Which of the following instructions should the nurse include? The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. PRI: 0.12-0.20 sec Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. -ventricular tachycardia P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. P waves: None the following medication should you question? You find that the patient's cardiac monitor shows Keep the client occupied with a manual activity. Which of the following actions should the nurse anticipate taking? Prophecy Medical Surgical Exam Answers - Orris. not always present You do not speak Spanish and are having difficulty communicating with your patient. physician and anticipate which diagnosis? You do not speak Spanish and are having difficulty communicating with your patient. P wave: none Prophecy PACU RN A v1 correct Answers latest 2022 2023. Patterns: Bi and trigemeny, couplets and triplets. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. 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. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). QRS: An electric spike is seen before a wide, ventricular QRS. QRS: 0.06-0.10(12), Rate: varies PRI: 0.12-0.20 sec You were caring for a patient who is 18 hours postop after a right BKA a. 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. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Which of the following statements should the nurse make? Which of the following should the nurse plan to administer? Pain that increases with passive movement. Which of the following medication should you question? Compress the drain reservoir after emptying. QRS: 0.06-0.10(12), Rate: 101-180 bpm A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Your patient voids for the first time two hours after the orders received. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? A nurse is caring for a client who has hypothyroidism. Which of the following findings should the nurse identify as the priority? QRS: 0.06-0.10(12), Locations It is now 1900. P waves: Same as PVC Canned meats Aceticsalicylic acid, bayer buffered aspirin, You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Rhythm: Regular with late beat Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Not: start CPR Patterns: Bi and trigemeny, couplets and triplets. More and more, organizations are hiring from a limited applicant pool. A nurse is assessing a client who has diabetes insipidus. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Hemodialys is something required following surgery A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Bubbling in the water seal chamber has ceased. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. -arrhythmia Which of the following actions should the nurse take first? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? END: start of t wave creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. A patient is continually receiving a drug. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Which of the following actions should the nurse take? intervention is: V-Tach The intrinsic pacemaker. QRS: None. -accelerated junctional rhythm PRI: Depends on settings you usually have to score over 80% to pass. Rate: Atrial > ventricular Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? Rhythm: Regular Prophecy Medical Surgical Telemetry Exam A V1. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. 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. Med Surg 2 - Medical surgical study materials LATEST. 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. Rhythm: Regular Rate: Depends on underlying rhythm P Waves: PVCs usually have no P waves or retrograde Ps. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Which of the following should be implemented? Client reports back pain Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 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? QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. 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Your patient fell and hit his head on the bed rail during a physical therapy session. Drink 240 mL (8 oz) of water after administration. Medical-Surgical RN A Prophecy Relias. indicate that the nephrostomy tube is dislodged or clogged. -SA node Numbness can occur along the inside of the affected arm An animal with many lines of symmetry a. has bilateral symmetry. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. patient's blood sugar is currently 60. Your COPD patient is complaining of wheezing and increased shortness of breath Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. A nurse is caring for a client who has diabetic ketoacidosis (DKA). A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. And ABG was drawn and the results are pH? Acetylsalicylic acid ( Bauer buffered aspirin). While performing the narcotic count at the end of the shift, my coworker admits to something, The amount available is oral solution 125 mg/5 mL. Rhythm: Regular A nurse is planning a health promotional presentation for a group of African American clients at a community center. Compare. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? -atrial fibrillation. Sets found in the same folder. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. NOT: tuberculosis Rhythm: Regular QRS: 0.06-0.10(12), Rate: varies End: beginning of QRS . Which of the following statements by the client indicates an understanding of the teaching? QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Glucose 272 A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. You observe that the patient is non-compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. Which of the following recommendations should the nurse plan to include? At the AV Node QRS: None, Rate: Depends on underlying rhythm 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 Due to the size of the kidney stone it is an appropriate treatment? Exam (elaborations . 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. Which of Normal sinus with VTach A nurse is assessing a client following the completion of hemodialysis. a sudden cardiac arrest and family wants CPR initiated. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. a result of impaired arterial circulation affecting follicular growth. and you know dark tarry stool what would be the diagnosis? ), Follow a smoking cessation program (Click on the audio button to listen to the clip.). Usually set to pace if SA rate <60 Which of the following admission orders would you expect for this patient? sample? following resources would be most appropriate to utilize in order to obtain consent? A nurse is providing education to a client who is at risk for osteoporosis. Rhythm: Depends on underlying rhythm "longer, longer, drop" A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. reads at 25 mm/sec A nurse is teaching a client about osteoporosis prevention. I will refer you to community resources that can provide support. This can be due to lead dislodgement. Medical Surgical-Telemetry. Calculate the 12 hour intake for a patient that has received the following during your shift: Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. BEGIN: beginning of Q Which of the following instructions should the nurse include in the teaching? pile of potassium, rounded, slightly asymmetrical and positive on lead II. Transcribed image text: Medical Surgical-Telemetry A v1 Question 21 of 60 Time Remaining 41:47 You are on the old me You to the shown to what to be your FIRST Calcode SCP You were that to FASTAFF (US.ing Corporation Main Once checy Avrigt Adediche 29 tv 8 . QRS: 0.06-0.10(12), Rate: 60-100 bpm You are caring for a diabetic patient diagnosed with CHF. He asks you about the procedure what would be the most therapeutic response? tuberculosis, measles, varicella, and disseminated varicella zoster. 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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Rhythm: Regular if ratio of flutter wave to QRS is regular. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? QRS: > 0.12 sec. PACU RN. "Ginkgo biloba can cause an increased risk for bleeding. PRI: 0.12-0.20 sec Scan the bladder with a portable ultrasound. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. NICU RN. Loosen restrictive clothing on the client. A nurse is assessing for compartment syndrome in a client who has a short leg cast. QRS: 0.06-0.10(12). You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Rhythm: Regular except during PJC. current traveling quickly down the His and purkinjes, bypass pathway or the impulse origin was ectopic and close to the AV node, QRS complex normal length and characteristics. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. View the full answer. How many mL should the nurse administer? P waves: Present Prednisone The hospitals language interpreter -Atria P waves: As with PJCs Their patient has a sudden cardiac arrest and family wants CPR initiated. -first degree AV block chest pain pulse ox at 86%. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? 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. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Family members in the household should undergo TB testing. Protecting the patient's head and extremities from contact with surrounding objects Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? QRS: 0.06-0.10(12) PRI: 0.12-0.20 sec PRI: Same as PVC What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Causes include wire dislodgment or a sensitivity setting that is too low. They report sudden 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? What should be your next step? P waves: See description in PJC above. Rate: Depends on underlying rhythm. blastocyst. It is now 1900. Which of the following information should the nurse include in the teaching? Which of the following orders would you question. If the ventricles generates an impulse, the pacemaker will not fire. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Determine the mass rate of flow for isentropic flow through the nozzle. Educate the spouse on oxygen use as a medical device in the hospital And ABG was drawn and the results are pH? A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. 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. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. 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. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Rhythm: Irregular, fibrillatory waves may be course or fine 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? (Select all that apply.). R wave-tall positively deflected wave in lead II. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Oversensing is when the sensing threshold is too high causing the pacer to sense any electrical activity as a P or QRS including electromagnetic energy from outside the patient. 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. Rhythm: P waves regular, QRSs regular but at different rates. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. 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. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter The degree of perpendicular can also be seen as a decrease in amplitude only. Usually one impulse predominates. 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? However, with a little practice and perseverance, anyone can . wrong answer: NPO, antibiotic, anticholinergic. PRI: When present they are all the same. The patient may be experiencing: Divides into the bundle branches. 4: Measure the PR Interval Study with Quizlet and memorize flashcards containing terms like b. (Click on the "Exhibit" button for additional information about the client. 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 . Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? following is the best nursing action? prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Create complete outfits and allow the client to select one each day. Prednisone can also reduce intestinal absorption of calcium. PRI: None Inherent rate is 40-60. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. First-Degree AV Block important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Low back pain and apprehension NOT:Print reading materials about the subject and give it to the patient Which of the following statements by the client indicates understanding of the teaching? Looking through the chart of a coworker admitted to your unit Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Numbness in the arms Dietary considerations 2. prophecy asks a questions and gives you 4 multiple choice options. He asks you about the procedure what would be the most therapeutic response? small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Ibuprofen can cause gastrointestinal bleeding in older adult clients. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Discarded, then begin the 24 hour collection. On rounding you notice respirations at eight per minute O2 saturation of 82%. A nurse is providing teaching to a client who has a new prescription for psyllium. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. the following medication should you question? b. has radial symmetry. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions The nurse is taking care of a patient who is terminally ill and has a DNR on file. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? P waves: One before every QRS PRI: None A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Use all the steps. END: flattening before the t (j point) You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. Rate: 101-250 bpm A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Draw the decision tree for sequential search on a list of three elements. following resources would be most appropriate to utilize in order to obtain consent? 9 terms. gabbz524. 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. Which of the following information should the nurse include in the teaching? Heparin infusion per pharmacy protocol He asks you about the procedure what would be the most therapeutic response? A nurse is assessing a client while suctioning the client's tracheostomy tube. Sedimentation rate Usually set to pace if ventricular rate <60 A nurse is assessing a client's hydration status. HCO3 - 23. Other manifestations include dyspnea and decreased oxygen saturation. A nurse is administering packed RBCs to a client. After ensuring a patent airway, which of the following nursing interventions is the priority? A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. On rounding you notice respirations at eight Unable to determine Type I Second-Degree AV Block Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. PRI: None Intense headache. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction How is it affecting indigenous people? QRS: During standstill, no QRSs are present, Rate: None The ventricles are paced and sensed. Medical Surgical Telemetry B. 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. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream 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. ), Calf pain Rhythm: Regular Which of the following findings should the nurse expect? Which of the following findings should the nurse report to the provider as an adverse effect of this medication? could create the opportunity for infection. Expert Help. Other manifestations include nausea, vomiting, fatigue, and headache. PRI: As above The client becomes restless, dyspneic, and has crackles noted to the lung bases. 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. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. At the Bundle of His This image depicts glossitis, which can indicate pernicious anemia. The patient has a morphine PCA post operatively. >0.20 if ventricular escape rhythm present. What is most likely to be ordered? 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