PRI: Depends on settings You notify the physician and anticipate which diagnosis? Transcribed image text: Medical Surgical-Telemetry A v1 Question 21 of 60 Time Remaining 41:47 You are on the old me You to the shown to what to be your FIRST Calcode SCP You were that to FASTAFF (US.ing Corporation Main Once checy Avrigt Adediche 29 tv 8 . What is the first sign of increased intracranial pressure? 100% (2 ratings) Option C, Give CPR immediately . QRS: 0.06-0.10(12). V-Tach "Increase fiber intake to avoid constipation." You do not speak Spanish and are having difficulty communicating with your patient. Rhythm: Irregularity associated with respiration phase. Contact the provider to clarify the prescription. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM PRI: For underlying rhythm 0.12-0.20 Which of the following electrolyte value should be Addressed immediately by the nurse The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? P waves: Same as PVC Which of the following assessment findings indicates a hemolytic transfusion reaction? Rhythm: Regular if ratio of flutter wave to QRS is regular. "Discontinuing with the treatments is your choice if it is your wish to do so.". P waves: Same as PVC Which of the Manifestations include low back pain, hypotension, tachycardia, and apprehension. Indicate whether the solution is acidic or basic. The patient's blood sugar is currently 60. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). The nurse is taking care of a patient who is terminally ill and has a DNR on file. The amount available is oral solution 125 mg/5 mL. Stress ulcers per minute O2 saturation of 82%. wall and she states "she always takes care of my husband" what would be an appropriate "I will eat more high-fiber foods." Which of the following actions should the nurse take to manage the drain? Prophecy Medical Surgical Telemetry Exam A V1. You are caring for a patient admitted with diverticulitis. Choose the letter of the best answer. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. 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? Mother Baby. 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. Rifampin Which of the following statements should the nurse make? Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. 3: Identify and examine P-Waves. PRI: 0.12-0.20 and it will give you the questions you missed and your incorrect answer. P waves: One before every QRS premature atrial contraction The client is unable to void on the bedpan. PRI: 0.12-0.20 sec The patient has a morphine PCA post operatively. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. P waves: No P waves. Rhythm: May be irregular due to changing pacer foci. QRS: 0.06-0.10(12), Locations QRS: 0.06-0.10(12), Rate: 60-100 bpm The patient may be experiencing: When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. The degree of perpendicular can also be seen as a decrease in amplitude only. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. (elaborations) - Prophecy medical surgical-telemetry 2022 7. Which of the following actions would be considered a violation of Hyppa? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Dyspnea Which of the following findings should the nurse report to the provider? P waves: May be present or absent depending on pacing settings (VVI vs DDD) Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. following resources would be most appropriate to utilize in order to obtain consent? Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. Your COPD patient is complaining of wheezing and increased shortness of breath Inherent rate is 40-60. maximum height HHH. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. PRI: None Log in Join. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? The client should increase fiber intake to promote regular bowel function. Which assessment finding would indicate an emergency? Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Which of the following findings is the nurse's priority? Refused to sign for the waste A nurse is reviewing the ABG results of a client who has advanced COPD. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. P waves: One before every QRS Prepare to suction the client's airway. Client reports back pain Rhythm: Regular The nurse is taking care of a patient who is terminally ill and has a DNR on file. You will need to stay still in the bed during each treatment session. Intense headache. Maintain an appropriate weight Rhythm: Irregular While performing the narcotic count at the end of the shift, my coworker admits to something, Appears to be twisting around a point. Which of the following resources would be most appropriate to utilize in order to . A nurse is planning a health promotional presentation for a group of African American clients at a community center. PRI: 0.12-0.20 sec Women could have pain in their arm, neck, back or jaw P waves: May not be visible due to rate. You're providing discharge instructions to a CHF patient. QRS: >0.20. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Which of the following findings should the nurse expect? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Prophecy medical surgical-telemetry Questions and Answers 2022. What medication would be given in the situation? tuberculosis, measles, varicella, and disseminated varicella zoster. Failure to capture occurs when depolarization does not follow pacer stimulation. The symptoms are indicative of: Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Which of the following instructions should the nurse include in the teaching? No progressively longer pattern. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: Same as PVC Your patient voids for the first time two hours after the orders received. When there is no history of GERD, Protonix is given as G.I. Bubbling in the water seal chamber has ceased. Spinach Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Compare. Restlessness identify crackles as a manifestations of pulmonary edema and notify the provider. B. PRI: When present they are all the same. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Rhythm: Underlying regular except during PAC. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream (Select all that apply.). Use a leading zero if it applies. Insert an NG tube 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 A nurse is assessing for compartment syndrome in a client who has a short leg cast. help prevent constipation, which is a common adverse effect of oral iron supplements. Do not use a trailing zero.). Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics the following medication should you question? 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. Which of the following actions is the nurse's priority? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. BEGIN: upward deflection from ST segment Protecting the patient's head and extremities from contact with surrounding objects Looking through the chart of a coworker admitted to your unit. A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. The download is temporarily disabled. 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? Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. An animal with many lines of symmetry a. has bilateral symmetry. The nurse should anticipate the surgical incision to be in which of the following locations? They report sudden chest pain pulse ox at 86%. The medication is supplied as 125 milligrams in a 2ml vial. A nurse is planning care for a client who is postoperative following a parathyroidectomy. 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). Sputum with streaks of blood $$. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? -ventricular tachycardia ventricular repolarization is slowed and the relative refractory period is longer. FLAG Rhythm: Regular suppression of bone formation, and an increase in bone resorption by osteoclasts. -nonconducted premature atrial contraction Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. (You will find hot spots to select in the artwork below. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". P wave: none Potassium 2 mEq/L Deposition has ordered for your patience to begin a 24 hour urine collection. Flutter waves may be sawtooth or rounded. On rounding you notice respirations at eight per minute O2 saturation of 82%. Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. Deposition has ordered for your patience to begin a 24 hour urine collection. a sudden cardiac arrest and family wants CPR initiated. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. A nurse is caring for a client who has terminal cancer. QRS: An electric spike is seen before a wide, ventricular QRS. As you inflate a balloon, the patient complains of discomfort what is the best action? A nurse is admitting a client who has active tuberculosis. They report sudden PRI: 0.12-0.20 sec incompatible blood products and create a systemic inflammatory response. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Which of the following actions should the nurse take? Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. NICU RN. P waves: Present University of California, Los Angeles . 3/11 Prophecy Health Nurse Test Answers. Rhythm: Regular A nurse is assessing a client who has diabetes insipidus. Your inserting a urinary catheter into a male patient. Variable amplitude. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You find that the patient's cardiac monitor shows 2: Calculate the heart rate. Which of the following actions should the nurse take? PRI: 0.12-0.20 sec P waves: Same as PVC If P waves seen, different shape than NSR. The client becomes restless, dyspneic, and has crackles noted to the lung bases. P waves: Present When there is no history of GERD Correct Answer: Protonix is given as G.I. Which of the following statements by the client indicates an understanding of the teaching? PRI: None Expert Help. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Pulmonary embolism Your email address will not be published. "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. Prophecy EKG. reads at 25 mm/sec is no history of GERD A nurse is providing teaching to a client who has a new prescription for psyllium. symmetrical and may be tall and peaked, biphasic or inverted A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The client has just undergone thoracentesis. Definition of terms. Prophecy Healthcare Annual Education Modules Conti. Which of the following interventions should the nurse include in the plan of care? Educate the spouse on oxygen use as a medical device in the hospital. 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? Laryngeal strider 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). Numbness can occur along the inside of the affected arm Correct Answer: Looking through the chart of a coworker admitted to your unit Correct Answer: Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Your patient began deteriorating rapidly after complaining of shortness of breath. BEGIN: beginning of Q A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. However, with a little practice and perseverance, anyone can . 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. 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. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Hemodialys is something required following surgery You are caring for a patient with a lower GI bleed. the recruiter can 'reset' the test so you can take it again. What should be your FIRST action. njcjohnson. Which of the following actions should the nurse anticipate taking? Which of the following actions should the nurse take first? Which of the following actions should the nurse identify as the priority? A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. A nurse is administering packed RBCs to a client. The medication is supplied as 125 milligrams in a 2ml vial. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. FLAG : 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. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? What should be done with this urine Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . place a pressure bag around the flush solution. End: beginning of QRS A nurse is assessing a client who is postoperative following a thyroidectomy. BEGIN: J point 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. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? count R waves during 6 seconds and multiply by 10, A) P should precede QRS I will refer you to community resources that can provide support. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? The patient is lying in a supine position. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. The nurse should identify the need to revise the plan for which of the following clients? Don't suffer through your problems alone, help is always available. PRI: As above A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? What information is vital for you to know prior to administering an ordered dose of digoxin Prednisone can also reduce intestinal absorption of calcium. There are three tabs that contain separate categories of data. QRS: An electric spike is seen before a wide, ventricular QRS. You do not speak Spanish and are having difficulty communicating with your patient. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Loosen restrictive clothing on the client. a sudden cardiac arrest and family wants CPR initiated. -arrhythmia Bubbling in the water seal chamber ceases when the lung re-expands. Heart rate 110/min Rhythm: Atrial regular, ventricular irregular d/t dropped beats Pharmacology LPN - Acute. He asks you about the procedure what would be the most therapeutic response? -block When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Required fields are marked *. S wave-negative deflection following the R wave. You're providing discharge instructions to a CHF patient. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. PRI: 0.12-0.20 sec complains of discomfort what is the best action? You were caring for a patient admitted with abdominal pain. You're caring for a 12 hour postoperative parathyroidectomy patient. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. H2O\mathrm{H}_2 \mathrm{O}H2O. Which of the following interventions should the nurse include in the plan of care? (Click on the "Exhibit" button for additional information about the client. What should be your first response? Which of the following statements by the client indicates understanding of the teaching? The nurse should expect a reduction in which of the following common manifestations of advanced cancer? d. has a distinct head and tail end. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Patient is admitted for shortness of breath. The patient has NKDA. QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following statements by the client reflects an understanding of the teaching? The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. . The hospitals language interpreter small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. QRS: None. sample? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! 111 0 obj <>stream A nurse is providing education to a client who is at risk for osteoporosis. Rhythm: Regular due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. circulatory overload. You find that the patient's cardiac monitor shows asystolye, what should be your first action? NUR. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. -arrest Aspirate the fluid, advance the catheter farther, then re-inflate the balloon (Click on the "Exhibit" button for additional information about the client. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Assess the patient P waves: P wave before PAC looks different than Ps of the underlying rhythm. a result of impaired arterial circulation affecting follicular growth. 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