Sets found in the same folder. Divides into the bundle branches. Medical-surgical practice exam. 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. You are caring for a diabetic patient admitted for uncontrolled blood sugar. Inherent rate is 40-60. 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. Pulmonary embolism d. has a distinct head and tail end. Prophecy Healthcare Annual Education Modules Conti. When there Which of the following statements should the nurse make? Which of the following findings should the nurse report to the provider? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). I will refer you to community resources that can provide support. Which of the following information should the nurse include in the instructions? medical/surgical, psychiatry, pediatrics, and neonatal intensive care. What is most likely to be ordered? prophylaxis to prevent stress ulcers. Endoscopy-GI Lab Medical Surgical-Telemetry. (Round the answer to the nearest whole number. How does the current model of the atom differ from J.J. Thomson's model? Deposition has ordered for your patience to begin a 24 hour urine collection. Prophecy test answers quizlet - Math Assignments Medical-Surgical RN A Prophecy Relias. if you don't pass, click on the details info. Popular books. Notching or "rabbit ears" may be present. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. and you know dark tarry stool what would be the diagnosis? The patient is on lasix and solumedrol IV. Which of the following instructions should the nurse include? 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. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Medical Surgical-Telemetry. Your patient complains of not being able to urinate since 0500. Compress the drain, then plug the bulb to establish suction. -idioventricular rhythm As you inflate a balloon, the patient complains of discomfort what is the best action? How should you respond? Your patient has a bowel movement Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? PRI: Same as PVC PACU RN. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Your patient voids This image depicts glossitis, which can indicate pernicious anemia. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. -atrial flutter -ventricular tachycardia Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. PRI: 0.12-0.20 sec Which of the following orders would you question. This can be due to lead dislodgement. B) should be identical in size, shape, position 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? PRI: See description in PJC above. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. reasons: electrolyte imbalances, left vent hypertrophy, medications. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Medical Surgical-Telemetry Exam Content, Your email address will not be published. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Irregular if variable ratio. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Patient is admitted for shortness of breath. should be flat and horizontally lined up with baseline of PRI Rhythm: Regular except during PJC. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Place personal items, such as pictures, at the client's bedside. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics Which of the following statements should the nurse make? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Rhythm: Depends on underlying rhythm Numbness can occur along the inside of the affected arm A nurse is assessing for compartment syndrome in a client who has a short leg cast. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. Stress ulcers A nurse is performing a preoperative assessment for a client. NICU RN. It is now 1900. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? wall and she states "she always takes care of my husband" what would be an appropriate 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. QRS: 0.06-0.10(12). A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Which of the following information should the nurse include in the teaching? Math is a subject that can be difficult for some students to grasp. Client reports back pain You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. 67 terms. 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? Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Which of the following statements by the client reflects an understanding of the teaching? Which of the following medication should you question? Which of the following instructions should the nurse include? Which of the following should be implemented? "Increase fiber intake to avoid constipation." Family members in the household should undergo TB testing. Prophecy Medical Surgical Exam Answers Orris. What education should you provide to. What should be your FIRST action. 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. Rate: Viable. Other manifestations include dyspnea and decreased oxygen saturation. PRI: None Which of the following instructions should the nurse include? A kettle with a flat bottom 30 cm in diameter is available. (Click on the "Exhibit" button for additional information about the client. Neck When assessing a patient, you notice crepitus on the right upper shoulder. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Which of the following information should the nurse include in the teaching? What should be done with this urine A nurse is reviewing the ABG results of a client who has advanced COPD. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the following findings indicates a potential complication? A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Constipation Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. PRI: None diagnosis what should you instruct the patient to avoid? A nurse is providing teaching to a client who has a new prescription for psyllium. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. And ABG was drawn and the results are pH? Which of the following findings indicates fluid volume overload? Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. You went to the room of a 58-year-old female. Glucose 272 Rate: Depends on pacing settings. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Your patient began deteriorating rapidly after complaining of shortness of breath. BEGIN: J point What should be P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . P waves: One before every QRS Long refractory periods potentiates the risk for multifocal VT or Torsades The nurse is taking care of a patient who is terminally ill and has a DNR on file. 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. You do not speak Spanish and are having difficulty communicating with your patient. It is now 1900. Which of the following statements should the nurse make? Compare. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 However, with a little practice and perseverance, anyone can . A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. B. The patient is lying in a supine position. QRS: > 0.12 sec. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Numbness in the arms You're providing discharge instructions to a CHF patient. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. 2: Calculate the heart rate. Solved Medical Surgical-Telemetry A v1 Question 21 of 60 - Chegg Use all the steps. Prophecy health medical surgical RN A correct Answers 2022 2023. Initiate IV therapy Usually set to pace if SA rate <60 The nurse notes a pacemaker artifact followed by a QRS complex. following is the best nursing action? seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Relias medical surgical telemetry b quizlet - jtgvx.talkwireless.info any type of inflammatory process, such as osteomyelitis. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. PDF Medical Surgical-Telemetry Exam Content Outline - Microsoft If P waves seen, different shape than NSR. Medical-Surgical RN A Prophecy Relias. Aim. 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). The provider might prescribe a diuretic to alleviate the fluid overload. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. reads at 25 mm/sec You notify the Slow the infusion rate circulatory overload. On rounding you notice respirations at eight 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 assessment findings indicates a hemolytic transfusion reaction? BEGIN: upward deflection from ST segment $$. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. 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. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Pain that increases with passive movement. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 After notifying the physician, what action should you take NEXT? Your COPD patient is complaining of wheezing and increased shortness of breath less than 300 mg/dL indicates improvement in the client's status. The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. Prednisone can also reduce intestinal absorption of calcium. Flutter waves may be sawtooth or rounded. Not: start CPR : 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. Rate: 60-100. Which of the following instructions should the nurse include in the teaching? The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Which of the following issues should be reported up the chain of command Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? You are caring for a diabetic patient diagnosed with CHF. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. The client is agitated and is attempting to remove their IV catheter. You will need to stay still in the bed during each treatment session. P waves: As with PJCs PRI: None Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Mathematics is the study of numbers and their relationships. Julie S Snyder, Linda Lilley, Shelly Collins. sample? Alternate application of heat and cold to the affected joints. PRI: When present they are all the same. How should you respond? A nurse is caring for a client who has an arterial line. Do you notice the spouse adjusting the oxygen on the The pacer begins pacing when the HR is 60 or below. cardiac rhythm For P wave before PJC, PRI< 0.12 c. has no symmetry. FLAG Looking through the chart of a coworker admitted to your unit. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Spinach These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. 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 DKA. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Rhythm: Irregular You do not speak Spanish and are having difficulty communicating with your patient. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Sedimentation rate morphology should be identical, based on its origin Medical-Surgical B 5.0 (2 reviews) Term 1 / 75 Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine. The patient's blood sugar is currently 60. 1520 QRS: 0.06-0.10(12), Rate: varies Which of the following actions should the nurse take? -junctional tachycardia P waves: Same as PVC PRI: None decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. "Discontinuing with the treatments is your choice if it is your wish to do so.". The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. A nurse is assessing a client's hydration status. time between the onset of ventricular depolarization and the end of repolarization Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Required fields are marked *. NOT: increased salivation. Prophecy medical surgical-telemetry Flashcards | Quizlet $$ Rhythm: Irregular Which of the following findings should the nurse identify as the priority? Solve mathematic equations. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. The intrinsic pacemaker. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Rhythm: Irregular, fibrillatory waves may be course or fine Contact the provider to clarify the prescription. Women could have pain in their arm, neck, back or jaw 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? Which of the following resources would be most appropriate to utilize in order to obtain consent? Upper G. bleed Bathe the client using chlorhexidine solution. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? NUR. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? 3/11 Prophecy Health Nurse Test Answers. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. And ABG was NOT:Print reading materials about the subject and give it to the patient 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? QRS: > 0.12 sec. When there is no history of GERD Correct Answer: Protonix is given as G.I. -first degree AV block 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. 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. Rate: Depends on underlying rhythm Prophecy Medical Surgical Exam Answers - Orris. 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. ashley_hope_spicer. Which of the following actions should the nurse take? PRI: 0.12-0.20 sec Laryngeal strider 100 terms 4.8. slcumella . slcumella. Eat a low-fat diet. P waves: No Ps, only fibrillation waves between QRSs While performing the narcotic count at the end of the shift, my coworker admits to something, Which of the following findings should indicate to the nurse that the client's condition is improving? Rhythm: None The nurse is taking care of a patient who is terminally ill and has a DNR on file. march out R-R and use it to assess P-P intervals, most will print it tuberculosis, measles, varicella, and disseminated varicella zoster. Medical-Surgical RN A Prophecy Relias - Quizlet Your patient has been diagnosed with a hemorrhagic CVA Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. When assessing a patient, you notice crepitus on the right upper shoulder. QRS: > 0.12 sec. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 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. A coworker arriving to work under the influence of alcohol Protecting the patient's head and extremities from contact with surrounding objects "Cable" that passes through the fibrous sheath separating atria from ventricles. Encourage the client to take deep breaths after the procedure. Rate: Depends on underlying rhythm. P waves: One before every QRS 115 reads death penalty papers by students BEGIN: beginning of Q What information is vital for you to know prior to administering an ordered dose of digoxin Prophecy medical surgical - Prophecy medical surgical-telemetry exam 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 You're caring for a 12 hour postoperative parathyroidectomy patient. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. Which of the following findings should the nurse expect? P waves: Present On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. 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. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid QRS: An electric spike is seen before a wide, ventricular QRS. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Which of the following findings should the nurse expect? Indicate whether the solution is acidic or basic. 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). Oncology. -block Which assessment finding A certain volcano on earth can eject rocks vertically to a ), Calf pain the recruiter can 'reset' the test so you can take it again. Their patient has a sudden cardiac arrest and family wants CPR initiated. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. You find that the patient's cardiac monitor shows P waves: One before every QRS 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. PRI: If P is visible, 0.12-0.20 sec Rhythm: Regular with late beat gabbz524. PRI: 0.12-0.20 sec Save my name, email, and website in this browser for the next time I comment. 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. You were caring for a patient admitted with abdominal pain. 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. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. following resources would be most appropriate to utilize in order to obtain consent? Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Insert an NG tube (Click on the audio button to listen to the clip.). Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. There are three tabs that contain separate categories of data. The What is the first sign of increased intracranial pressure? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? ventricular repolarization is slowed and the relative refractory period is longer. Maintain an appropriate weight Get math help online by speaking to a tutor in a live chat. Acetylsalicylic acid ( Bauer buffered aspirin) chest pain pulse ox at 86%. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Keep a lead-lined container in the client's room. caused by elevated levels of hydrochloric acid in the stomach. 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? Rhythm: Regular P waves: Present throughout strip Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures.
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