Rhythm: Regular except during PJC. P waves: May be present or absent depending on pacing settings (VVI vs DDD) Sinus rhythm with PAC Nursing Management of the Surgical Client Prophecy health medical surgical RN A. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Which assessment finding P waves: P wave before PAC looks different than Ps of the underlying rhythm. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. PRI: When present they are all the same. QRS: 0.06-0.10(12), Rate: varies Rhythm: Regular P waves: One before every QRS The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). "Cable" that passes through the fibrous sheath separating atria from ventricles. 3/11 Prophecy Health Nurse Test Answers. (Click on the "Exhibit" button for additional information about the client. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Winston-Salem State University. P waves: P wave associated with PJC may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Which of the following actions should the nurse take first? d. has a distinct head and tail end. PRI: None identify crackles as a manifestations of pulmonary edema and notify the provider. Rate: Depends on underlying rhythm w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI following is the best nursing action? P waves: none wall and she states "she always takes care of my husband" what would be an appropriate Prophecy Medical Surgical Exam Answers - Orris. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Prophecy Medical Surgical Exam Answers Orris. Rhythm: Underlying regular except during PAC. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . 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). -block Rhythm: Regular A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. Educate the spouse on oxygen use as a medical device in the hospital. tuberculosis, measles, varicella, and disseminated varicella zoster. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Looking through the chart of a coworker admitted to your unit. Usually set to pace if SA rate <60 The No progressively longer pattern. 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. P waves: One before every QRS. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 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. QRS: 0.06-0.10(12), Rate: 60-100 bpm Prophecy medical surgical-telemetry answered Test 2022.pdf. What medication would be given in the situation? atrial depolarization and pause before QRS (AV node delay) Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Discarded, then begin the 24 hour collection. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). a sudden cardiac arrest and family wants CPR initiated. You do not speak Spanish and are having difficulty communicating with your patient. What should be your first response? Lipase - 196 Which of the 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. 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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"Wires" that run down the septum and into the ventricles. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. You notify the physician and anticipate which diagnosis? Keep the client occupied with a manual activity. 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. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. A nurse is planning care for an older adult client who has dementia. You may also like to know about: A nurse is assessing a client while suctioning the client's tracheostomy tube. and it will give you the questions you missed and your incorrect answer. The client is agitated and is attempting to remove their IV catheter. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. When there is no history of GERD Correct Answer: Protonix is given as G.I. place a pressure bag around the flush solution. The client tells the nurse, "I wish I could stop these treatments. The medication is supplied as 125 milligrams in a 2ml vial. Which of the following information should the nurse include in the instructions? Which of the following actions should the nurse take? could create the opportunity for infection. And ABG was drawn and the results are pH? Which of the following resources would be most appropriate to utilize in order to obtain consent? Get math help online by speaking to a tutor in a live chat. He asks you about the procedure what would be the most therapeutic response? Use all the steps. QRS: 0.06-0.10(12), Rate: <60 bpm Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Women could have pain in their arm, neck, back or jaw Do you notice the spouse adjusting the oxygen on the Rhythm: None 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. 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. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. the recruiter can 'reset' the test so you can take it again. Julie S Snyder, Linda Lilley, Shelly Collins. Unable to determine An animal with many lines of symmetry a. has bilateral symmetry. Which of the following interventions should the nurse include in the plan of care? is no history of GERD 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. Third-Degree AV Block, Rate: Depends on underlying rhythm You do not speak Spanish and are having difficulty communicating with your patient. (b) If the rocks are in the air for a time TTT on Operating Room RN. ashley_hope_spicer. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Use the Ratio Test to determine whether the following series converge. if you don't pass, click on the details info. Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! -second degree AV block (mobitz I and II) Click the card to flip Definition 1 / 99 1200 mcg Click the card to flip Flashcards Learn Test Match Created by Easyliving1 Prophecy Test / Relias Learning Terms in this set (99) Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Slow the infusion rate circulatory overload. A nurse is providing education to a client who is at risk for osteoporosis. QRS: 0.06-0.10(12), Rate: 101-180 0.06-0.12 s May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm pulse, cough with bloody sputum, diaphoresis, and syncope. Create complete outfits and allow the client to select one each day. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. 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. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. should be flat and horizontally lined up with baseline of PRI ventricular escape rhythm or idioventricular rhythm. Compare. (Click on the audio button to listen to the clip.) Which of the following actions should the nurse take? The nurse notes a pacemaker artifact followed by a QRS complex. Which of the following findings should the nurse report to the provider? Acetylsalicylic acid ( Bauer buffered aspirin) Your patient complains of not being able to urinate since 0500. You're providing discharge instructions to a CHF patient. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. Which of the following actions should the nurse take? Rhythm: Regular except for pause Medical Surgical Telemetry B. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. Due to the size of the kidney stone it is an appropriate treatment? When there NOT: increased salivation. 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. Which of the following information should the nurse include in the teaching? Hair loss on the lower legs ATRIAL DEPOLARIZATION PRI: Depends on settings 100 terms. Your patient voids Usually set to pace if SA rate <60 QRS: 0.06-0.10(12). These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Stress ulcers The patient has NKDA. Neuro ICU. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Airborne Oncology. The nurse should anticipate the surgical incision to be in which of the following locations? Definition of terms. per minute O2 saturation of 82%. As you inflate a balloon, the patient Patient is admitted for shortness of breath. QRS: An electric spike is seen before a wide, ventricular QRS. %PDF-1.6 % Scan the environment by turning your head from side to side.". QRS: >0.20. P waves: Present Rhythm: Regular in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hr period. Pharmacology LPN - Acute. Expert Answer. incompatible blood products and create a systemic inflammatory response. PRI: Progressively longer until QRS drops. How does the current model of the atom differ from J.J. Thomson's model? You are caring for a patient with a lower GI bleed. Which of the following results should the nurse expect? You went to the room of a 58-year-old female. As you inflate a balloon, the patient complains of discomfort what is the best action? PRI: 0.12-0.20 sec Prophecy PACU RN A v1 correct Answers latest 2022 2023. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Study with Quizlet and memorize flashcards containing terms like b. Knowledge of contraindications related to antidiabetic medications. Prepare to suction the client's airway. He asks you about the procedure what would be the most therapeutic response? Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. END: returns to isoelectric line There are two left bundle branches and one right. Dyspnea Educate the spouse on oxygen use as a medical device in the hospital Rhythm: Regular important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). each small box = 0.04 seconds P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. The symptoms are indicative of: ), AdminiSTER o2 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. Type I Second-Degree AV Block The download is temporarily disabled. You find that the patient's cardiac monitor shows PRI: >0.20 following resources would be most appropriate to utilize in order to obtain consent? 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. Click the card to flip diagnosis what should you instruct the patient to avoid? Rhythm: Irregular, fibrillatory waves may be course or fine Patient is admitted for shortness of breath. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. You're preparing your patient for discharge need to provide dietary education related to his A nurse is providing teaching to a client who has AIDS. And ABG was A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. 226 Math Experts 3 Years in business . Which of the following actions should the nurse take? A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following statements should the nurse make? Rhythm: Regular except for pause. Math can be a difficult subject for many people, but it doesn't have to be! However, with a little practice and perseverance, anyone can . Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. A nurse is assessing a client who is postoperative following a thyroidectomy. Prophecy Medical Surgical Telemetry Exam A V1. You do not speak Spanish and are having difficulty communicating with your patient. -third degree AV block. >0.20 if ventricular escape rhythm present. -SA node Prophecy health medical surgical RN A correct Answers 2022 2023. What medication would be given in the situation? premature junctional contraction He asks you about the procedure what would be the most therapeutic response? Pulmonary embolism Patterns: Bi and trigemeny, couplets and triplets. Protecting the patient's head and extremities from contact with surrounding objects 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. PRI: For underlying rhythm 0.12-0.20 sec. .34-.43 "Spike and capture". A certain volcano on earth can eject rocks vertically to a Which of the following medication may cause urine discoloration PRI: Same as PVC -premature atrial contraction earth, for how long (in terms of TTT ) would they be in the air on Mars? QRS: 0.06-0.10(12) Your patient who was admitted 5 days ago begins to have diarrhea. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. -idioventricular rhythm Pediatric RN. Which of the following findings is the nurse's priority to report to the provider? Which of the following actions should the nurse take first? A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Rhythm: Irregular A nurse is assessing a client who has peripheral arterial disease. Which of the following interventions should the nurse include in the plan of care? R wave-tall positively deflected wave in lead II. Medical-Surgical RN A Prophecy Relias. How should you respond? Compress the drain reservoir after emptying. Infer why little evidence of Proterozoic orogenies exists today. A nurse is providing teaching to a client who has a new prescription for psyllium. njcjohnson. you usually have to score over 80% to pass. Loosen restrictive clothing on the client. What should be your next step? Crackles heard on auscultation Which of the following actions should the nurse take? Rhythm: Irregular Canned meats P waves: Depends on underlying rhythm prophecy asks a questions and gives you 4 multiple choice options. What education should you provide to. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Which fires first is easily detected on an ECG, premature junctional complex Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Don't suffer through your problems alone, help is always available. Lipase and amylase Rhythm: Regular Initiate IV therapy The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. 3: Identify and examine P-Waves. PRI: If P wave is present before QRS, < 0.12 sec. 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 Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. "Increase fiber intake to avoid constipation." PRI: If P is visible, 0.12-0.20 sec Terms of Use Your patient fell and hit his head on the bed rail during a physical therapy session. Heart rate -ventricular tachycardia Save my name, email, and website in this browser for the next time I comment. Rhythm: Depends on underlying rhythm 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. Holding breath for 10 seconds after inhaling. Which of the following actions should the nurse anticipate taking? The medication is supplied as 125 milligrams in a 2ml vial. The degree of perpendicular can also be seen as a decrease in amplitude only. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. maximum height HHH. P waves: No P waves. QRS: 0.06-0.10(12), -wandering atrial pacemaker The patient may be experiencing: The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. QRS: > 0.12 sec. The patient's blood sugar is currently 60. Long refractory periods potentiates the risk for multifocal VT or Torsades You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Drink 240 mL (8 oz) of water after administration. Their patient has a sudden cardiac arrest and family wants CPR initiated. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION b. has radial symmetry. You are caring for a diabetic patient diagnosed with CHF. 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 nurse is caring for a client who has terminal cancer. PRI: If P wave is present before QRS, < 0.12 sec. Which of Medical Surgical Telemetry B Flashcards | Quizlet Medical Surgical Telemetry B 3.8 (9 reviews) Term 1 / 9 The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? intervention is: Medical-surgical practice exam. HCO3 - 23. QRS: > 0.12 sec. It is now 1900. He asks you about the procedure what would be the most therapeutic response? What information is vital for you to know prior to administering an ordered dose of digoxin A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. PRI: 0.12-0.20 sec Which of the following information should the nurse provide? P waves: Same as PVC Your patient has dysphagia. Rate: Depends on underlying rhythm Which of the following findings should the nurse report to the provider immediately? The client should increase fiber intake to promote regular bowel function. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Rhythm: Regular Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. (Select all that apply. They report sudden chest pain pulse ox at 86%. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Which of the following instructions should the nurse include? When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). . Rate: 20-40 bpm Rhythm: Irregularity associated with respiration phase. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Increase shortness of breath Rifampin QRS: 0.06-0.10(12), Locations Prophecy Healthcare Annual Education Modules Conti. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! P waves: Same as PVC Pain that increases with passive movement. 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. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. If not, reach through the comment section. -paroxysmal atrial tachycardia NUR 4201. . Which of the following medication should you question? Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Which of the following findings indicates a potential complication? 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. Rhythm: Regular if ratio of flutter wave to QRS is regular. P waves: One before every QRS A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. QRS: 0.06-0.10(12), supraventricular tachycardia Intense headache. 55 terms. any type of inflammatory process, such as osteomyelitis. Rate: Atrial > ventricular Ventricular rate determined by how well the AV node blocks the flutter. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Your patient began deteriorating rapidly after complaining of shortness of breath. The patient is lying in a supine position. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. A nurse is administering packed RBCs to a client. The patient is on lasix and solumedrol IV. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following statements should the nurse make? You do Use a leading zero if it applies. PRI: 0.12-0.20 sec You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. -Ventricular, -normal BEGIN: beginning of Q You do not speak Spanish and are having difficulty communicating with your patient. View the full answer. P waves: One before every QRS END: end of T 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. PRI: None Rhythm: Regular Narcan Due to the size of the kidney stone it is an appropriate treatment? A kettle with a flat bottom 30 cm in diameter is available. A nurse is caring for a client who has diabetic ketoacidosis (DKA). "I will avoid direct exposure to the sun.". Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. BEGIN: upward deflection from ST segment Rhythm: Regular The patient has a morphine PCA post operatively. $$. C. Knowledge of diabetic education for: 1. Prophecy EKG. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Parathyroidectomy 2. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. END: start of t wave You're caring for a 12 hour postoperative parathyroidectomy patient. 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. physician and anticipate which diagnosis? Bubbling in the water seal chamber ceases when the lung re-expands. Irrigate the indwelling urinary catheter. Rate: 101-250 bpm You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. What medication would be given in the situation? When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders.