat ventricular fibrillation. The nurse cor-rectly responds with: 1. Bilaterally, under the right-sided and left-sided clavicles
2. Parallel, between the umbilicus and the left-sided nipple
3. Centered on the upper and lower halves of the sternum
4. Under the right-sided clavicle and to the left of the nipple in the midaxillary line
4
Rationale: In defibrillation, one gel pad is placed on the upper right-sided chest below the clavi-cle and the other gel pad is placed to the left of the nipple with the center in the midaxillary line. The electrode paddles are placed over the pads for defibrillation with firm pressure. "Bilaterally, under the right-sided and left-sided clavicles," "parallel, between the umbilicus and the left-sided nipple," and "parallel, between the umbilicus and the left-sided nipple" are incorrect because ef-fective defibrillation will not occur with the gel pads in these locations.
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