What should the nurse do first if she is caring for a client in the coronary care unit and the display on the cardiac monitor indicates ventricular fibrillation?
The correct answer is C: Assess for presence of pulse
Artifact can mimic ventricular fibrillation on a cardiac monitor. If the client is truly in ventricular fibrillation, no pulse will be present. The standard of care is to verify the monitor display with an assessment of the clients pulse.
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