"I will no longer floss my teeth after brushing my teeth." Rhythm: Regular except for pause could create the opportunity for infection. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter Definition of terms. Refused to sign for the waste PRI: >0.20 For example, a VVI 60. The nurse notes a pacemaker artifact followed by a QRS complex. Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. END: start of t wave PRI: Depends on settings "I will eat more high-fiber foods." Rate: Viable. NUR 4201. . 100 terms. Oncology. Rhythm: May be irregular due to changing pacer foci. 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. Canned meats PRI: Same as PVC A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. ), Calf pain Rhythm: Irregular "Cable" that passes through the fibrous sheath separating atria from ventricles. Which of the following statements made by the client reflects an understanding of the teaching? A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. (Click on the audio button to listen to the clip.) Determine whether compound below exhibit a molecular dipole moment: Which of the following manifestations should the nurse expect? Parathyroidectomy 2. When there is no history of GERD Correct Answer: Protonix is given as G.I. The patient may be experiencing: Correct Answer: Pulmonary embolism Cardiac strip Correct Answer: Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Irregular if variable ratio. You do not speak Spanish and are having difficulty communicating with your patient. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Usually set to pace if ventricular rate <60 Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Drink 240 mL (8 oz) of water after administration. Aim. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Your COPD patient is complaining of wheezing and increased shortness of breath Which of the following results should the nurse expect? "I will avoid direct exposure to the sun.". (elaborations) - Prophecy medical surgical-telemetry 2022 7. Sinus tachycardia Educate the spouse on oxygen use as a medical device in the hospital 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? Heart rate 52/min 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? They report sudden chest pain pulse ox at 86%. You're caring for a 12 hour postoperative parathyroidectomy patient. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? Which of the following actions would be considered a violation of Hyppa? At the AV Node As you inflate a balloon, the patient complains of discomfort what is the best action? Ventricular rate determined by how well the AV node blocks the flutter. Which of the following statements should the nurse make? Unable to determine morphology should be identical, based on its origin B) should be identical in size, shape, position What should be done with this urine Which of the following instructions should the nurse include in the teaching? You're caring for a 12 hour postoperative parathyroidectomy patient. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Which of the following actions should the nurse identify as the priority? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Which of the following findings is the nurse's priority? And ABG was drawn and the results are pH? ATRIAL DEPOLARIZATION The nurse is taking care of a patient who is terminally ill and has a DNR on file. Which of the following actions would be considered a violation of Hyppa? If not, reach through the comment section. Required fields are marked *. Prophecy Medical Surgical Exam Answers - Orris. not speak Spanish and are having difficulty communicating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following disorders presents the greatest risk to this group of clients? Which of the following educational topics would be appropriate for you to include as part of patient teaching? Bubbling in the water seal chamber ceases when the lung re-expands. PRI: None (Select all that apply.). Prophecy medical surgical-telemetry answered Test 2022.pdf. 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. -Atria The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. -Ventricular, -normal Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Which of the following actions should the nurse anticipate taking? Med Surg 2 - Medical surgical study materials LATEST. Variable amplitude. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? d. has a distinct head and tail end. (b) If the rocks are in the air for a time TTT on My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Bubbling in the water seal chamber has ceased. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Heparin infusion per pharmacy protocol slcumella. The client has just undergone thoracentesis. R wave-tall positively deflected wave in lead II. On rounding you notice respirations at eight per minute O2 saturation of 82%. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm A nurse is providing education to a client who has tuberculosis (TB) and their family. The nurse should identify that which of the following client actions indicates an understanding of the teaching? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. P wave: none Rate: Depends on underlying rhythm 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 each small box = 0.04 seconds physician and anticipate which diagnosis? BEGIN: first deflection May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm 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 are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Study with Quizlet and memorize flashcards containing terms like 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. You do not speak Spanish and are having difficulty communicating with your patient. 0.06-0.12 s Which of the following findings should the nurse identify as a manifestation of this condition? Appears to be twisting around a point. 2: Calculate the heart rate. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Your patient complains of not being able to urinate since 0500. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. The patient is lying in a supine position. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Expert Answer. -ventricular standstill PRI: 0.12-0.20 sec Nursing Management of the Surgical Client Prophecy health medical surgical RN A. The provider might prescribe a diuretic to alleviate the fluid overload. The patient has a morphine PCA post operatively. PRI: None Which of the following interventions should the nurse include in the plan? Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. -junctional rhythm Which of the following medication may cause urine discoloration A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. 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. Rhythm: Regular except for the PVCs A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. PRI: If P is visible, 0.12-0.20 sec Rhythm: Regular P waves: One before every QRS. Patterns: Bi and trigemeny, couplets and triplets. Normal: small, round, positive in lead II Rate: 41-100 bpm You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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Rhythm: Atrial regular, ventricular irregular d/t dropped beats 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 information should the nurse include in the instructions? Contact the provider to clarify the prescription. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. QRS: 0.06-0.10(12), Rate: varies -atrial flutter P waves: Same as PVC Inherent rate is 40-60. The nurse is taking care of a patient who is terminally ill and has a DNR on file. P waves: May be present or absent depending on pacing settings (VVI vs DDD) "I can speak to the provider about incorporating acupuncture into your treatment plan.". Looking through the chart of a coworker admitted to your unit. Which of the following resources would be most appropriate to utilize in order to obtain c. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. PRI: Depends on underlying rhythm -idioventricular rhythm To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? Their patient has a sudden cardiac arrest and family wants CPR initiated. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. correct electrode placement for leads I, II, III and MCL1 or V1. QRS: > 0.12 sec. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following statements by the client indicates an understanding of the teaching? You find that the patient's cardiac monitor shows The patient's blood sugar is currently 60. Which of the following information should the nurse provide? HCO3 - 23. The patient has a morphine PCA post operatively. 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? Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm 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. circulatory overload. Low back pain and apprehension Patterns: Bi and trigemeny, couplets and triplets. Your patient has a bowel movement How should you respond? Below the Bundle of His Rate: 20-40 bpm Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 226 Math Experts 3 Years in business . : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Rhythm: Depends on underlying rhythm Medical-surgical practice exam. A coworker arriving to work under the influence of alcohol When taking care of a patient with pancreatitis, which of the following lab should be reviewed? The nurse should anticipate the surgical incision to be in which of the following locations? -atrial fibrillation. 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. you usually have to score over 80% to pass. It is now 1900. reads at 25 mm/sec following resources would be most appropriate to utilize in order to obtain consent? Which of the following findings should the nurse expect? Exam (elaborations . Sedimentation rate Your patient has dysphagia. What is most likely to be ordered? drawn and the results are pH? P waves: One before every QRS Compress the drain reservoir after emptying. QRS: > 0.12 sec. Study Resources. reasons: electrolyte imbalances, left vent hypertrophy, medications. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Knowledge of contraindications related to antidiabetic medications. %PDF-1.6 % Which of the following actions should the nurse take? 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. Which of the following assessment findings should the nurse report to the provider? Cardiac strip (Click on the audio button to listen to the clip.). mark on top = every 3 seconds QRS: 0.06-0.10(12), -wandering atrial pacemaker HCO3 - 23. sick sinus syndrome, Rate: 60-100 bpm A nurse is assessing for compartment syndrome in a client who has a short leg cast. 111 0 obj <>stream The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. When taking care of a patient with pancreatitis, which of the following lab shoul. Do not use a trailing zero.). Which of the following instructions should the nurse include? Math can be a difficult subject for many people, but it doesn't have to be! 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 statements should the nurse make? I will refer you to community resources that can provide support. If P waves seen, different shape than NSR. QRS: An electric spike is seen before a wide, ventricular QRS. A patient is continually receiving a drug. https://explorerecent.com/is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. For P wave before PJC, PRI< 0.12 There are three tabs that contain separate categories of data.) Didn't nurse ask you about the typical signs and symptoms of myocardial infarction your next step? PRI: If P wave is present before QRS, < 0.12 sec. You went to the room of a 58-year-old female. Loosen restrictive clothing on the client. The medication is supplied as 125 milligrams in a 2ml vial. premature junctional contraction BEGIN: beginning of Q You will need to stay still in the bed during each treatment session. Sinus rhythm with PAC A certain volcano on earth can eject rocks vertically to a Other manifestations include nausea, vomiting, fatigue, and headache. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics Rhythm: P waves regular, QRSs regular but at different rates. Prophecy health medical surgical RN A correct Answers 2022 2023. diagnosis what should you instruct the patient to avoid? 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. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Keep a lead-lined container in the client's room. 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. You are caring for a diabetic patient diagnosed with CHF. What should be done with this urine sample? P waves: none You find that the patient's cardiac monitor shows asystolye, what should be your first action? EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. The medication is supplied as 125 milligrams in a 2ml vial. Type II Second-Degree AV Block -ventricular fibrillation QRS: 0.06-0.10(12), Rate: Depends on pacing settings. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Operating Room RN. LATTER PHASE OF VENTRICULAR REPOLARIZATION There are two left bundle branches and one right. Usually set to pace if SA rate <60 QRS: 0.06-0.10(12), second degree AV block type I or morbitz I or wenchebach, Rate: Atrial rate>ventricular due to dropped QRSs When there You are caring for a diabetic patient admitted for uncontrolled blood sugar. Which of the following statements by the client indicates an understanding of the teaching? Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION He asks you about the procedure what would be the most therapeutic response? Which of the following findings should indicate to the nurse the client is experiencing hypoxia? At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. While performing the narcotic count at the end of the shift, my coworker admits to something, Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. to reduce the risk for thromboembolism and promote venous return. Your patient began deteriorating rapidly after complaining of shortness of breath. ventricular repolarization is slowed and the relative refractory period is longer. 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. Scan the environment by turning your head from side to side.". 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 . Due to the size of the kidney stone it is an appropriate treatment? "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. a sudden cardiac arrest and family wants CPR initiated. Choose the letter of the best answer. Avocados To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. Insert an NG tube Hemodialys is something required following surgery He asks you about the procedure what would be the most therapeutic response? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . The patient's blood sugar is currently 60. You notify the physician and anticipate which diagnosis? 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PRI: 0.12-0.20 Which of the following medication should you question? Rhythm: Regular S wave-negative deflection following the R wave. A nurse is caring for a client who has DKA. ), Follow a smoking cessation program NUR. As you inflate a balloon, the patient You notify the physician and anticipate which diagnosis? A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion.
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