The client has been defibrillated unsuccessfully three times using an automatic external defibrillator (AED). The nurse determines that which of the following actions should be taken next?
1. Defibrillate one more time, and then terminate the resuscitation effort.
2. Perform cardiopulmonary resuscitation (CPR) for 5 minutes, and then defibrillate three more times.
3. Administer sodium bicarbonate intravenously, and resume defibrillation attempts.
4. Perform cardiopulmonary resuscitation (CPR) for 1 minute, assess, and then de-fibrillate up to three more times.
4
Rationale: After three unsuccessful defibrillation attempts, CPR should be done for 1 minute, followed by three more shocks if they are needed. It is critically important that advanced cardiac life support (ACLS) become available as soon as possible. Each of the other options is incorrect.
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