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Question 9 of 20 A nurse is preparing to defibrillate a client brought into the emergency department in ventricular fibrillation (VF) using an automatic external defibrillator (AED). After picking up the pads, what is the nurse's next action? Wipe the chest with a dry towel. Place the pads on the the client's chest per pictorial instructions. Analyze the heart rhythm to determine if the client requires a shock. Call out "Clear!" and press the button to deliver a shock. SUBMIT ANSWER

Ask by Lindsey Ray. in the United States
Jan 19,2025

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Answer

The nurse should place the pads on the client's chest according to the pictorial instructions.

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In the scenario described, the nurse is preparing to use an automatic external defibrillator (AED) on a client in ventricular fibrillation (VF). The correct sequence of actions is crucial for effective defibrillation. 1. **Wipe the chest with a dry towel**: This step is important to ensure good contact between the pads and the skin, but it is not the immediate next action after picking up the pads. 2. **Place the pads on the client's chest per pictorial instructions**: This is the next logical step after picking up the pads. Proper placement of the pads is essential for effective defibrillation. 3. **Analyze the heart rhythm to determine if the client requires a shock**: This action is performed after the pads are placed on the chest. The AED will automatically analyze the rhythm once the pads are in place. 4. **Call out "Clear!" and press the button to deliver a shock**: This step occurs only if the AED indicates that a shock is needed after analyzing the rhythm. Given this sequence, the nurse's next action after picking up the pads should be to **place the pads on the client's chest per pictorial instructions**.

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Bonus Knowledge

Before attaching the AED pads, it's crucial to ensure the chest is dry to facilitate proper pad contact and effective shock delivery. Wiping the chest with a dry towel not only prevents any interference from moisture but also ensures that the pads adhere firmly, increasing the chances of a successful defibrillation in the chaotic heart rhythm of ventricular fibrillation. Once the pads are on the client's chest, the AED will automatically analyze the heart rhythm to determine if a shock is needed. The device is designed to ensure safety and effectiveness, so it won't shock unless necessary. It's essential to stay clear and keep all bystanders away during this analysis phase, highlighting the importance of teamwork in emergency situations!

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