Increase shortness of breath A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. A nurse is caring for a client who is receiving a blood transfusion. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction 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 actions is the nurse's priority? A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. A patient suddenly complains of new onset of chest pain. Numbness can occur along the inside of the affected arm Prophecy Healthcare Annual Education Modules Conti. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? The patient has a morphine PCA post operatively. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Prophecy medical surgical-telemetry Questions and Answers 2022. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. P waves: May not be visible due to rate. Usually set to pace if ventricular rate <60 PRI: 0.12-0.20 sec You notify the physician and anticipate which diagnosis? P waves: Same as PVC 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. earth, for how long (in terms of TTT ) would they be in the air on Mars? Exam Objective: To measure the overall clinical knowledge of the. -first degree AV block Which of the following instructions should the nurse include in the teaching? Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Keep the client occupied with a manual activity. 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). Long refractory periods potentiates the risk for multifocal VT or Torsades Normal sinus with VTach caused by elevated levels of hydrochloric acid in the stomach. Lipase - 196 Which of the following medication should you question? Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. The ventricles are paced and sensed. Eat a low-fat diet. (Click on the "Exhibit" button for additional information about the client. What should be done with this urine Rhythm: Depends on underlying rhythm Which of the following issues should be reported up the chain of command PRI: 0.12-0.20 sec A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in urinary output. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. -third degree AV block. You were caring for a patient who is 18 hours postop after a right BKA a. wrong answer: NPO, antibiotic, anticholinergic. QRS: > 0.12 sec. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? A nurse is caring for a client who has DKA. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. current traveling quickly down the His and purkinjes, bypass pathway or the impulse origin was ectopic and close to the AV node, QRS complex normal length and characteristics. I am ready to die." Heart rate BEGIN: first deflection You went to the room of a 58-year-old female. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable PRI: 0.12-0.20 sec Your patient began deteriorating rapidly after complaining of shortness of breath. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." An animal with many lines of symmetry a. has bilateral symmetry. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics A nurse is caring for a client who has hypothyroidism. Solve mathematic equations. You're providing discharge instructions to a CHF patient. Prednisone can also reduce intestinal absorption of calcium. circulatory overload. 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 findings should the nurse report to the provider? Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? The patient has a morphine PCA post operatively. Medical Surgical Telemetry B - Quizlet At the Bundle of His 100 terms 4.8. slcumella . 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? PRI: None When there is no history of GERD, Protonix is given as G.I. And ABG was drawn and the results are pH? constipation is an adverse effect of verapamil. Which of the following actions should the nurse anticipate taking? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. PRI: None Which of the following is true about the formation and migration of meanders? These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Looking through the chart of a coworker admitted to your unit. sick sinus syndrome, Rate: 60-100 bpm After notifying the physician, what action should you take NEXT? d. has a distinct head and tail end. 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. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid Bubbling in the water seal chamber ceases when the lung re-expands. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. Click the card to flip -block Which of the following actions should the nurse take to manage the drain? Rhythm: Regular Acetylsalicylic acid ( Bauer buffered aspirin) You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. QRS: > 0.12 sec. Which of the following findings is the nurse's priority? pile of potassium, rounded, slightly asymmetrical and positive on lead II. Mathematics is the study of numbers and their relationships. Prophecy Medical Surgical Exam Answers Orris. You are caring for a patient admitted with diverticulitis. QRS: An electric spike is seen before a wide, ventricular QRS. indicate that the nephrostomy tube is dislodged or clogged. Which of the following actions should nurse take to avoid restraining the client? ashley_hope_spicer. suppression of bone formation, and an increase in bone resorption by osteoclasts. QRS: 0.06-0.10(12), Rate: <60 bpm \sum_{k=1}^{\infty} k^4 2^{-k} "Increase fiber intake to avoid constipation." help prevent constipation, which is a common adverse effect of oral iron supplements. Document that depolarization has occurred. Operating Room RN. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ 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. You are caring for a diabetic patient diagnosed with CHF. Looking through the chart of a coworker admitted to your unit. The medication is supplied as 125 milligrams in a 2ml vial. QRS: None, Rate: Depends on underlying rhythm QRS: 0.06-0.10(12). count R waves during 6 seconds and multiply by 10, A) P should precede QRS Rhythm: Atrial regular, ventricular irregular d/t dropped beats Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. PRI: When present they are all the same. At least 3 different P wave morphologies. Keep a lead-lined container in the client's room. Medical Surgical-Telemetry Exam Content, Your email address will not be published. Rhythm: Atrial regular, ventricular irregular d/t dropped beats A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. incompatible blood products and create a systemic inflammatory response. Rhythm: Regular -bradycardia Your email address will not be published. Which of the following findings should the nurse identify as a manifestation of this condition? Your patient voids Oncology. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 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. Low stimulation threshold can lead to non-capture due to scaring at the anchor site of the wire in the right ventricle causing increased resistance to the impulse. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. The download is temporarily disabled. Women could have pain in their arm, neck, back or jaw PRI: 0.12-0.20 Prednisone Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. cardiac rhythm After three negative sputum cultures, the client is no longer considered infectious. Which of the following actions should the nurse take first? A nurse is providing teaching to a client who has a new prescription for psyllium. Exam (elaborations . $$. ventricular repolarization is slowed and the relative refractory period is longer. What medication would be given in the situation? My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Assess your patient for a change in condition Alternate application of heat and cold to the affected joints. PRI: Progressively longer until QRS drops. On rounding you notice respirations at eight PRI: As above Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. PRI: None drawn and the results are pH? How does the current model of the atom differ from J.J. Thomson's model? 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 hospitals language interpreter Which of the following statements by the client indicates an understanding of the teaching? PRI: >0.20 QRS: >0.20. Rhythm: Irregularity associated with respiration phase. Medical Surgical 2019 B Flashcards | Quizlet END: flattening before the t (j point) 55 terms. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Rhythm: Regular Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. 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. Rhythm: Regular with late beat "Spike and capture". "This identifies if the pacemaker cells of my heart are working properly." Use a leading zero if it applies. NOT: increased salivation. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? 2: Calculate the heart rate. PRI: For underlying rhythm 0.12-0.20 sec. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! 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How should you respond? Which of the following information should the nurse include in the teaching? A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Heart rate 52/min 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. 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. Rate: 150-250 PRI: None Which of the following actions would be considered a violation of Hyppa? Your inserting a urinary catheter into a male patient. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. ), Follow a smoking cessation program 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 Maintain an appropriate weight Don't suffer through your problems alone, help is always available. Nurse Testing Prophecy Medical Surgical Exam - University of the A nurse is assessing a client's hydration status. The client tells the nurse, "I wish I could stop these treatments. BEGIN: upward deflection from ST segment Which of the following findings is the nurse's priority to report to the provider? Upper G. bleed You do not speak Spanish and are having difficulty communicating with your patient. They report sudden chest pain pulse ox at 86%. Drink 240 mL (8 oz) of water after administration. Which of the following electrolyte value should be Addressed immediately by the nurse Which assessment finding prophylaxis to prevent stress ulcers. Looking through the chart of a coworker admitted to your unit Clinical Results - Medical Surgical-Telemetry A v1 Assessment. And ABG was Their patient has a sudden cardiac arrest and family wants CPR initiated. You're reviewing the menu list of a patient on Warfran what food should they not eat? END: end of T 1520 Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Which of the following educational topics would be appropriate for you to include as part of patient teaching? Pediatric RN. Prophecy medical surgical-telemetry answered Test 2022.pdf. You notify the would indicate an emergency? QRS: An electric spike is seen before a wide, ventricular QRS. A kettle with a flat bottom 30 cm in diameter is available. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. The intrinsic pacemaker. QRS: During standstill, no QRSs are present, Rate: None Which of the following resources would be most appropriate to utilize in order to obtain consent? You do not speak Spanish and are having difficulty communicating with your patient. Which of the following resources would be most appropriate to utilize in order to . you usually have to score over 80% to pass. Rhythm: Regular Nurse Educator. Sinus tachycardia The nurse should identify the need to revise the plan for which of the following clients? A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Sedimentation rate 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. Discarded, then begin the 24 hour collection. Healthcare Assessments - Relias Flex the foot every hour when awake. QRS: 0.06-0.10(12), second degree AV block type II or morbitz II or classic, Rate: Atrial rate>ventricular due to dropped QRSs each small box = 0.04 seconds Calculate the 12 hour intake for a patient that has received the following during your shift: A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. 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. Encourage the client to take deep breaths after the procedure. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? P waves: One before every QRS. slcumella. When there Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Expert Answer. How is it affecting indigenous people? Their patient has a sudden cardiac arrest and family wants CPR initiated. your next step? Endoscopy-GI Lab Medical Surgical-Telemetry. A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. The client has just undergone thoracentesis. 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. gabbz524. Prophecy medical surgical exam a v1 answers | Math Materials 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? P waves: One before every QRS 0.06-0.12 s Parathyroidectomy 2. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. Math is a way of solving problems by using numbers and equations. 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. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Prophecy Medical Surgical Telemetry Exam A V1. HCO3 - 23. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? (b) If the rocks are in the air for a time TTT on Registered Nurse in the Medical. B. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. "I will no longer floss my teeth after brushing my teeth." The medication is supplied as 125 milligrams in a 2ml vial. Hemodialys is something required following surgery 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. What education should you provide to. Usually set to pace if SA rate <60 Which of the following findings indicates fluid volume overload? Prophecy EKG. ), AdminiSTER o2 -premature atrial contraction Which of p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. FLAG Prophecy health medical surgical RN A correct Answers 2022 2023. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. PRI: If P is visible, 0.12-0.20 sec Prophecy medical surgical-telemetry exam test Questions And - Stuvia Mealtimes do not pertain to this client due to the NPO status. time between the onset of ventricular depolarization and the end of repolarization "I will eat more high-fiber foods." Medical-Surgical B - Quizlet . -ventricular fibrillation 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. Assess the patient A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. What should be your FIRST action. View the full answer. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following actions should the nurse take? Knowledge of contraindications related to antidiabetic medications. "Ginkgo biloba can cause an increased risk for bleeding. Due to the size of the kidney stone it is an appropriate treatment? Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. Potassium 2 mEq/L QRS: 0.06-0.10(12), Rate: varies Sets found in the same folder. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following information should the nurse include in the teaching? place a pressure bag around the flush solution. He asks you about the procedure what would be the most therapeutic response? PDF Medical Surgical-Telemetry Exam Content Outline - Microsoft 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. NUR 4201. . each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. You do not speak Spanish and are having difficulty communicating with your patient. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. is no history of GERD - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. NUR 123. Rhythm: Depends on underlying rhythm You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. He asks you about the procedure what would be the most therapeutic response? .34-.43 The patient is lying in a supine position. Which assessment finding would indicate an emergency? If the current is running at an angle to the field, the angulation is seen as so much positive and so much negative depending on how parallel and perpendicular the current vector is to the field. PRI: Same as PVC Spinach 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. intervention is: The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. How should you respond? Prophecy Medical Surgical Telemetry Exam A V1. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. They report sudden Aspirate the fluid, advance the catheter farther, then re-inflate the balloon The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. As you inflate a balloon, the patient PRI: None associated with PVC response? The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). How should you respond? First-Degree AV Block A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Numbness in the arms Rate: 41-100 bpm 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Math can be a difficult subject for many people, but it doesn't have to be! On rounding you notice respirations at eight per minute O2 saturation of 82%. Divides into the bundle branches. Which of the You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". -atrial fibrillation. Refused to sign for the waste following resources would be most appropriate to utilize in order to obtain consent? A nurse is planning care for an older adult client who has dementia. Rhythm: Irregular, fibrillatory waves may be course or fine S wave-negative deflection following the R wave. And ABG was drawn and the results are pH? A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. Rhythm: Regular if ratio of flutter wave to QRS is regular. >0.20 if ventricular escape rhythm present. A patient is continually receiving a drug. Which of the following findings should the nurse report to the provider immediately? : 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.