Question

A nurse is caring for a client who experienced defibrillation. Which of the following should be included int he documentation of this procedure? (Select all that apply.)

A. Follow-up ECG
B. Energy settings used
C. IV fluid intake
D. UO
E. Skin condition under electrodes

Answer 1

When documenting a defibrillation procedure, the nurse should include the follow-up ECG, energy settings used, urine output, and skin condition under electrodes.

Step-by-step explanation:

When documenting the procedure of defibrillation, the nurse should include the following in the documentation:

1. Follow-up ECG: This helps monitor the patient's heart rhythm after the defibrillation.
2. Energy settings used: The specific energy settings applied during the procedure are important to note.
3. Urine output (UO): Monitoring the UO is essential as defibrillation can impact fluid balance and kidney function.
4. Skin condition under electrodes: Assessing the skin condition beneath the electrodes is crucial to identify any potential burns or irritations.