QRS: 0.06-0.10(12), Rate: Depends on pacing settings. The patient's blood sugar is currently 60. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. . What medication would be given in the situation? Didn't nurse ask you about the typical signs and symptoms of myocardial infarction, Women could have pain in their arm, neck, back or jaw, While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness. Your patient voids for the first time two hours after the orders received. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Rhythm: Regular if ratio of flutter wave to QRS is regular. Prophecy Medical Surgical Telemetry Exam A V1. A coworker arriving to work under the influence of alcohol 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. -Junction or AV node Your patient complains of not being able to urinate since 0500. You do not speak Spanish and are having difficulty communicating with your patient. Determine the mass rate of flow for isentropic flow through the nozzle. -accelerated junctional rhythm QRS: None. -SA node Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Your email address will not be published. You do not speak Spanish and are having difficulty communicating with your patient. 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? A nurse is planning care for a client who is scheduled for a thoracentesis. Your patient complains of not being able to urinate since 0500. I am ready to die." When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Which of the following information should the nurse include in the teaching? premature atrial contraction Pharmacology LPN - Acute. "longer, longer, drop" Which of the following actions should the nurse take? prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Prepare to suction the client's airway. Correct answer is ventricular fibrillation Client reports back pain gabbz524. Which of the following findings should the nurse identify as the priority? Rate: 60-100. Med Surg 2 - Medical surgical study materials LATEST. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). "Spike and capture". Patient is admitted for shortness of breath. Laryngeal strider -atrial flutter ventricular escape rhythm or idioventricular rhythm. patient's blood sugar is currently 60. Irregular if variable ratio. maximum height HHH. Which of the following disorders presents the greatest risk to this group of clients? Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Nurse Educator. Which of the following findings should the nurse identify as a manifestation of this condition? - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. A nurse is assessing a client who has diabetes insipidus. Prophecy EKG. Cardiac strip "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. Which of the following actions should the nurse take? The client becomes restless, dyspneic, and has crackles noted to the lung bases. P waves: One before every QRS coworker to sign for the ways that you did not witness Rhythm: Depends on underlying rhythm You notify the physician and anticipate which diagnosis? A PACU nurse is assessing a client who is postoperative following a right nephrectomy. PRI: 0.12-0.20 sec There are two left bundle branches and one right. Which of the following findings is the nurse's priority to report to the provider? p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. P waves: One before every QRS A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Aim. Patterns: Bi and trigemeny, couplets and triplets. -junctional tachycardia For example, a VVI 60. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Terms of Use amplitude 0.5-2.5 mm, 0.10 seconds or less, damaged atria (enlarged makes p wave look like an "m") or an impulse origin outside of the SA node (ectopic), Start: beginning of P Which of the following is characteristic of this diagnosis? Check for the type and number of units of blood to administer. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. Which of the following information should the nurse include in the teaching? PRI: None Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? The patient has a morphine PCA post operatively. $$ (Select all that apply.). 111 0 obj
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P waves: One before every QRS A nurse is caring for a client who has terminal cancer. PRI: None The client is agitated and is attempting to remove their IV catheter. Rate: Depends on underlying rhythm. Rate: Depends on pacing settings. Rifampin QRS: > 0.12 sec. Save my name, email, and website in this browser for the next time I comment. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Operating Room RN. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing If rate >101 then rhythm is multifocal atrial tachycardia Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Use a leading zero if it applies. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. The download is temporarily disabled. 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. Heparin infusion per pharmacy protocol Hair loss on the lower legs QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. each small box = 0.04 seconds Irrigate the indwelling urinary catheter. per minute O2 saturation of 82%. B. Looking through the chart of a coworker admitted to your unit. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Which of the following medication should you question? QRS: > 0.12 sec. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. PRI: None when QRSs are not present A nurse is providing teaching to a client who has a new prescription for psyllium. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). You do not speak Spanish and are having difficulty communicating with your patient. Which of the following should be implemented? Holding breath for 10 seconds after inhaling. You find that the patient's cardiac monitor shows asystolye, what should be your first action? >0.20 if ventricular escape rhythm present. BEGIN: beginning of Q On rounding you notice respirations at eight A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. 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. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 1520 Deposition has ordered for your patience to begin a 24 hour urine collection. and it will give you the questions you missed and your incorrect answer. Medical-Surgical B 5.0 (2 reviews) Term 1 / 75 Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Family members in the household should undergo TB testing. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? would indicate an emergency? When assessing a patient, you notice crepitus on the right upper shoulder. Usually set to pace if ventricular rate <60 Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. At the Bundle of His A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. You do LATTER PHASE OF VENTRICULAR REPOLARIZATION A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. QRS: 0.06-0.10(12). Rhythm: None After ensuring a patent airway, which of the following nursing interventions is the priority? QRS: 0.06-0.10(12), Rate: 60-100 bpm You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Use all the steps. Low back pain and apprehension Which of the following results should the nurse expect? Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. 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A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Which of the following statements by the client indicates understanding of the teaching? Rate: 150-250 You are caring for a diabetic patient admitted for uncontrolled blood sugar. You are caring for a patient with a lower GI bleed. While performing the narcotic count at the end of the shift, my coworker admits to something, count R waves during 6 seconds and multiply by 10, A) P should precede QRS Which of the following interventions should the nurse include in the plan? Prophecy PACU RN A v1 correct Answers latest 2022 2023. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. A nurse is caring for a client who has hypothyroidism. chest pain pulse ox at 86%. Due to the size of the kidney stone it is an appropriate treatment? Winston-Salem State University. Study with Quizlet and memorize flashcards containing terms like What should you assess regardless of age group?, The National Patient Safety Goal 6 is to And ABG was drawn and the results are pH? Which of the following instructions should the nurse include in the plan of care? BEGIN: upward deflection from ST segment Upper G. bleed PRI: 0.12-0.20 sec P waves: No P waves. Numbness in the arms Which of the following information should the nurse include in the teaching? You went to the room of a 58-year-old female. PRI: For underlying rhythm 0.12-0.20 sec. (Select all that apply. Rhythm: Regular 55 terms. Prophecy Medical Surgical Exam Answers Orris. should be flat and horizontally lined up with baseline of PRI 100 terms. Pulmonary embolism Your patient voids Stress ulcers P waves: No Ps, only fibrillation waves between QRSs Correct Answer: Aspirate the fluid, advance the catheter farther, then re-inflate the balloon When assessing a patient, you notice crepitus on the right upper shoulder. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Third-Degree AV Block, Rate: Depends on underlying rhythm A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. "Wires" that run down the septum and into the ventricles. 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. Don't suffer through your problems alone, help is always available. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. "I will avoid direct exposure to the sun.". Educate the spouse on oxygen use as a medical device in the hospital. QRS: 0.06-0.10(12), Rate: <60 bpm any type of inflammatory process, such as osteomyelitis. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. Type II Second-Degree AV Block A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Rhythm: Regular Due to the size of the kidney stone it is an appropriate treatment? njcjohnson. (Click on the audio button to listen to the clip.) We're available through e-mail, live chat and Facebook. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. PRI: None The medication is supplied as 125 milligrams in a 2ml vial. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? He asks you about the procedure what would be the most therapeutic response? Your patient has dysphagia. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Inherent rate is 40-60. Prophecy health medical surgical RN A correct Answers 2022 2023. -paroxysmal atrial tachycardia QRS: During standstill, no QRSs are present, Rate: None If an accessory pathway exists which by passes the AV node or if a reentry circuit occurs within the node, a tachyarrhythmia called PSVT can occur(more details later). University of California, Los Angeles . (Move the steps into the box on the right, placing them in the selected order of performance. Study Resources. Prophecy medical surgical-telemetry Questions and Answers 2022. slcumella. 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 . END: returns to isoelectric line prophylaxis to prevent stress ulcers. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Registered Nurse in the Medical. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Usually set to pace if SA rate <60 A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. "Ginkgo biloba can cause an increased risk for bleeding. For P wave before PJC, PRI< 0.12 You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. "Increase fiber intake to avoid constipation." suppression of bone formation, and an increase in bone resorption by osteoclasts. Rhythm: Irregularity associated with respiration phase. Other manifestations include dyspnea and decreased oxygen saturation. PRI: None Your inserting a urinary catheter into a male patient. You're caring for a 12 hour postoperative parathyroidectomy patient. Potassium 2 mEq/L Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. Flex the foot every hour when awake. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? PRI: If P wave is present before QRS, < 0.12 sec. Divides into the bundle branches. Study with Quizlet and memorize flashcards containing terms like b. 9 terms. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. An animal with many lines of symmetry a. has bilateral symmetry. They report sudden chest pain pulse ox at 86%. PVCs may be one shape or differ in shape due to multiple foci. -arrhythmia A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings is an indication of lung re-expansion? Rhythm: Regular Prophecy health medical surgical RN A correct Answers 2022 2023. How much of the medication should the nurse administer to ensure the ordered dose is given. Encourage the client to take deep breaths after the procedure. 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. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Which of the following statements made by the client reflects an understanding of the teaching? A kettle with a flat bottom 30 cm in diameter is available. Narcan depends on HR, QT less than half R-R, usually <.44 seconds. First-Degree AV Block constipation is an adverse effect of verapamil. PRI: 0.12-0.20 sec What medication would be given in the situation? e"'.~V,m5{b#&qH/BpUMysS\& #T4VW, YFz5#uRFFIf 78:H43\'n'MD'VB9dq~q1S4z:tjy=*q)&xLzQnKKM,#7&//z/cEJ0u\&
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What is the first sign of increased intracranial pressure? NUR. One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which occurs to compensate for blood loss. Normal: small, round, positive in lead II a result of impaired arterial circulation affecting follicular growth. incompatible blood products and create a systemic inflammatory response. morphology should be identical, based on its origin A nurse is assessing a client's hydration status. Rhythm: P waves regular, QRSs regular but at different rates. Which of the following actions should the nurse anticipate taking? blastocyst. Compare. Pain that increases with passive movement. Constipation QRS: 0.06-0.10(12) Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. You were caring for a patient admitted with abdominal pain. A nurse is teaching a client about osteoporosis prevention. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION time between the onset of ventricular depolarization and the end of repolarization Rhythm: Regular except for the PVCs Assess the patient What should be your next step? Medical-surgical practice exam. Parathyroidectomy 2. Which assessment finding would indicate an emergency? What education should you provide to. Which of the following should the nurse plan to administer? You may also like to know about: A nurse is admitting a client who has active tuberculosis. Slow the infusion rate circulatory overload. 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. Rhythm: Underlying regular except during PAC. QRS: 0.06-0.10(12), Rate: 101-180 bpm caused by elevated levels of hydrochloric acid in the stomach. 2: Calculate the heart rate. The provider might prescribe a diuretic to alleviate the fluid overload. "I can speak to the provider about incorporating acupuncture into your treatment plan.". On rounding you notice respirations at eight per minute O2 saturation of 82%. -junctional rhythm Dyspnea These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. The client tells the nurse, "I wish I could stop these treatments. Neck Place personal items, such as pictures, at the client's bedside. FLAG -bundle branch block The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! It is now 1900. Click the card to flip Definition 1 / 99 1200 mcg Click the card to flip Flashcards Learn Test Match Created by Easyliving1 Prophecy Test / Relias Learning Terms in this set (99) You notify the physician and anticipate which diagnosis? 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. ), AdminiSTER o2 Your patient has been diagnosed with a hemorrhagic CVA 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? Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Numbness can occur along the inside of the affected arm Eat a low-fat diet. to reduce the risk for thromboembolism and promote venous return. Aceticsalicylic acid, bayer buffered aspirin, You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Lipase and amylase Rhythm: Regular P waves: Present in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hr period. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Which of the following interventions should the nurse include in the plan of care? Your patient began deteriorating rapidly after complaining of shortness of breath.
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