The nurse is caring for a patient who is in the recovery room following the implantation of an ICD. The patient has developed ventricular tachycardia (VT). What should the nurse assess and document?
A) ECG to compare time of onset of VT and onset of device's shock
B) ECG so physician can see what type of dysrhythmia the patient has
C) Patient's level of consciousness (LOC) at the time of the dysrhythmia
D) Patient's activity at time of dysrhythmia
Ans: A
Feedback:
If the patient has an ICD implanted and develops VT or ventricular fibrillation, the ECG should be recorded to note the time between the onset of the dysrhythmia and the onset of the device's shock or antitachycardia pacing. This is a priority over LOC or activity at the time of onset.
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