a sudden cardiac arrest and family wants CPR initiated. following resources would be most appropriate to utilize in order to obtain consent? Due to the size of the kidney stone it is an appropriate treatment? 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. atrial depolarization and pause before QRS (AV node delay) to reduce the risk for thromboembolism and promote venous return. LATTER PHASE OF VENTRICULAR REPOLARIZATION Prophecy medical surgical telemetry exam a v1 answers - In addition, Prophecy medical surgical telemetry exam a v1 answers can also help you to check your. the following medication should you question? Low back pain and apprehension could create the opportunity for infection. A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. You do not speak Spanish and are having difficulty communicating with your patient. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Which of the following actions should the nurse take? At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. 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. You're providing discharge instructions to a CHF patient. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Bathe the client using chlorhexidine solution. QRS: 0.06-0.10(12), supraventricular tachycardia This image depicts glossitis, which can indicate pernicious anemia. Rhythm: Depends on underlying rhythm Which of the following instructions should the nurse include? Which of the following issues should be reported up the chain of command Neck QRS: 0.06-0.10(12), Rate: 101-180 not speak Spanish and are having difficulty communicating with your patient. Rhythm: Regular The patient may be experiencing: QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. For P wave before PJC, PRI< 0.12 Long refractory periods potentiates the risk for multifocal VT or Torsades Which of the following findings should the nurse identify as a manifestation of this condition? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. FLAG P waves: One before every QRS chest pain pulse ox at 86%. The client becomes restless, dyspneic, and has crackles noted to the lung bases. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. How much of the medication should the nurse administer to ensure the ordered dose is given. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Bubbling in the water seal chamber has ceased. njcjohnson. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. University of California, Los Angeles . . Other manifestations include nausea, vomiting, fatigue, and headache. A nurse is caring for a client who has terminal cancer. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. When there is no history of GERD, Protonix is given as G.I. Which of the following statements by the client reflects an understanding of the teaching? A nurse is providing education to a client who has tuberculosis (TB) and their family. Women could have pain in their arm, neck, back or jaw You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. FLAG However, with a little practice and perseverance, anyone can . You were caring for a patient admitted with abdominal pain. : 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. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. P waves: One before every QRS An animal with many lines of symmetry a. has bilateral symmetry. ), Follow a smoking cessation program Encourage the client to take deep breaths after the procedure. As you inflate a balloon, the patient complains of discomfort what is the best action? creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. Correct answer is ventricular fibrillation Numbness can occur along the inside of the affected arm You will need to stay still in the bed during each treatment session. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 QRS: 0.06-0.10(12). if you don't pass, click on the details info. Which assessment finding would indicate an emergency? Pharmacology LPN - Acute. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The Educate the spouse on oxygen use as a medical device in the hospital 0.06-0.12 s PACU RN. PVCs may be one shape or differ in shape due to multiple foci. Rate: Depends on pacing settings. A nurse is assessing for compartment syndrome in a client who has a short leg cast. constipation is an adverse effect of verapamil. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. The patient has a morphine PCA post operatively. Prophecy health medical surgical RN A (Latest 2022/2023). How many mL should the nurse administer? PRI: When present they are all the same. 67 terms. 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. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Which of the following statements by the client indicates an understanding of the teaching? C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 b. has radial symmetry. Potassium 2 mEq/L You were caring for a patient admitted with abdominal pain. P waves: None A patient suddenly complains of new onset of chest pain. Knowledge of contraindications related to antidiabetic medications. Medical-Surgical RN A Prophecy Relias. Usually one impulse predominates. A nurse is teaching a client about osteoporosis prevention. premature junctional contraction Failure to capture occurs when depolarization does not follow pacer stimulation. Math is a subject that can be difficult for some students to grasp. NICU RN. Slow the infusion rate wrong answer: Report any visual disturbances immediately while on the medications. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Which of the following actions should the nurse take first? . The symptoms are indicative of: Which of the following should the nurse plan to administer? 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. 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. Holding breath for 10 seconds after inhaling. help prevent constipation, which is a common adverse effect of oral iron supplements. a result of impaired arterial circulation affecting follicular growth. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions Which of the following findings is the nurse's priority? Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. At what temperature must the bottom surface of the kettle be maintained to accomplish this? Prophecy EKG. Patient is admitted for shortness of breath. NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. You do When taking care of a patient with pancreatitis, which of the following lab should be reviewed? normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter QRS: 0.06-0.10(12). QRS: An electric spike is seen before a wide, ventricular QRS. -junctional tachycardia DEPOLARIZATION OF VENTRICULAR MYOCARDIUM PRI: As above HCO3 - 23. Oncology. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? On rounding you notice respirations at eight per minute O2 saturation of 82%. "I will avoid direct exposure to the sun.". "Discontinuing with the treatments is your choice if it is your wish to do so.". How should you respond? Correct Answer: Wheat bread A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? You went to the room of a 58-year-old female. There are three tabs that contain separate categories of data.) >0.20 if ventricular escape rhythm present. morphology should be identical, based on its origin A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Hair loss on the lower legs Nurse Educator. Other manifestations include dyspnea and decreased oxygen saturation. What should be done with this urine sample? not always present 55 terms. The patient is on lasix and solumedrol IV. Rate: Atrial > ventricular 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 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. P waves: Present throughout strip On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. Rhythm: Regular with late beats A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Pulmonary embolism? Rate: Depends on underlying rhythm following is the best nursing action? If P waves seen, different shape than NSR. The patient's blood sugar is currently 60. NOT:Print reading materials about the subject and give it to the patient Looking through the chart of a coworker admitted to your unit. And ABG was drawn and the results are pH? 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. Their patient has a sudden cardiac arrest and family wants CPR initiated. Which of the following types of transmission precautions should the nurse initiate? A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. earth, for how long (in terms of TTT ) would they be in the air on Mars? 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. 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. After ensuring a patent airway, which of the following nursing interventions is the priority? If the drug is eliminated from the body over time so that the fraction that remains after t hours is e0.4t,e^{-0.4 t},e0.4t, at what constant rate should the drug be administered to maintain a steady level of the drug in the bloodstream? Place personal items, such as pictures, at the client's bedside. QRS: None. Irregular if variable ratio. Which of the following actions should the nurse anticipate taking? If not, reach through the comment section. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. QRS: 0.06-0.10(12), Rate: 101-180 bpm I will refer you to community resources that can provide support. PRI: 0.12-0.20 sec View the full answer. Prophecy health medical surgical RN A correct Answers 2022 2023. ventricular repolarization is slowed and the relative refractory period is longer. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Rhythm: Regular BEGIN: upward deflection from ST segment QRS: 0.06-0.10(12), Rate: 40-60 bpm More and more, organizations are hiring from a limited applicant pool. Refused to sign for the waste A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. 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? Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. Which of the following disorders presents the greatest risk to this group of clients? PRI: 0.12-0.20 sec You're reviewing the menu list of a patient on Warfran what food should they not eat? Stress ulcers increase the risk for systemic infection and require pharmacological treatment. 3/11 Prophecy Health Nurse Test Answers. Your patient has a bowel movement The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Rhythm: Regular Causes include wire dislodgment or a sensitivity setting that is too low. This can be due to lead dislodgement. Which of the following actions would be considered a violation of Hyppa? Rhythm: Depends on underlying rhythm The nurse should anticipate the surgical incision to be in which of the following locations? Mealtimes do not pertain to this client due to the NPO status. The patient has NKDA. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Rate: 60-100. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. (Click on the audio button to listen to the clip.) Protecting the patient's head and extremities from contact with surrounding objects Rate: 41-100 bpm Which of the following information should the nurse include in the teaching? 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. You are caring for a diabetic patient diagnosed with CHF. 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. Usually set to pace if ventricular rate <60 Rhythm: P waves regular, QRSs regular but at different rates. blastocyst. -Junction or AV node Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. A nurse is caring for a client who has hypothyroidism. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. How is it affecting indigenous people? Which of the following findings should the nurse expect? Rhythm: Regular Keep the client occupied with a manual activity. Definition of terms. diagnosis what should you instruct the patient to avoid? 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! The client should increase fiber intake to promote regular bowel function. You do not speak Spanish and are having difficulty communicating with your patient. NOT: tuberculosis -nonconducted premature atrial contraction i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION Which of the following findings should the nurse expect? Medical Surgical-Telemetry. Spinach PRI: None Your COPD patient is complaining of wheezing and increased shortness of breath Your patient has been diagnosed with a hemorrhagic CVA Rhythm: Regular PRI: If P wave is present before QRS, < 0.12 sec. maximum height HHH. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Solve mathematic equations. Repair of the diverticulum is accomplished through an open incision in the client's neck. A nurse is planning a health promotional presentation for a group of African American clients at a community center. 226 Math Experts 3 Years in business . Rhythm: Regular if ratio of flutter wave to QRS is regular. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Medical-Surgical RN A Prophecy Relias. QRS: > 0.12 sec. B) should be identical in size, shape, position Which of the following actions should the nurse anticipate taking? Which of the following statements by the client indicates an understanding of the teaching? P waves: Same as PVC University of the West of England (South West). Slow the infusion rate circulatory overload. -atrial flutter A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. The client tells the nurse, "I wish I could stop these treatments. Rate: 150-250 How does the current model of the atom differ from J.J. Thomson's model? 3: Identify and examine P-Waves. Document that depolarization has occurred. The medication is supplied as 125 milligrams in a 2ml vial. intervention is: You are caring for a diabetic patient admitted for uncontrolled blood sugar. 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. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Which of the following information should the nurse include in the teaching? A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. 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. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. P waves: May be present or absent depending on pacing settings (VVI vs DDD) To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? 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. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing ventricular escape rhythm or idioventricular rhythm. PRI: Depends on underlying rhythm A nurse is assessing a client who is postoperative following a thyroidectomy. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Rhythm: Regular P waves: none Type II Second-Degree AV Block You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: >0.20 PRI: Same as PVC and it will give you the questions you missed and your incorrect answer. There are three tabs that contain separate categories of data. C. Knowledge of diabetic education for: 1. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Required fields are marked *. The ventricles are paced and sensed. A nurse is planning care for a client who is postoperative following a parathyroidectomy. 115 reads death penalty papers by students Heart rate 110/min Rhythm: May be irregular due to changing pacer foci. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Which of the following actions should the nurse take? Patterns: Bi and trigemeny, couplets and triplets. Operating Room RN. The degree of perpendicular can also be seen as a decrease in amplitude only. A nurse is providing discharge teaching about infection prevention to a client who has AIDS. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. What medication would be given in the situation? A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Which of the following statements by the client indicates an understanding of the teaching? A nurse is assessing a client following the completion of hemodialysis. 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. A nurse is assessing a client who has peripheral arterial disease. Contact the provider to clarify the prescription. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. Your email address will not be published. Your patient complains of not being able to urinate since 0500. Exam Objective: To measure the overall clinical knowledge of the. you usually have to score over 80% to pass. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. 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! A nurse is providing education to a client who is at risk for osteoporosis. P waves: No P waves. 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). circulatory overload. Notching or "rabbit ears" may be present. QRS: > 0.12 sec. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. What should be done with this urine A nurse is caring for a client who has an arterial line. PRI: 0.12-0.20 sec Prophecy Healthcare Annual Education Modules Conti. Which of the following actions should the nurse take? Morphine Duramorph, oxygen, nitrates, Heparin infusion per pharmacy protocol Usually set to pace if SA rate <60 (Click on the "Exhibit" button for additional information about the client. Their patient has Sets found in the same folder. The patient has a morphine PCA post operatively. Initiate IV therapy Click the card to flip He asks you about the procedure what would be the most therapeutic response? Rhythm: Regular Do not use a trailing zero.). PRI: If P is visible, 0.12-0.20 sec It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. .34-.43 Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Prophecy medical surgical-telemetry Questions and Answers 2022. 9 terms. Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. (Click on the audio button to listen to the clip.). Rifampin tuberculosis, measles, varicella, and disseminated varicella zoster. Winston-Salem State University. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. QRS: During standstill, no QRSs are present, Rate: None The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. incompatible blood products and create a systemic inflammatory response. less than 300 mg/dL indicates improvement in the client's status. 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. Which of the After notifying the physician, what action should you take NEXT?
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