55 terms. PRI: Progressively longer until QRS drops. A nurse is planning a health promotional presentation for a group of African American clients at a community center. "longer, longer, drop" decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Required fields are marked *. the following medication should you question? 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: If P is visible, 0.12-0.20 sec -ventricular standstill While performing the narcotic count at the end of the shift, my coworker admits to something, Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Which of the following interventions should the nurse include in the plan? P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. slcumella. How is it affecting indigenous people? Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. The client has just undergone thoracentesis. Rhythm: Regular P waves: Same as PVC Prophecy medical surgical-telemetry Questions and Answers 2022. Not: start CPR less than 300 mg/dL indicates improvement in the client's status. A nurse is caring for a client who has an arterial line. Which of Which of the following actions should the nurse take first? "I will avoid direct exposure to the sun.". Knowledge of contraindications related to antidiabetic medications. -first degree AV block Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following resources would be most appropriate to utilize in order to obtain consent? Looking through the chart of a coworker admitted to your unit. BEGIN: upward deflection from ST segment Which of the following interventions should the nurse include in the plan of care? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. At what temperature must the bottom surface of the kettle be maintained to accomplish this? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. The symptoms are indicative of: Heparin infusion per pharmacy protocol and you know dark tarry stool what would be the diagnosis? The patient may be experiencing: Correct Answer: Pulmonary embolism Cardiac strip Correct Answer: Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. 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. Low stimulation threshold can lead to non-capture due to scaring at the anchor site of the wire in the right ventricle causing increased resistance to the impulse. At the AV Node A nurse is preparing to administer a blood transfusion to a client who has anemia. A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. The client tells the nurse, "I wish I could stop these treatments. You will need to stay still in the bed during each treatment session. You're caring for a 12 hour postoperative parathyroidectomy patient. If the current is running at an angle to the field, the angulation is seen as so much positive and so much negative depending on how parallel and perpendicular the current vector is to the field. Spinach creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. per minute O2 saturation of 82%. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". 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 Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. would indicate an emergency? How many mL should the nurse administer? -bradycardia Keep the client occupied with a manual activity. A nurse is assessing a client who is postoperative following a thyroidectomy. P waves: Present A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. -ventricular tachycardia Rhythm: None Endoscopy-GI Lab Medical Surgical-Telemetry. Use all the steps. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Variable amplitude. Which of the following recommendations should the nurse plan to include? Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. A certain volcano on earth can eject rocks vertically to a -ventricular fibrillation The patient may be experiencing: Which assessment finding would indicate an emergency? a sudden cardiac arrest and family wants CPR initiated. -junctional tachycardia Rhythm: Regular if ratio of flutter wave to QRS is regular. Medical Surgical-Telemetry Exam Content, Your email address will not be published. Ventricular rate determined by how well the AV node blocks the flutter. He asks you about the procedure what would be the most therapeutic response? Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm Long refractory periods potentiates the risk for multifocal VT or Torsades Exam Objective: To measure the overall clinical knowledge of the. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. The degree of perpendicular can also be seen as a decrease in amplitude only. diagnosis what should you instruct the patient to avoid? 3/11 Prophecy Health Nurse Test Answers. When taking care of a patient with pancreatitis, which of the following lab shoul. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction The client should increase fiber intake to promote regular bowel function. Medical-surgical practice exam. PACU RN. ventricular escape rhythm or idioventricular rhythm. "I will no longer floss my teeth after brushing my teeth." What should be your first response? .34-.43 H2O\mathrm{H}_2 \mathrm{O}H2O. Prophecy health medical surgical RN A (Latest 2022/2023). Family members in the household should undergo TB testing. P waves: Present throughout strip Initiate IV therapy Maintain an appropriate weight Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? the recruiter can 'reset' the test so you can take it again. S wave-negative deflection following the R wave. -nonconducted premature atrial contraction Appears to be twisting around a point. Usually one impulse predominates. Correct Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: Correct Answer: 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Sets found in the same folder. PRI: None Prophecy health medical surgical RN A ANSWERS 2022. Which of the following findings is an indication of lung re-expansion? https://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. P waves: No Ps, only fibrillation waves between QRSs Prophecy EKG. Rate: Depends on underlying rhythm Rhythm: May be irregular due to changing pacer foci. Medical-Surgical RN A Prophecy Relias. Rate: 41-100 bpm Which of the following issues should be reported up the chain of command Which of the following types of transmission precautions should the nurse initiate? Exam (elaborations . You do not speak Spanish and are having difficulty communicating with your patient. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. HCO3 - 23. Compare. Math is a way of solving problems by using numbers and equations. QRS: > 0.12 sec. njcjohnson. PRI: Same as PVC B. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Cardiac strip place a pressure bag around the flush solution. Which of the following information should the nurse include in the teaching? QRS: None, Rate: Depends on underlying rhythm Failure to capture occurs when depolarization does not follow pacer stimulation. Dietary considerations 2. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Use the Ratio Test to determine whether the following series converge. Acetylsalicylic acid ( Bauer buffered aspirin). Your patient fell and hit his head on the bed rail during a physical therapy session. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Patterns: Bi and trigemeny, couplets and triplets. QRS: 0.06-0.10(12). Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! BEGIN: J point What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . The patient has a morphine PCA post operatively. A nurse is admitting a client who has active tuberculosis. This can be due to lead dislodgement. Which of the following actions should the nurse identify as the priority? What information is vital for you to know prior to administering an ordered dose of digoxin Ibuprofen can cause gastrointestinal bleeding in older adult clients. Which of the following interventions should the nurse include in the plan of care? QRS: 0.06-0.10(12). blastocyst. 1520 Which of the following statements made by the client reflects an understanding of the teaching? Save my name, email, and website in this browser for the next time I comment. if you don't pass, click on the details info. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. PRI: None when QRSs are not present A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Oncology. Increase shortness of breath you usually have to score over 80% to pass. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Patient is admitted for shortness of breath. You notify the Rhythm: Regular Rhythm: Underlying regular except during PAC. PRI: >0.20 The nurse is taking care of a patient who is terminally ill and has a DNR on file. Calculate the 12 hour intake for a patient that has received the following during your shift: Which of the following statements should the nurse make? PRI: If P wave is present before QRS, < 0.12 sec. 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. 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? Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Deposition has ordered for your patience to begin a 24 hour urine collection. Mathematics is the study of numbers and their relationships. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. And ABG was drawn and the results are pH? sample? help prevent constipation, which is a common adverse effect of oral iron supplements. Which of the following results should the nurse expect? Which of the following findings indicates fluid volume overload? You were caring for a patient who is 18 hours postop after a right BKA a. Rhythm: Irregularity associated with respiration phase. P waves: One before every QRS Perform a bladder scan Which of the following should the nurse plan to administer? A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Educate the spouse on oxygen use as a medical device in the hospital You're providing discharge instructions to a CHF patient. Math is a subject that can be difficult for some students to grasp. 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. premature atrial contraction To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. Medical-Surgical RN A Prophecy Relias. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. ), AdminiSTER o2 3: Identify and examine P-Waves. It is now 1900. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Unable to determine Pulmonary embolism will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? Prophecy Medical Surgical Exam Answers - Orris. Which of the following findings is the nurse's priority? -bundle branch block QRS: 0.06-0.10(12), supraventricular tachycardia PRI: Same as PVC Which of the following findings is the nurse's priority to report to the provider? Prophecy medical surgical-telemetry answered Test 2022.pdf. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. P waves: See description in PJC above. Patterns: Bi and trigemeny, couplets and triplets. (Select all that apply. PRI: 0.12-0.20 sec May be sustained or occur in burst (paroxymal ), Rate: Non-discernable Your patient voids As you inflate a balloon, the patient Select only the hot spot that corresponds to your answer.). a sudden cardiac arrest and family wants CPR initiated. You are caring for a patient admitted with diverticulitis. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Julie S Snyder, Linda Lilley, Shelly Collins. Nurse Educator. Which of the following findings should the nurse report to the provider? QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following instructions should the nurse include in the teaching? Classifications (b) If the rocks are in the air for a time TTT on PRI: For underlying rhythm 0.12-0.20 sec. Log in Join. 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. When assessing a patient, you notice crepitus on the right upper shoulder. Which of the following is true about the formation and migration of meanders? 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. -arrhythmia Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Which of the following findings should the nurse identify as a manifestation of this condition? (Select all that apply.). 226 Math Experts 3 Years in business . (Move the steps into the box on the right, placing them in the selected order of performance. pile of potassium, rounded, slightly asymmetrical and positive on lead II. For example, a VVI 60. 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. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Hemodialys is something required following surgery "Increase fiber intake to avoid constipation." Which fires first is easily detected on an ECG, premature junctional complex 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. ATRIAL DEPOLARIZATION Discarded, then begin the 24 hour collection. b. has radial symmetry. Which of the following statements by the client indicates an understanding of the teaching? 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. B) should be identical in size, shape, position BEGIN: first deflection NOT:Print reading materials about the subject and give it to the patient A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. You were caring for a patient admitted with abdominal pain. Study Resources. Rhythm: Irregular Due to the size of the kidney stone it is an appropriate treatment? Which of the following instructions should the nurse include in the plan of care? 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. Parathyroidectomy 2. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? %PDF-1.6
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Do not use a trailing zero.). QRS: >0.20. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. A nurse is planning care for a client who is scheduled for a thoracentesis. "Spike and capture". Scan the bladder with a portable ultrasound. Which of the following medication should you question? medical/surgical, psychiatry, pediatrics, and neonatal intensive care. Rate: 20-40 bpm To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? march out R-R and use it to assess P-P intervals, most will print it Normal: small, round, positive in lead II A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. (Select all that apply. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. complains of discomfort what is the best action? Which of the following resources would be most appropriate to utilize in order to obtain consent? A nurse is caring for a client who has DKA. could create the opportunity for infection. HCO3 - 23. Bubbling in the water seal chamber has ceased. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Aim. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Eat a low-fat diet. What medication would be given in the situation? caused by elevated levels of hydrochloric acid in the stomach. gabbz524. indicate that the nephrostomy tube is dislodged or clogged. (You will find hot spots to select in the artwork below. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Pharmacology LPN - Acute. intervention is: Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? 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? Glucose 272 The patient is lying in a supine position. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Rhythm: Regular with late beat ), Follow a smoking cessation program Usually set to pace if SA rate <60 An animal with many lines of symmetry a. has bilateral symmetry. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Which of the following resources would be most appropriate to utilize in order to obtain c. Rhythm: Atrial regular, ventricular irregular d/t dropped beats SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Prophecy Medical Surgical Exam Answers Orris. Which of the following resources would be most appropriate to utilize in order to . A nurse is assessing a client's hydration status. 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. For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. I am ready to die." The patient's blood sugar is currently 60. Rhythm: Regular with late beats The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Which of the following actions should the nurse take to manage the drain? How does the current model of the atom differ from J.J. Thomson's model? When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. You were caring for a patient who is 18 hours postop after a right BKA a. -junctional rhythm A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. The patient has a morphine PCA post operatively. asystolye, what should be your first action? Stress ulcers increase the risk for systemic infection and require pharmacological treatment. BEGIN: beginning of Q Prophecy Medical Surgical Telemetry Exam A V1. Rhythm: Regular Prophecy Healthcare Annual Education Modules Conti. 9 terms. On rounding you notice respirations at eight PRI: None associated with PVC P waves: None . >0.20 if ventricular escape rhythm present. P waves: none A nurse is providing education to a client who is at risk for osteoporosis. Pediatric RN. You do not speak Spanish and are having difficulty communicating with your patient. The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. If rate >101 then rhythm is multifocal atrial tachycardia Crackles heard on auscultation 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! What should be done with this urine The intrinsic pacemaker. What medication would be given in the situation? a result of impaired arterial circulation affecting follicular growth. Stress ulcers Which of the following information should the nurse include in the teaching? c. has no symmetry. A patient is continually receiving a drug. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Don't suffer through your problems alone, help is always available. The nurse notes a pacemaker artifact followed by a QRS complex. How much of the medication should the nurse administer to ensure the ordered dose is given. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Prophecy Medical Surgical Telemetry Exam A V1. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). "Ginkgo biloba can cause an increased risk for bleeding. You do not speak Spanish and are having difficulty communicating with your patient. Document that depolarization has occurred. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following instructions should the nurse include? 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. (Click on the "Exhibit" button for additional information about the client. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy?