hard · NCLEX-RN risk-reduction

The nurse is planning care for the client. Which interventions should be included in the immediate plan of care? Select all that apply. Apply the response specifically to this case: client with an ICD receiving repeated shocks, requiring differentiation of shock storm from inappropriate therapy, emergency assessment, electrolyte review, and electromagnetic-interference teaching.

1. Obtain a clinical ring magnet to place over the ICD generator to temporarily suspend tachyarrhythmia detection.
2. Initiate continuous cardiac telemetry and ensure a defibrillator with external pacing pads is at the bedside.
3. Administer ordered oral potassium and magnesium supplements to correct the baseline electrolyte deficiencies.
4. Immediately administer a 150 mg IV amiodarone bolus over 10 minutes to suppress potential ectopy.
5. Prepare the client for urgent transport to the radiology suite for an unmonitored chest CT scan.

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