You are caring for a patient admitted with diverticulitis. PRI: 0.12-0.20 sec The client becomes restless, dyspneic, and has crackles noted to the lung bases. 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? prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. P waves: Present throughout strip Sinus rhythm with PAC Sputum with streaks of blood (Click on the audio button to listen to the clip.). Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? University of the West of England (South West). Rhythm: Underlying regular except during PAC. Rate: 101-250 bpm ATRIAL DEPOLARIZATION P waves: No P waves. FLAG Which of the maximum height HHH. Julie S Snyder, Linda Lilley, Shelly Collins. Compress the drain, then plug the bulb to establish suction Initiate IV therapy Flutter waves may be sawtooth or rounded. PRI: 0.12-0.20 sec PRI: If P is visible, 0.12-0.20 sec 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. PRI: >0.20 -third degree AV block. Rhythm: Regular QRS: 0.06-0.10(12), Rate: 101-180 bpm P waves: Same as PVC Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. 2: Calculate the heart rate. Which assessment finding would indicate an emergency? important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). When assessing a patient, you notice crepitus on the right upper shoulder. Correct answer is ventricular fibrillation Ventricular rate determined by how well the AV node blocks the flutter. A kettle with a flat bottom 30 cm in diameter is available. Holding breath for 10 seconds after inhaling. Which of the following medication should you question? Bathe the client using chlorhexidine solution. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Registered Nurse in the Medical. incompatible blood products and create a systemic inflammatory response. Prophecy Medical Surgical Exam Answers - Orris. How should you respond? Dietary considerations 2. C. Knowledge of diabetic education for: 1. Which of the following findings should the nurse expect? Mother Baby. Your patient has dysphagia. After ensuring a patent airway, which of the following nursing interventions is the priority? Your patient who was admitted 5 days ago begins to have diarrhea. NOT: tuberculosis A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Irrigate the indwelling urinary catheter. Acetylsalicylic acid ( Bauer buffered aspirin) diagnosis what should you instruct the patient to avoid? You do not speak Spanish and are having difficulty communicating with your patient. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. 111 0 obj <>stream Which of the following is characteristic of this diagnosis? The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Infer why little evidence of Proterozoic orogenies exists today. ventricular repolarization is slowed and the relative refractory period is longer. 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. P waves: One before every QRS PRI: If P wave is present before QRS, < 0.12 sec. 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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College Physics Raymond A. Serway, Chris Vuille. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following orders would you question. QRS: 0.06-0.10(12), Rate: 60-100 bpm 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. NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. Neuro ICU. Glucose 272 A coworker arriving to work under the influence of alcohol and it will give you the questions you missed and your incorrect answer. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). a sudden cardiac arrest and family wants CPR initiated. Rate: 20-40 bpm Medical-Surgical RN A Prophecy Relias. A nurse is assessing a client who is postoperative following a thyroidectomy. After notifying the physician, what action should you take NEXT? Other manifestations include nausea, vomiting, fatigue, and headache. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction When there is no history of GERD, Protonix is given as G.I. 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. 100 terms. Which of the following actions would be considered a violation of Hyppa? Keep the client occupied with a manual activity. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. gabbz524. PRI: See description in PJC above. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics PRI: 0.12-0.20 sec A nurse is assessing a client following the completion of hemodialysis. help prevent constipation, which is a common adverse effect of oral iron supplements. Acetylsalicylic acid ( Bauer buffered aspirin). Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. complains of discomfort what is the best action? 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. count R waves during 6 seconds and multiply by 10, A) P should precede QRS A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. The HCO3 - 23. Deposition has ordered for your patience to begin a 24 hour urine collection. coworker to sign for the ways that you did not witness Calculate the 12 hour intake for a patient that has received the following during your shift: A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. QRS: 0.06-0.10(12), Rate: varies mark on top = every 3 seconds (Click on the "Exhibit" button for additional information about the client. A nurse is administering packed RBCs to a client. Which of the following instructions should the nurse include? The amount available is oral solution 125 mg/5 mL. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Slow the infusion rate A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! The degree of perpendicular can also be seen as a decrease in amplitude only. 1520 Mealtimes do not pertain to this client due to the NPO status. QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of Rhythm: Regular except during PJC. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. P wave: none Prophecy Medical Surgical Telemetry Exam A V1. The client should increase fiber intake to promote regular bowel function. 115 reads death penalty papers by students How much of the medication should the nurse administer to ensure the ordered dose is given. Manifestations include low back pain, hypotension, tachycardia, and apprehension. P waves: Same as PVC Rate: Depends on pacing settings. A nurse is caring for a client who has hypothyroidism. -ventricular fibrillation You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Which of the following disorders presents the greatest risk to this group of clients? A nurse is preparing to administer a blood transfusion to a client who has anemia. Appears to be twisting around a point. any type of inflammatory process, such as osteomyelitis. Your patient voids for the first time two hours after the orders received. P waves: Same as PVC . QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. Which of the following electrolyte value should be Addressed immediately by the nurse prophecy asks a questions and gives you 4 multiple choice options. QRS: None, Rate: Depends on underlying rhythm Keep a lead-lined container in the client's room. Which of the following manifestations should the nurse expect? END: flattening before the t (j point) Inherent rate is 40-60. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? When assessing a patient, you notice crepitus on the right upper shoulder. Heart rate QRS: 0.06-0.10(12), -wandering atrial pacemaker w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Aspirate the fluid, advance the catheter farther, then re-inflate the balloon There are three tabs that contain separate categories of data. Which of the following interventions should the nurse include in the plan of care? A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. QRS: 0.06-0.10(12). QRS: 0.06-0.10(12), Rate: <60 bpm Mathematics is the study of numbers and their relationships. Rate: 60-100. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Rhythm: Irregularity associated with respiration phase. "Wires" that run down the septum and into the ventricles. You're caring for a 12 hour postoperative parathyroidectomy patient. Rate: 150-250 This can be due to lead dislodgement. There are three tabs that contain separate categories of data.) Refused to sign for the waste following is the best nursing action? slcumella. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Lipase - 196 Compress the drain, then plug the bulb to establish suction. -accelerated junctional rhythm Which of the following results should the nurse expect? My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. How should you respond? 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. As you inflate a balloon, the patient complains of discomfort what is the best action? PRI: For underlying rhythm 0.12-0.20 sec. 100 terms 4.8. slcumella . What information is vital for you to know prior to administering an ordered dose of digoxin A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. A nurse is assessing a client who has diabetes insipidus. "Cable" that passes through the fibrous sheath separating atria from ventricles. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . wrong answer: Report any visual disturbances immediately while on the medications. %PDF-1.6 % You went to the room of a 58-year-old female. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? NOT:Print reading materials about the subject and give it to the patient Don't suffer through your problems alone, help is always available. Normal: small, round, positive in lead II "Discontinuing with the treatments is your choice if it is your wish to do so.". What should be your FIRST action. Unable to determine The pacer begins pacing when the HR is 60 or below. 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. Which of the following instructions should the nurse include? 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. Prophecy medical surgical-telemetry (Latest 2022/2023), Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Medical-Surgical RN A Prophecy Relias (Latest 2022/2023) DownLoad to Score A, Prophecy medical surgical-telemetry Questions and Answers 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Prophecy RN Pharmacology A (Latest 2022/2023) Already Graded A, Prophecy- Core Mandatory Part II (Nursing) (Latest 2022/2023) Graded A, Medical-Surgical RN A questions and answers latest 2022, Prophecy PACU RN A v1 correct Answers latest 2022 /2023. Rhythm: Regular if ratio of flutter wave to QRS is regular. A nurse is caring for a client who has DKA. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Which of the following types of transmission precautions should the nurse initiate? Insert an NG tube What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Research the impact of amalgamation gold processing on the Amazon region of Brazil. As you inflate a balloon, the patient complains of discomfort what is the best action? ventricular escape rhythm or idioventricular rhythm. Numbness in the arms Which of the following actions should the nurse take first? A nurse is updating the plan of care for a client who is receiving chemotherapy. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. QRS: > 0.12 sec. You're providing discharge instructions to a CHF patient. May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm The nurse is taking care of a patient who is terminally ill and has a DNR on file. atrial depolarization and pause before QRS (AV node delay) A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. However, with a little practice and perseverance, anyone can . Flex the foot every hour when awake. Rhythm: Regular Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 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). Study Resources. \sum_{k=1}^{\infty} k^4 2^{-k} 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. Notching or "rabbit ears" may be present. At the AV Node QRS: > 0.12 sec. P waves: May not be visible due to rate. Rhythm: Regular Cardiac strip Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which assessment finding The patient has a morphine PCA post operatively. The nurse should anticipate the surgical incision to be in which of the following locations? Medical-Surgical RN A Prophecy Relias. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. PRI: None associated with PVC Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. time between the onset of ventricular depolarization and the end of repolarization Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. wall and she states "she always takes care of my husband" what would be an appropriate A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Usually set to pace if ventricular rate <60 Your patient voids LATTER PHASE OF VENTRICULAR REPOLARIZATION response? seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Popular books. What should be done with this urine Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Laryngeal strider Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. Lipase and amylase On rounding you notice respirations at eight A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following information should the nurse include in the teaching? A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. reads at 25 mm/sec Which of the following admission orders would you expect for this patient? The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. As you inflate a balloon, the patient Loosen restrictive clothing on the client. (Click on the audio button to listen to the clip.) 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 values should the nurse identify as a desired outcome for this therapy? 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular 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? They report sudden chest pain pulse ox at 86%. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? -ventricular tachycardia Aim. University of California, Los Angeles . HCO3 - 23. Intense headache. Which of the following resources would be most appropriate to utilize in order to obtain consent? patient's blood sugar is currently 60. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 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. Prophecy PACU RN A v1 correct Answers latest 2022 2023. .34-.43 Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Neck Which of the following findings should the nurse report to the provider immediately? A nurse is providing education to a client who has tuberculosis (TB) and their family. 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. Which of the following actions should the nurse anticipate taking? each small box = 0.04 seconds P waves: See description in PJC above. The nurse should identify that which of the following client actions indicates an understanding of the teaching? A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Exam Objective: To measure the overall clinical knowledge of the. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Which of the following findings is the nurse's priority to report to the provider? Rate: 41-100 bpm Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Due to the size of the kidney stone it is an appropriate treatment? Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. "I can speak to the provider about incorporating acupuncture into your treatment plan.". Which of the following medication should you question? It is now 1900. We're available through e-mail, live chat and Facebook. 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. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain c. Correct Answer: Honor the patient's wishes Correct Answer: Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Your patient began deteriorating rapidly after complaining of shortness of breath. 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. P waves: One before every QRS place a pressure bag around the flush solution. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. 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