The nurse is preparing a patient for cardioversion. Which of the following will the nurse do to assist this patient?
1. remove all metallic objects from the patient
2. place the electro pads on the right shoulder and under the left clavicle
3. assist the anesthesiologist with intubating the patient
4. insert an intravenous access line after the procedure
1
Rationale: In preparation for cardioversion, the nurse will obtain an ECG strip prior to, during, and after the procedure. Informed consent is obtained and intravenous access is confirmed before the procedure and not after the procedure. If hemodynamically stable, the patient will likely be given a sedative, or be placed under conscious sedation prior to treatment to minimize discomfort. The patient will not be intubated. Any serum electrolyte abnormalities are reported to the physician. Oxygen and all metallic objects are removed from the patient. Conductive pads are placed on the chest below the right clavicle to the right of the sternum, and in the midaxillary line on the left. The electro pads are not placed on the right shoulder and under the left clavicle.
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