Which of the following admission orders would you expect for this patient? -SA node 226 Math Experts 3 Years in business . Your patient began deteriorating rapidly after complaining of shortness of breath. How much of the medication should the nurse administer to ensure the ordered dose is given. If the ventricles generates an impulse, the pacemaker will not fire. What medication would be given in the situation? seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). Discarded, then begin the 24 hour collection. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Prophecy health medical surgical RN A ANSWERS 2022. Your patient voids for the first time two hours after the orders received. A nurse is reviewing the laboratory results of a client who has aplastic anemia. C. Knowledge of diabetic education for: 1. Which assessment finding would indicate an emergency? Rhythm: Regular Nurse Testing Prophecy Medical Surgical Exam - University of the A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. The pacer begins pacing when the HR is 60 or below. Sedimentation rate Which of the following medication may cause urine discoloration p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. Popular books. You find that the patient's cardiac monitor shows asystolye, what should be your first action? Which of the following actions would be considered a violation of Hyppa? A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following is true about the formation and migration of meanders? P waves: Present It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Rhythm: May be irregular due to changing pacer foci. Rhythm: Depends on underlying rhythm PRI: When present they are all the same. Prophecy medical surgical-telemetry (Latest 2022/2023), Exams - Docsity 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 nurse is assessing a client's hydration status. How should you respond? He asks you about the procedure what would be the most therapeutic response? Which of the following electrolyte value should be Addressed immediately by the nurse A patient suddenly complains of new onset of chest pain. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Hair loss on the lower legs Stress ulcers increase the risk for systemic infection and require pharmacological treatment. He asks you about the procedure what would be the most therapeutic response? Clinical Results - Medical Surgical-Telemetry A v1 Assessment. 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 Use all the steps. -atrial flutter Rate: Depends on underlying rhythm They report sudden chest pain pulse ox at 86%. NUR 4201. . Your patient voids Which of the following instructions should the nurse include? diagnosis what should you instruct the patient to avoid? P waves: none Winston-Salem State University. A nurse is administering packed RBCs to a client. Your patient has dysphagia. University of California, Los Angeles . Client reports back pain You do not speak Spanish and are having difficulty communicating with your patient. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. BEGIN: first deflection QRS: None, Rate: Depends on underlying rhythm You find that the patient's cardiac monitor shows (Move the steps into the box on the right, placing them in the selected order of performance. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? 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. What should be your first response? "I will avoid direct exposure to the sun.". Encourage the client to take deep breaths after the procedure. Based on the histogram below how many items cost $5.00 or more per pound, Chapter 2 the professional medical assistant workbook answers, Formula of permutation if repetition is allowed, How to make a fraction on an online calculator, How to round to the nearest thousandth with decimals, Solving quadratics using inverse operations common core algebra 1 homework, Surface area of a cylindrical box calculator, What is a bell curve and standard deviation. Which of the following interventions should the nurse include in the plan? However, with a little practice and perseverance, anyone can . Their patient has a sudden cardiac arrest and family wants CPR initiated. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. -nonconducted premature atrial contraction Which of the following disorders presents the greatest risk to this group of clients? A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following findings should the nurse expect? Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? Numbness in the arms Rhythm: Regular -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Keep a lead-lined container in the client's room. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. University of the West of England (South West). Which of the following statements should the nurse make? Prophecy medical surgical-telemetry exam test; answered - Stuvia Usually set to pace if SA rate <60 You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. After ensuring a patent airway, which of the following nursing interventions is the priority? Dyspnea -arrest The nurse is taking care of a patient who is terminally ill and has a DNR on file. This can be due to lead dislodgement. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. Company Registration Number: 8600593 The Protecting the patient's head and extremities from contact with surrounding objects When taking care of a patient with pancreatitis, which of the following lab should be reviewed? A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Relias medical surgical telemetry b quizlet - jtgvx.talkwireless.info There are three tabs that contain separate categories of data. Due to the size of the kidney stone it is an appropriate treatment? Eat a low-fat diet. Which of the following actions should the nurse take? 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. Prophecy Health - Exam Results.html - Recipient Name - Course Hero QRS: 0.06-0.10(12), Rate: 40-60 bpm Crackles heard on auscultation 4: Measure the PR Interval Long refractory periods potentiates the risk for multifocal VT or Torsades If rate >101 then rhythm is multifocal atrial tachycardia -second degree AV block (mobitz I and II) Solve mathematic equations. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. "I will no longer floss my teeth after brushing my teeth." The patient is on lasix and solumedrol IV. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. A nurse is assessing for compartment syndrome in a client who has a short leg cast. b. has radial symmetry. Rhythm: Regular Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Which of the following findings should the nurse report to the provider as an adverse effect of this medication? QRS: 0.06-0.10(12) Rhythm: Regular If not, reach through the comment section. The amount available is oral solution 125 mg/5 mL. View the full answer. Rate: 101-250 bpm Medical Surgical-Telemetry Exam Content, Your email address will not be published. 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. Draw the decision tree for sequential search on a list of three elements. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Compress the drain, then plug the bulb to establish suction. Flutter waves may be sawtooth or rounded. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? You do not speak Spanish and are having difficulty communicating with your patient. A nurse is caring for a client who has DKA. Rhythm: Regular except for the PVCs Educate the spouse on oxygen use as a medical device in the hospital -bundle branch block 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 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. Create complete outfits and allow the client to select one each day. P waves: One before every QRS 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. P waves: Present Medical Surgical Telemetry B - Quizlet You're providing discharge instructions to a CHF patient. Your patient complains of not being able to urinate since 0500. Which of the following information should the nurse include in the teaching? 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 interventions should the nurse include in the plan of care? Which of the following statements by the client indicates an understanding of the teaching? The ventricles are paced and sensed. 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. Sets found in the same folder. Irregular if variable ratio. 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. Don't suffer through your problems alone, help is always available. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. -Junction or AV node Which of the following recommendations should the nurse plan to include? NOT: increased salivation. indicate that the nephrostomy tube is dislodged or clogged. PRI: Same as PVC QRS: > 0.12 sec. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. PRI: None Nursing Management of the Surgical Client Prophecy health medical surgical RN A. PDF Medical Surgical-Telemetry Exam Content Outline - Microsoft Slow the infusion rate circulatory overload. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Patient is admitted for shortness of breath. BEGIN: upward deflection from ST segment Which of the following images depicts a condition caused by pernicious anemia? It is now 1900. On rounding you notice respirations at eight per minute O2 saturation of 82%. (Select all that apply. wrong answer: NPO, antibiotic, anticholinergic. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Constipation FLAG physician and anticipate which diagnosis? Rate: Depends on underlying rhythm Which of the following findings should the nurse expect? -paroxysmal atrial tachycardia Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Which of the following findings should the nurse identify as the priority? Holding breath for 10 seconds after inhaling. The hospitals language interpreter You went to the room of a 58-year-old female. Which of the following statements by the client indicates understanding of the teaching? What education should you provide to. The patient has a morphine PCA post operatively. Pediatric RN. Bubbling in the water seal chamber has ceased. Classifications Which of the following educational topics would be appropriate for you to include as part of patient teaching? For which of the following adverse effects should the nurse instruct the client to notify the provider? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. P waves: As with PJCs Bathe the client using chlorhexidine solution. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. Which of the following assessment findings indicates a hemolytic transfusion reaction? 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. Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 10 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 10 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! A nurse is updating the plan of care for a client who is receiving chemotherapy. PRI: 0.12-0.20 sec PDF Prophecy Healthcare Nursing Specialty Exams - PRWeb It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Rhythm: Regular with late beat Enyinnaya_Vivian-Medical_Surgical_Telemetry_A_v1-results (3).pdf wrong answer: Report any visual disturbances immediately while on the medications. will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Which of the following actions should the nurse anticipate taking? njcjohnson. premature atrial contraction Which of the following statements by the client reflects an understanding of the teaching? could create the opportunity for infection. P waves: P wave before PAC looks different than Ps of the underlying rhythm. (You will find hot spots to select in the artwork below. Study with Quizlet and memorize flashcards containing terms like b. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. reasons: electrolyte imbalances, left vent hypertrophy, medications. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? What is the first sign of increased intracranial pressure? P waves: See description in PJC above. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. ), Calf pain +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Infer why little evidence of Proterozoic orogenies exists today. Which of the following interventions should the nurse include in the plan of care? R wave-tall positively deflected wave in lead II. How many mL should the nurse administer? Which of the following values should the nurse identify as a desired outcome for this therapy? caused by elevated levels of hydrochloric acid in the stomach. would indicate an emergency? Which of the following findings should the nurse report to the provider? A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. 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? 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. Which of the following actions should the nurse take to manage the drain? Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. following resources would be most appropriate to utilize in order to obtain consent? Which of the following statements should the nurse make? march out R-R and use it to assess P-P intervals, most will print it A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. As you inflate a balloon, the patient complains of discomfort what is the best action? Which of the following is characteristic of this diagnosis? Rhythm: Depends on underlying rhythm PRI: Same as PVC A nurse is caring for a client who has hypothyroidism. He asks you about the procedure what would be the most therapeutic response? Looking through the chart of a coworker admitted to your unit. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. 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. QRS: 0.06-0.10(12), supraventricular tachycardia Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: None when QRSs are not present QRS: 0.06-0.10(12), Rate: varies suppression of bone formation, and an increase in bone resorption by osteoclasts. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? The patient's blood sugar is currently 60. P waves: Present Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. You are caring for a patient admitted with diverticulitis. (Click on the "Exhibit" button for additional information about the client. A nurse is assessing a client who has peripheral arterial disease. time between the onset of ventricular depolarization and the end of repolarization -third degree AV block. Math is a way of solving problems by using numbers and equations. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. PRI: See description in PJC above. Correct answer is ventricular fibrillation Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. chest pain pulse ox at 86%. Deposition has ordered for your patience to begin a 24 hour urine collection. Other manifestations include dyspnea and decreased oxygen saturation. Which assessment finding A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Compress the drain, then plug the bulb to establish suction Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION medical/surgical, psychiatry, pediatrics, and neonatal intensive care. QRS: 0.06-0.10(12), Locations Looking through the chart of a coworker admitted to your unit A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. symmetrical and may be tall and peaked, biphasic or inverted QRS: An electric spike is seen before a wide, ventricular QRS. Healthcare Assessments - Relias Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction for the first time two hours after the orders received. BEGIN: beginning of Q QRS: 0.06-0.10(12). Prophecy Medical Surgical Exam Answers - Orris. Which of the following findings indicates a potential complication? Due to the size of the kidney stone it is an appropriate treatment? P waves: Depends on underlying rhythm Pulmonary embolism Your patient has a bowel movement %PDF-1.6 % d. has a distinct head and tail end. Sputum with streaks of blood morphology should be identical, based on its origin PRI: Depends on settings Medical-Surgical RN A Prophecy Relias - Quizlet Knowledge of contraindications related to antidiabetic medications. earth, for how long (in terms of TTT ) would they be in the air on Mars? Which of the following actions would be considered a violation of Hyppa? Rhythm: Irregularity associated with respiration phase. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. 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