An automatic external defibrillator (AED) interprets that the rhythm of a pulseless client is ventricular fibrillation. The nurse takes which of the following actions next?
1. Performs cardiopulmonary resuscitation (CPR) for 1 minute before defibrillating
2. Administers rescue breathing during the defibrillation
3. Charges the machine and immediately pushes the discharge buttons on the con-sole
4. Orders personnel away from the client, charges the machine, and depresses the discharge buttons
4
Rationale: If the AED advises to defibrillate, the rescuer orders all personnel away from the cli-ent, charges the machine, and pushes both of the discharge buttons on the console at the same time. The charge is delivered through the patch electrodes, so this method is known as "hands off" defibrillation, which is safer for the rescuer. The sequence of charges (up to three consecu-tive attempts at 200, 300, and 360 J) is similar to that of conventional defibrillation.
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