Dysrhythmias: Interpretation and Nursing Actions · NCLEX Exam

What is the immediate action for a patient presenting with rapid, wide QRS complex at 200/min without a palpable pulse?

  1. Give a rapid adenosine IV push
  2. Prepare for synchronized cardioversion
  3. Begin unsynchronized defibrillation with CPR
  4. Obtain a 12-lead ECG before any intervention
Show answer and explanation

Correct answer: Begin unsynchronized defibrillation with CPR

A pulseless wide QRS tachycardia at ~200 suggests ventricular tachycardia without pulse; unsynchronized defibrillation and CPR are indicated emergently.

Difficulty: Hard Question 3 of 20

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