A patient who is alert is demonstrating ventricular tachycardia. The nurse should be prepared with which of the following?
1. prepare for the patient to become unconscious; might need cardioversion or defibrillation
2. obtain an arterial blood gas
3. obtain a venous blood sample for electrolytes
4. increase oxygen
1
Rationale: Patients can be alert while experiencing ventricular tachycardia however as cardiac output falls, a loss of consciousness may occur. Synchronized cardioversion may be used to convert the rhythm. When pulseless, defibrillation is used. The nurse should not be prepared to obtain an arterial blood gas or venous blood sample for electrolytes. Increasing oxygen might be beneficial but the nurse needs to be prepared to assist the patient's cardiac rhythm.
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