CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A cardiac monitor indicates that a patient’s heart rate has increased to 160 beats per minute. Shortly after this increase, the nurse notices that the patient is in ventricular tachycardia. The nurse reports this finding to the physician because she knows that an order of which of the following is needed?

Intracardiac epinephrine
A bolus of lidocaine
Insertion of a pacemaker
Manual cardiopulmonary resuscitation

Explanation

Answer - B - The nurse reports this finding to the physician because she knows that an order of a bolus of lidocaine is needed. Lidocaine will interrupt VT before it progresses to ventricular fibrillation.

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