.34-.43 These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Study with Quizlet and memorize flashcards containing terms like b. Aim. Prophecy medical surgical-telemetry answered Test 2022.pdf. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid identify crackles as a manifestations of pulmonary edema and notify the provider. This can be due to lead dislodgement. QRS: 0.06-0.10(12), Rate: 60-100 bpm END: flattening before the t (j point) Rhythm: Regular The symptoms are indicative of: Your email address will not be published. Acetylsalicylic acid ( Bauer buffered aspirin) A nurse is caring for a client who has hypothyroidism. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. You are caring for a patient with a lower GI bleed. FLAG $$. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Scan the bladder with a portable ultrasound. Rhythm: Regular if ratio of flutter wave to QRS is regular. "This identifies if the pacemaker cells of my heart are working properly." Prophecy Medical Surgical Telemetry Exam A V1. Failure to capture occurs when depolarization does not follow pacer stimulation. Irrigate the indwelling urinary catheter. A nurse is assessing a client following the completion of hemodialysis. Which of the following actions should nurse take to avoid restraining the client? Which of the following is true about the formation and migration of meanders? less than 300 mg/dL indicates improvement in the client's status. When assessing a patient, you notice crepitus on the right upper shoulder. The client is agitated and is attempting to remove their IV catheter. could create the opportunity for infection. PRI: 0.12-0.20 sec following resources would be most appropriate to utilize in order to obtain consent? "I will avoid direct exposure to the sun.". Which fires first is easily detected on an ECG, premature junctional complex A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings is the nurse's priority? P waves: Present throughout strip Irregular if variable ratio. cardiac rhythm Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. The provider might prescribe a diuretic to alleviate the fluid overload. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. V-Tach Your patient has been diagnosed with a hemorrhagic CVA Knowledge of contraindications related to antidiabetic medications. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Rate: Depends on pacing settings. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Which of the following electrolyte value should be Addressed immediately by the nurse You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Which of the Which of the following findings should the nurse expect? A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. P waves: P wave before PAC looks different than Ps of the underlying rhythm. Registered Nurse in the Medical. -bundle branch block For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. 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). Place personal items, such as pictures, at the client's bedside. PRI: For underlying rhythm 0.12-0.20 sec. (Move the steps into the box on the right, placing them in the selected order of performance. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Rate: Depends on pacing settings. Rhythm: Regular Endoscopy-GI Lab Medical Surgical-Telemetry. wrong answer: Report any visual disturbances immediately while on the medications. Rifampin PRI: 0.12-0.20 sec ashley_hope_spicer. The hospitals language interpreter Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following actions should the nurse take? Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. 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. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? prophecy asks a questions and gives you 4 multiple choice options. Their patient has A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. A nurse is providing teaching to a client who has a new prescription for psyllium. count R waves during 6 seconds and multiply by 10, A) P should precede QRS At what temperature must the bottom surface of the kettle be maintained to accomplish this? Rhythm: Regular Rhythm: Regular A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Which of the following medication may cause urine discoloration place a pressure bag around the flush solution. P waves: May be present or absent depending on pacing settings (VVI vs DDD) You went to the room of a 58-year-old female. Which of the following information should the nurse include in the instructions? 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 . ATRIAL DEPOLARIZATION Prophecy health medical surgical RN A ANSWERS 2022. Morphine Duramorph, oxygen, nitrates, C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 Which of the following medication should you question? 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. QRS: An electric spike is seen before a wide, ventricular QRS. Hemodialys is something required following surgery END: returns to isoelectric line 3: Identify and examine P-Waves. And ABG was End: beginning of QRS QRS: During standstill, no QRSs are present, Rate: None P waves: One before every QRS Which of the following interventions should the nurse include in the plan of care? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. premature junctional contraction Mother Baby. -ventricular tachycardia P Waves: PVCs usually have no P waves or retrograde Ps. Which of the following resources would be most appropriate to utilize in order to . Perform a bladder scan Which assessment finding would indicate an emergency? Rate: 101-250 bpm BEGIN: J point QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. B) should be identical in size, shape, position 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. The medication is supplied as 125 milligrams in a 2ml vial. Which of the following instructions should the nurse include in the teaching? The pacer begins pacing when the HR is 60 or below. A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Assess the patient Which of the following actions should the nurse take first? reads at 25 mm/sec 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 respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. The patient's blood sugar is currently 60. Which of the following should the nurse plan to administer? QRS: > 0.12 sec. your next step? Rhythm: Regular 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. A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. P waves: Same as PVC Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Parathyroidectomy 2. Which of the following manifestations should the nurse expect? Your patient began deteriorating rapidly after complaining of shortness of breath. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. "Spike and capture". Rhythm: Irregular Which of the following findings should the nurse report to the provider immediately? "I will no longer floss my teeth after brushing my teeth." Identify the sequence of actions the nurse should take. Determine the mass rate of flow for isentropic flow through the nozzle. 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. to reduce the risk for thromboembolism and promote venous return. 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. A nurse is caring for a client who has DKA. Which of the following should be implemented? complains of discomfort what is the best action? A nurse is planning care for a client who is scheduled for a thoracentesis. Intense headache. PRI: 0.12-0.20 Which of the following findings should the nurse report to the provider as an adverse effect of this medication? QRS: 0.06-0.10(12), Rate: varies When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. NUR. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Rhythm: Irregular, fibrillatory waves may be course or fine Rhythm: Regular except during PJC. should be flat and horizontally lined up with baseline of PRI What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION wall and she states "she always takes care of my husband" what would be an appropriate Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Compare. Rhythm: None If an accessory pathway exists which by passes the AV node or if a reentry circuit occurs within the node, a tachyarrhythmia called PSVT can occur(more details later). PRI: Depends on underlying rhythm Usually one impulse predominates. It is now 1900. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. While performing the narcotic count at the end of the shift, my coworker admits to something, A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Low stimulation threshold can lead to non-capture due to scaring at the anchor site of the wire in the right ventricle causing increased resistance to the impulse. -Ventricular, -normal Rhythm: Regular Pediatric RN. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. -nonconducted premature atrial contraction Dietary considerations 2. Rhythm: Depends on underlying rhythm Manifestations include low back pain, hypotension, tachycardia, and apprehension. This image depicts glossitis, which can indicate pernicious anemia. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. 0.06-0.12 s QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. PRI: Same as PVC Low back pain and apprehension Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Rate: Viable. Which of Heart rate P waves: Present What should be your next step? suppression of bone formation, and an increase in bone resorption by osteoclasts. A nurse is assessing a client who is postoperative following a thyroidectomy. P waves: Present Cardiac strip Mathematics is the study of numbers and their relationships. Stress ulcers Bathe the client using chlorhexidine solution. QRS: 0.06-0.10(12), Rate: <60 bpm He asks you about the procedure what would be the most therapeutic response? When there A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. There are three tabs that contain separate categories of data. You do PRI: If P is visible, 0.12-0.20 sec Select only the hot spot that corresponds to your answer.). 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. What is most likely to be ordered? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the circulatory overload. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). NOT:Print reading materials about the subject and give it to the patient On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. You find that the patient's cardiac monitor shows asystolye, what should be your first action? Women could have pain in their arm, neck, back or jaw If not, reach through the comment section. Which of the following assessment findings indicates a hemolytic transfusion reaction? (elaborations) - Prophecy medical surgical-telemetry 2022 7. -ventricular fibrillation Rhythm: Regular with late beat Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Which of the following interventions should the nurse include in the plan of care? The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. Which of the following findings should the nurse expect? Prophecy Healthcare Annual Education Modules Conti. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable Neuro ICU. A nurse is providing education to a client who has tuberculosis (TB) and their family. Prophecy health medical surgical RN A (Latest 2022/2023). Patient is admitted for shortness of breath. Which of the following values should the nurse identify as a desired outcome for this therapy? P waves: Present Deposition has ordered for your patience to begin a 24 hour urine collection. prophylaxis to prevent stress ulcers. "I can speak to the provider about incorporating acupuncture into your treatment plan.". QRS: > 0.12 sec. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. 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? Rate: Depends on underlying rhythm. Which of the following actions should the nurse identify as the priority? Draw the decision tree for sequential search on a list of three elements. Which of the following interventions should the nurse include in the plan of care? What medication would be given in the situation? >0.20 if ventricular escape rhythm present. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Your patient has dysphagia. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. Bubbling in the water seal chamber ceases when the lung re-expands. Do not use a trailing zero.). Due to the size of the kidney stone it is an appropriate treatment? QRS: > 0.12 sec. PRI: Same as PVC Other manifestations include nausea, vomiting, fatigue, and headache. current traveling quickly down the His and purkinjes, bypass pathway or the impulse origin was ectopic and close to the AV node, QRS complex normal length and characteristics. Calculate the 12 hour intake for a patient that has received the following during your shift: Laryngeal strider A nurse is assessing a client who has peripheral arterial disease. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. Rhythm: Regular You were caring for a patient who is 18 hours postop after a right BKA a. ventricular repolarization is slowed and the relative refractory period is longer. in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hr period. march out R-R and use it to assess P-P intervals, most will print it You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? -Junction or AV node not always present -arrest The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. Expert Answer. 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. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. P waves: No P waves. -paroxysmal atrial tachycardia -junctional tachycardia Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 LATTER PHASE OF VENTRICULAR REPOLARIZATION Which of the following actions would be considered a violation of Hyppa? A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Patient is admitted for shortness of breath. will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. END: end of T PRI: 0.12-0.20 sec Keep the client occupied with a manual activity. NUR 4201. . To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Restlessness Which of the following findings should the nurse identify as the priority? Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Eat a low-fat diet. drawn and the results are pH? if you don't pass, click on the details info. Which of the following resources would be most appropriate to utilize in order to obtain consent? S wave-negative deflection following the R wave. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds (b) If the rocks are in the air for a time TTT on A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. For example, a VVI 60. Which of the following issues should be reported up the chain of command You find that the patient's cardiac monitor shows (Round the answer to the nearest whole number. Julie S Snyder, Linda Lilley, Shelly Collins. Determine whether compound below exhibit a molecular dipole moment: P waves: One before every QRS help prevent constipation, which is a common adverse effect of oral iron supplements. Which of the following actions should the nurse take? Indicate whether the solution is acidic or basic. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Which of the following instructions should the nurse include in the teaching? Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. The medication is supplied as 125 milligrams in a 2ml vial. The nurse should identify the need to revise the plan for which of the following clients? Lipase - 196 END: start of t wave The ventricles are paced and sensed. A certain volcano on earth can eject rocks vertically to a Narcan What information is vital for you to know prior to administering an ordered dose of digoxin Third-Degree AV Block, Rate: Depends on underlying rhythm NOT: tuberculosis The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Rate: Depends on underlying rhythm P waves: See description in PJC above. and it will give you the questions you missed and your incorrect answer. Which assessment finding Protonix is given as G. prophylaxis to prevent stress ulcers A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). View the full answer. Inherent rate is 40-60. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. 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. (Click on the audio button to listen to the clip.). Which of the following statements by the client indicates an understanding of the teaching? PRI: None associated with PVC 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 A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. -accelerated junctional rhythm On rounding you notice respirations at eight A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. P waves: One before every QRS Prepare to suction the client's airway. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. reasons: electrolyte imbalances, left vent hypertrophy, medications. PRI: 0.12-0.20 sec 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? It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. 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. 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A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. 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. 55 terms. constipation is an adverse effect of verapamil. PRI: When present they are all the same. Which of the following information should the nurse include in the teaching? Looking through the chart of a coworker admitted to your unit. 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. gabbz524. There are two left bundle branches and one right. Looking through the chart of a coworker admitted to your unit. Which of the following assessment findings should the nurse report to the provider? A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following instructions should the nurse include in the plan of care? Prophecy Medical Surgical Exam Answers Orris. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. 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 BEGIN: beginning of Q Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. The nurse should anticipate the surgical incision to be in which of the following locations? Rate: 150-250 It is now 1900. Family members in the household should undergo TB testing. H2O\mathrm{H}_2 \mathrm{O}H2O. You went to the room of a 58-year-old female. Pulmonary embolism The nurse is taking care of a patient who is terminally ill and has a DNR on file. How many mL should the nurse administer? 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.
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