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1. Question
A nurse would evaluate that defibrillation of a client was most successful if which of the following observations was made?
Correct
Answer & Rationale:
Option 1 is Correct
Rationale: After defibrillation, the client requires continuous monitoring of electrocardiographic rhythm, hemodynamic status, and neurological status. Respiratory and metabolic acidosis develop during ventricular fibrillation because of lack of respiration and cardiac output. These can cause cerebral and cardiopulmonary complications. Arousable status, adequate blood pressure, and a sinus rhythm indicate successful response to defibrillation.
Incorrect
Answer & Rationale:
Option 1 is Correct
Rationale: After defibrillation, the client requires continuous monitoring of electrocardiographic rhythm, hemodynamic status, and neurological status. Respiratory and metabolic acidosis develop during ventricular fibrillation because of lack of respiration and cardiac output. These can cause cerebral and cardiopulmonary complications. Arousable status, adequate blood pressure, and a sinus rhythm indicate successful response to defibrillation.
Defibrillation
Defibrillation is an asynchronous countershockused to terminate pulseless ventricular tachycardia(VT) or VF.
Three rapid consecutive shocks are delivered,with the first at an energy of 200 J.
If unsuccessful, the shock is repeated at 200 to 300 J.
The third and subsequent shocks will be 360 J.
Before defibrillating a client be sure that theoxygen is shut off to avoid the hazard of fire and besure that no one is touching the bed or the client.
