A client is having synchronized cardioversion for atrial fibrillation. What must the nurse confirm before the shock?

A. The client is holding the side rails
B. The client is not sedated
C. The defibrillator is set to unsynchronized
D. The synchronize mode is turned on

Show answer and rationale

Correct answer: D

Synchronization times the shock with the R wave to avoid the vulnerable period that could cause ventricular fibrillation. Clients are sedated and no one touches the bed.

Source: AHA. Guidelines for CPR and ECC (electrical therapy)

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This question is one of 113 Reduction of Risk Potential items in NCLEXSim. On the NCLEX-RN, this category makes up 9–15% of the exam.

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A client is having synchronized cardioversion for atrial fibrillation. What must the nurse confirm before the shock?

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