A client with ventricular tachycardia (VT) is unresponsive and has no pulse. The nurse calls for assistance and a defibrillator. What is the nurse's priority intervention while waiting for the defi-brillator to arrive?
a. Perform a pericardial thump.
b. Initiate cardiopulmonary resuscitation.
c. Start an 18-gauge IV in the antecubital.
d. Ask the client's family about code status.
B
A client with pulseless VT should be defibrillated immediately. If the defibrillator is not availa-ble, the nurse should initiate cardiopulmonary resuscitation (CPR) and then should defibrillate as soon as possible. Basic life support (BLS) is the basis of emergency cardiac care; if the client does not have an IV already, this can wait until others have arrived to help. Providing good qual-ity CPR is vital. The client should have already been assessed for code status.
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