Dysrhythmias: Interpretation and Nursing Actions · NCLEX Exam

What is the priority nursing action immediately post-procedure when a patient’s rhythm converts from atrial fibrillation to normal sinus rhythm following cardioversion?

  1. Remove the ECG leads and discontinue monitoring
  2. Continue ECG monitoring and anticoagulation; watch for recurrence or emboli
  3. Reassure the patient that no further care is required
  4. Observe only the catheter insertion site for bleeding
Show answer and explanation

Correct answer: Continue ECG monitoring and anticoagulation; watch for recurrence or emboli

After cardioversion of A‐fib, there is a risk of recurrent dysrhythmia, thromboembolism, and monitoring remains crucial; anticoagulation and rhythm monitoring continue.

Difficulty: Hard Question 10 of 20

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