A client in atrial fibrillation has HR 160/min, BP 78/46 mmHg, cool clammy skin, and altered mental status. Which intervention is the priority?

Question

Accepted Answer

B. Prepare for synchronized cardioversion — This client is unstable (hypotension/altered mental status). Unstable tachyarrhythmias require immediate synchronized cardioversion per ACLS principles.

Answer

A. Start an IV diltiazem drip

Answer

C. Have the client perform vagal maneuvers

Answer

D. Give oral metoprolol and recheck in 1 hour