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

  1. Begin cardiopulmonary resuscitation (CPR)
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  2. Provide defibrillation
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  3. Administer epinephrine
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  4. Provide synchronized cardioversion
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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

Video Rationale