Numbness in the arms 67 terms. Rate: 150-250 Expert Answer. The nurse should identify the need to revise the plan for which of the following clients? Manifestations include low back pain, hypotension, tachycardia, and apprehension. You do not speak Spanish and are having difficulty communicating with your patient. if you don't pass, click on the details info. Rhythm: Regular Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Compress the drain reservoir after emptying. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. 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. There are three tabs that contain separate categories of data.) 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. What should be your FIRST action. Math can be a difficult subject for many people, but it doesn't have to be! i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ They report sudden P waves: One before every QRS A nurse is caring for a client who has DKA. Rate: Depends on underlying rhythm Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Which of the following findings should the nurse identify as the priority? Rhythm: Regular with late beat Which of the following interventions should the nurse include in the plan of care? Rhythm: Regular except for pause. cardiac rhythm (Click on the "Exhibit" button for additional information about the client. per minute O2 saturation of 82%. What information is vital for you to know prior to administering an ordered dose of digoxin decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Which of the following information should the nurse include in the teaching? Sinus tachycardia Rhythm: Irregular Which of After ensuring a patent airway, which of the following nursing interventions is the priority? Use the Ratio Test to determine whether the following series converge. Cardiac strip Solve mathematic equations. You are caring for a diabetic patient diagnosed with CHF. "This identifies if the pacemaker cells of my heart are working properly." A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. QRS: An electric spike is seen before a wide, ventricular QRS. .34-.43 Knowledge of contraindications related to antidiabetic medications. What medication would be given in the situation? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. When assessing a patient, you notice crepitus on the right upper shoulder. The nurse is taking care of a patient who is terminally ill and has a DNR on file. The ventricles are paced and sensed. 100 terms 4.8. slcumella . When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 Which of the following statements made by the client reflects an understanding of the teaching? Your patient fell and hit his head on the bed rail during a physical therapy session. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. response? END: returns to isoelectric line For which of the following adverse effects should the nurse instruct the client to notify the provider? HCO3 - 23. Inherent rate is 40-60. The patient is lying in a supine position. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Log in Join. Due to the size of the kidney stone it is an appropriate treatment? Popular books. -idioventricular rhythm 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. Rhythm: Regular except during PJC. Crackles heard on auscultation Rhythm: Regular PRI: As above He asks you about the procedure what would be the most therapeutic response? Which of the following statements should the nurse make? Insert an NG tube At least 3 different P wave morphologies. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Which of the following interventions should the nurse include in the plan of care? P waves: None When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. 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) Slow the infusion rate circulatory overload. QRS: 0.06-0.10(12), Rate: <60 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? Study Resources. Encourage the client to take deep breaths after the procedure. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following instructions should the nurse include? should be flat and horizontally lined up with baseline of PRI Your patient has a bowel movement A nurse is assessing a client while suctioning the client's tracheostomy tube. P waves: Same as PVC PRI: Depends on settings PRI: 0.12-0.20 sec P waves: One before every QRS Which of the following actions would be considered a violation of Hyppa? wrong answer: Report any visual disturbances immediately while on the medications. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. A kettle with a flat bottom 30 cm in diameter is available. Which of the following statements by the client indicates an understanding of the teaching? Julie S Snyder, Linda Lilley, Shelly Collins. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Which of the following findings should the nurse report to the provider immediately? . wall and she states "she always takes care of my husband" what would be an appropriate mark on top = every 3 seconds Prophecy health medical surgical RN A correct Answers 2022 2023. 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 Hair loss on the lower legs Which of the following actions would be considered a violation of Hyppa? S wave-negative deflection following the R wave. You notify the physician and anticipate which diagnosis? Initiate IV therapy Intense headache. Your patient who was admitted 5 days ago begins to have diarrhea. QRS: >0.20. each small box = 0.04 seconds "Spike and capture". Registered Nurse in the Medical. There are three tabs that contain separate categories of data. At what temperature must the bottom surface of the kettle be maintained to accomplish this? A nurse is assessing a client who is postoperative following a thyroidectomy. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI -block You're reviewing the menu list of a patient on Warfran what food should they not eat? My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Indicate whether the solution is acidic or basic. At the Bundle of His Which of the following actions should the nurse identify as the priority? 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? ventricular escape rhythm or idioventricular rhythm. Definition of terms. time between the onset of ventricular depolarization and the end of repolarization PRI: Same as PVC 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. Medical Surgical-Telemetry. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Rhythm: Regular If a 60 dB sound increases to 70 dB, about how much louder is the sound: Because of its chemical similarity to calcium, ${ }_{38}^{90}$ Sr can collect in the bones and present a health risk. QRS: 0.06-0.10(12), Rate: 60-100 bpm I am ready to die." A nurse is providing teaching to a client who has AIDS. place a pressure bag around the flush solution. Type I Second-Degree AV Block QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. How is it affecting indigenous people? You notify the physician and anticipate which diagnosis? ), Calf pain These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. (elaborations) - Prophecy medical surgical-telemetry 2022 7. Your patient complains of not being able to urinate since 0500. Sedimentation rate P waves: Same as PVC wrong answer: NPO, antibiotic, anticholinergic. P waves: Present Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. a result of impaired arterial circulation affecting follicular growth. Select only the hot spot that corresponds to your answer.). Dietary considerations 2. Rhythm: Regular Which of the following should the nurse plan to administer? 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. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. reasons: electrolyte imbalances, left vent hypertrophy, medications. gabbz524. Pulmonary embolism 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 . -atrial fibrillation. Looking through the chart of a coworker admitted to your unit. incompatible blood products and create a systemic inflammatory response. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. -first degree AV block Which of the following findings should the nurse report to the provider? They report sudden chest pain pulse ox at 86%. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Which of the following PPE is required for the staff entering a patient's room who has been diagnosed with pneumonia and is positive for MRSA, You enter your patient's room and find the patient unresponsive and without a pulse. -ventricular standstill A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Loosen restrictive clothing on the client. Rhythm: Regular A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Rhythm: Regular with late beats A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). The client becomes restless, dyspneic, and has crackles noted to the lung bases. Chamberlain College of Nursing. If P waves seen, different shape than NSR. Prophecy Medical Surgical Exam Answers - Orris. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter P waves: P wave before PAC looks different than Ps of the underlying rhythm. correct electrode placement for leads I, II, III and MCL1 or V1. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? (Round the answer to the nearest whole number. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Prophecy health medical surgical RN A (Latest 2022/2023). -nonconducted premature atrial contraction Determine the mass rate of flow for isentropic flow through the nozzle. You notify the 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). Which of the following orders would you question Correct Answer: KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? Patient is admitted for shortness of breath. Use all the steps. Mealtimes do not pertain to this client due to the NPO status. maximum height HHH. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. We have received reports about this document. P waves: As with PJCs Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? 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. You will need to stay still in the bed during each treatment session. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following actions should the nurse anticipate taking? You do not speak Spanish and are having difficulty communicating with your patient. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Your patient has been diagnosed with a hemorrhagic CVA P waves: Same as PVC Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. For P wave before PJC, PRI< 0.12 . Their patient has a sudden cardiac arrest and family wants CPR initiated. A nurse is teaching a client about osteoporosis prevention. Unable to determine C. Knowledge of diabetic education for: 1. May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Medical-Surgical B 5.0 (2 reviews) Term 1 / 75 Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Click the card to flip Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. 5: Measure the QRS Complex 100 terms. Rhythm: Regular Rhythm: Regular if ratio of flutter wave to QRS is regular. The Bathe the client using chlorhexidine solution. Rate: 20-40 bpm Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? NICU RN. Lipase and amylase P Waves: PVCs usually have no P waves or retrograde Ps. Which of the following images depicts a condition caused by pernicious anemia? Not: start CPR Which of the following values should the nurse identify as a desired outcome for this therapy? slcumella. Which of the following information should the nurse provide? Rhythm: Irregular prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4 Determine math equations Mathematical equations are a great way to test your problem-solving skills. Which of the following actions should the nurse take? After notifying the physician, what action should you take NEXT? QRS: 0.06-0.10(12), Rate: 60-100 bpm Type II Second-Degree AV Block P waves: See description in PJC above. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Divides into the bundle branches. -arrest . ashley_hope_spicer. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. Repair of the diverticulum is accomplished through an open incision in the client's neck. for the first time two hours after the orders received. Canned meats Heparin infusion per pharmacy protocol Heart rate 52/min Which of the following findings indicates fluid volume overload? P waves: One before every QRS 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? PRI: If P wave is present before QRS, < 0.12 sec. Choose the letter of the best answer. And ABG was drawn and the results are pH? (Move the steps into the box on the right, placing them in the selected order of performance. Which of the following actions should the nurse take first? The degree of perpendicular can also be seen as a decrease in amplitude only. 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Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm Eat a low-fat diet. Rate: Depends on underlying rhythm H2O\mathrm{H}_2 \mathrm{O}H2O. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. Below the Bundle of His The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. You're caring for a 12 hour postoperative parathyroidectomy patient. Rhythm: Regular The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Usually set to pace if ventricular rate <60 PRI: 0.12-0.20 sec The nurse should identify that which of the following values is an indication of an adverse effect of the medication? PRI: 0.12-0.20 sec important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). PRI: None QRS: None. When taking care of a patient with pancreatitis, which of the following lab shoul. Which of the following issues should be reported up the chain of command NUR. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. -second degree AV block (mobitz I and II) How does the current model of the atom differ from J.J. Thomson's model? QRS: 0.06-0.10(12), Rate: 101-180 bpm QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. They report sudden chest pain pulse ox at 86%. PRI: If P wave is present before QRS, < 0.12 sec. Which assessment finding would indicate an emergency? What should be done with this urine A nurse is reviewing the laboratory results of a client who has aplastic anemia. Ibuprofen can cause gastrointestinal bleeding in older adult clients. Drink 240 mL (8 oz) of water after administration. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? You do not speak Spanish and are having difficulty communicating with your patient. On rounding you notice respirations at eight per minute O2 saturation of 82%. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Restlessness PRI: None when QRSs are not present QRS: An electric spike is seen before a wide, ventricular QRS. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. diagnosis what should you instruct the patient to avoid? morphology should be identical, based on its origin END: end of T A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Prophecy Medical Surgical Exam Answers Orris. Which of the following disorders presents the greatest risk to this group of clients? Required fields are marked *. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE).
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