20. The nurse notices ventricular tachycardia on the heart monitor. When the patient is assessed, the patient is found to be unresponsive with no pulse. The nurse should a. treat with intravenous amiodarone or lidocaine.b. begin cardiopulmonary resuscitation and advanced life support.c. provide electrical cardioversion.d. ignore the rhythm because it is benign.ANS: B NURSINGTB.COM INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION SOLE TEST BANK
NURSINGTB.COM Ventricular tachycardia (VT) is a rapid, life-threatening dysrhythmia originating from a single ectopic focus in the ventricles. Determine whether the patient has a pulse. If no pulse is present, provide emergent basic and advanced life-support interventions, including defibrillation. If a pulse is present and the blood pressure is stable, the patient can be treated with intravenous amiodarone or lidocaine. Cardioversion is used as an emergency measure in patients who become hemodynamically unstable but continue to have a pulse. It also may be used in nonemergency situations, such as when a patient has asymptomatic VT. DIF: Cognitive Level: Apply/Application REF: p. 119 OBJ: Describe appropriate interventions for common dysrhythmias. TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity 21. The nurse is talking with the patient when the monitor alarms and shows a wavy baseline without a PQRST complex. The nurse should DIF: Cognitive Level: Apply/Application REF: pp. 119-120 OBJ: Describe appropriate interventions for common dysrhythmias. TOP: Nursing Process Step: Implementation | Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity
You've reached the end of your free preview.
Want to read all 30 pages?
- Fall '19
- Cardiology, Cardiac electrophysiology, Sinoatrial node, atrioventricular node