Question

A patient who is complaining of a "racing" heart and feeling "anxious" comes to the emergency department. The nurse places the patient on a heart monitor and obtains the following electrocardiographic (ECG) tracing.

Which action should the nurse take next?

a. Prepare to perform electrical cardioversion.
b. Have the patient perform the Valsalva maneuver.
c. Obtain the patient's vital signs including oxygen saturation.
d. Prepare to give a -blocker medication to slow the heart rate.

Answer 1

The nurse should obtain the patient's vital signs including oxygen saturation next to assess the patient's current condition and determine the severity of their symptoms.

Step-by-step explanation:

The nurse should obtain the patient's vital signs including oxygen saturation next. This is important to assess the patient's current condition and determine the severity of their symptoms. It can help the nurse gather more information about the patient's heart rate and oxygen levels, which will provide a better understanding of their condition.

Based on the symptoms described by the patient and the ECG tracing, it is necessary to assess the patient's overall clinical picture before deciding on further interventions. Preparing to perform electrical cardioversion or giving a β-blocker medication to slow the heart rate should be done in consultation with a healthcare provider, based on the patient's vital signs and overall clinical assessment.