decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. HCO3 - 23. Due to the size of the kidney stone it is an appropriate treatment? Which of the following statements should the nurse make? Create complete outfits and allow the client to select one each day. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. PRI: Depends on settings You're caring for a 12 hour postoperative parathyroidectomy patient. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. Medical-Surgical RN A Prophecy Relias Test, Answered 2022 PRI: 0.12-0.20 sec "Ginkgo biloba can cause an increased risk for bleeding. PRI: None H2O\mathrm{H}_2 \mathrm{O}H2O. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. d. has a distinct head and tail end. PRI: Depends on underlying rhythm Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Which of the following admission orders would you expect for this patient? prophecy asks a questions and gives you 4 multiple choice options. Potassium 2 mEq/L QRS: 0.06-0.10(12), Rate: 60-100 bpm You went to the room of a 58-year-old female. PRI: 0.12-0.20 sec b. has radial symmetry. GHIST Ch. 25 Flashcards | Quizlet You're preparing your patient for discharge need to provide dietary education related to his P Waves: PVCs usually have no P waves or retrograde Ps. 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! Medical Surgical 2019 B Flashcards | Quizlet A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? Compare. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. 100 terms 4.8. slcumella . Rate: Depends on underlying rhythm You do not speak Spanish and are having difficulty communicating with your patient. The medication is supplied as 125 milligrams in a 2ml vial. Which of the following interventions should the nurse include in the plan of care? should be flat and horizontally lined up with baseline of PRI The symptoms are indicative of: 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. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? You do Which of the following findings should the nurse identify as the priority? Which of the following findings should the nurse report to the provider immediately? cardiac rhythm Julie S Snyder, Linda Lilley, Shelly Collins. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Which of the following interventions should the nurse include in the plan of care? Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm University of California, Los Angeles . Your patient fell and hit his head on the bed rail during a physical therapy session. Which of the following statements by the client indicates an understanding of the teaching? P waves: See description in PJC above. Prophecy Medical Surgical Exam Answers - Orris. Exam Objective: To measure the overall clinical knowledge of the. At least 3 different P wave morphologies. You were caring for a patient who is 18 hours postop after a right BKA a. Correct answer is ventricular fibrillation A nurse is providing discharge instructions to a client who has active tuberculosis (TB). QRS: During standstill, no QRSs are present, Rate: None Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. QRS: > 0.12 sec. (Click on the "Exhibit" button for additional information about the client. Flutter waves may be sawtooth or rounded. Nurse Educator. View the full answer. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Which of the following electrolyte value should be Addressed immediately by the nurse, Which of the following medication may cause urine discoloration, Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter. Which of the following medication may cause urine discoloration Your patient voids for the first time two hours after the orders received. Mathematics is the study of numbers and their relationships. njcjohnson. A nurse is reviewing the laboratory results of a client who has aplastic anemia. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? They report sudden Deposition has ordered for your patience to begin a 24 hour urine collection. a result of impaired arterial circulation affecting follicular growth. P waves: Same as PVC Rate: Viable. QRS: 0.06-0.10(12) 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. Your patient has dysphagia. QRS: 0.06-0.10(12), Rate: <60 bpm The patient has a morphine PCA post operatively. However, with a little practice and perseverance, anyone can . To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Pain that increases with passive movement. Their patient has a sudden cardiac arrest and family wants CPR initiated. Do not use a trailing zero.). P waves: Depends on underlying rhythm Women could have pain in their arm, neck, back or jaw Spinach P wave: none Causes include wire dislodgment or a sensitivity setting that is too low. ), Calf pain 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. Holding breath for 10 seconds after inhaling. They report sudden chest pain pulse ox at 86%. Which of the following should the nurse plan to administer? The medication is supplied as 125 milligrams in a 2ml vial. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. (Select all that apply. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? The client tells the nurse, "I wish I could stop these treatments. Which of the following actions should the nurse identify as the priority? As you inflate a balloon, the patient complains of discomfort what is the best action? The client has just undergone thoracentesis. Rhythm: Depends on underlying rhythm A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Click the card to flip How should you respond? Your patient has been diagnosed with a hemorrhagic CVA Rhythm: Regular except for the PVCs Which of the following resources would be most appropriate to utilize in order to obtain consent? On rounding you notice respirations at eight per minute O2 saturation of 82%. "I will no longer floss my teeth after brushing my teeth." Which of the following actions should the nurse anticipate taking? Prophecy Healthcare Annual Education Modules Conti. PRI: None The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? -junctional rhythm C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 100 terms. END: flattening before the t (j point) - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Which of the following statements made by the client reflects an understanding of the teaching? (Click on the "Exhibit" button for additional information about the client. Scan the environment by turning your head from side to side.". PRI: None associated with PVC Infer why little evidence of Proterozoic orogenies exists today. Rhythm: Irregular 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. The intrinsic pacemaker. 9 terms. 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. Which of the following findings is the nurse's priority to report to the provider? And ABG was Rhythm: May be irregular due to changing pacer foci. Which of the following is true about the formation and migration of meanders? small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Pulmonary embolism 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. Indicate whether the solution is acidic or basic. Prednisone Sets found in the same folder. A nurse is assessing a client following the completion of hemodialysis. 100% (2 ratings) Option C, Give CPR immediately . diagnosis what should you instruct the patient to avoid? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? QRS: > 0.12 sec. We're available through e-mail, live chat and Facebook. and you know dark tarry stool what would be the diagnosis? Parathyroidectomy 2. Which of the following information should the nurse include in the teaching? As you inflate a balloon, the patient Which of the following instructions should the nurse include? 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: 101-250 bpm Heparin infusion per pharmacy protocol Which of the following results should the nurse expect? PRI: 0.12-0.20 Flex the foot every hour when awake. Canned meats the recruiter can 'reset' the test so you can take it again. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. mark on top = every 3 seconds "Spike and capture". You are caring for a diabetic patient diagnosed with CHF. c. has no symmetry. The patient has a morphine PCA post operatively. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. prophylaxis to prevent stress ulcers. 2: Calculate the heart rate. march out R-R and use it to assess P-P intervals, most will print it following resources would be most appropriate to utilize in order to obtain consent? Heart rate 52/min When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Pharmacology LPN - Acute. P waves: One before every QRS The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? ), AdminiSTER o2 PVCs may be one shape or differ in shape due to multiple foci. A nurse is caring for a client who has hypothyroidism. PRI: When present they are all the same. Endoscopy-GI Lab Medical Surgical-Telemetry. Rhythm: Regular A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. drawn and the results are pH? symmetrical and may be tall and peaked, biphasic or inverted A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops 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. Determine the mass rate of flow for isentropic flow through the nozzle. A nurse is updating the plan of care for a client who is receiving chemotherapy. Rhythm: Atrial regular, ventricular irregular d/t dropped beats A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Lipase and amylase Narcan -Atria Which of the following information should the nurse include in the teaching? NOT: tuberculosis following is the best nursing action? The patient is on lasix and solumedrol IV. Rhythm: Regular We have received reports about this document. NUR. A patient suddenly complains of new onset of chest pain. Winston-Salem State University. Which of the following findings should indicate to the nurse that the client's condition is improving? Which of the following interventions should the nurse include in the plan of care? P waves: As with PJCs Use a leading zero if it applies. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. Your patient began deteriorating rapidly after complaining of shortness of breath. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Chamberlain College of Nursing. PRI: Progressively longer until QRS drops. 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. Draw the decision tree for sequential search on a list of three elements. The nurse is taking care of a patient who is terminally ill and has a DNR on file. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. gabbz524. The nurse should identify the need to revise the plan for which of the following clients? +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@
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Knowledge of contraindications related to antidiabetic medications. 3: Identify and examine P-Waves. incompatible blood products and create a systemic inflammatory response. 0.06-0.12 s Which of the following information should the nurse include in the teaching? Not: start CPR "This identifies if the pacemaker cells of my heart are working properly." PRI: If P wave is present before QRS, < 0.12 sec. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Contact the provider to clarify the prescription. Educate the spouse on oxygen use as a medical device in the hospital Which of the following statements by the client indicates an understanding of the teaching? BEGIN: upward deflection from ST segment complains of discomfort what is the best action? 4: Measure the PR Interval Keep the client occupied with a manual activity. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Your patient complains of not being able to urinate since 0500. Which of the following medication should you question? can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Below the Bundle of His The patient's blood sugar is currently 60. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. P waves: One before every QRS Keep a lead-lined container in the client's room. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. This can be due to lead dislodgement. Relias medical surgical telemetry b quizlet - jtgvx.talkwireless.info A nurse is administering packed RBCs to a client. Patient is admitted for shortness of breath. -arrest Prophecy medical surgical-telemetry answered Test 2022.pdf. 115 reads death penalty papers by students P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. P waves: none Rhythm: Regular After three negative sputum cultures, the client is no longer considered infectious. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Prophecy medical surgical-telemetry Flashcards | Quizlet A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Assess the patient ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. PRI: 0.12-0.20 sec Which fires first is easily detected on an ECG, premature junctional complex Which of the following statements by the client indicates an understanding of the teaching? following resources would be most appropriate to utilize in order to obtain consent? Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Check for the type and number of units of blood to administer. Pediatric RN. What medication would be given in the situation? PRI: See description in PJC above. Which of the following actions should the nurse take first? Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Rhythm: Regular except for pause. Mother Baby. Bathe the client using chlorhexidine solution. A nurse is assessing a client who has diabetes insipidus. A nurse is performing a preoperative assessment for a client. How does the current model of the atom differ from J.J. Thomson's model? identify crackles as a manifestations of pulmonary edema and notify the provider. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Medical-Surgical RN A Prophecy Relias. -nonconducted premature atrial contraction Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Clinical Results - Medical Surgical-Telemetry A v1 Assessment. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. P waves: Present P waves: Present Rhythm: Irregular When assessing a patient, you notice crepitus on the right upper shoulder. Glucose 272 A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Rhythm: Regular blastocyst. Oncology. 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. 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. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. maximum height HHH. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Sputum with streaks of blood ventricular repolarization is slowed and the relative refractory period is longer. You're reviewing the menu list of a patient on Warfran what food should they not eat? A nurse is caring for a client who has terminal cancer. (Click on the audio button to listen to the clip.) You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Use the Ratio Test to determine whether the following series converge. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Client reports back pain Calculate the 12 hour intake for a patient that has received the following during your shift: Which of the following findings should the nurse report to the provider as an adverse effect of this medication? 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. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Intense headache. Rhythm: P waves regular, QRSs regular but at different rates. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable Study with Quizlet and memorize flashcards containing terms like b. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Usually set to pace if SA rate <60 Bubbling in the water seal chamber has ceased. Ventricular rate determined by how well the AV node blocks the flutter. Their patient has a sudden cardiac arrest and family wants CPR initiated. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Rhythm: Regular At the AV Node END: returns to isoelectric line PRI: For underlying rhythm 0.12-0.20 Medical-surgical practice exam Flashcards Quizlet - StuDocu Scan the bladder with a portable ultrasound. NOT: increased salivation. PDF Prophecy Healthcare Nursing Specialty Exams - PRWeb Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? 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. When there -arrhythmia You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is providing education to a client who has tuberculosis (TB) and their family. Looking through the chart of a coworker admitted to your unit. 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. Rate: 41-100 bpm Upper G. bleed Log in Join. Which of the following resources would be most appropriate to utilize in order to . Rhythm: Regular except during PJC. Encourage the client to take deep breaths after the procedure. Popular books. A nurse is planning care for a client who is scheduled for a thoracentesis. 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? Which of the When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). QRS: 0.06-0.10(12) Rhythm: Regular with late beat A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Insert an NG tube -atrial flutter A nurse is teaching a client about osteoporosis prevention. A nurse is admitting a client who has active tuberculosis. "Discontinuing with the treatments is your choice if it is your wish to do so.". Which of the following actions would be considered a violation of Hyppa? The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36 C (96.8 F). RN Adult Medical Surgical Assessment B - Chegg wrong answer: Report any visual disturbances immediately while on the medications. Which of the following findings should the nurse expect? 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. Patterns: Bi and trigemeny, couplets and triplets. Drink 240 mL (8 oz) of water after administration. QRS: 0.06-0.10(12), Rate: 40-60 bpm pile of potassium, rounded, slightly asymmetrical and positive on lead II. -idioventricular rhythm premature atrial contraction "I will avoid direct exposure to the sun.". medical/surgical, psychiatry, pediatrics, and neonatal intensive care. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. P waves: May not be visible due to rate. You will need to stay still in the bed during each treatment session. Refused to sign for the waste A nurse is assessing a client while suctioning the client's tracheostomy tube. P waves: Same as PVC A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. A nurse is caring for a client who has DKA. Educate the spouse on oxygen use as a medical device in the hospital. You do not speak Spanish and are having difficulty communicating with your patient. QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. sample? 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.