On a telemetry unit, a client is awake and alert. What is the priority nursing action?

• A. Prepare the client for synchronized cardioversion.
• B. Notify the provider and prepare for CPR.
• C. Reassure and continue monitoring.
• D. Discontinue monitoring and discharge home.

Answer: (C)

Prioritizing care for a client on telemetry who is awake and alert means maintaining safety while continuing close observation. Since the patient is stable, the best immediate action is to reassure the patient and keep monitoring the heart rhythm and vital signs. This approach supports early detection of any sudden changes without introducing unnecessary interventions.

Cardioversion is reserved for a rapidly deteriorating, unstable rhythm, which isn’t indicated here. Notifying the provider and preparing for CPR would be the next steps only if the patient showed signs of decompensation. Discontinuing monitoring or discharging home would be unsafe while the patient remains on telemetry.

If the patient develops symptoms (chest pain, shortness of breath, dizziness) or the rhythm becomes unstable, escalate promptly by notifying the provider and preparing for possible intervention.