prophecy medical surgical telemetry b quizlet

100 terms. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? QRS: 0.06-0.10(12), Rate: 60-100 bpm important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). Assess the patient Prophecy EKG. Scan the environment by turning your head from side to side.". (Click on the audio button to listen to the clip.) A nurse is preparing to administer a blood transfusion to a client who has anemia. -Junction or AV node PRI: 0.12-0.20 "I can speak to the provider about incorporating acupuncture into your treatment plan.". A nurse is providing education to a client who has tuberculosis (TB) and their family. PRI: If P wave is present before QRS, < 0.12 sec. Rhythm: Depends on underlying rhythm When there is no history of GERD, Protonix is given as G.I. How should you respond? B) should be identical in size, shape, position You will need to stay still in the bed during each treatment session. What should be your next step? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. PRI: When present they are all the same. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Check for the type and number of units of blood to administer. Which of the following actions should the nurse anticipate taking? Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. P waves: Same as PVC PRI: 0.12-0.20 sec You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Rhythm: Regular except for pause Rate: Viable. A nurse is teaching a client about osteoporosis prevention. The pacer begins pacing when the HR is 60 or below. PRI: For underlying rhythm 0.12-0.20 sec. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream You were caring for a patient admitted with abdominal pain. . 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. Acetylsalicylic acid ( Bauer buffered aspirin). A nurse is assessing for compartment syndrome in a client who has a short leg cast. Loosen restrictive clothing on the client. Drink 240 mL (8 oz) of water after administration. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. At least 3 different P wave morphologies. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. He asks you about the procedure what would be the most therapeutic response? Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. PRI: None Educate the spouse on oxygen use as a medical device in the hospital Third-Degree AV Block, Rate: Depends on underlying rhythm Mathematics is the study of numbers and their relationships. Endoscopy-GI Lab Medical Surgical-Telemetry. Low back pain and apprehension QRS: > 0.12 sec. Which of the following instructions should the nurse include in the plan of care? Discarded, then begin the 24 hour collection. Which of the following information should the nurse include in the teaching? And ABG was drawn and the results are pH? QRS: >0.20. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. march out R-R and use it to assess P-P intervals, most will print it Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Airborne Rate: 101-250 bpm He asks you about the procedure what would be the most therapeutic response? Pediatric RN. P waves: One before every QRS 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? Holding breath for 10 seconds after inhaling. Exam Objective: To measure the overall clinical knowledge of the. 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 The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. PVCs may be one shape or differ in shape due to multiple foci. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? The client becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the following resources would be most appropriate to utilize in order to obtain consent? 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? Patient is admitted for shortness of breath. -third degree AV block. Contact the provider to clarify the prescription. Your patient has dysphagia. You are caring for a diabetic patient diagnosed with CHF. P wave: none Which of the following actions should the nurse take? Your patient voids for the first time two hours after the orders received. "Wires" that run down the septum and into the ventricles. Glucose 272 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! Which of the following statements by the client indicates understanding of the teaching? A nurse is providing discharge teaching about infection prevention to a client who has AIDS. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Rhythm: Regular Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions Which of the following actions should the nurse anticipate taking? Notching or "rabbit ears" may be present. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. place a pressure bag around the flush solution. Prednisone "Cable" that passes through the fibrous sheath separating atria from ventricles. A nurse is providing teaching to a client who has a new prescription for psyllium. 5: Measure the QRS Complex Which of the following information should the nurse include in the teaching? Below the Bundle of His Which of the following educational topics would be appropriate for you to include as part of patient teaching? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. 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 . 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. Looking through the chart of a coworker admitted to your unit. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. P waves: May not be visible due to rate. -second degree AV block (mobitz I and II) They report sudden chest pain pulse ox at 86%. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. PRI: Progressively longer until QRS drops. Which of the following actions should the nurse take? P Waves: PVCs usually have no P waves or retrograde Ps. Manifestations include low back pain, hypotension, tachycardia, and apprehension. Cardiac strip Which of the following findings should the nurse expect? Constipation 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. Stress ulcers 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 . Sets found in the same folder. Which of the following assessment findings should the nurse report to the provider? Spinach Neuro ICU. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. A nurse is caring for a client who has terminal cancer. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. could create the opportunity for infection. asystolye, what should be your first action? Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Use all the steps. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The client tells the nurse, "I wish I could stop these treatments. Rhythm: Depends on underlying rhythm Deposition has ordered for your patience to begin a 24 hour urine collection. pile of potassium, rounded, slightly asymmetrical and positive on lead II. QRS: 0.06-0.10(12), Rate: 101-180 bpm Study with Quizlet and memorize flashcards containing terms like b. A nurse is assessing a client's hydration status. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. gabbz524. You're reviewing the menu list of a patient on Warfran what food should they not eat? Determine whether compound below exhibit a molecular dipole moment: After notifying the physician, what action should you take NEXT? You do not speak Spanish and are having difficulty communicating with your patient. QRS: 0.06-0.10(12), Rate: varies Hemodialys is something required following surgery Dyspnea Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. -ventricular fibrillation "I will no longer floss my teeth after brushing my teeth." Chamberlain College of Nursing. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Insert an NG tube Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 10 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 10 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! There are three tabs that contain separate categories of data. Which of the following issues should be reported up the chain of command Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. -Atria (elaborations) - Prophecy medical surgical-telemetry 2022 7. wrong answer: Report any visual disturbances immediately while on the medications. The client is unable to void on the bedpan. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Your patient complains of not being able to urinate since 0500. QRS: 0.06-0.10(12), Rate: <60 bpm PRI: None intervention is: You do Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. -paroxysmal atrial tachycardia Med Surg 2 - Medical surgical study materials LATEST. Which of the following instructions should the nurse include in the teaching? Sputum with streaks of blood PRI: None Mother Baby. 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. Your patient began deteriorating rapidly after complaining of shortness of breath. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. PRI: >0.20 QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. 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? QRS: 0.06-0.10(12). Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. If not, reach through the comment section. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. -Ventricular, -normal Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Divides into the bundle branches. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Correct answer is ventricular fibrillation Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? Restlessness When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: Protecting the patient's head and extremities from contact with surrounding objects. caused by elevated levels of hydrochloric acid in the stomach. Exam (elaborations . Rhythm: Regular What education should you provide to. Rhythm: Regular Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Ibuprofen can cause gastrointestinal bleeding in older adult clients. Parathyroidectomy 2. A nurse is caring for a client who has an arterial line. -atrial flutter A coworker arriving to work under the influence of alcohol amplitude 0.5-2.5 mm, 0.10 seconds or less, damaged atria (enlarged makes p wave look like an "m") or an impulse origin outside of the SA node (ectopic), Start: beginning of P Rate: Depends on pacing settings. This can be due to lead dislodgement. HCO3 - 23. 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. You may also like to know about: Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? ventricular repolarization is slowed and the relative refractory period is longer. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. The degree of perpendicular can also be seen as a decrease in amplitude only. Rhythm: Regular A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Scan the bladder with a portable ultrasound. Rate: 20-40 bpm The symptoms are indicative of: Type I Second-Degree AV Block Your patient fell and hit his head on the bed rail during a physical therapy session. Compare. sick sinus syndrome, Rate: 60-100 bpm Educate the spouse on oxygen use as a medical device in the hospital. -atrial fibrillation. QRS: > 0.12 sec. Upper G. bleed Medical-Surgical RN A Prophecy Relias. PRI: 0.12-0.20 sec P waves: See description in PJC above. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Which of the following admission orders would you expect for this patient? Which of the following findings should the nurse expect? 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. Calculate the 12 hour intake for a patient that has received the following during your shift: Your patient voids DEPOLARIZATION OF VENTRICULAR MYOCARDIUM PRI: None when QRSs are not present A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. How should you respond? P waves: No Ps, only fibrillation waves between QRSs you usually have to score over 80% to pass. Which of P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Medical Surgical Telemetry B. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). help prevent constipation, which is a common adverse effect of oral iron supplements. count R waves during 6 seconds and multiply by 10, A) P should precede QRS circulatory overload. How many mL should the nurse administer? 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. 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. Potassium 2 mEq/L less than 300 mg/dL indicates improvement in the client's status. Rhythm: May be irregular due to changing pacer foci. Heart rate 52/min Which of the following statements should the nurse make? A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. ashley_hope_spicer. -bundle branch block -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm QRS: 0.06-0.10(12), Rate: 101-180 Heparin infusion per pharmacy protocol Rhythm: Irregular Prednisone can also reduce intestinal absorption of calcium. Which of the following statements should the nurse make? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. Rhythm: Atrial regular, ventricular irregular d/t dropped beats -junctional tachycardia QRS: 0.06-0.10(12), Rate: 60-100 bpm LATTER PHASE OF VENTRICULAR REPOLARIZATION Prophecy Medical Surgical Telemetry Exam A V1. What is most likely to be ordered? Which of the following interventions should the nurse include in the plan of care? The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. What should be your first response? Heart rate 110/min Which of the following information should the nurse include in the instructions? When assessing a patient, you notice crepitus on the right upper shoulder. Use the Ratio Test to determine whether the following series converge. >0.20 if ventricular escape rhythm present. 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. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Rhythm: P waves regular, QRSs regular but at different rates. Rate: Depends on underlying rhythm. indicate that the nephrostomy tube is dislodged or clogged. -idioventricular rhythm PRI: If P wave is present before QRS, < 0.12 sec. A nurse is administering packed RBCs to a client. Looking through the chart of a coworker admitted to your unit. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Your COPD patient is complaining of wheezing and increased shortness of breath "I will eat more high-fiber foods." You went to the room of a 58-year-old female. 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. following is the best nursing action? QRS: > 0.12 sec. NOT: tuberculosis Prophecy medical surgical-telemetry Questions and Answers 2022. Which of the following medication may cause urine discoloration You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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? A nurse is caring for a client who has DKA. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. 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. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ 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. Prophecy medical surgical-telemetry answered Test 2022.pdf. Which of the following instructions should the nurse include? Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Assess your patient for a change in condition pulse, cough with bloody sputum, diaphoresis, and syncope. Acetylsalicylic acid ( Bauer buffered aspirin) Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . As you inflate a balloon, the patient 226 Math Experts 3 Years in business . 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. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. QRS: 0.06-0.10(12), supraventricular tachycardia Math is a subject that can be difficult for some students to grasp. prophylaxis to prevent stress ulcers. The patient has a morphine PCA post operatively. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Which of the following findings should the nurse report to the provider immediately? PRI: Same as PVC A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). A nurse is caring for a client who is receiving a blood transfusion. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Irrigate the indwelling urinary catheter. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Prophecy Medical Surgical Telemetry Exam A V1. Which of the following actions should the nurse identify as the priority? Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Which of the following actions should the nurse take first? morphology should be identical, based on its origin To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. P waves: Present A patient suddenly complains of new onset of chest pain. FLAG Rhythm: Depends on underlying rhythm Normal sinus with VTach B. \sum_{k=1}^{\infty} k^4 2^{-k} Stress ulcers increase the risk for systemic infection and require pharmacological treatment.

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