ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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The nurse is caring for a client with new onset of atrial fibrillation. The nurse anticipates that which of the following is a possible treatment for this dysrhythmia when it first develops?

External pacemaker application
Insertion of automatic internal cardiac defibrillator (AICD)
Synchronized cardioversion
Defibrillation.

Explanation

Answer - C - Synchronized cardioversion is most effective with new-onset atrial fibrillation. Pacemakers are indicted for heart block. AICDs are used for ventricular dysrhythmias and defibrillation is indicated for ventricular tachycardia.

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