Usually set to pace if SA rate <60 The provider might prescribe a diuretic to alleviate the fluid overload. (Click on the audio button to listen to the clip.). P wave: none Insert an NG tube 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. "I will no longer floss my teeth after brushing my teeth." Prophecy health medical surgical RN A correct Answers 2022 2023. Rate: 20-40 bpm 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. A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. per minute O2 saturation of 82%. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . A nurse is assessing a client following the completion of hemodialysis. P waves: No Ps, only fibrillation waves between QRSs Mother Baby. 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. Manifestations include low back pain, hypotension, tachycardia, and apprehension. Classifications Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Which of the following interventions should the nurse include in the plan of care? 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. -atrial flutter Normal sinus with VTach Required fields are marked *. Bathe the client using chlorhexidine solution. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION You notify the physician and anticipate which diagnosis? Prophecy Medical Surgical Exam Answers - Orris. Your email address will not be published. Compress the drain, then plug the bulb to establish suction. for the first time two hours after the orders received. Canned meats Registered Nurse in the Medical. 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? Prophecy health medical surgical RN A correct Answers 2022 2023. Terms of Use What should be done with this urine sample? Do you notice the spouse adjusting the oxygen on the Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. -ventricular tachycardia Which of the following instructions should the nurse include? A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. 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. What should be your next step? P waves: Present It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Prophecy Medical Surgical Exam Answers Orris. "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. 4: Measure the PR Interval Contact the provider to clarify the prescription. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. BEGIN: J point PRI: As above P waves: Present To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following values should the nurse identify as a desired outcome for this therapy? >0.20 if ventricular escape rhythm present. The patient's blood sugar is currently 60. A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops END: end of T You are caring for a diabetic patient admitted for uncontrolled blood sugar. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Which of the following instructions should the nurse include in the teaching? PRI: None Prophecy medical surgical-telemetry exam test Questions And Answers. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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Rhythm: Atrial regular, ventricular irregular d/t dropped beats How much of the medication should the nurse administer to ensure the ordered dose is given. What is most likely to be ordered? Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Which of the following medication should you question? A nurse is performing a preoperative assessment for a client. What education should you provide to. Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Which assessment finding would indicate an emergency? Rate: 41-100 bpm -arrhythmia Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. You're providing discharge instructions to a CHF patient. -nonconducted premature atrial contraction constipation is an adverse effect of verapamil. P waves: One before every QRS V-Tach A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. ATRIAL DEPOLARIZATION QRS: 0.06-0.10(12), Rate: varies The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? QRS: 0.06-0.10(12). To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? You were caring for a patient admitted with abdominal pain. A nurse is assessing a client while suctioning the client's tracheostomy tube. Notching or "rabbit ears" may be present. Narcan You do not speak Spanish and are having difficulty communicating with your patient. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Create complete outfits and allow the client to select one each day. What should be your FIRST action. Rhythm: Irregular, fibrillatory waves may be course or fine A nurse is assessing a client who is postoperative following a thyroidectomy. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. QRS: 0.06-0.10(12), Rate: 40-60 bpm PRI: See description in PJC above. Keep the client occupied with a manual activity. Which of the following statements by the client indicates an understanding of the teaching? View the full answer. The nurse should identify that which of the following client actions indicates an understanding of the teaching? When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. (Select all that apply. The nurse is taking care of a patient who is terminally ill and has a DNR on file. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? You were caring for a patient admitted with abdominal pain. Which of the following actions should the nurse anticipate taking? prophecy asks a questions and gives you 4 multiple choice options. Your inserting a urinary catheter into a male patient. You are caring for a diabetic patient diagnosed with CHF. "I will avoid direct exposure to the sun.". At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Pulmonary embolism 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? P waves: Present throughout strip Math can be a difficult subject for many people, but it doesn't have to be! On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). 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 PRI: Same as PVC Rhythm: Regular The nurse should anticipate the surgical incision to be in which of the following locations? 100% (2 ratings) Option C, Give CPR immediately . Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION march out R-R and use it to assess P-P intervals, most will print it Which assessment finding Click the card to flip P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 .34-.43 A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Mathematics is the study of numbers and their relationships. -junctional tachycardia A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. When there P waves: Same as PVC Math is a subject that can be difficult for some students to grasp. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: Protecting the patient's head and extremities from contact with surrounding objects. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Which of the following should the nurse plan to administer? The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. PRI: Same as PVC Normal: small, round, positive in lead II A nurse is providing teaching to a client who has AIDS. You notify the physician and anticipate which diagnosis? To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Which of the following instructions should the nurse include? You're caring for a 12 hour postoperative parathyroidectomy patient. If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. The amount available is oral solution 125 mg/5 mL. Rhythm: Regular Eat a low-fat diet. -first degree AV block The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? "Increase fiber intake to avoid constipation." A nurse is caring for a client who has hypothyroidism. It is now 1900. -Junction or AV node What medication would be given in the situation? Definition of terms. c. has no symmetry. When assessing a patient, you notice crepitus on the right upper shoulder. circulatory overload. ashley_hope_spicer. b. has radial symmetry. A nurse is caring for a client who has DKA. A nurse is preparing to administer a blood transfusion to a client who has anemia. Low back pain and apprehension A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. P waves: One before every QRS. You will need to stay still in the bed during each treatment session. Your patient voids P waves: none 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. 1520 Solve mathematic equations. PRI: Depends on settings QRS: 0.06-0.10(12), Rate: varies Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. H2O\mathrm{H}_2 \mathrm{O}H2O. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter You do not speak Spanish and are having difficulty communicating with your patient. FLAG My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Which of the following findings should the nurse report to the provider? 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. The client becomes restless, dyspneic, and has crackles noted to the lung bases. You're providing discharge instructions to a CHF patient. Rhythm: Regular if ratio of flutter wave to QRS is regular. correct electrode placement for leads I, II, III and MCL1 or V1. A nurse is assessing a client's hydration status. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. (Click on the audio button to listen to the clip.) P waves: Depends on underlying rhythm At least 3 different P wave morphologies. Which of the following information should the nurse include in the instructions? NOT: tuberculosis Which of the following instructions should the nurse include? A nurse is reviewing the ABG results of a client who has advanced COPD. incompatible blood products and create a systemic inflammatory response. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? Which of the following statements by the client indicates an understanding of the teaching? Looking through the chart of a coworker admitted to your unit. "I can speak to the provider about incorporating acupuncture into your treatment plan.". Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Compare. Below the Bundle of His Variable amplitude. Patterns: Bi and trigemeny, couplets and triplets. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. The client becomes restless, dyspneic, and has crackles noted to the lung bases. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? PRI: None when QRSs are not present Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Prophecy health medical surgical RN A ANSWERS 2022. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? The medication is supplied as 125 milligrams in a 2ml vial. BEGIN: first deflection You do not speak Spanish and are having difficulty communicating with your patient. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM atrial depolarization and pause before QRS (AV node delay) Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Rate: Depends on pacing settings. Which assessment finding would indicate an emergency? Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? First-Degree AV Block Which of the following images depicts a condition caused by pernicious anemia? Which of R wave-tall positively deflected wave in lead II. What should be physician and anticipate which diagnosis? 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! The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? $$ A nurse is caring for a client who has diabetic ketoacidosis (DKA). Expert Answer. should be flat and horizontally lined up with baseline of PRI Your patient began deteriorating rapidly after complaining of shortness of breath. drawn and the results are pH? Choose the letter of the best answer. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Assess the patient 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? What should be done with this urine 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. NOT:Print reading materials about the subject and give it to the patient After three negative sputum cultures, the client is no longer considered infectious. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. caused by elevated levels of hydrochloric acid in the stomach. Endoscopy-GI Lab Medical Surgical-Telemetry. QRS: 0.06-0.10(12), Rate: 101-180 bpm PRI: Same as PVC 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). 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 A nurse is administering packed RBCs to a client. Usually set to pace if SA rate <60 HCO3 - 23. QRS: 0.06-0.10(12). Which of the following actions should the nurse take? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You went to the room of a 58-year-old female. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. Deposition has ordered for your patience to begin a 24 hour urine collection. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Test Bank for Medical Insurance 8th Edition By Valerius-26, Identifying ethical principles:Basic concept ATI ALT, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021. Medical-surgical practice exam. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 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. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. 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? A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. This image depicts glossitis, which can indicate pernicious anemia. Due to the size of the kidney stone it is an appropriate treatment? Usually one impulse predominates. The patient has a morphine PCA post operatively. For P wave before PJC, PRI< 0.12 Which of the following assessment findings indicates a hemolytic transfusion reaction? A nurse is caring for a client who is receiving a blood transfusion. and it will give you the questions you missed and your incorrect answer. Which of the following statements by the client indicates understanding of the teaching? -premature atrial contraction Long refractory periods potentiates the risk for multifocal VT or Torsades On rounding you notice respirations at eight per minute O2 saturation of 82%. Looking through the chart of a coworker admitted to your unit. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Dietary considerations 2. ventricular repolarization is slowed and the relative refractory period is longer.
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