Encourage the client to take deep breaths after the procedure. (Select all that apply. Rhythm: Depends on underlying rhythm A nurse is preparing to administer a blood transfusion to a client who has anemia. A kettle with a flat bottom 30 cm in diameter is available. Rhythm: Irregularity associated with respiration phase. P waves: See description in PJC above. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? The client is unable to void on the bedpan. Choose the letter of the best answer. Dietary considerations 2. Which of Which of the following findings should indicate to the nurse that the client's condition is improving? indicate that the nephrostomy tube is dislodged or clogged. -first degree AV block The symptoms are indicative of: Prophecy health medical surgical RN A correct Answers 2022 2023. Your inserting a urinary catheter into a male patient. 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. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. response? A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Divides into the bundle branches. Manifestations include low back pain, hypotension, tachycardia, and apprehension. wrong answer: Report any visual disturbances immediately while on the medications. S wave-negative deflection following the R wave. We're available through e-mail, live chat and Facebook. asystolye, what should be your first action? Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. -tachycardia It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. You notify the following resources would be most appropriate to utilize in order to obtain consent? ), AdminiSTER o2 Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Mealtimes do not pertain to this client due to the NPO status. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? slcumella. Slow the infusion rate circulatory overload. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following images depicts a condition caused by pernicious anemia? P waves: Present Prophecy health medical surgical RN A (Latest 2022/2023). While performing the narcotic count at the end of the shift, my coworker admits to something, Upper G. bleed "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Which of the following statements by the client indicates an understanding of the teaching? 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. PRI: If P wave is present before QRS, < 0.12 sec. Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following electrolyte value should be Addressed immediately by the nurse Calculate the 12 hour intake for a patient that has received the following during your shift: Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Perform a bladder scan EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Which assessment finding You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Prophecy health medical surgical RN A correct Answers 2022 2023. Scan the environment by turning your head from side to side.". B) should be identical in size, shape, position At what temperature must the bottom surface of the kettle be maintained to accomplish this? a result of impaired arterial circulation affecting follicular growth. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. A nurse is assessing a client who has peripheral arterial disease. P waves: Present 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. QRS: 0.06-0.10(12), -wandering atrial pacemaker Oncology. Infer why little evidence of Proterozoic orogenies exists today. Which assessment finding would indicate an emergency? QRS: 0.06-0.10(12), Rate: 101-180 bpm Which of the following resources would be most appropriate to utilize in order to obtain c. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Rhythm: Atrial regular, ventricular irregular d/t dropped beats 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. Refused to sign for the waste Normal sinus with VTach A nurse is assessing a client who has diabetes insipidus. 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The patient has a morphine PCA post operatively. Rhythm: Irregular A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. is no history of GERD When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in urinary output. Rhythm: Regular except for pause A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. Protecting the patient's head and extremities from contact with surrounding objects A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. PRI: 0.12-0.20 sec Constipation He asks you about the procedure what would be the most therapeutic response? 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. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Rate: 60-100. Which of the following statements should the nurse make? Identify the sequence of actions the nurse should take. . NOT:Print reading materials about the subject and give it to the patient Prophecy medical surgical-telemetry Questions and Answers 2022. Low stimulation threshold can lead to non-capture due to scaring at the anchor site of the wire in the right ventricle causing increased resistance to the impulse. What is most likely to be ordered? What should be done with this urine sample? LATTER PHASE OF VENTRICULAR REPOLARIZATION When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Which of the following actions should the nurse take first? Hemodialys is something required following surgery NOT: tuberculosis A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. Prophecy EKG. As you inflate a balloon, the patient complains of discomfort what is the best action? Which of the following assessment findings should the nurse report to the provider? Which of the following actions should the nurse take? P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. PVCs may be one shape or differ in shape due to multiple foci. 3: Identify and examine P-Waves. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. 67 terms. Which of the following instructions should the nurse include in the teaching? Your patient fell and hit his head on the bed rail during a physical therapy session. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. "longer, longer, drop" patient's blood sugar is currently 60. time between the onset of ventricular depolarization and the end of repolarization As you inflate a balloon, the patient complains of discomfort what is the best action? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon QRS: 0.06-0.10(12), supraventricular tachycardia R wave-tall positively deflected wave in lead II. A nurse is caring for a client who has diabetic ketoacidosis (DKA). 115 reads death penalty papers by students Unable to determine A nurse is providing education to a client who has tuberculosis (TB) and their family. Prophecy Medical Surgical Telemetry Exam A V1. Contact the provider to clarify the prescription. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Solve mathematic equations. Compress the drain, then plug the bulb to establish suction 55 terms. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. the following medication should you question? ashley_hope_spicer. -Ventricular, -normal Protonix is given as G. prophylaxis to prevent stress ulcers Neuro ICU. P waves: P wave associated with PJC may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. a sudden cardiac arrest and family wants CPR initiated. PRI: Same as PVC Which of the following instructions should the nurse include in the teaching? Potassium 2 mEq/L A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Rhythm: Regular NICU RN. -second degree AV block (mobitz I and II) The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. 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? ATRIAL DEPOLARIZATION The medication is supplied as 125 milligrams in a 2ml vial. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. ), Follow a smoking cessation program Which of the following interventions should the nurse include in the plan? University of California, Los Angeles . Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Neck By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Popular books. P waves: May not be visible due to rate. symmetrical and may be tall and peaked, biphasic or inverted Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Get math help online by speaking to a tutor in a live chat. (elaborations) - Prophecy medical surgical-telemetry 2022 7. Women could have pain in their arm, neck, back or jaw At the AV Node constipation is an adverse effect of verapamil. Prophecy Medical Surgical Exam Answers - Orris. H2O\mathrm{H}_2 \mathrm{O}H2O. PRI: None Rate: 150-250 b. has radial symmetry. Rate: 41-100 bpm Which of the following findings should the nurse identify as a manifestation of this condition? PRI: If P is visible, 0.12-0.20 sec 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 Patient is admitted for shortness of breath. Your patient complains of not being able to urinate since 0500. I am ready to die." Maintain an appropriate weight PRI: None These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Your COPD patient is complaining of wheezing and increased shortness of breath QRS: >0.20. Eat a low-fat diet. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Which of the following information should the nurse include in the teaching? Which of the following actions would be considered a violation of Hyppa? intervention is: not speak Spanish and are having difficulty communicating with your patient. Study Resources. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Which of the following statements should the nurse make? mark on top = every 3 seconds depends on HR, QT less than half R-R, usually <.44 seconds. Prepare to suction the client's airway. Determine the mass rate of flow for isentropic flow through the nozzle. pulse, cough with bloody sputum, diaphoresis, and syncope. Your patient has a bowel movement 100 terms. Holding breath for 10 seconds after inhaling. coworker to sign for the ways that you did not witness %PDF-1.6 % The ventricles are paced and sensed. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Acetylsalicylic acid ( Bauer buffered aspirin) Repair of the diverticulum is accomplished through an open incision in the client's neck. What is the first sign of increased intracranial pressure? Clinical Results - Medical Surgical-Telemetry A v1 Assessment. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. QRS: 0.06-0.10(12), Rate: 101-180 Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Required fields are marked *. Telemetry.. Medical Surgical-Telemetry Exam Content Outline Exam Objective: To measure the overall clinical knowledge of the Registered Nurse in the Medical Surgical-Telemetry setting . How should you respond? A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. I will refer you to community resources that can provide support. Medical Surgical-Telemetry Exam Content, Your email address will not be published. Lipase and amylase They report sudden chest pain pulse ox at 86%. P waves: One before every QRS PRI: None Which of the following findings should the nurse expect? 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! Which of the following educational topics would be appropriate for you to include as part of patient teaching? What education should you provide to. Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 10 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 10 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Exam (elaborations . Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. count R waves during 6 seconds and multiply by 10, A) P should precede QRS A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? e"'.~V,m5{b#&qH/BpUMysS\& #T4VW, YFz5#uRFFIf 78:H43\'n'MD'VB9dq~q1S4z:tjy=*q)&xLzQnKKM,#7&//z/cEJ0u\& endstream endobj 113 0 obj <>stream END: end of T P waves: May be present or absent depending on pacing settings (VVI vs DDD) PRI: Same as PVC PRI: 0.12-0.20 sec The patient has a morphine PCA post operatively. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. At the Bundle of His QRS: An electric spike is seen before a wide, ventricular QRS. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the following actions should the nurse anticipate taking? Which of the following actions should the nurse take to manage the drain? 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) 9 terms. If rate >101 then rhythm is multifocal atrial tachycardia Sinus rhythm with PAC Knowledge of contraindications related to antidiabetic medications. -paroxysmal atrial tachycardia How is it affecting indigenous people? "Wires" that run down the septum and into the ventricles. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. following is the best nursing action? you usually have to score over 80% to pass. PRI: 0.12-0.20 sec Which of the following findings should the nurse expect? "Increase fiber intake to avoid constipation." P waves: No Ps, only fibrillation waves between QRSs Medical Surgical Telemetry B. Usually set to pace if ventricular rate <60 P waves: Same as PVC Which of the following actions would be considered a violation of Hyppa? Rhythm: Regular Rhythm: Depends on underlying rhythm This can be due to lead dislodgement. sick sinus syndrome, Rate: 60-100 bpm Registered Nurse in the Medical. Notching or "rabbit ears" may be present. PRI: Depends on underlying rhythm When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. FLAG premature junctional contraction The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Rate: Depends on pacing settings. Other manifestations include dyspnea and decreased oxygen saturation. They report sudden (Click on the "Exhibit" button for additional information about the client. complains of discomfort what is the best action? reasons: electrolyte imbalances, left vent hypertrophy, medications. You may also like to know about: Avocados Which of the following interventions should the nurse include in the plan of care? Which of the following statements by the client indicates an understanding of the teaching? prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4 Determine math equations Mathematical equations are a great way to test your problem-solving skills. Slow the infusion rate If not, reach through the comment section. Which of the following instructions should the nurse include? A nurse is caring for a client who has DKA. Keep the client occupied with a manual activity. . Classifications Lipase - 196 A nurse is caring for a client who has an arterial line. Log in Join. if you don't pass, click on the details info. Rate: Depends on underlying rhythm Which of the following is characteristic of this diagnosis? should be flat and horizontally lined up with baseline of PRI QRS: 0.06-0.10(12) To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. P waves: One before every QRS For example, a VVI 60. You do not speak Spanish and are having difficulty communicating with your patient. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. HCO3 - 23. BEGIN: upward deflection from ST segment A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). 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. 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. Use all the steps. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. ventricular escape rhythm or idioventricular rhythm. Stress ulcers The patient is on lasix and solumedrol IV. Family members in the household should undergo TB testing. Ventricular rate determined by how well the AV node blocks the flutter. The patient's blood sugar is currently 60. You are caring for a diabetic patient diagnosed with CHF. not always present Which of the following statements by the client reflects an understanding of the teaching? "I will eat more high-fiber foods." would indicate an emergency? What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. (Select all that apply. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Rhythm: Regular except during PJC. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. QRS: > 0.12 sec. Which of the following statements by the client indicates an understanding of the teaching? Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? cardiac rhythm -accelerated junctional rhythm Rhythm: Irregular, fibrillatory waves may be course or fine Assess your patient for a change in condition Compare. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The amount available is oral solution 125 mg/5 mL. Educate the spouse on oxygen use as a medical device in the hospital. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. You were caring for a patient admitted with abdominal pain. Causes include wire dislodgment or a sensitivity setting that is too low. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Airborne Select only the hot spot that corresponds to your answer.). Create complete outfits and allow the client to select one each day. Which of the following information should the nurse provide?
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