A physician is about to defibrillate a patient and about to deliver shock at 200 joules. The patient's cardiac monitor indicates ventricular fibrillation. The physician says in a loud voice “CLEAR” What should the nurse do immediately?
  1. Step back from the bed and ensure others have done the same
  2. Shut off the IV line
  3. Continue CPR and oxygen administration
  4. Administer Epinephrine 1mg IV
Explanation
Answer- A - As the physician is about to defibrillate a patient the nurse assisting should step back from the bed once the physician says “CLEAR”. This prevents the nurse or others from being defibrillated along with the patient. Shutting off the IV line has no useful purpose. All necessary interventions must resume after the shock has been given.
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