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What is most likely to be ordered? Exam (elaborations . (b) If the rocks are in the air for a time TTT on small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Julie S Snyder, Linda Lilley, Shelly Collins. You do not speak Spanish and are having difficulty communicating with your patient. Alternate application of heat and cold to the affected joints. Which of the following actions would be considered a violation of Hyppa? Pulmonary embolism Spinach Identify the sequence of actions the nurse should take. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. to reduce the risk for thromboembolism and promote venous return. 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. C. Knowledge of diabetic education for: 1. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following interventions should the nurse include in the plan of care? The nurse should identify that which of the following values is an indication of an adverse effect of the medication? Prophecy health medical surgical RN A correct Answers 2022 2023. NOT: tuberculosis PRI: >0.20 BEGIN: beginning of Q Looking through the chart of a coworker admitted to your unit Patterns: Bi and trigemeny, couplets and triplets. Drink 240 mL (8 oz) of water after administration. First-Degree AV Block Rhythm: Atrial regular, ventricular irregular d/t dropped beats Which of the following is characteristic of this diagnosis? Which of the following findings should the nurse expect? A nurse is caring for a client who has hypothyroidism. We have received reports about this document. P waves: P wave before PAC looks different than Ps of the underlying rhythm. symmetrical and may be tall and peaked, biphasic or inverted Compress the drain, then plug the bulb to establish suction. Which of the following medication should you question? Usually set to pace if SA rate <60 Bubbling in the water seal chamber ceases when the lung re-expands. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. A nurse is planning care for a client who is postoperative following a parathyroidectomy. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. How should you respond? QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. Which of the following findings should indicate to the nurse that the client's condition is improving? Due to the size of the kidney stone it is an appropriate treatment? will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. A nurse is reviewing the ABG results of a client who has advanced COPD. Pharmacology LPN - Acute. You notify the physician and anticipate which diagnosis? "Ginkgo biloba can cause an increased risk for bleeding. END: start of t wave P waves: Depends on underlying rhythm response? maximum height HHH. He asks you about the procedure what would be the most therapeutic response? A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Usually set to pace if ventricular rate <60 important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Infer why little evidence of Proterozoic orogenies exists today. We're available through e-mail, live chat and Facebook. 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. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Contact the provider to clarify the prescription. P waves: Present The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. PRI: Same as PVC 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. The nurse should identify the need to revise the plan for which of the following clients? Glucose 272 Prednisone Long refractory periods potentiates the risk for multifocal VT or Torsades -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Your patient fell and hit his head on the bed rail during a physical therapy session. Which of the following actions should the nurse take? Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. march out R-R and use it to assess P-P intervals, most will print it For which of the following adverse effects should the nurse instruct the client to notify the provider? tuberculosis, measles, varicella, and disseminated varicella zoster. 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. Definition of terms. complains of discomfort what is the best action? -second degree AV block (mobitz I and II) Terms of Use A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Select only the hot spot that corresponds to your answer.). "Cable" that passes through the fibrous sheath separating atria from ventricles. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Your patient complains of not being able to urinate since 0500. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Which of the following issues should be reported up the chain of command He asks you about the procedure what would be the most therapeutic response? $$. Which of the following images depicts a condition caused by pernicious anemia? Which of the following statements by the client reflects an understanding of the teaching? However, with a little practice and perseverance, anyone can . (Click on the audio button to listen to the clip.) -ventricular fibrillation ashley_hope_spicer. Save my name, email, and website in this browser for the next time I comment. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream P Waves: PVCs usually have no P waves or retrograde Ps. Rhythm: Underlying regular except during PAC. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. How should you respond? Which of the following resources would be most appropriate to utilize in order to obtain consent? The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? PRI: None Required fields are marked *. And ABG was drawn and the results are pH? Which of the following statements by the client indicates an understanding of the teaching? P waves: none Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 9 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. NOT: increased salivation. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? Inherent rate is 40-60. A nurse is reviewing the laboratory results of a client who has aplastic anemia. And ABG was Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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. Hemodialys is something required following surgery When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Bathe the client using chlorhexidine solution. PRI: 0.12-0.20 sec A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. On rounding you notice respirations at eight per minute O2 saturation of 82%. QRS: 0.06-0.10(12), Rate: <60 bpm The nurse notes a pacemaker artifact followed by a QRS complex. Document that depolarization has occurred. University of the West of England (South West). Due to the size of the kidney stone it is an appropriate treatment? Which of the following statements by the client indicates understanding of the teaching? (Click on the audio button to listen to the clip.). A nurse is assessing a client who has diabetes insipidus. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Which of the following statements should the nurse make? Indicate whether the solution is acidic or basic. Prophecy medical surgical-telemetry exam test Questions And Answers. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. At least 3 different P wave morphologies. 4: Measure the PR Interval place a pressure bag around the flush solution. PRI: For underlying rhythm 0.12-0.20 sec. Expert Answer. For P wave before PJC, PRI< 0.12 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 . Which of the Hair loss on the lower legs Do you notice the spouse adjusting the oxygen on the Med Surg 2 - Medical surgical study materials LATEST. 0.06-0.12 s What should be your FIRST action. -Ventricular, -normal -idioventricular rhythm wrong answer: NPO, antibiotic, anticholinergic. PRI: As above Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Ventricular rate determined by how well the AV node blocks the flutter. What is most likely to be ordered? is no history of GERD Which of the following findings should the nurse report to the provider? Rhythm: Regular QRS: 0.06-0.10(12), Rate: varies Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Eat a low-fat diet. Slow the infusion rate patient's blood sugar is currently 60. Which of the following statements should the nurse make? You're providing discharge instructions to a CHF patient. Third-Degree AV Block, Rate: Depends on underlying rhythm Irrigate the indwelling urinary catheter. Medical Surgical-Telemetry. Which of the following medication may cause urine discoloration Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. While performing the narcotic count at the end of the shift, my coworker admits to something, 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. HCO3 - 23. depends on HR, QT less than half R-R, usually <.44 seconds. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Rhythm: Regular A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Assess your patient for a change in condition P waves: One before every QRS S wave-negative deflection following the R wave. a sudden cardiac arrest and family wants CPR initiated. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Sputum with streaks of blood for the first time two hours after the orders received. Heparin infusion per pharmacy protocol A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Other manifestations include dyspnea and decreased oxygen saturation. Rhythm: Depends on underlying rhythm How should you respond? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. After notifying the physician, what action should you take NEXT? asystolye, what should be your first action? Classifications Rate: 150-250 Which assessment finding would indicate an emergency? Medical-Surgical RN A Prophecy Relias. What should be your first response? They report sudden .34-.43 A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Usually set to pace if SA rate <60 Which of the following statements should the nurse make? Prophecy Medical Surgical Exam Answers Orris. Constipation Your email address will not be published. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. 3: Identify and examine P-Waves. Rhythm: Regular if ratio of flutter wave to QRS is regular. The patient has a morphine PCA post operatively. QRS: 0.06-0.10(12). Which of the following information should the nurse include in the teaching? PRI: If P wave is present before QRS, < 0.12 sec. Scan the environment by turning your head from side to side.". Prophecy medical surgical-telemetry exam test Questions And Answers. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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(Click on the "Exhibit" button for additional information about the client. Perform a bladder scan Parathyroidectomy 2. Which of the following actions should the nurse take? Encourage the client to take deep breaths after the procedure. Rate: Atrial > ventricular When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following resources would be most appropriate to utilize in order to . HCO3 - 23. Refused to sign for the waste When taking care of a patient with pancreatitis, which of the following lab should be reviewed? A patient is continually receiving a drug. >0.20 if ventricular escape rhythm present. You do not speak Spanish and are having difficulty communicating with your patient. You went to the room of a 58-year-old female. Draw the decision tree for sequential search on a list of three elements. Medical-surgical practice exam. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Compare. The patient has a morphine PCA post operatively. (elaborations) - Prophecy medical surgical-telemetry 2022 7. Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. P waves: Same as PVC The patient's blood sugar is currently 60. Which of the following medication should you question? Discarded, then begin the 24 hour collection. A nurse is admitting a client who has active tuberculosis. PRI: None The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Looking through the chart of a coworker admitted to your unit. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. QRS: 0.06-0.10(12), Locations FLAG Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Their patient has Type II Second-Degree AV Block your next step? P waves: One before every QRS. 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 P waves: No Ps, only fibrillation waves between QRSs 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. If P waves seen, different shape than NSR. Holding breath for 10 seconds after inhaling. Rhythm: Regular . PRI: When present they are all the same. Laryngeal strider (You will find hot spots to select in the artwork below. Your inserting a urinary catheter into a male patient. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter and you know dark tarry stool what would be the diagnosis? Below the Bundle of His Looking through the chart of a coworker admitted to your unit. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION What medication would be given in the situation? Which of the following statements should the nurse make? A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Rhythm: Regular A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Their patient has a sudden cardiac arrest and family wants CPR initiated. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Which of the following information should the nurse include in the instructions? 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. 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? indicate that the nephrostomy tube is dislodged or clogged. Which of the following instructions should the nurse include? -nonconducted premature atrial contraction Rifampin Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is updating the plan of care for a client who is receiving chemotherapy. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. If the ventricles generates an impulse, the pacemaker will not fire. Rhythm: Regular Client reports back pain Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Which of the following actions should the nurse take? drawn and the results are pH? sample? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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) A nurse is caring for a client who has an arterial line. You were caring for a patient who is 18 hours postop after a right BKA a. sick sinus syndrome, Rate: 60-100 bpm Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? prophecy asks a questions and gives you 4 multiple choice options. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -bundle branch block Rhythm: Regular with late beat QRS: >0.20. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Rhythm: Regular except for the PVCs A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. P waves: One before every QRS The medication is supplied as 125 milligrams in a 2ml vial. Your patient began deteriorating rapidly after complaining of shortness of breath. Company Registration Number: 8600593 constipation is an adverse effect of verapamil. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following actions should the nurse identify as the priority? What medication would be given in the situation? Which of the following values should the nurse identify as a desired outcome for this therapy? Type I Second-Degree AV Block b. has radial symmetry. "I will eat more high-fiber foods." Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Not: start CPR Scan the bladder with a portable ultrasound. What medication would be given in the situation? P waves: Same as PVC Flutter waves may be sawtooth or rounded. A nurse is assessing a client following the completion of hemodialysis. "I will no longer floss my teeth after brushing my teeth." A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. "I will avoid direct exposure to the sun.". For example, a VVI 60. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Log in Join. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Maintain an appropriate weight cardiac rhythm PRI: If P is visible, 0.12-0.20 sec Assess the patient c. has no symmetry. On rounding you notice respirations at eight per minute O2 saturation of 82%. Which of the following instructions should the nurse include in the teaching? slcumella. Which of the following actions should the nurse take? 100 terms 4.8. slcumella . Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Endoscopy-GI Lab Medical Surgical-Telemetry. PRI: 0.12-0.20 sec A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. When taking care of a patient with pancreatitis, which of the following lab shoul. PRI: None The client has just undergone thoracentesis. PRI: 0.12-0.20 sec Causes include wire dislodgment or a sensitivity setting that is too low. a sudden cardiac arrest and family wants CPR initiated. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. When assessing a patient, you notice crepitus on the right upper shoulder. A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Intense headache. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. help prevent constipation, which is a common adverse effect of oral iron supplements. Increase shortness of breath You went to the room of a 58-year-old female. PRI: None P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. QRS: 0.06-0.10(12), Rate: 40-60 bpm should be flat and horizontally lined up with baseline of PRI Potassium 2 mEq/L Which of the following information should the nurse include in the teaching? The provider might prescribe a diuretic to alleviate the fluid overload. Insert an NG tube P waves: As with PJCs Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Test Bank for Medical Insurance 8th Edition By Valerius-26, Identifying ethical principles:Basic concept ATI ALT, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021. Ibuprofen can cause gastrointestinal bleeding in older adult clients. This can be due to lead dislodgement. A nurse is performing a preoperative assessment for a client. Check for the type and number of units of blood to administer. What should be done with this urine A nurse is teaching a client about osteoporosis prevention. Protecting the patient's head and extremities from contact with surrounding objects Prophecy EKG. Rate: 60-100. Rhythm: Irregular, fibrillatory waves may be course or fine Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Manifestations include low back pain, hypotension, tachycardia, and apprehension.