The nurse is alerted to a client's telemetry monitor. After assessing the following ECG, what is the nurse's priority intervention?

a. Start a large-bore IV.
b. Administer atropine.
c. Prepare for intubation.
d. Perform defibrillation.


D
The client's rhythm is ventricular fibrillation. This is a lethal rhythm that is best treated with immediate defibrillation. If the client does not already have an IV , other members of the team can insert one after defibrillation. Likewise, intubation can occur later if necessary. Atropine is not given for ventricular fibrillation.

Nursing

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Which of the following falls under the jurisdiction of the state board of nursing?

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The nurse is caring for a postoperative pediatric patient. Of the following nursing interventions done for this patient, which intervention would be highest priority?

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Nursing