Question: A client with a diagnosis of acute coronary syndrome is on a cardiac monitor. The nurse interprets the monitor rhythm to be ventricular tachycardia at a rate of 160 beats/min. The client is awake and coherent, and oxygen is being administered at a rate of 6 L/min via a nasal cannula. What is the first nursing action?
1. Immediately defibrillate
2. Administer lidocaine IV push
3. Initiate transvenous pacing
4. Administer adenosine IV push
Rationale: The treatment of choice is lidocaine IV push to attempt to convert the dysrhythmia before it progresses to ventricular fibrillation. Adenosine is given for supraventricular tachycardia. Transvenous pacing is initiated for symptomatic bradycardia or asystole. Defibrillation will be necessary if the client loses consciousness.
This week’s NCLEX exam practice question came from:
Zerwekh: Illustrated Study Guide for the NCLEX-RN Exam, 7th Edition, Chapter 17, pg 353, question 1
ReplyDeleteIt is really interesting for me to read this article. Thanks for it. I like such topics and everything connected to them.
OET Coaching in Chandigarh
OET Training in Chandigarh
OET Coaching for Dentists in Chandigarh
OET Coaching for Nurses in Chandigarh