Usually set to pace if SA rate <60 A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid Sedimentation rate chest pain pulse ox at 86%. BEGIN: first deflection Prophecy health medical surgical RN A correct Answers 2022 2023. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions A kettle with a flat bottom 30 cm in diameter is available. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. march out R-R and use it to assess P-P intervals, most will print it ), AdminiSTER o2 A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. P waves: One before every QRS. -block Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. As you inflate a balloon, the patient PRI: None You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Due to the size of the kidney stone it is an appropriate treatment? The provider might prescribe a diuretic to alleviate the fluid overload. There are two left bundle branches and one right. -SA node the recruiter can 'reset' the test so you can take it again. (Round the answer to the nearest whole number. 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. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable (elaborations) - Prophecy medical surgical-telemetry 2022 7. Inherent rate is 40-60. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following should be implemented? Protecting the patient's head and extremities from contact with surrounding objects P waves: Present throughout strip Sinus tachycardia You were caring for a patient admitted with abdominal pain. Which of the following issues should be reported up the chain of command He asks you about the procedure what would be the most therapeutic response? Which of the following findings is the nurse's priority to report to the provider? Which of the following interventions should the nurse include in the plan of care? Click the card to flip P waves: May be present or absent depending on pacing settings (VVI vs DDD) Numbness can occur along the inside of the affected arm Which of the following findings is the nurse's priority? Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? You notify the . Acetylsalicylic acid ( Bauer buffered aspirin). One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which occurs to compensate for blood loss. QRS: 0.06-0.10(12), -wandering atrial pacemaker A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Intense headache. Which of These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following instructions should the nurse include? Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. QRS: 0.06-0.10(12), Rate: 101-180 bpm 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. The client has just undergone thoracentesis. Which of the following findings should the nurse expect? A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. 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 You find that the patient's cardiac monitor shows Rhythm: Regular Prophecy health medical surgical RN A correct Answers 2022 2023. Which of the following actions should the nurse take? PRI: None PRI: For underlying rhythm 0.12-0.20 Use the Ratio Test to determine whether the following series converge. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. He asks you about the procedure what would be the most therapeutic response? Encourage the client to take deep breaths after the procedure. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. A nurse is caring for a client who has hypothyroidism. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Which of the following statements should the nurse make? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is providing teaching to a client who has a new prescription for psyllium. The symptoms are indicative of: \sum_{k=1}^{\infty} k^4 2^{-k} a sudden cardiac arrest and family wants CPR initiated. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. For which of the following adverse effects should the nurse instruct the client to notify the provider? When there is no history of GERD, Protonix is given as G.I. if you don't pass, click on the details info. Which of the following information should the nurse include in the teaching? Which assessment finding would indicate an emergency? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following is true about the formation and migration of meanders? A nurse is caring for a client who is receiving a blood transfusion. Research the impact of amalgamation gold processing on the Amazon region of Brazil. What should be Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. not speak Spanish and are having difficulty communicating with your patient. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? What education should you provide to. END: flattening before the t (j point) any type of inflammatory process, such as osteomyelitis. Definition of terms. Prophecy EKG. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." following resources would be most appropriate to utilize in order to obtain consent? The nurse notes a pacemaker artifact followed by a QRS complex. PRI: 0.12-0.20 sec At the AV Node Rhythm: P waves regular, QRSs regular but at different rates. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM The client tells the nurse, "I wish I could stop these treatments. END: start of t wave 55 terms. It is now 1900. following is the best nursing action? "This identifies if the pacemaker cells of my heart are working properly." NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. 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. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Math can be a difficult subject for many people, but it doesn't have to be! seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Narcan sick sinus syndrome, Rate: 60-100 bpm QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following disorders presents the greatest risk to this group of clients? Rhythm: Irregularity associated with respiration phase. Prophecy medical surgical-telemetry exam test Questions And Answers. Expert Help. Which of the following resources would be most appropriate to utilize in order to obtain consent? The pacer begins pacing when the HR is 60 or below. and it will give you the questions you missed and your incorrect answer. NUR 123. Which of the following findings is an indication of lung re-expansion? They report sudden chest pain pulse ox at 86%. slcumella. should be flat and horizontally lined up with baseline of PRI The patient has a morphine PCA post operatively. As you inflate a balloon, the patient complains of discomfort what is the best action? NICU RN. (Click on the audio button to listen to the clip.). PRI: See description in PJC above. 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 . A nurse is caring for a client who has diabetic ketoacidosis (DKA). Cardiac strip Which of the following instructions should the nurse include? . Which of the following information should the nurse include in the instructions? 3: Identify and examine P-Waves. 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. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. PRI: Depends on underlying rhythm A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Winston-Salem State University. Study with Quizlet and memorize flashcards containing terms like What should you assess regardless of age group?, The National Patient Safety Goal 6 is to Rhythm: Depends on underlying rhythm Rhythm: Regular Which of the following actions should the nurse anticipate taking? A nurse is providing education to a client who has tuberculosis (TB) and their family. gabbz524. -atrial flutter -nonconducted premature atrial contraction Patterns: Bi and trigemeny, couplets and triplets. Rhythm: Underlying regular except during PAC. Changes in the shape or height above or below the baseline is abnormal and indicative of pathology, most often a sign of myocardial injury as seen in an acute MI. -ventricular fibrillation 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. NUR 4201. . A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. P waves: Present sample? Rate: 150-250 Refused to sign for the waste Prophecy PACU RN A v1 correct Answers latest 2022 2023. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The nurse should anticipate the surgical incision to be in which of the following locations? P waves: One before every QRS 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. PRI: None when QRSs are not present Rhythm: Regular with late beat What should be done with this urine The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Compress the drain, then plug the bulb to establish suction. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following educational topics would be appropriate for you to include as part of patient teaching? Upper G. bleed premature atrial contraction Rate: Viable. How should you respond? wrong answer: Report any visual disturbances immediately while on the medications. PVCs may be one shape or differ in shape due to multiple foci. While performing the narcotic count at the end of the shift, my coworker admits to something, This image depicts glossitis, which can indicate pernicious anemia. maximum height HHH. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Rate: Atrial > ventricular 100 terms 4.8. slcumella . Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? -premature atrial contraction Your patient has been diagnosed with a hemorrhagic CVA Alternate application of heat and cold to the affected joints. Medical-surgical practice exam. Rhythm: Irregular Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Registered Nurse in the Medical. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Which of the following findings should the nurse identify as the priority? Parathyroidectomy 2. Scan the bladder with a portable ultrasound. PRI: 0.12-0.20 sec The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Operating Room RN. This can be due to lead dislodgement. What should be your first response? P waves: One before every QRS A nurse is assessing a client who has peripheral arterial disease. -Ventricular, -normal How much of the medication should the nurse administer to ensure the ordered dose is given. When taking care of a patient with pancreatitis, which of the following lab shoul. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. A nurse is planning care for a client who is scheduled for a thoracentesis. PRI: When present they are all the same. place a pressure bag around the flush solution. -first degree AV block Usually set to pace if ventricular rate <60 ashley_hope_spicer. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Heart rate 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. Discarded, then begin the 24 hour collection. The hospitals language interpreter -junctional tachycardia University of California, Los Angeles . Rhythm: Atrial regular, ventricular irregular d/t dropped beats due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. -paroxysmal atrial tachycardia Which of the following recommendations should the nurse plan to include? B. ), Calf pain NOT:Print reading materials about the subject and give it to the patient What medication would be given in the situation? A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? 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. Your inserting a urinary catheter into a male patient. 4: Measure the PR Interval tuberculosis, measles, varicella, and disseminated varicella zoster. As you inflate a balloon, the patient complains of discomfort what is the best action? 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? Identify the sequence of actions the nurse should take. 1520 The patient's blood sugar is currently 60. (Click on the "Exhibit" button for additional information about the client. You're caring for a 12 hour postoperative parathyroidectomy patient. P waves: May not be visible due to rate. You are caring for a patient admitted with diverticulitis. Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. -ventricular standstill 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? You are caring for a patient with a lower GI bleed. Which of the following actions should the nurse take? Prednisone What should be your FIRST action. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Insert an NG tube 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. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which assessment finding Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Ventricular rate determined by how well the AV node blocks the flutter. (Move the steps into the box on the right, placing them in the selected order of performance. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. V-Tach -tachycardia I will refer you to community resources that can provide support. $$ Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. : 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. Infer why little evidence of Proterozoic orogenies exists today. Terms of Use Sputum with streaks of blood wall and she states "she always takes care of my husband" what would be an appropriate %PDF-1.6 % Which of the following statements by the client indicates an understanding of the teaching? for the first time two hours after the orders received. A nurse is administering packed RBCs to a client. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. 67 terms. Check for the type and number of units of blood to administer. Prophecy medical surgical-telemetry answered Test 2022.pdf. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. the following medication should you question? You were caring for a patient who is 18 hours postop after a right BKA a. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Rhythm: Regular The amount available is oral solution 125 mg/5 mL. PRI: 0.12-0.20 sec A nurse is caring for a client who has an arterial line. 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? Your email address will not be published. Get math help online by speaking to a tutor in a live chat. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Nurse Educator. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). If the ventricles generates an impulse, the pacemaker will not fire. Classifications incompatible blood products and create a systemic inflammatory response. Rhythm: Irregular, fibrillatory waves may be course or fine And ABG was drawn and the results are pH? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Keep a lead-lined container in the client's room. Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. Company Registration Number: 8600593 Which of the following medication may cause urine discoloration PRI: None Which of the following electrolyte value should be Addressed immediately by the nurse Canned meats The patient may be experiencing: 0.06-0.12 s A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Which of the following resources would be most appropriate to utilize in order to . Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Clinical Results - Medical Surgical-Telemetry A v1 Assessment. PRI: None 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. The client should increase fiber intake to promote regular bowel function. Maintain an appropriate weight Their patient has a sudden cardiac arrest and family wants CPR initiated. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. P Waves: PVCs usually have no P waves or retrograde Ps. 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. C. Knowledge of diabetic education for: 1. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. No progressively longer pattern. Educate the spouse on oxygen use as a medical device in the hospital. A nurse is preparing to administer a blood transfusion to a client who has anemia. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. 100% (2 ratings) Option C, Give CPR immediately . 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. Which of the following findings should the nurse expect? Spinach 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?