NCLEX-PN® ExaminationSafety and Infection ControlMedium
An LPN is preparing to use an automated external defibrillator (AED) on a client experiencing sudden cardiac arrest. After attaching the pads, the AED advises 'SHOCK ADVISED'. What is the next immediate action the LPN should take?
- ACheck the client's pulse to confirm cardiac arrest.
- BContinue chest compressions while the AED charges.
- CEnsure everyone is clear of the client before delivering the shock.
- DImmediately press the 'shock' button.
Show answer & explanationAnswer & explanation
Correct answer: C. Ensure everyone is clear of the client before delivering the shock.
After the AED advises 'SHOCK ADVISED', the critical next step is to ensure that no one is touching the client to prevent accidental electrocution. Only then should the shock be delivered.
Why the other options are wrong
- A. The AED has already analyzed the rhythm and determined 'SHOCK ADVISED', so rechecking the pulse at this stage is redundant and delays life-saving intervention.
- B. Chest compressions should be paused when the AED is analyzing and when delivering a shock, but resumed immediately after the shock.
- D. Pressing the shock button before clearing everyone is unsafe.
AED Operation Safety
Key safety steps to follow when operating an Automated External Defibrillator to prevent harm to rescuers and bystanders.
- Ensure client is dry and on a non-conductive surface.
- Apply pads correctly.
- Clear everyone before analysis and before shock delivery.
- Announce 'CLEAR!' loudly.
Memory trick: AED Shock? Clear the Area, Don't Be a Bear!