Question

The nurse is assisting with a synchronized cardioversion on a client in atrial fibrillation. When the machine is activated, there is a pause. What action should the nurse take?

a. Wait until the machine discharges.
b. Shout "all clear" and don't touch the bed.
c. Make sure the client is all right.
d. Increase the joules and discharge.

Answer 1

If a synchronized cardioversion machine pauses after being activated, the nurse should shout 'all clear' while ensuring no one is touching the patient's bed when the electrical discharge occurs, then monitor the patient's cardiac rhythm.

Step-by-step explanation:

When a nurse is assisting with a synchronized cardioversion on a client in atrial fibrillation and the machine is activated followed by a pause, the appropriate action would be to ensure that all individuals in contact with or near the patient are not touching the patient or the bed and to loudly announce “all clear” before the machine discharges.

This is crucial for safety, as the electrical current used during cardioversion can cause harm if someone is in contact with the patient or the conducting surfaces. After confirming safety and the machine discharges, the nurse should monitor the patient's response to the treatment and check for the return of a normal sinus rhythm.