ECG Question #18
Question
The nurse is caring for a client following exploratory laparotomy. Blood pressure is discernable at 32 mm Hg systolic. Although activity is seen on the electrocardiogram (ECG), the nurse is unable to obtain a pulse. Which priority action(s) should the nurse initiate? (Select all that apply.)
Answers
- Begin cardiopulmonary resuscitation (CPR)
- Rationale:
- Provide defibrillation
- Rationale:
- Administer epinephrine
- Rationale:
- Provide synchronized cardioversion
- Rationale:
Overview
Explanation
This client is experiencing pulseless electrical activity (PEA). The most common causes of PEA are hypovolemia and hypoxia. The nurse must perform a pulse assessment in order to identify PEA. Similar to asystole, PEA is treated by CPR, defibrillation, and epinephrine however cardioversion is contraindicated.
Learning Outcomes
Test Taking Tip