ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

The nurse is preparing to defibrillate a pulseless adult client. Which action demonstrates safe, appropriate use of defibrillator?
  1. Apply the paddles to the right anterior and right posterior chest
  2. Do not take the time to remove nitroglycerine ointment
  3. Ensure that the device is placed on cardiovert
  4. Notify all beside personnel to stand clear immediately prior to defibrillation
Explanation
Answer - D - Defibrillation is the delivery of an electrical current to deporalize a critical mass of myocardial cells. Prior to defibrillation of a client, a verbal communication of an impending shock must be made to ensure that everyone is clear of contact with the client. Contact with client, bed, or equipment during the delivery of the shock could result in electrical injury to the person involved.
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