The nurse is reviewing synchronized cardioversion with a new graduate. What will the nurse include when reviewing this procedure? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. The shock is synchronized with the QRS complex.
2. The shock will occur on the R wave.
3. A sedative will be provided before the procedure.
4. Pain medication will be provided before the procedure.
5. The shock will occur on the T wave.

Answer 1

1,2,3,4
Rationale 1: In synchronized cardioversion, the shock is synchronized with the QRS complex.
Rationale 2: The defibrillator will be set to the synchronized mode and will recognize QRS complexes to shock on the R wave.
Rationale 3: The patient should be premedicated with sedation prior to the procedure.
Rationale 4: The patient should be premedicated with pain medication before the procedure.
Rationale 5: Shocking on the T wave can cause ventricular tachycardia.