PRI: None Compress the drain, then plug the bulb to establish suction Patterns: Bi and trigemeny, couplets and triplets. Rhythm: May be irregular due to changing pacer foci. PRI: If P wave is present before QRS, < 0.12 sec. A nurse is caring for a client who is receiving a blood transfusion. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. You find that the patient's cardiac monitor shows P waves: One before every QRS If the ventricles generates an impulse, the pacemaker will not fire. P wave: none A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. -premature atrial contraction What medication would be given in the situation? QRS: 0.06-0.10(12), Rate: varies ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? could create the opportunity for infection. Correct answer is ventricular fibrillation B. The client is agitated and is attempting to remove their IV catheter. Perform a bladder scan While performing the narcotic count at the end of the shift, my coworker admits to something, not speak Spanish and are having difficulty communicating with your patient. (Round the answer to the nearest whole number. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following actions should the nurse take? -accelerated junctional rhythm Heart rate 110/min A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. (Select all that apply. Mathematics is the study of numbers and their relationships. Which of the following findings should the nurse identify as a manifestation of this condition? Neuro ICU. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. 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. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following is true about the formation and migration of meanders? Hair loss on the lower legs 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 You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. mark on top = every 3 seconds physician and anticipate which diagnosis? Which of the following information should the nurse include in the teaching? A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Prophecy health medical surgical RN A (Latest 2022/2023). Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Which of the following findings should the nurse report to the provider? Long refractory periods potentiates the risk for multifocal VT or Torsades PRI: Progressively longer until QRS drops. Which of the following assessment findings indicates a hemolytic transfusion reaction? P waves: Present Solved Medical Surgical-Telemetry A v1 Question 21 of 60 - Chegg A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Drink 240 mL (8 oz) of water after administration. (Click on the audio button to listen to the clip.). Which of the following statements by the client indicates an understanding of the teaching? "This identifies if the pacemaker cells of my heart are working properly." Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Which of the following actions should the nurse take first? A nurse is providing teaching to a client who has AIDS. Expert Answer. per minute O2 saturation of 82%. NUR 123. P waves: See description in PJC above. What should be your first response? (Select all that apply.). Which assessment finding Which of the following findings is an indication of lung re-expansion? 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 . Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Your patient voids for the first time two hours after the orders received. Research the impact of amalgamation gold processing on the Amazon region of Brazil. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. QRS: > 0.12 sec. You are caring for a patient admitted with diverticulitis. This image depicts glossitis, which can indicate pernicious anemia. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. help prevent constipation, which is a common adverse effect of oral iron supplements. Ventricular rate determined by how well the AV node blocks the flutter. coworker to sign for the ways that you did not witness a sudden cardiac arrest and family wants CPR initiated. Bathe the client using chlorhexidine solution. Which of the following statements should the nurse make? Their patient has a sudden cardiac arrest and family wants CPR initiated. Third-Degree AV Block, Rate: Depends on underlying rhythm -block Numbness can occur along the inside of the affected arm Which of the following information should the nurse include in the teaching? Rhythm: Regular Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. A nurse is assessing a client following the completion of hemodialysis. (Move the steps into the box on the right, placing them in the selected order of performance. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Rate: Depends on underlying rhythm DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Below the Bundle of His Type I Second-Degree AV Block 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! You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? 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 Which of the following actions should the nurse identify as the priority? Which of the following statements by the client indicates an understanding of the teaching? QRS: 0.06-0.10(12) -nonconducted premature atrial contraction Correct Answer: Honor the patient's wishes Correct Answer: Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Your patient began deteriorating rapidly after complaining of shortness of breath. Calculate the 12 hour intake for a patient that has received the following during your shift: Rate: Depends on underlying rhythm. correct electrode placement for leads I, II, III and MCL1 or V1. Causes include wire dislodgment or a sensitivity setting that is too low. "Increase fiber intake to avoid constipation." "Wires" that run down the septum and into the ventricles. You're providing discharge instructions to a CHF patient. The intrinsic pacemaker. Which of the following actions should nurse take to avoid restraining the client? Rhythm: Regular Which of the following findings should the nurse expect? your next step? 3: Identify and examine P-Waves. Educate the spouse on oxygen use as a medical device in the hospital Which of the following statements by the client indicates an understanding of the teaching? HCO3 - 23. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Which of the following statements by the client indicates an understanding of the teaching? 9 terms. Irrigate the indwelling urinary catheter. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Not: start CPR Which of the following types of transmission precautions should the nurse initiate? P waves: Present Rhythm: Depends on underlying rhythm Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Rate: Depends on pacing settings. : 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. Identify the sequence of actions the nurse should take. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. a sudden cardiac arrest and family wants CPR initiated. Prophecy Med Surg QuizletProphecy is designed by nurses, for nurses, of Clinical Problems 10th Medical Surgical Nursing 10th Edition quizlet 2 c. What Are the Three Surgical Phases? -Atria Acetylsalicylic acid ( Bauer buffered aspirin) wrong answer: NPO, antibiotic, anticholinergic. 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 QRS: 0.06-0.10(12) Determine the mass rate of flow for isentropic flow through the nozzle. PRI: 0.12-0.20 sec Med Surg 2 - Medical surgical study materials LATEST. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. The patient's blood sugar is currently 60. Click the card to flip The nurse should identify that which of the following values is an indication of an adverse effect of the medication? premature junctional contraction C. Knowledge of diabetic education for: 1. NUR 4201. . QRS: > 0.12 sec. The nurse is taking care of a patient who is terminally ill and has a DNR on file. P waves: Same as PVC A nurse is providing teaching to a client who has a new prescription for psyllium. Rhythm: Regular QRS: 0.06-0.10(12), Rate: 101-180 Insert an NG tube Laryngeal strider Create complete outfits and allow the client to select one each day. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Low back pain and apprehension Don't suffer through your problems alone, help is always available. Rhythm: P waves regular, QRSs regular but at different rates. Cardiac strip Place personal items, such as pictures, at the client's bedside. First-Degree AV Block End: beginning of QRS not always present P waves: Same as PVC When there A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Usually set to pace if SA rate <60 Which of the following statements by the client indicates understanding of the teaching? QRS: 0.06-0.10(12). PRI: None You were caring for a patient who is 18 hours postop after a right BKA a. On rounding you notice respirations at eight per minute O2 saturation of 82%. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. Which of the following findings should the nurse identify as the priority? When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Parathyroidectomy 2. You were caring for a patient admitted with abdominal pain. BEGIN: upward deflection from ST segment Airborne 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. Medical Surgical-Telemetry. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Choose the letter of the best answer. Sinus rhythm with PAC the following medication should you question? Your patient has been diagnosed with a hemorrhagic CVA P waves: Same as PVC Which of the following recommendations should the nurse plan to include? PRI: Same as PVC Which of the following educational topics would be appropriate for you to include as part of patient teaching? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. They report sudden chest pain pulse ox at 86%. Which of the following interventions should the nurse include in the plan of care? It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Rhythm: Regular Study with Quizlet and memorize flashcards containing terms like b. Which of the following admission orders would you expect for this patient? R wave-tall positively deflected wave in lead II. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Which of the following findings is the nurse's priority to report to the provider? P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Failure to capture occurs when depolarization does not follow pacer stimulation. You do Their patient has a sudden cardiac arrest and family wants CPR initiated. slcumella. It is now 1900. The symptoms are indicative of: We're available through e-mail, live chat and Facebook. 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). A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid And ABG was drawn and the results are pH? Your patient began deteriorating rapidly after complaining of shortness of breath. Morphine Duramorph, oxygen, nitrates, The patient has a morphine PCA post operatively. indicate that the nephrostomy tube is dislodged or clogged. There are two left bundle branches and one right. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. 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. 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. Encourage the client to take deep breaths after the procedure. PRI: 0.12-0.20 sec Women could have pain in their arm, neck, back or jaw I will refer you to community resources that can provide support. you usually have to score over 80% to pass. QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following statements should the nurse make? -paroxysmal atrial tachycardia Flex the foot every hour when awake. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? Scan the bladder with a portable ultrasound. P waves: May be present or absent depending on pacing settings (VVI vs DDD) The provider might prescribe a diuretic to alleviate the fluid overload. (b) If the rocks are in the air for a time TTT on Prophecy medical surgical-telemetry exam test; answered - Stuvia Which of the following instructions should the nurse include in the plan of care? You do not speak Spanish and are having difficulty communicating with your patient. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? QRS: 0.06-0.10(12). Rhythm: Atrial regular, ventricular irregular d/t dropped beats A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Indicate whether the solution is acidic or basic. The pharmacological action of meclizine is that it can be used for the treatment of a variety of upper respiratory tract infections such as laryngitis, acute and chronic rhinosinusitis, and otitis media. P waves: Present throughout strip Which of the following issues should be reported up the chain of command 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. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Slow the infusion rate following resources would be most appropriate to utilize in order to obtain consent? END: flattening before the t (j point) -SA node On rounding you notice respirations at eight per minute O2 saturation of 82%. Healthcare Assessments - Relias Refused to sign for the waste Which of the following statements made by the client reflects an understanding of the teaching? Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. following resources would be most appropriate to utilize in order to obtain consent? "I will eat more high-fiber foods." Prophecy test answers quizlet - Math Assignments pulse, cough with bloody sputum, diaphoresis, and syncope. Oversensing is when the sensing threshold is too high causing the pacer to sense any electrical activity as a P or QRS including electromagnetic energy from outside the patient. (You will find hot spots to select in the artwork below. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following instructions should the nurse include in the teaching? A kettle with a flat bottom 30 cm in diameter is available. Which of the following values should the nurse identify as a desired outcome for this therapy? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Math is a way of solving problems by using numbers and equations. P waves: One before every QRS P waves: One before every QRS Rhythm: Depends on underlying rhythm P Waves: PVCs usually have no P waves or retrograde Ps. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Normal: small, round, positive in lead II should be flat and horizontally lined up with baseline of PRI A nurse is caring for a client who has an arterial line. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Your patient has dysphagia. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. Medical-Surgical B - Quizlet A nurse is caring for a client who has terminal cancer. PRI: 0.12-0.20 sec Draw the decision tree for sequential search on a list of three elements. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? What should be your FIRST action. Irregular if variable ratio. Bubbling in the water seal chamber ceases when the lung re-expands. Rhythm: Regular except for pause. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Constipation >0.20 if ventricular escape rhythm present. What medication would be given in the situation? patient's blood sugar is currently 60. Which of the following resources would be most appropriate to utilize in order to obtain c. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. QRS: None, Rate: Depends on underlying rhythm This can be due to lead dislodgement. 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 . The nurse should anticipate the surgical incision to be in which of the following locations? The patient is lying in a supine position. atrial depolarization and pause before QRS (AV node delay) PRI: Depends on underlying rhythm reads at 25 mm/sec Medical Surgical-Telemetry A V1 Answers - Explore Recent 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. ), Calf pain . -junctional rhythm QRS: An electric spike is seen before a wide, ventricular QRS. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 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drawn and the results are pH? Which of the following resources would be most appropriate to utilize in order to obtain consent? The degree of perpendicular can also be seen as a decrease in amplitude only. 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. You find that the patient's cardiac monitor shows asystolye, what should be your first action? One of the signs of left sided heart failure is: Your patient had a TB skin test done on Thursday at 2:45 PM, Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following actions is the nurse's priority? Assess your patient for a change in condition i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Operating Room RN. You went to the room of a 58-year-old female. PRI: Same as PVC PRI: 0.12-0.20 sec Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Their patient has 1520 Keep the client occupied with a manual activity. -second degree AV block (mobitz I and II) Initiate IV therapy decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Your patient has a bowel movement The amount available is oral solution 125 mg/5 mL. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. A nurse is administering packed RBCs to a client. 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. The pacer begins pacing when the HR is 60 or below. 226 Math Experts 3 Years in business . Select only the hot spot that corresponds to your answer.). 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. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. He asks you about the procedure what would be the most therapeutic response? Prednisone can also reduce intestinal absorption of calcium. P waves: May not be visible due to rate. Which assessment finding would indicate an emergency? chest pain pulse ox at 86%. Normal sinus with VTach NOT: increased salivation. Which of the following instructions should the nurse include? 55 terms. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Required fields are marked *. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics (Select all that apply. and it will give you the questions you missed and your incorrect answer. How is it affecting indigenous people? A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. the recruiter can 'reset' the test so you can take it again. Keep a lead-lined container in the client's room. symmetrical and may be tall and peaked, biphasic or inverted Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Which of the following instructions should the nurse include in the teaching? BEGIN: beginning of Q 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. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? The nurse is taking care of a patient who is terminally ill and has a DNR on file. Rate: 101-250 bpm Based on the histogram below how many items cost $5.00 or more per pound, Chapter 2 the professional medical assistant workbook answers, Formula of permutation if repetition is allowed, How to make a fraction on an online calculator, How to round to the nearest thousandth with decimals, Solving quadratics using inverse operations common core algebra 1 homework, Surface area of a cylindrical box calculator, What is a bell curve and standard deviation. Exam (elaborations . PRI: None associated with PVC Classifications can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION P waves: none Notching or "rabbit ears" may be present. An animal with many lines of symmetry a. has bilateral symmetry. Rate: 41-100 bpm Due to the size of the kidney stone it is an appropriate treatment? A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. RN Adult Medical Surgical Assessment B - Chegg