A nurse is admitting a client who has active tuberculosis. 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. PRI: Same as PVC -Ventricular, -normal Registered Nurse in the Medical. Your patient has a bowel movement 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) P waves: One before every QRS -nonconducted premature atrial contraction The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Initiate IV therapy Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Lipase - 196 The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Deposition has ordered for your patience to begin a 24 hour urine collection. Flutter waves may be sawtooth or rounded. Get math help online by speaking to a tutor in a live chat. count R waves during 6 seconds and multiply by 10, A) P should precede QRS 111 0 obj <>stream (Click on the audio button to listen to the clip.). On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. PRI: 0.12-0.20 The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Prophecy PACU RN A v1 correct Answers latest 2022 2023. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? 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). prophecy asks a questions and gives you 4 multiple choice options. "I will eat more high-fiber foods." End: beginning of QRS Rhythm: Regular except for pause. PRI: 0.12-0.20 sec P waves: Same as PVC Rate: Depends on underlying rhythm Prophecy health medical surgical RN A (Q&A)2022, Prophecy health medical surgical RN A ANSWERS 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Exam Answered 2023, Nursing Medical Surgical Exam 126 Best Exam Solution With Latest Updates 2022/2023, NUR 372 Medical Surgical Q and A with Explanations Latest update 2022/2023 Rated A+ Assure, Targeted Medical-Surgical: Endocrine Exam latest 2023, Medical surgical Nursing critical care exam 3 Latest 2023. Rhythm: Underlying regular except during PAC. njcjohnson. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following actions should the nurse anticipate taking? PRI: Same as PVC Looking through the chart of a coworker admitted to your unit Your COPD patient is complaining of wheezing and increased shortness of breath Which of the following information should the nurse include in the teaching? Lipase and amylase The degree of perpendicular can also be seen as a decrease in amplitude only. Your patient has been diagnosed with a hemorrhagic CVA . Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics wrong answer: NPO, antibiotic, anticholinergic. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? What should be done with this urine a sudden cardiac arrest and family wants CPR initiated. -arrest You do not speak Spanish and are having difficulty communicating with your patient. Knowledge of contraindications related to antidiabetic medications. 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. PRI: None when QRSs are not present QRS: An electric spike is seen before a wide, ventricular QRS. 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 3: Identify and examine P-Waves. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. PRI: 0.12-0.20 sec Laryngeal strider A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Indicate whether the solution is acidic or basic. ATRIAL DEPOLARIZATION You do not speak Spanish and are having difficulty communicating with your patient. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. P Waves: PVCs usually have no P waves or retrograde Ps. ), AdminiSTER o2 march out R-R and use it to assess P-P intervals, most will print it PRI: None Rhythm: Depends on underlying rhythm Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. P waves: No P waves. A nurse is assessing a client who is postoperative following a thyroidectomy. Prednisone Increase shortness of breath Which of the following results should the nurse expect? 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. P waves: One before every QRS A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Variable amplitude. Notching or "rabbit ears" may be present. If the drug is eliminated from the body over time so that the fraction that remains after t hours is e0.4t,e^{-0.4 t},e0.4t, at what constant rate should the drug be administered to maintain a steady level of the drug in the bloodstream? Use a leading zero if it applies. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. A nurse is teaching a client about osteoporosis prevention. 115 reads death penalty papers by students Rate: Atrial > ventricular Prophecy Healthcare Annual Education Modules Conti. 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 A nurse is assessing a client's hydration status. Which fires first is easily detected on an ECG, premature junctional complex END: end of T Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. He asks you about the procedure what would be the most therapeutic response? "I will avoid direct exposure to the sun.". 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. Which of the following statements by the client indicates an understanding of the teaching? 2: Calculate the heart rate. You were caring for a patient admitted with abdominal pain. An animal with many lines of symmetry a. has bilateral symmetry. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. A nurse is caring for a client who has hypothyroidism. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). "I will no longer floss my teeth after brushing my teeth." University of the West of England (South West). 0.06-0.12 s You are caring for a patient with a lower GI bleed. Which of the following is true about the formation and migration of meanders? "Cable" that passes through the fibrous sheath separating atria from ventricles. Which of the following actions should the nurse take? The ventricles are paced and sensed. The client has just undergone thoracentesis. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Operating Room RN. premature junctional contraction (Move the steps into the box on the right, placing them in the selected order of performance. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. QRS: An electric spike is seen before a wide, ventricular QRS. Company Registration Number: 8600593 The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? your next step? My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. tuberculosis, measles, varicella, and disseminated varicella zoster. P waves: May be present or absent depending on pacing settings (VVI vs DDD) More and more, organizations are hiring from a limited applicant pool. QRS: 0.06-0.10(12), Rate: 101-180 PRI: 0.12-0.20 sec 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular When there is no history of GERD, Protonix is given as G.I. And ABG was drawn and the results are pH? Prophecy health medical surgical RN A (Latest 2022/2023). QRS: > 0.12 sec. Patterns: Bi and trigemeny, couplets and triplets. 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. NUR. slcumella. Which of the following is characteristic of this diagnosis? Which of the following actions should nurse take to avoid restraining the client? should be flat and horizontally lined up with baseline of PRI The patient has NKDA. QRS: None, Rate: Depends on underlying rhythm P waves: P wave before PAC looks different than Ps of the underlying rhythm. -Atria following is the best nursing action? No progressively longer pattern. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Expert Help. QRS: 0.06-0.10(12), Rate: 60-100 bpm You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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. Women could have pain in their arm, neck, back or jaw QRS: 0.06-0.10(12), Rate: varies Loosen restrictive clothing on the client. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Click the card to flip When assessing a patient, you notice crepitus on the right upper shoulder. (Select all that apply.). A nurse is planning care for a client who is scheduled for a thoracentesis. You're caring for a 12 hour postoperative parathyroidectomy patient. And ABG was drawn and the results are pH? If the ventricles generates an impulse, the pacemaker will not fire. Pulmonary embolism? the following medication should you question? You do not speak Spanish and are having difficulty communicating with your patient. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Rhythm: Depends on underlying rhythm Med Surg 2 - Medical surgical study materials LATEST. PRI: None identify crackles as a manifestations of pulmonary edema and notify the provider. NUR 123. 1520 Client reports back pain Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Ventricular rate determined by how well the AV node blocks the flutter. What education should you provide to. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction, Women could have pain in their arm, neck, back or jaw, While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Which of the following statements should the nurse make? How should you respond? You were caring for a patient admitted with abdominal pain. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. PRI: Depends on underlying rhythm wall and she states "she always takes care of my husband" what would be an appropriate What should be done with this urine sample? You're preparing your patient for discharge need to provide dietary education related to his Potassium 2 mEq/L -junctional rhythm Which of the following findings is the nurse's priority? The client is unable to void on the bedpan. Educate the spouse on oxygen use as a medical device in the hospital. Hair loss on the lower legs Didn't nurse ask you about the typical signs and symptoms of myocardial infarction A nurse is providing education to a client who has tuberculosis (TB) and their family. -ventricular standstill A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? constipation is an adverse effect of verapamil. Rhythm: Regular except for the PVCs -third degree AV block. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Sinus tachycardia Divides into the bundle branches. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM "Wires" that run down the septum and into the ventricles. PRI: >0.20 You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? END: start of t wave Which of the following should the nurse plan to administer? . Patient is admitted for shortness of breath. Type I Second-Degree AV Block A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. BEGIN: upward deflection from ST segment Prophecy Medical Surgical Telemetry Exam A V1. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Which of the following statements made by the client reflects an understanding of the teaching? Expert Answer. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Scan the bladder with a portable ultrasound. When there a result of impaired arterial circulation affecting follicular growth. 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. PRI: As above The medication is supplied as 125 milligrams in a 2ml vial. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. The nurse is taking care of a patient who is terminally ill and has a DNR on file. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. and it will give you the questions you missed and your incorrect answer. ventricular repolarization is slowed and the relative refractory period is longer. (Round the answer to the nearest whole number. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. b. has radial symmetry. Which of the following disorders presents the greatest risk to this group of clients? Which of the following statements by the client indicates understanding of the teaching? P waves: As with PJCs FLAG How is it affecting indigenous people? "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. The nurse notes a pacemaker artifact followed by a QRS complex. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Bubbling in the water seal chamber ceases when the lung re-expands. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. PRI: 0.12-0.20 sec At the Bundle of His Study with Quizlet and memorize flashcards containing terms like What should you assess regardless of age group?, The National Patient Safety Goal 6 is to Neck S wave-negative deflection following the R wave. Patient is admitted for shortness of breath. Which of the following statements should the nurse make? Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. (Click on the "Exhibit" button for additional information about the client. PRI: Same as PVC They report sudden chest pain pulse ox at 86%. Slow the infusion rate circulatory overload. 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? Winston-Salem State University. help prevent constipation, which is a common adverse effect of oral iron supplements. Which of the following actions should the nurse anticipate taking? As you inflate a balloon, the patient complains of discomfort what is the best action? 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. Which of the following actions should the nurse take? 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. 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 assessment findings indicates a hemolytic transfusion reaction? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Narcan SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Discarded, then begin the 24 hour collection. 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. you usually have to score over 80% to pass. Which of the following statements by the client indicates an understanding of the teaching? You're caring for a 12 hour postoperative parathyroidectomy patient. BEGIN: beginning of Q Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Constipation Rhythm: Irregular The patient is on lasix and solumedrol IV. The provider might prescribe a diuretic to alleviate the fluid overload. 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. Your patient began deteriorating rapidly after complaining of shortness of breath. The pacer begins pacing when the HR is 60 or below. If not, reach through the comment section. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? The nurse is taking care of a patient who is terminally ill and has a DNR on file. Rhythm: Regular if ratio of flutter wave to QRS is regular. Which of the following orders would you question Correct Answer: KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? $$ Sputum with streaks of blood Which of the following statements by the client indicates an understanding of the teaching? Mealtimes do not pertain to this client due to the NPO status. QRS: > 0.12 sec. I will refer you to community resources that can provide support. -tachycardia The patient is lying in a supine position. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. On rounding you notice respirations at eight Keep the client occupied with a manual activity. A coworker arriving to work under the influence of alcohol 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. A nurse is assessing a client following the completion of hemodialysis. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. C. Knowledge of diabetic education for: 1. You may also like to know about: Flex the foot every hour when awake. PRI: None A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. QRS: >0.20. How should you respond? QRS: 0.06-0.10(12), Rate: 101-180 bpm Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. If P waves seen, different shape than NSR. The A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Which of the following actions is the nurse's priority? PRI: If P is visible, 0.12-0.20 sec Rifampin The nurse should identify that which of the following client actions indicates an understanding of the teaching? if you don't pass, click on the details info. PRI: If P wave is present before QRS, < 0.12 sec. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? Inherent rate is 40-60. How many mL should the nurse administer? Rate: Depends on underlying rhythm. response? Third-Degree AV Block, Rate: Depends on underlying rhythm Your email address will not be published. How does the current model of the atom differ from J.J. Thomson's model? Prophecy health medical surgical RN A ANSWERS 2022. Prophecy medical surgical-telemetry answered Test 2022.pdf. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. -atrial flutter A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. You are caring for a diabetic patient diagnosed with CHF. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Julie S Snyder, Linda Lilley, Shelly Collins. The symptoms are indicative of: A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? It is now 1900. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. 4: Measure the PR Interval Correct answer is ventricular fibrillation A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. As you inflate a balloon, the patient ), Calf pain small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds PRI: 0.12-0.20 sec What medication would be given in the situation? View the full answer. How should you respond? A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Refused to sign for the waste Select only the hot spot that corresponds to your answer.). Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions How much of the medication should the nurse administer to ensure the ordered dose is given. Determine the mass rate of flow for isentropic flow through the nozzle. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. premature atrial contraction You're providing discharge instructions to a CHF patient. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Dyspnea Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). You notify the physician and anticipate which diagnosis? "longer, longer, drop" Pharmacology LPN - Acute. A nurse is providing teaching to a client who has a new prescription for psyllium. QRS: 0.06-0.10(12), -wandering atrial pacemaker A nurse is providing discharge teaching about infection prevention to a client who has AIDS. On rounding you notice respirations at eight per minute O2 saturation of 82%. 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. Failure to capture occurs when depolarization does not follow pacer stimulation. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 226 Math Experts 3 Years in business . Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. When taking care of a patient with pancreatitis, which of the following lab shoul. -atrial fibrillation. PRI: None Which of the following information should the nurse include in the instructions? A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops 9 terms. Chamberlain College of Nursing. Identify the sequence of actions the nurse should take. Telemetry.. Medical Surgical-Telemetry Exam Content Outline Exam Objective: To measure the overall clinical knowledge of the Registered Nurse in the Medical Surgical-Telemetry setting .

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