You are caring for a diabetic patient diagnosed with CHF. ventricular escape rhythm or idioventricular rhythm. P waves: No P waves. The medication is supplied as 125 milligrams in a 2ml vial. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. 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. Rhythm: Regular Prophecy Medical Surgical Telemetry Exam A V1. 226 Math Experts 3 Years in business . University of the West of England (South West). The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. HCO3 - 23. PRI: None QRS: 0.06-0.10(12), -wandering atrial pacemaker The patient may be experiencing: Prepare to suction the client's airway. QRS: > 0.12 sec. Do you notice the spouse adjusting the oxygen on the As you inflate a balloon, the patient Expert Answer. Protecting the patient's head and extremities from contact with surrounding objects On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). Which of the following statements should the nurse make? Morphine Duramorph, oxygen, nitrates, What medication would be given in the situation? What should be Knowledge of contraindications related to antidiabetic medications. 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. How should you respond? Which of the following actions should the nurse identify as the priority? PRI: None Lipase - 196 Research the impact of amalgamation gold processing on the Amazon region of Brazil. Which of the following interventions should the nurse include in the plan of care? +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream A nurse is planning care for a client who is scheduled for a thoracentesis. And ABG was drawn and the results are pH? Sets found in the same folder. You were caring for a patient admitted with abdominal pain. "Cable" that passes through the fibrous sheath separating atria from ventricles. A nurse is caring for a client who has hypothyroidism. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. A nurse is admitting a client who has active tuberculosis. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. You are caring for a patient with a lower GI bleed. If P waves seen, different shape than NSR. S wave-negative deflection following the R wave. 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. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? patient's blood sugar is currently 60. A nurse is reviewing the ABG results of a client who has advanced COPD. The symptoms are indicative of: Correct answer is ventricular fibrillation PRI: For underlying rhythm 0.12-0.20 sec. What is most likely to be ordered? May be sustained or occur in burst (paroxymal ), Rate: Non-discernable BEGIN: J point Endoscopy-GI Lab Medical Surgical-Telemetry. A nurse is planning care for a client who is postoperative following a parathyroidectomy. PRI: None Rate: Depends on underlying rhythm Which of the following information should the nurse include in the teaching? Patient is admitted for shortness of breath. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? Rate: Depends on underlying rhythm A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. Looking through the chart of a coworker admitted to your unit. wrong answer: NPO, antibiotic, anticholinergic. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. The client tells the nurse, "I wish I could stop these treatments. Rhythm: Regular except during PJC. "I can speak to the provider about incorporating acupuncture into your treatment plan.". A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. PRI: If P wave is present before QRS, < 0.12 sec. wall and she states "she always takes care of my husband" what would be an appropriate Which of the following statements by the client reflects an understanding of the teaching? QRS: > 0.12 sec. Usually set to pace if SA rate <60 The nurse should identify that which of the following client actions indicates an understanding of the teaching? You're caring for a 12 hour postoperative parathyroidectomy patient. 0.06-0.12 s The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Medical Surgical Rn A Prophecy Quizlet Prophecy Medical Surgical Telemetry Exam A V1 AnswersYour patient has symptomatic anemia but is refusing a blood transfusion for religious reason. 111 0 obj <>stream could create the opportunity for infection. "Ginkgo biloba can cause an increased risk for bleeding. And ABG was ), AdminiSTER o2 Rate: Depends on underlying rhythm. Alternate application of heat and cold to the affected joints. -paroxysmal atrial tachycardia A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. NICU RN. PRI: Same as PVC Which of the following information should the nurse provide? Rhythm: Regular with late beat Irregular if variable ratio. Which of the following actions would be considered a violation of Hyppa? (Click on the "Exhibit" button for additional information about the client. 1520 Indicate whether the solution is acidic or basic. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. ATRIAL DEPOLARIZATION Your COPD patient is complaining of wheezing and increased shortness of breath, Assess your patient for a change in condition, What information is vital for you to know prior to administering an ordered dose of digoxin, Your patient has been diagnosed with a hemorrhagic CVA. At what temperature must the bottom surface of the kettle be maintained to accomplish this? -premature atrial contraction Looking through the chart of a coworker admitted to your unit. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. -idioventricular rhythm To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Rhythm: Regular if ratio of flutter wave to QRS is regular. Which of the following results should the nurse expect? QRS: 0.06-0.10(12), Rate: Depends on pacing settings. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Operating Room RN. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Which of the following resources would be most appropriate to utilize in order to obtain consent? Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. What education should you provide to. You do When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Lipase and amylase Educate the spouse on oxygen use as a medical device in the hospital. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. asystolye, what should be your first action? Rhythm: Depends on underlying rhythm PRI: 0.12-0.20 sec Choose the letter of the best answer. Increase shortness of breath Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. A nurse is assessing a client who has diabetes insipidus. PRI: 0.12-0.20 Aspirate the fluid, advance the catheter farther, then re-inflate the balloon important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. R wave-tall positively deflected wave in lead II. Prophecy Medical Surgical Exam Answers - Orris. Save my name, email, and website in this browser for the next time I comment. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Oncology. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Which of the following resources would be most appropriate to utilize in order to . Which of the following admission orders would you expect for this patient? Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? -ventricular fibrillation At least 3 different P wave morphologies. University of California, Los Angeles . I am ready to die." Which of the following findings should the nurse expect? Rate: Viable. -bundle branch block Which of the following information should the nurse include in the instructions? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 What should be your first response? PRI: For underlying rhythm 0.12-0.20 Which of the following statements by the client indicates an understanding of the teaching? Medical Surgical-Telemetry. Dietary considerations 2. Irrigate the indwelling urinary catheter. The nurse notes a pacemaker artifact followed by a QRS complex. The Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. End: beginning of QRS Which of the following actions would be considered a violation of Hyppa? Loosen restrictive clothing on the client. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? If rate >101 then rhythm is multifocal atrial tachycardia Which of the following statements by the client indicates an understanding of the teaching? Cardiac strip wrong answer: Report any visual disturbances immediately while on the medications. 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. Which of the following findings should the nurse expect? Encourage the client to take deep breaths after the procedure. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. The patient has a morphine PCA post operatively. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. 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. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Acetylsalicylic acid ( Bauer buffered aspirin) Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction When there is no history of GERD Correct Answer: Protonix is given as G.I. 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. 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. A coworker arriving to work under the influence of alcohol blastocyst. Which of the following information should the nurse include in the teaching? A nurse is planning a health promotional presentation for a group of African American clients at a community center. Rate: Depends on underlying rhythm Your inserting a urinary catheter into a male patient. B) should be identical in size, shape, position (You will find hot spots to select in the artwork below. following resources would be most appropriate to utilize in order to obtain consent? Scan the environment by turning your head from side to side.". You're providing discharge instructions to a CHF patient. pile of potassium, rounded, slightly asymmetrical and positive on lead II. 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. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? and you know dark tarry stool what would be the diagnosis? "Spike and capture". QRS: None, Rate: Depends on underlying rhythm Draw the decision tree for sequential search on a list of three elements. premature atrial contraction the following medication should you question? 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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PRI: None when QRSs are not present Restlessness -ventricular standstill On rounding you notice respirations at eight What medication would be given in the situation? "Discontinuing with the treatments is your choice if it is your wish to do so.". 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. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Prophecy Med Surg QuizletProphecy is designed by nurses, for nurses, of Clinical Problems 10th Medical Surgical Nursing 10th Edition quizlet 2 c. What Are the Three Surgical Phases? NUR 4201. . Medical-Surgical RN A Prophecy Relias. After ensuring a patent airway, which of the following nursing interventions is the priority? Study Resources. P waves: See description in PJC above. Your patient voids P waves: Same as PVC if you don't pass, click on the details info. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. "This identifies if the pacemaker cells of my heart are working properly." Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Due to the size of the kidney stone it is an appropriate treatment? Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Your email address will not be published. Prophecy EKG. Bubbling in the water seal chamber has ceased. Bubbling in the water seal chamber ceases when the lung re-expands. Neck Initiate IV therapy A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Aceticsalicylic acid, bayer buffered aspirin, You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Numbness in the arms On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. A nurse is caring for a client who has DKA. You do not speak Spanish and are having difficulty communicating with your patient. -accelerated junctional rhythm Definition of terms. depends on HR, QT less than half R-R, usually <.44 seconds. Airborne The patient is lying in a supine position. Appears to be twisting around a point. 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. 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. The client is agitated and is attempting to remove their IV catheter. "Increase fiber intake to avoid constipation." -nonconducted premature atrial contraction >0.20 if ventricular escape rhythm present. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which of the following resources would be most appropriate to utilize in order to obtain consent? She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. not speak Spanish and are having difficulty communicating with your patient. 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 Check for the type and number of units of blood to administer. P waves: May not be visible due to rate. 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. You are caring for a diabetic patient admitted for uncontrolled blood sugar. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. QRS: 0.06-0.10(12), Rate: 101-180 QRS: > 0.12 sec. You are caring for a patient admitted with diverticulitis. 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 actions should the nurse take? Use a leading zero if it applies. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. Their patient has a sudden cardiac arrest and family wants CPR initiated. A nurse is assessing a client following the completion of hemodialysis. 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 Mealtimes do not pertain to this client due to the NPO status. QRS: 0.06-0.10(12), Rate: <60 bpm count R waves during 6 seconds and multiply by 10, A) P should precede QRS Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Patterns: Bi and trigemeny, couplets and triplets. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. As you inflate a balloon, the patient complains of discomfort what is the best action? 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. maximum height HHH. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. How should you respond? P waves: One before every QRS What is most likely to be ordered? Your patient complains of not being able to urinate since 0500. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. -second degree AV block (mobitz I and II) Your patient who was admitted 5 days ago begins to have diarrhea. FLAG What information is vital for you to know prior to administering an ordered dose of digoxin Determine the mass rate of flow for isentropic flow through the nozzle. 100 terms 4.8. slcumella . P waves: Present The patient has a morphine PCA post operatively. What is the first sign of increased intracranial pressure? You're providing discharge instructions to a CHF patient. The provider might prescribe a diuretic to alleviate the fluid overload. -block You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Your patient has dysphagia. A nurse is teaching a client about osteoporosis prevention. Use all the steps. PRI: 0.12-0.20 sec 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? Which of the following actions should the nurse take first? Which of the following instructions should the nurse include in the teaching? P waves: None due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Stress ulcers Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. How does the current model of the atom differ from J.J. Thomson's model? P wave: none QRS: 0.06-0.10(12). Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. place a pressure bag around the flush solution. Refused to sign for the waste When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. $$ The nurse should anticipate the surgical incision to be in which of the following locations? On rounding you notice respirations at eight per minute O2 saturation of 82%. Pulmonary embolism? The client has just undergone thoracentesis. QRS: 0.06-0.10(12), Rate: 60-100 bpm symmetrical and may be tall and peaked, biphasic or inverted You notify the Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? QRS: 0.06-0.10(12) Which of the following actions should nurse take to avoid restraining the client? help prevent constipation, which is a common adverse effect of oral iron supplements. Which of the following instructions should the nurse include? A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. identify crackles as a manifestations of pulmonary edema and notify the provider. 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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. P Waves: PVCs usually have no P waves or retrograde Ps. PRI: 0.12-0.20 sec Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Rhythm: Regular with late beats is no history of GERD A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. 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? When there A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. You will need to stay still in the bed during each treatment session. HCO3 - 23. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics Which of the following statements should the nurse make? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. 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 types of transmission precautions should the nurse initiate? Which of the following instructions should the nurse include in the plan of care? You do not speak Spanish and are having difficulty communicating with your patient. %PDF-1.6 % P waves: One before every QRS. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Solve mathematic equations. QRS: 0.06-0.10(12), Rate: 60-100 bpm slcumella. P waves: One before every QRS Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions You were caring for a patient who is 18 hours postop after a right BKA a. 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? Heparin infusion per pharmacy protocol Pharmacology LPN - Acute. 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.