A telemetry nurse assesses a client with third-degree heart block ...

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A telemetry nurse assesses a client with third-degree heart block who has wide QRS complexes and a heart rate of 35 beats/min on the cardiac monitor. Which assessment should the nurse complete next?
 
  a. Pulmonary auscultation
  b. Pulse strength and amplitude
  c. Level of consciousness
  d. Mobility and gait stability

Question 2

A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which priority intervention should the nurse perform prior to defibrillating this client?
 
  a. Make sure the defibrillator is set to the synchronous mode.
  b. Administer 1 mg of intravenous epinephrine.
  c. Test the equipment by delivering a smaller shock at 100 joules.
  d. Ensure that everyone is clear of contact with the client and the bed.

[amy.lauersdorf90]

Answer to Question 1

ANS: C
A heart rate of 40 beats/min or less with widened QRS complexes could have hemodynamic consequences. The client is at risk for inadequate cerebral perfusion. The nurse should assess for level of consciousness, light-headedness, confusion, syncope, and seizure activity. Although the other assessments should be completed, the client's level of consciousness is the priority.

Answer to Question 2

ANS: D
To avoid injury, the rescuer commands that all personnel clear contact with the client or the bed and ensures their compliance before delivery of the shock. A precordial thump can be delivered when no defibrillator is available. Defibrillation is done in asynchronous mode. Equipment should not be tested before a client is defibrillated because this is an emergency procedure; equipment should be checked on a routine basis. Epinephrine should be administered after defibrillation.

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Excellent

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Gracias!