A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

Amiodarone administration

Epinephrine administration

Defibrillation

Airway management

Answer and Explanation

The Correct Answer is C

A.   amiodarone is a medication used to treat ventricular fibrillation administered after defibrillation.
B.   Epinephrine is also used in cardiac arrest, but it is administered after unsuccessful defibrillation attempts.
C.   Defibrillation is the immediate life-saving intervention for ventricular fibrillation. It delivers a high- energy shock to the heart to try to restore normal rhythm.
D.   While important in cardiac arrest, it is not the immediate priority. Defibrillation takes precedence.

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Correct Answer is D

Explanation

A. Heparin can be used to manage DIC but it's not a lifelong treatment and is part of a complex management plan.
B. DIC actually leads to a decreased platelet count due to excessive clotting.
C. DIC is an acquired condition, not a genetic one, and while vitamin K is involved in clotting, it's not the primary cause of DIC.
D. DIC is a complex disorder involving uncontrolled clotting and bleeding due to the depletion of clotting factors, including fibrinogen.

A. Measure the client's apical pulse. B. Measure the client's blood pressure. C. Offer the client a light snack. D. Weigh the client.

Correct Answer is A

Explanation

A. This is crucial before administering digoxin. Digoxin slows down the heart rate, and if it's already too slow, administering the medication could be dangerous.
B. Monitoring blood pressure is important for patients on digoxin. However, it's not the priority before administration.
C. This is not necessary before administering digoxin.
D. Weight can influence digoxin dosage but it's not a prerequisite before each administration.

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A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

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