A hospitalized client has continuous ECG monitoring and the monitor shows that the rhythm has changed to ventricular tachycardia. Which of the following is the first action that the nurse should take?
A)Administer intravenous lidocaine according to emergency protocol
B)Obtain the defibrillator and defibrillate the client
C)Quickly assess the client's level of consciousness, blood pressure, and pulse
D)Administer a precordial thump

Question

Quizplus · Accepted Answer

The best first action is to assess the client's level of consciousness and assess if the ventricular tachycardia is perfusing the body (BP, pulse). With pulseless ventricular tachycardia, immediate defibrillation (Choice B) is performed by an ACLS certified nurse. If the client has good BP and pulse, is awake, and is alert, the nurse may administer lidocaine as prescribed (Choice A) or in some cases, administer a precordial thump (Choice D).

A Hospitalized Client Has Continuous ECG Monitoring and the Monitor