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A nurse is caring for a client who is experiencing ventricular fibrillation. Which of the following is the priority action by the nurse?

a. defibrillate the client at 200 joules.
b. ventilate the client with a bag valve mask.
c. administer vasopressin 40 units IV.
d. Initiate chest compressions

1 Answer

6 votes

Final answer:

The priority action for a nurse when a client experiences ventricular fibrillation is to defibrillate, with chest compressions being the next best option if an AED is not immediately available.

Step-by-step explanation:

A nurse caring for a client experiencing ventricular fibrillation should prioritize defibrillation. However, if a defibrillator is not immediately available, initiate chest compressions is the correct priority action. This situation is described as a 'code blue' emergency in a hospital setting, and without prompt treatment, it could lead to brain death. In cases of ventricular fibrillation, defibrillation is the most effective method for attempting to reestablish a normal sinus rhythm by applying a controlled electrical shock to the heart. Automated external defibrillators (AEDs) make it possible for both medical professionals and laypersons to administer life-saving defibrillation in various public settings.

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