The nurse is caring for a patient with ventricular tachycardia. Which care should the nurse prepare to provide to this patient?

Question

Select all that apply.
1. immediate assessment and probable emergency intervention by the nurse
2. cardioversion, if sustained and symptomatic
3. administration of a potassium channel blocker
4. close observation for one hour prior to calling the physician
5. defibrillation to convert the rhythm in the awake patient

Answer 1

Correct Answer: 1, 2, 3
Sustained ventricular tachycardia is a medical emergency that requires immediate intervention, particularly in patients with cardiac disease. Treatment for ventricular tachycardia includes cardioversion. Class III antidysrhythmic medications (potassium channel blockers) are typically administered. Observation prior to calling a physician is not an appropriate action when a potentially life-threatening rhythm is identified. Defibrillation is only conducted in ventricular tachycardia when the patient is pulseless; otherwise, time is taken to synchronize for cardioversion.