A nurse is caring for a client in the ICU who has a history of cardiac dysrhythmias. The client goes into a state of ventricular tachycardia and the nurse is unable to find a pulse. The code team arrives and delivers a shock of defibrillation to the client at 360 Joules. Which step would the nurse perform next?
a. Provide two manual breaths with a bag and mask
b. Assess the client's pulse
c. Administer 1 mL of IV epinephrine
d. Immediately resume chest compressions
d. Immediately resume chest compressions
rationale: "Immediately resume chest compressions" is correct. A client who is in ventricular fibrillation or pulseless ventricular tachycardia has a shockable rhythm and the healthcare staff can perform defibrillation. Immediately after providing the first shock to the client, the team should restart chest compressions without stopping to check a pulse. The nurse should perform CPR for 2 minutes before stopping to assess the client's heart rhythm.
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