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    Sp26 504w advanced med surg proctored exam (Massachusetts college)

    A client who has undergone an Automatic Implantable Cardioverter Defibrillator (AICD) procedure asks the nurse about the purpose of this device. What is the nurse's best response?

    Explanation & Rationale

    A. To detect and treat ventricular tachycardia: An AICD continuously monitors the heart’s rhythm and delivers an electrical shock or antitachycardia pacing when it detects life-threatening ventricular arrhythmias such as ventricular tachycardia or ventricular fibrillation. Its primary function is to prevent sudden cardiac death by restoring a normal rhythm during these events. B. To detect and treat bradycardia: While some AICDs may have limited pacing capability, their main purpose is not to treat bradycardia. Bradycardia is more appropriately managed with a pacemaker rather than a defibrillating device. C. To shock your heart if you have a heart attack at home: The AICD does not detect myocardial infarction itself. It responds to arrhythmias associated with sudden cardiac arrest, not the ischemic event of a heart attack, and cannot prevent or treat the infarction. D. To monitor for normal sinus rhythm: Although the AICD continuously monitors the heart’s rhythm, its primary purpose is therapeutic intervention for dangerous arrhythmias, not passive rhythm monitoring. Monitoring is secondary to its life-saving function.

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