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P waves: One before every QRS 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. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Due to the size of the kidney stone it is an appropriate treatment? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. 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. Numbness in the arms If rate >101 then rhythm is multifocal atrial tachycardia P waves: Same as PVC Document that depolarization has occurred. Initiate IV therapy decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Which of the following values should the nurse identify as a desired outcome for this therapy? When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. circulatory overload. PRI: See description in PJC above. PRI: When present they are all the same. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. You do Prophecy health medical surgical RN A (Latest 2022/2023). The patient has NKDA. A nurse is providing education to a client who has tuberculosis (TB) and their family. -tachycardia Which of the following medication should you question? The patient may be experiencing: Parathyroidectomy 2. Study with Quizlet and memorize flashcards containing terms like b. "This identifies if the pacemaker cells of my heart are working properly." Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? END: start of t wave Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You were caring for a patient admitted with abdominal pain. Which of the following resources would be most appropriate to utilize in order to obtain consent? END: flattening before the t (j point) Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Sinus tachycardia PRI: Depends on underlying rhythm Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Which of the following actions is the nurse's priority? Narcan A nurse is providing teaching to a client who has a new prescription for psyllium. -bradycardia P waves: Same as PVC And ABG was PRI: None The nurse is taking care of a patient who is terminally ill and has a DNR on file. sample? You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". Which of the following findings should indicate to the nurse that the client's condition is improving? -Ventricular, -normal Oncology. Which of the following statements should the nurse make? The degree of perpendicular can also be seen as a decrease in amplitude only. The patient's blood sugar is currently 60. PRI: Same as PVC 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 And ABG was drawn and the results are pH? Which of the following interventions should the nurse include in the plan of care? The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. sick sinus syndrome, Rate: 60-100 bpm University of the West of England (South West). is no history of GERD Medical-Surgical RN A Prophecy Relias. 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. PRI: 0.12-0.20 sec Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Exam Objective: To measure the overall clinical knowledge of the. PRI: For underlying rhythm 0.12-0.20 sec. Which of the following admission orders would you expect for this patient? Which of the following findings should the nurse report to the provider? Rhythm: Regular P wave: none can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION I will refer you to community resources that can provide support. depends on HR, QT less than half R-R, usually <.44 seconds. A nurse is assessing a client who is postoperative following a thyroidectomy. ), Follow a smoking cessation program To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? A nurse is teaching a client about osteoporosis prevention. ATRIAL DEPOLARIZATION A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Your patient began deteriorating rapidly after complaining of shortness of breath. Correct answer is ventricular fibrillation Slow the infusion rate -third degree AV block. P waves: One before every QRS. When there is no history of GERD, Protonix is given as G.I. "I will no longer floss my teeth after brushing my teeth." will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Rhythm: Regular P waves: One before every QRS A nurse is caring for a client who is receiving a blood transfusion. 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. -Junction or AV node At the AV Node Ibuprofen can cause gastrointestinal bleeding in older adult clients. Rhythm: Irregular Which of the following actions should the nurse anticipate taking? A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. QRS: >0.20. Pulmonary embolism However, with a little practice and perseverance, anyone can . Heparin infusion per pharmacy protocol Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. 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. PRI: Same as PVC For P wave before PJC, PRI< 0.12 You are caring for a diabetic patient admitted for uncontrolled blood sugar. Exam (elaborations . You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. QRS: > 0.12 sec. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following findings is the nurse's priority to report to the provider? DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Which of the following actions would be considered a violation of Hyppa? A nurse is providing teaching to a client who has AIDS. 100% (2 ratings) Option C, Give CPR immediately . Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A patient suddenly complains of new onset of chest pain. Rhythm: Regular 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 Which of the following types of transmission precautions should the nurse initiate? 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. Rate: Atrial > ventricular Which of the following instructions should the nurse include? The client has just undergone thoracentesis. What should be your FIRST action. Protonix is given as G. prophylaxis to prevent stress ulcers PRI: 0.12-0.20 sec Choose the letter of the best answer. What medication would be given in the situation? Hemodialys is something required following surgery V-Tach Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Pharmacology LPN - Acute. They report sudden chest pain pulse ox at 86%. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Your patient has been diagnosed with a hemorrhagic CVA Failure to capture occurs when depolarization does not follow pacer stimulation. Which of the following is true about the formation and migration of meanders? Which of the following actions should the nurse take? First-Degree AV Block Which of the following statements by the client indicates an understanding of the teaching? 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? Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Which of the following issues should be reported up the chain of command following resources would be most appropriate to utilize in order to obtain consent? 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Your patient complains of not being able to urinate since 0500. P waves: Present throughout strip Which fires first is easily detected on an ECG, premature junctional complex The nurse should anticipate the surgical incision to be in which of the following locations? What should be done with this urine sample? \sum_{k=1}^{\infty} k^4 2^{-k} Company Registration Number: 8600593 Your patient began deteriorating rapidly after complaining of shortness of breath. P waves: Present QRS: 0.06-0.10(12), Rate: 101-180 bpm A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Perform a bladder scan Prophecy medical surgical-telemetry Flashcards | Quizlet Science Medicine Surgery Prophecy medical surgical-telemetry 4.7 (25 reviews) Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Assess your patient for a change in condition QRS: 0.06-0.10(12), Rate: <60 bpm Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. QRS: 0.06-0.10(12), Rate: 40-60 bpm If P waves seen, different shape than NSR. Definition of terms. Rhythm: Regular except during PJC. Create complete outfits and allow the client to select one each day. 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. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Prophecy medical surgical telemetry exam a v1 answers - In addition, Prophecy medical surgical telemetry exam a v1 answers can also help you to check your. Stress ulcers Indicate whether the solution is acidic or basic. Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. The client tells the nurse, "I wish I could stop these treatments. %PDF-1.6 % drawn and the results are pH? After notifying the physician, what action should you take NEXT? Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. (Select all that apply. constipation is an adverse effect of verapamil. (Click on the "Exhibit" button for additional information about the client. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. Airborne You do not speak Spanish and are having difficulty communicating with your patient. QRS: 0.06-0.10(12), supraventricular tachycardia QRS: 0.06-0.10(12), Rate: Depends on pacing settings. and it will give you the questions you missed and your incorrect answer. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. When taking care of a patient with pancreatitis, which of the following lab shoul. 111 0 obj <>stream Which of the following actions would be considered a violation of Hyppa? Avocados Insert an NG tube Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Bubbling in the water seal chamber ceases when the lung re-expands. Medical-surgical practice exam. The hospitals language interpreter Long refractory periods potentiates the risk for multifocal VT or Torsades help prevent constipation, which is a common adverse effect of oral iron supplements. You went to the room of a 58-year-old female. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? Bathe the client using chlorhexidine solution. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Cardiac strip What should be 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 manifestations should the nurse expect? -nonconducted premature atrial contraction Rhythm: Irregular Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. P waves: See description in PJC above. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. What is most likely to be ordered? QRS: None, Rate: Depends on underlying rhythm prophecy asks a questions and gives you 4 multiple choice options. : 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. for the first time two hours after the orders received. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Prophecy Medical Surgical Telemetry Exam A V1. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Due to the size of the kidney stone it is an appropriate treatment? P waves: May not be visible due to rate. earth, for how long (in terms of TTT ) would they be in the air on Mars? ashley_hope_spicer. Which of the following findings should the nurse expect? Save my name, email, and website in this browser for the next time I comment. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. When there reasons: electrolyte imbalances, left vent hypertrophy, medications. 3/11 Prophecy Health Nurse Test Answers. Other manifestations include dyspnea and decreased oxygen saturation. Prophecy PACU RN A v1 correct Answers latest 2022 2023. Math is a way of solving problems by using numbers and equations. Rhythm: P waves regular, QRSs regular but at different rates. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. a sudden cardiac arrest and family wants CPR initiated. should be flat and horizontally lined up with baseline of PRI "Wires" that run down the septum and into the ventricles. You were caring for a patient who is 18 hours postop after a right BKA a. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. 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. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. A nurse is planning a health promotional presentation for a group of African American clients at a community center. (b) If the rocks are in the air for a time TTT on Operating Room RN. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. PRI: >0.20 100 terms. A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Which of the following disorders presents the greatest risk to this group of clients? Which of the following statements by the client indicates an understanding of the teaching? 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. and you know dark tarry stool what would be the diagnosis? 115 reads death penalty papers by students A nurse is providing education to a client who is at risk for osteoporosis. The nurse notes a pacemaker artifact followed by a QRS complex. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm 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. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Potassium 2 mEq/L The symptoms are indicative of: Prophecy medical surgical-telemetry exam test Questions And Answers. patient's blood sugar is currently 60. Dyspnea Which of the following actions should the nurse take? Prophecy health medical surgical RN A ANSWERS 2022. After three negative sputum cultures, the client is no longer considered infectious. Heart rate 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. You are caring for a diabetic patient diagnosed with CHF. Draw the decision tree for sequential search on a list of three elements. 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. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Which of the following interventions should the nurse include in the plan? Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. following is the best nursing action? Family members in the household should undergo TB testing. QRS: 0.06-0.10(12), Rate: varies Prophecy Medical Surgical Exam Answers - Orris. Place personal items, such as pictures, at the client's bedside. Repair of the diverticulum is accomplished through an open incision in the client's neck. -SA node PACU RN. (Click on the "Exhibit" button for additional information about the client. P waves: No P waves. How should you respond? View the full answer. if you don't pass, click on the details info. Laryngeal strider The nurse should identify the need to revise the plan for which of the following clients? You notify the ), Calf pain . How is it affecting indigenous people? If the ventricles generates an impulse, the pacemaker will not fire. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? 226 Math Experts 3 Years in business . 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. PRI: Same as PVC Encourage the client to take deep breaths after the procedure. Math is a subject that can be difficult for some students to grasp. Usually one impulse predominates. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. NUR 123. indicate that the nephrostomy tube is dislodged or clogged. Keep a lead-lined container in the client's room. You're providing discharge instructions to a CHF patient. END: returns to isoelectric line Click the card to flip Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm Your patient has dysphagia. .34-.43 FLAG Normal sinus with VTach Select only the hot spot that corresponds to your answer.). Which of the following interventions should the nurse include in the plan of care? You do not speak Spanish and are having difficulty communicating with your patient. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. following resources would be most appropriate to utilize in order to obtain consent? Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Usually set to pace if SA rate <60 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). PRI: 0.12-0.20 sec prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Which of the following medication may cause urine discoloration Discarded, then begin the 24 hour collection. When assessing a patient, you notice crepitus on the right upper shoulder. R wave-tall positively deflected wave in lead II. Math can be a difficult subject for many people, but it doesn't have to be! NOT: tuberculosis FLAG Chamberlain College of Nursing. Don't suffer through your problems alone, help is always available. B. Compare. How should you respond? Drink 240 mL (8 oz) of water after administration. response? Which of the following findings should the nurse identify as a manifestation of this condition? coworker to sign for the ways that you did not witness Which of the following actions should the nurse take? The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. 67 terms. 55 terms. QRS: None. Determine whether compound below exhibit a molecular dipole moment: There are three tabs that contain separate categories of data.) Mathematics is the study of numbers and their relationships. Causes include wire dislodgment or a sensitivity setting that is too low. The client becomes restless, dyspneic, and has crackles noted to the lung bases. b. has radial symmetry. Which of the following instructions should the nurse include? Correct Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: Correct Answer: 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Which of the following actions would be considered a violation of Hyppa? You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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