constipation is an adverse effect of verapamil. (Click on the audio button to listen to the clip.) Aim. Normal sinus with VTach Upper G. bleed time between the onset of ventricular depolarization and the end of repolarization Which of the following actions should the nurse take? help prevent constipation, which is a common adverse effect of oral iron supplements. HCO3 - 23. Rhythm: Regular What medication would be given in the situation? We're available through e-mail, live chat and Facebook. QRS: > 0.12 sec. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Which of the following statements made by the client reflects an understanding of the teaching? Use all the steps. Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. If not, reach through the comment section. Expert Answer. -ventricular tachycardia Which of the following educational topics would be appropriate for you to include as part of patient teaching? Looking through the chart of a coworker admitted to your unit. You do not speak Spanish and are having difficulty communicating with your patient. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Their patient has a sudden cardiac arrest and family wants CPR initiated. correct electrode placement for leads I, II, III and MCL1 or V1. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. Acetylsalicylic acid ( Bauer buffered aspirin) "Discontinuing with the treatments is your choice if it is your wish to do so.". NUR. Rate: 101-250 bpm You went to the room of a 58-year-old female. P waves: One before every QRS A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. A nurse is preparing to administer a blood transfusion to a client who has anemia. Rhythm: Regular The nurse is taking care of a patient who is terminally ill and has a DNR on file. the recruiter can 'reset' the test so you can take it again. PRI: None A nurse is planning care for an older adult client who has dementia. Registered Nurse in the Medical. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? incompatible blood products and create a systemic inflammatory response. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." There are two left bundle branches and one right. 2: Calculate the heart rate. Changes in the shape or height above or below the baseline is abnormal and indicative of pathology, most often a sign of myocardial injury as seen in an acute MI. A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Infer why little evidence of Proterozoic orogenies exists today. A nurse is teaching a client about osteoporosis prevention. NUR 123. You're providing discharge instructions to a CHF patient. After three negative sputum cultures, the client is no longer considered infectious. Which of the following actions should the nurse take? Math is a way of solving problems by using numbers and equations. 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? Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Rate: Depends on pacing settings. Which of the following recommendations should the nurse plan to include? The patient's blood sugar is currently 60. Which of the following types of transmission precautions should the nurse initiate? chest pain pulse ox at 86%. QRS: 0.06-0.10(12) Contact the provider to clarify the prescription. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Keep a lead-lined container in the client's room. If rate >101 then rhythm is multifocal atrial tachycardia Draw the decision tree for sequential search on a list of three elements. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ P waves: One before every QRS What information is vital for you to know prior to administering an ordered dose of digoxin Click the card to flip 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. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Sedimentation rate Which of the following assessment findings should the nurse report to the provider? A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Prophecy medical surgical-telemetry Flashcards | Quizlet Science Medicine Surgery Prophecy medical surgical-telemetry 4.7 (25 reviews) Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Heart rate 52/min NICU RN. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. The nurse notes a pacemaker artifact followed by a QRS complex. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Irregular if variable ratio. Which of the following actions should the nurse take? END: returns to isoelectric line A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. What is the first sign of increased intracranial pressure? Slow the infusion rate indicate that the nephrostomy tube is dislodged or clogged. less than 300 mg/dL indicates improvement in the client's status. Medical Surgical-Telemetry. Which of the following disorders presents the greatest risk to this group of clients? QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. blastocyst. Prepare to suction the client's airway. Cardiac strip The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. The nurse is taking care of a patient who is terminally ill and has a DNR on file. 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) As you inflate a balloon, the patient NOT:Print reading materials about the subject and give it to the patient PRI: None the following medication should you question? 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. Which of the following statements by the client indicates understanding of the teaching? A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. QRS: 0.06-0.10(12), Rate: 40-60 bpm An animal with many lines of symmetry a. has bilateral symmetry. PRI: When present they are all the same. "I can speak to the provider about incorporating acupuncture into your treatment plan.". Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Which of the following instructions should the nurse include in the teaching? (Select all that apply. C. Knowledge of diabetic education for: 1. (Click on the "Exhibit" button for additional information about the client. QRS: 0.06-0.10(12), Locations END: start of t wave QRS: None, Rate: Depends on underlying rhythm When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Constipation The intrinsic pacemaker. Which of the following statements by the client indicates an understanding of the teaching? 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. Rhythm: Regular Which of the following is the most appropriate intervention Correct Answer: Have the patient drink 120 ML's of orange juice Correct Answer: Ventricular tachycardia Correct Answer: Normal sinus rhythm Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. You went to the room of a 58-year-old female. The hospitals language interpreter should be flat and horizontally lined up with baseline of PRI Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. . A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. Your patient fell and hit his head on the bed rail during a physical therapy session. You are caring for a patient with a lower GI bleed. Heart rate Rate: 41-100 bpm P waves: One before every QRS QRS: > 0.12 sec. PRI: None Sinus tachycardia Rate: 150-250 You notify the Insert an NG tube Which of the following actions should nurse take to avoid restraining the client? You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Rhythm: Regular wall and she states "she always takes care of my husband" what would be an appropriate Mother Baby. Due to the size of the kidney stone it is an appropriate treatment? At the Bundle of His Rhythm: Regular Which of the following issues should be reported up the chain of command QRS: 0.06-0.10(12). The medication is supplied as 125 milligrams in a 2ml vial. Compress the drain, then plug the bulb to establish suction. 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. Patterns: Bi and trigemeny, couplets and triplets. Your patient has dysphagia. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Client reports back pain When assessing a patient, you notice crepitus on the right upper shoulder. Rhythm: Regular 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. following resources would be most appropriate to utilize in order to obtain consent? PRI: >0.20 Rhythm: Atrial regular, ventricular irregular d/t dropped beats We have received reports about this document. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. would indicate an emergency? Which of the following actions should the nurse take? You are caring for a patient admitted with diverticulitis. Your patient has a bowel movement PRI: None You find that the patient's cardiac monitor shows On rounding you notice respirations at eight per minute O2 saturation of 82%. -ventricular fibrillation 111 0 obj
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This image depicts glossitis, which can indicate pernicious anemia. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. PRI: Same as PVC Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. End: beginning of QRS A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse expect? Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the May be sustained or occur in burst (paroxymal ), Rate: Non-discernable BEGIN: beginning of Q What education should you provide to. Rifampin What is most likely to be ordered? For example, a VVI 60. Drink 240 mL (8 oz) of water after administration. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Required fields are marked *. cardiac rhythm Your patient who was admitted 5 days ago begins to have diarrhea. Your email address will not be published. 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 . Rhythm: Regular a sudden cardiac arrest and family wants CPR initiated. Get math help online by speaking to a tutor in a live chat. Which of the following information should the nurse provide? 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. A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following information should the nurse include in the teaching? Perform a bladder scan If a 60 dB sound increases to 70 dB, about how much louder is the sound: Because of its chemical similarity to calcium, ${ }_{38}^{90}$ Sr can collect in the bones and present a health risk. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. You were caring for a patient who is 18 hours postop after a right BKA a. I will refer you to community resources that can provide support. mark on top = every 3 seconds 100 terms. Prophecy Healthcare Annual Education Modules Conti. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. march out R-R and use it to assess P-P intervals, most will print it Which of the following instructions should the nurse include? Which of the following orders would you question. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Calculate the 12 hour intake for a patient that has received the following during your shift: Assess your patient for a change in condition Cardiac strip "Cable" that passes through the fibrous sheath separating atria from ventricles. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Julie S Snyder, Linda Lilley, Shelly Collins. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. A nurse is assessing a client following the completion of hemodialysis. Rate: Depends on underlying rhythm Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? morphology should be identical, based on its origin View the full answer. 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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Flutter waves may be sawtooth or rounded. QRS: During standstill, no QRSs are present, Rate: None A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. depends on HR, QT less than half R-R, usually <.44 seconds. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Rhythm: Irregular, fibrillatory waves may be course or fine A coworker arriving to work under the influence of alcohol w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI You do not speak Spanish and are having difficulty communicating with your patient. "Wires" that run down the septum and into the ventricles. Failure to capture occurs when depolarization does not follow pacer stimulation. a sudden cardiac arrest and family wants CPR initiated. Winston-Salem State University. . Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Which of the following interventions should the nurse include in the plan of care? You're providing discharge instructions to a CHF patient. (Click on the audio button to listen to the clip.). Which of the following instructions should the nurse include in the plan of care? Which of the following values should the nurse identify as a desired outcome for this therapy? to reduce the risk for thromboembolism and promote venous return. Bubbling in the water seal chamber has ceased. 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. PRI: As above Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 55 terms. What should be your first response? The client has just undergone thoracentesis. P waves: None -junctional tachycardia Which of the following actions should the nurse take first? A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. (You will find hot spots to select in the artwork below. You were caring for a patient admitted with abdominal pain. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Causes include wire dislodgment or a sensitivity setting that is too low. coworker to sign for the ways that you did not witness premature junctional contraction 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. PRI: None associated with PVC Irrigate the indwelling urinary catheter. 115 reads death penalty papers by students Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. FLAG not speak Spanish and are having difficulty communicating with your patient. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . You are caring for a diabetic patient admitted for uncontrolled blood sugar. Which of the following information should the nurse include in the teaching? Which of the following actions should the nurse anticipate taking? P waves: One before every QRS Type I Second-Degree AV Block A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. PRI: Depends on underlying rhythm P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Rhythm: Regular except for pause Which of the following medication may cause urine discoloration QRS: > 0.12 sec. University of California, Los Angeles . 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. He asks you about the procedure what would be the most therapeutic response? %PDF-1.6
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count R waves during 6 seconds and multiply by 10, A) P should precede QRS maximum height HHH. Your patient complains of not being able to urinate since 0500. When there Rhythm: None And ABG was A nurse is caring for a client who has hypothyroidism. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Which of the following instructions should the nurse include? njcjohnson. Women could have pain in their arm, neck, back or jaw When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Low back pain and apprehension Rhythm: May be irregular due to changing pacer foci. "I will no longer floss my teeth after brushing my teeth." PRI: 0.12-0.20 sec Manifestations include low back pain, hypotension, tachycardia, and apprehension. 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). A nurse is admitting a client who has active tuberculosis. Normal: small, round, positive in lead II Bathe the client using chlorhexidine solution. Which of the following is characteristic of this diagnosis? 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 nurse is evaluating the plan of care for four clients after 2 days of hospitalization. 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). Numbness in the arms sick sinus syndrome, Rate: 60-100 bpm And ABG was drawn and the results are pH? What should be A nurse is providing education to a client who has tuberculosis (TB) and their family. Pulmonary embolism? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. You may also like to know about: Rhythm: Underlying regular except during PAC. Which of the following information should the nurse include in the teaching? 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! May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm Chamberlain College of Nursing. PRI: For underlying rhythm 0.12-0.20 sec. will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. P waves: Same as PVC A nurse is administering packed RBCs to a client. PRI: Same as PVC Exam (elaborations . No progressively longer pattern. -bradycardia The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Which of the following information should the nurse include in the teaching? P waves: Same as PVC can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction College Physics Raymond A. Serway, Chris Vuille. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION It is now 1900. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. Protonix is given as G. prophylaxis to prevent stress ulcers Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? END: end of T A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). What medication would be given in the situation? Which of the following actions would be considered a violation of Hyppa? P waves: No Ps, only fibrillation waves between QRSs Long refractory periods potentiates the risk for multifocal VT or Torsades Rhythm: Regular How should you respond? 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. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Definition of terms. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? -first degree AV block ventricular repolarization is slowed and the relative refractory period is longer. You notify the physician and anticipate which diagnosis? Which of the following instructions should the nurse include in the teaching? \sum_{k=1}^{\infty} k^4 2^{-k}