Which assessment finding would indicate an emergency? Rhythm: None for the first time two hours after the orders received. PRI: None Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. A nurse is providing education to a client who is at risk for osteoporosis. Heart rate 52/min The Not: start CPR (elaborations) - Prophecy medical surgical-telemetry 2022 7. Sputum with streaks of blood For example, a VVI 60. per minute O2 saturation of 82%. Your patient has dysphagia. Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take? He asks you about the procedure what would be the most therapeutic response? Which of the following findings should the nurse expect? Document that depolarization has occurred. -Ventricular, -normal It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. PRI: When present they are all the same. As you inflate a balloon, the patient complains of discomfort what is the best action? Mathematics is the study of numbers and their relationships. The client is agitated and is attempting to remove their IV catheter. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Contact the provider to clarify the prescription. NUR 123. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. -junctional tachycardia Prophecy medical surgical-telemetry exam test Questions And Answers. Rate: Depends on pacing settings. You find that the patient's cardiac monitor shows Restlessness The pacer begins pacing when the HR is 60 or below. place a pressure bag around the flush solution. Patient is admitted for shortness of breath. $$. I am ready to die." A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. -accelerated junctional rhythm "Increase fiber intake to avoid constipation." Company Registration Number: 8600593 226 Math Experts 3 Years in business . Pharmacology LPN - Acute. There are three tabs that contain separate categories of data.) P waves: P wave before PAC looks different than Ps of the underlying rhythm. Popular books. Rate: Depends on pacing settings. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? QRS: An electric spike is seen before a wide, ventricular QRS. Calculate the 12 hour intake for a patient that has received the following during your shift: This can be due to lead dislodgement. When there is no history of GERD, Protonix is given as G.I. march out R-R and use it to assess P-P intervals, most will print it Hair loss on the lower legs reasons: electrolyte imbalances, left vent hypertrophy, medications. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Increase shortness of breath PRI: If P wave is present before QRS, < 0.12 sec. Assess your patient for a change in condition Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Which fires first is easily detected on an ECG, premature junctional complex Rhythm: Regular P waves: May be present or absent depending on pacing settings (VVI vs DDD) A nurse is administering packed RBCs to a client. View the full answer. If not, reach through the comment section. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Type I Second-Degree AV Block When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. Which of the following instructions should the nurse include? College Physics Raymond A. Serway, Chris Vuille. prophylaxis to prevent stress ulcers. Which of the following findings indicates a potential complication? Which of the following findings should indicate to the nurse that the client's condition is improving? What medication would be given in the situation? A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Rhythm: Regular except for the PVCs QRS: > 0.12 sec. incompatible blood products and create a systemic inflammatory response. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Which of the following PPE is required for the staff entering a patient's room who has been diagnosed with pneumonia and is positive for MRSA, You enter your patient's room and find the patient unresponsive and without a pulse. identify crackles as a manifestations of pulmonary edema and notify the provider. There are two left bundle branches and one right. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". At what temperature must the bottom surface of the kettle be maintained to accomplish this? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Ibuprofen can cause gastrointestinal bleeding in older adult clients. prophecy asks a questions and gives you 4 multiple choice options. What medication would be given in the situation? On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Lipase and amylase Your patient voids for the first time two hours after the orders received. PRI: None Laryngeal strider small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds The client has just undergone thoracentesis. A nurse is reviewing the ABG results of a client who has advanced COPD. a result of impaired arterial circulation affecting follicular growth. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. The client becomes restless, dyspneic, and has crackles noted to the lung bases. You do not speak Spanish and are having difficulty communicating with your patient. P waves: Present throughout strip You're caring for a 12 hour postoperative parathyroidectomy patient. 2: Calculate the heart rate. Which of the following instructions should the nurse include? When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: Protecting the patient's head and extremities from contact with surrounding objects. What is most likely to be ordered? Prophecy medical surgical-telemetry Flashcards | Quizlet Science Medicine Surgery Prophecy medical surgical-telemetry 4.7 (25 reviews) Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Transcribed image text: Medical Surgical-Telemetry A v1 Question 21 of 60 Time Remaining 41:47 You are on the old me You to the shown to what to be your FIRST Calcode SCP You were that to FASTAFF (US.ing Corporation Main Once checy Avrigt Adediche 29 tv 8 . The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. A coworker arriving to work under the influence of alcohol QRS: 0.06-0.10(12), second degree AV block type II or morbitz II or classic, Rate: Atrial rate>ventricular due to dropped QRSs depends on HR, QT less than half R-R, usually <.44 seconds. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. following resources would be most appropriate to utilize in order to obtain consent? -nonconducted premature atrial contraction Prophecy health medical surgical RN A (Q&A)2022, Prophecy health medical surgical RN A ANSWERS 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Exam Answered 2023, Nursing Medical Surgical Exam 126 Best Exam Solution With Latest Updates 2022/2023, NUR 372 Medical Surgical Q and A with Explanations Latest update 2022/2023 Rated A+ Assure, Targeted Medical-Surgical: Endocrine Exam latest 2023, Medical surgical Nursing critical care exam 3 Latest 2023. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Test Bank for Medical Insurance 8th Edition By Valerius-26, Identifying ethical principles:Basic concept ATI ALT, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021. Pain that increases with passive movement. Endoscopy-GI Lab Medical Surgical-Telemetry. 3: Identify and examine P-Waves. Prophecy Medical Surgical Exam Answers - Orris. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. What is the first sign of increased intracranial pressure? Rifampin Rhythm: Regular with late beat Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye, You're a king for a patient who is postop after surgical removal of fibroids. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? 100 terms. A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. (Move the steps into the box on the right, placing them in the selected order of performance. (Click on the audio button to listen to the clip.). Which of the following findings is the nurse's priority to report to the provider? >0.20 if ventricular escape rhythm present. wrong answer: Report any visual disturbances immediately while on the medications. Which of the following information should the nurse include in the instructions? A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. As you inflate a balloon, the patient complains of discomfort what is the best action? Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. A nurse is teaching a client about osteoporosis prevention. You are caring for a patient with a lower GI bleed. Which of the following instructions should the nurse include in the plan of care? Which of the following actions should the nurse anticipate taking? Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics The nurse is taking care of a patient who is terminally ill and has a DNR on file. First-Degree AV Block Potassium 2 mEq/L any type of inflammatory process, such as osteomyelitis. Create complete outfits and allow the client to select one each day. NUR 4201. . You are caring for a diabetic patient diagnosed with CHF. Do you notice the spouse adjusting the oxygen on the Rhythm: May be irregular due to changing pacer foci. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? 111 0 obj <>stream Your patient began deteriorating rapidly after complaining of shortness of breath. When taking care of a patient with pancreatitis, which of the following lab shoul. Rhythm: Regular They report sudden chest pain pulse ox at 86%. You do not speak Spanish and are having difficulty communicating with your patient. You were caring for a patient admitted with abdominal pain. current traveling quickly down the His and purkinjes, bypass pathway or the impulse origin was ectopic and close to the AV node, QRS complex normal length and characteristics. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. sick sinus syndrome, Rate: 60-100 bpm Which of the following actions should the nurse identify as the priority? A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. A nurse is providing teaching to a client who has AIDS. Rhythm: Irregular Rhythm: Regular Prophecy Healthcare Annual Education Modules Conti. Save my name, email, and website in this browser for the next time I comment. Scan the bladder with a portable ultrasound. You will need to stay still in the bed during each treatment session. Airborne A patient suddenly complains of new onset of chest pain. On rounding you notice respirations at eight You were caring for a patient admitted with abdominal pain. If the current is running at an angle to the field, the angulation is seen as so much positive and so much negative depending on how parallel and perpendicular the current vector is to the field. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Morphine Duramorph, oxygen, nitrates, P waves: none -ventricular standstill The nurse should anticipate the surgical incision to be in which of the following locations? each small box = 0.04 seconds What should be your FIRST action. At the Bundle of His B) should be identical in size, shape, position R wave-tall positively deflected wave in lead II. A nurse is reviewing the laboratory results of a client who has aplastic anemia. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Rhythm: Regular Aim. asystolye, what should be your first action? Prophecy medical surgical-telemetry (Latest 2022/2023), Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Medical-Surgical RN A Prophecy Relias (Latest 2022/2023) DownLoad to Score A, Prophecy medical surgical-telemetry Questions and Answers 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Prophecy RN Pharmacology A (Latest 2022/2023) Already Graded A, Prophecy- Core Mandatory Part II (Nursing) (Latest 2022/2023) Graded A, Medical-Surgical RN A questions and answers latest 2022, Prophecy PACU RN A v1 correct Answers latest 2022 /2023. QRS: 0.06-0.10(12) should be flat and horizontally lined up with baseline of PRI . Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Rhythm: Regular if ratio of flutter wave to QRS is regular. It is now 1900. A nurse is caring for a client who is receiving a blood transfusion. If the ventricles generates an impulse, the pacemaker will not fire. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. PRI: 0.12-0.20 sec Rate: 60-100. Keep a lead-lined container in the client's room. Which assessment finding would indicate an emergency? Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. A nurse is caring for a client who has DKA. Slow the infusion rate P waves: No Ps, only fibrillation waves between QRSs A nurse is assessing a client who is postoperative following a thyroidectomy. %PDF-1.6 % Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. END: end of T P waves: Same as PVC Rhythm: Depends on underlying rhythm A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Classifications When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing diagnosis what should you instruct the patient to avoid? A nurse is planning care for a client who is postoperative following a parathyroidectomy. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. And ABG was drawn and the results are pH? Prophecy health medical surgical RN A (Latest 2022/2023). Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Spinach Rhythm: Regular except during PJC. The client becomes restless, dyspneic, and has crackles noted to the lung bases. A nurse is assessing a client who has peripheral arterial disease. 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QRS: 0.06-0.10(12), supraventricular tachycardia suppression of bone formation, and an increase in bone resorption by osteoclasts. Maintain an appropriate weight A nurse is preparing to administer a blood transfusion to a client who has anemia. "longer, longer, drop" QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. HCO3 - 23. You're reviewing the menu list of a patient on Warfran what food should they not eat? Which of the following medication should you question? Mealtimes do not pertain to this client due to the NPO status. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? You do not speak Spanish and are having difficulty communicating with your patient. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Rate: 20-40 bpm P waves: No P waves. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions Sets found in the same folder. NOT: increased salivation. "This identifies if the pacemaker cells of my heart are working properly." Rhythm: Regular and you know dark tarry stool what would be the diagnosis? -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. A nurse is planning a health promotional presentation for a group of African American clients at a community center. ), AdminiSTER o2 Prepare to suction the client's airway. No progressively longer pattern. Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. A nurse is caring for a client who has terminal cancer. Protonix is given as G. prophylaxis to prevent stress ulcers The degree of perpendicular can also be seen as a decrease in amplitude only. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Repair of the diverticulum is accomplished through an open incision in the client's neck. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Which of the following information should the nurse provide? Nurse Educator. PRI: 0.12-0.20 sec Which of the following instructions should the nurse include? ATRIAL DEPOLARIZATION Your email address will not be published. Exam Objective: To measure the overall clinical knowledge of the. Oncology. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream Which of the following instructions should the nurse include in the teaching? ashley_hope_spicer. Compress the drain, then plug the bulb to establish suction. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Which of the following educational topics would be appropriate for you to include as part of patient teaching? P waves: One before every QRS Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. A certain volcano on earth can eject rocks vertically to a Looking through the chart of a coworker admitted to your unit. cardiac rhythm wall and she states "she always takes care of my husband" what would be an appropriate On rounding you notice respirations at eight per minute O2 saturation of 82%. "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. Pulmonary embolism? Which of the following instructions should the nurse include? Your patient began deteriorating rapidly after complaining of shortness of breath. You went to the room of a 58-year-old female. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? Rhythm: Regular The provider might prescribe a diuretic to alleviate the fluid overload. Usually set to pace if SA rate <60 -junctional rhythm Sinus rhythm with PAC Heparin infusion per pharmacy protocol Which of the following is the most appropriate intervention Correct Answer: Have the patient drink 120 ML's of orange juice Correct Answer: Ventricular tachycardia Correct Answer: Normal sinus rhythm Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Required fields are marked *. You were caring for a patient who is 18 hours postop after a right BKA a. Manifestations include low back pain, hypotension, tachycardia, and apprehension. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Prednisone can also reduce intestinal absorption of calcium. Get math help online by speaking to a tutor in a live chat. 100% (2 ratings) Option C, Give CPR immediately . P waves: One before every QRS P waves: One before every QRS. The symptoms are indicative of: Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following issues should be reported up the chain of command Appears to be twisting around a point. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Patterns: Bi and trigemeny, couplets and triplets. Determine the mass rate of flow for isentropic flow through the nozzle. Which of the following electrolyte value should be Addressed immediately by the nurse Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The patient is lying in a supine position. Client reports back pain complains of discomfort what is the best action? A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm (Select all that apply.). NUR. Which assessment finding ), Calf pain Due to the size of the kidney stone it is an appropriate treatment? Neck Winston-Salem State University. QRS: None. Drink 240 mL (8 oz) of water after administration. Narcan NOT:Print reading materials about the subject and give it to the patient (Select all that apply. help prevent constipation, which is a common adverse effect of oral iron supplements. Their patient has a sudden cardiac arrest and family wants CPR initiated. Med Surg 2 - Medical surgical study materials LATEST. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Rhythm: Regular PRI: As above What information is vital for you to know prior to administering an ordered dose of digoxin Numbness in the arms A nurse is caring for a client who has an arterial line. . To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). After three negative sputum cultures, the client is no longer considered infectious. Long refractory periods potentiates the risk for multifocal VT or Torsades Which of the following should the nurse plan to administer? A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. and it will give you the questions you missed and your incorrect answer. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Initiate IV therapy V-Tach $$ Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Cardiac strip Sinus tachycardia the following medication should you question? NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. You observe that the patient is non-compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. Medical Surgical Rn A Prophecy Quizlet Prophecy Medical Surgical Telemetry Exam A V1 AnswersYour patient has symptomatic anemia but is refusing a blood transfusion for religious reason. -atrial fibrillation. Prophecy PACU RN A v1 correct Answers latest 2022 2023. Which of the following statements should the nurse make? pile of potassium, rounded, slightly asymmetrical and positive on lead II. would indicate an emergency? They report sudden (Select all that apply. A nurse is assessing a client who has diabetes insipidus. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? They report sudden chest pain pulse ox at 86%. to reduce the risk for thromboembolism and promote venous return. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following admission orders would you expect for this patient? Dietary considerations 2. P waves: None Your patient has been diagnosed with a hemorrhagic CVA The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. What should be done with this urine sample? Which of the following findings should the nurse report to the provider? S wave-negative deflection following the R wave. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle.
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