Progressive Care Nursing Certification (PCCN) Practice Exam

What is the recommended intervention for a patient experiencing symptomatic supraventricular tachycardia (SVT)?

1. Synchronized cardioversion

2. Administration of oral beta-blockers

3. Increased fluid intake

4. Immediate angioplasty

The correct answer is: Synchronized cardioversion

In cases of symptomatic supraventricular tachycardia (SVT), the primary goal is to rapidly restore normal sinus rhythm to alleviate any symptoms the patient may be experiencing, such as palpitations, dizziness, or chest pain. Synchronized cardioversion is the preferred intervention for this situation because it allows for the delivery of a controlled electrical shock to the heart, safely converting it back to a normal rhythm. Synchronized cardioversion is particularly effective in treating SVT as it is aimed specifically at the atrial and junctional rhythms, minimizing the risk of inducing ventricular fibrillation. The procedure is generally quick and can provide immediate relief from the distressing symptoms associated with SVT. Additionally, it ensures that the heart functions correctly, preventing potential complications such as decreased cardiac output and hemodynamic instability. Other interventions, while useful in different contexts, do not provide the same rapid efficacy for acute symptomatic SVT. For instance, the administration of oral beta-blockers is typically a more long-term management strategy and is not ideal in acute settings where immediate action is necessary. Increased fluid intake may be helpful in certain clinical scenarios but is not a direct intervention for managing SVT. Immediate angioplasty is indicated for coronary artery issues rather than SVT