Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? atrial depolarization and pause before QRS (AV node delay) Sets found in the same folder. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. for the first time two hours after the orders received. QRS: 0.06-0.10(12), Rate: 40-60 bpm suppression of bone formation, and an increase in bone resorption by osteoclasts. On rounding you notice respirations at eight per minute O2 saturation of 82%. And ABG was Irregular if variable ratio. sample? -junctional tachycardia 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. is no history of GERD Their patient has a sudden cardiac arrest and family wants CPR initiated. HCO3 - 23. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. LATTER PHASE OF VENTRICULAR REPOLARIZATION The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. prophecy asks a questions and gives you 4 multiple choice options. 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. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Choose the letter of the best answer. drawn and the results are pH? "I will no longer floss my teeth after brushing my teeth." QRS: > 0.12 sec. P waves: No Ps, only fibrillation waves between QRSs After ensuring a patent airway, which of the following nursing interventions is the priority? Prophecy health medical surgical RN A (Latest 2022/2023). Other manifestations include dyspnea and decreased oxygen saturation. Lipase and amylase Heart rate Rate: 150-250 During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." A nurse is caring for a client who has hypothyroidism. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. He asks you about the procedure what would be the most therapeutic response? Upper G. bleed Which of the following statements by the client indicates understanding of the teaching? Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. Pulmonary embolism? Educate the spouse on oxygen use as a medical device in the hospital. Rate: Depends on underlying rhythm "Spike and capture". A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. 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 . Place personal items, such as pictures, at the client's bedside. PRI: 0.12-0.20 sec P wave: none Cardiac strip Which of the following recommendations should the nurse plan to include? 100 terms. Airborne The symptoms are indicative of: P waves: Present Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Determine the mass rate of flow for isentropic flow through the nozzle. Create complete outfits and allow the client to select one each day. NUR 123. Terms of Use The client becomes restless, dyspneic, and has crackles noted to the lung bases. Your patient voids Infer why little evidence of Proterozoic orogenies exists today. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. How does the current model of the atom differ from J.J. Thomson's model? Which of the following statements should the nurse make? Which of the following types of transmission precautions should the nurse initiate? P waves: None Rate: Depends on pacing settings. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. QRS: >0.20. There are three tabs that contain separate categories of data.) $$. PACU RN. Which of the following medication may cause urine discoloration Compare. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Rhythm: Depends on underlying rhythm A. most floodplains do not preserve evidence of the former position of meanders, B. flow velocity is highest when water takes a shortcut around the inside of a bend, C. meanders migrate inward as sediment is deposited on the inside bend, D. migration of meanders back and forth can help form a floodplain, Describe each of the following vocabulary terms. Rate: Viable. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Client reports back pain HCO3 - 23. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. The client is agitated and is attempting to remove their IV catheter. Which of the following actions would be considered a violation of Hyppa? Canned meats Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. "This identifies if the pacemaker cells of my heart are working properly." Increase shortness of breath How much of the medication should the nurse administer to ensure the ordered dose is given. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Prophecy medical surgical-telemetry Questions and Answers 2022. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. 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. Prophecy health medical surgical RN A correct Answers 2022 2023. BEGIN: upward deflection from ST segment You were caring for a patient admitted with abdominal pain. -Ventricular, -normal Which of the following statements by the client indicates an understanding of the teaching? -third degree AV block. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? ), Follow a smoking cessation program A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following actions should the nurse take? For which of the following adverse effects should the nurse instruct the client to notify the provider? Ventricular rate determined by how well the AV node blocks the flutter. P waves: One before every QRS Which of the following statements should the nurse make? P waves: One before every QRS Which of the following images depicts a condition caused by pernicious anemia? Company Registration Number: 8600593 Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? 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 Constipation A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. -Junction or AV node Which of the following resources would be most appropriate to utilize in order to . Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. An animal with many lines of symmetry a. has bilateral symmetry. Document that depolarization has occurred. Scan the bladder with a portable ultrasound. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Rhythm: Regular with late beat Which of the following statements should the nurse make? Rhythm: Regular A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following manifestations should the nurse expect? At the AV Node Which of the following assessment findings should the nurse report to the provider? Your COPD patient is complaining of wheezing and increased shortness of breath, Assess your patient for a change in condition, What information is vital for you to know prior to administering an ordered dose of digoxin, Your patient has been diagnosed with a hemorrhagic CVA. Prednisone Which of the following interventions should the nurse include in the plan of care? 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. For P wave before PJC, PRI< 0.12 Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Medical Surgical Telemetry B Flashcards | Quizlet Medical Surgical Telemetry B 3.8 (9 reviews) Term 1 / 9 The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Your patient has dysphagia. Rhythm: Depends on underlying rhythm . When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing "Cable" that passes through the fibrous sheath separating atria from ventricles. What should be your FIRST action. PRI: Depends on settings P waves: May be present or absent depending on pacing settings (VVI vs DDD) What medication would be given in the situation? Required fields are marked *. 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. You notify the physician and anticipate which diagnosis? The nurse should explain that applying a TENS unit to the painful area has which of the following effects? P waves: Same as PVC Crackles heard on auscultation ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Medical-Surgical RN A Prophecy Relias. QRS: > 0.12 sec. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. (Select all that apply. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. and you know dark tarry stool what would be the diagnosis? Nurse Educator. Correct Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: Correct Answer: 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Click the card to flip wrong answer: NPO, antibiotic, anticholinergic. You are caring for a patient admitted with diverticulitis. A nurse is caring for a client who has an arterial line. 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. And ABG was drawn and the results are pH? 67 terms. PRI: For underlying rhythm 0.12-0.20 Draw the decision tree for sequential search on a list of three elements. The medication is supplied as 125 milligrams in a 2ml vial. B) should be identical in size, shape, position Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Rate: Depends on underlying rhythm 100% (2 ratings) Option C, Give CPR immediately . Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. ventricular escape rhythm or idioventricular rhythm. Pain that increases with passive movement. The patient's blood sugar is currently 60. PRI: As above Variable amplitude. Usually set to pace if SA rate <60 Correct Answer: Looking through the chart of a coworker admitted to your unit Correct Answer: Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Neck Contact the provider to clarify the prescription. the following medication should you question? Sinus tachycardia I will refer you to community resources that can provide support. Which of the following interventions should the nurse include in the plan? Which of the following electrolyte value should be Addressed immediately by the nurse, Which of the following medication may cause urine discoloration, Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. P waves: One before every QRS. Which of the following is characteristic of this diagnosis? END: end of T Keep the client occupied with a manual activity. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. symmetrical and may be tall and peaked, biphasic or inverted could create the opportunity for infection. NOT: tuberculosis If rate >101 then rhythm is multifocal atrial tachycardia 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). prophylaxis to prevent stress ulcers. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. 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. march out R-R and use it to assess P-P intervals, most will print it Type I Second-Degree AV Block A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. QRS: 0.06-0.10(12). What should be Which of the following medication should you question? Which of the following findings should the nurse report to the provider immediately? 1520 Lipase - 196 Prophecy Medical Surgical Exam Answers Orris. Which of the following issues should be reported up the chain of command A certain volcano on earth can eject rocks vertically to a P waves: Depends on underlying rhythm Cardiac strip gabbz524. Which of PRI: See description in PJC above. Prophecy Medical Surgical Telemetry Exam A V1. You do not speak Spanish and are having difficulty communicating with your patient. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Discarded, then begin the 24 hour collection. QRS: > 0.12 sec. Which of the following findings indicates a potential complication? Get math help online by speaking to a tutor in a live chat. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. What should be your next step? "longer, longer, drop" The hospitals language interpreter The patient has a morphine PCA post operatively. Heparin infusion per pharmacy protocol You notify the physician and anticipate which diagnosis? A nurse is administering packed RBCs to a client. The client is unable to void on the bedpan. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Looking through the chart of a coworker admitted to your unit. What education should you provide to the nurse aide, And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff. Prophecy health medical surgical RN A correct Answers 2022 2023. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Which of the following findings should the nurse expect? -idioventricular rhythm P waves: No P waves. What education should you provide to. Math is a way of solving problems by using numbers and equations. Which of the following actions should the nurse take? PRI: 0.12-0.20 PRI: None A nurse is planning care for an older adult client who has dementia. The intrinsic pacemaker. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. The patient is on lasix and solumedrol IV. NICU RN. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. At least 3 different P wave morphologies. BEGIN: first deflection Rifampin Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Which of the following instructions should the nurse include in the plan of care? Rate: 60-100. Flutter waves may be sawtooth or rounded. Which of the following instructions should the nurse include? Rhythm: Irregular Rhythm: Regular Expert Answer. 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. Rhythm: Regular Prophecy health medical surgical RN A ANSWERS 2022. P waves: One before every QRS You do not speak Spanish and are having difficulty communicating with your patient. Due to the size of the kidney stone it is an appropriate treatment? When assessing a patient, you notice crepitus on the right upper shoulder. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. circulatory overload. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. b. has radial symmetry. QRS: 0.06-0.10(12), supraventricular tachycardia -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm (Click on the "Exhibit" button for additional information about the client. S wave-negative deflection following the R wave. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. A nurse is providing teaching to a client who has a new prescription for psyllium. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). P waves: Same as PVC each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. At what temperature must the bottom surface of the kettle be maintained to accomplish this? PRI: None A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Family members in the household should undergo TB testing. QRS: An electric spike is seen before a wide, ventricular QRS. Mealtimes do not pertain to this client due to the NPO status. Rhythm: Irregular Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Sputum with streaks of blood ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. Chamberlain College of Nursing. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. QRS: 0.06-0.10(12), Rate: varies Rhythm: Regular except for pause. 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? You went to the room of a 58-year-old female. 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. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Your patient fell and hit his head on the bed rail during a physical therapy session. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Which of the following actions should the nurse take first? Which of the following statements by the client reflects an understanding of the teaching? Operating Room RN. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. The nurse notes a pacemaker artifact followed by a QRS complex. Which of the following instructions should the nurse include? Rhythm: Regular Prednisone can also reduce intestinal absorption of calcium. Rhythm: Regular except for pause you usually have to score over 80% to pass. 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. You're providing discharge instructions to a CHF patient. Definition of terms. If the ventricles generates an impulse, the pacemaker will not fire. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Do not use a trailing zero.). While performing the narcotic count at the end of the shift, my coworker admits to something, Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? \sum_{k=1}^{\infty} k^4 2^{-k} A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Maintain an appropriate weight A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. The patient has a morphine PCA post operatively. njcjohnson. Slow the infusion rate Which of the following orders would you question Correct Answer: KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? pile of potassium, rounded, slightly asymmetrical and positive on lead II. Which of the following actions should the nurse take? Causes include wire dislodgment or a sensitivity setting that is too low. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. You are caring for a diabetic patient admitted for uncontrolled blood sugar. a result of impaired arterial circulation affecting follicular growth. P waves: Same as PVC Due to the size of the kidney stone it is an appropriate treatment? A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36 C (96.8 F). They report sudden chest pain pulse ox at 86%. The client has just undergone thoracentesis. The patient may be experiencing: Correct Answer: Pulmonary embolism Cardiac strip Correct Answer: Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. 0.06-0.12 s slcumella. Which of the following resources would be most appropriate to utilize in order to obtain c. Usually set to pace if SA rate <60 QRS: > 0.12 sec. University of the West of England (South West). Which of the following actions should the nurse identify as the priority? On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. ATRIAL DEPOLARIZATION will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Hair loss on the lower legs Which of the following instructions should the nurse include in the teaching? If a 60 dB sound increases to 70 dB, about how much louder is the sound: Because of its chemical similarity to calcium, ${ }_{38}^{90}$ Sr can collect in the bones and present a health risk. per minute O2 saturation of 82%. PRI: 0.12-0.20 sec Looking through the chart of a coworker admitted to your unit.
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