Endoscopy-GI Lab Medical Surgical-Telemetry. P waves: None You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Narcan Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? 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. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. ashley_hope_spicer. "I will no longer floss my teeth after brushing my teeth." 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? QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following actions would be considered a violation of Hyppa? 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. Lipase and amylase Deposition has ordered for your patience to begin a 24 hour urine collection. QRS: > 0.12 sec. Aim. 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). -junctional rhythm C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Heart rate 110/min A nurse is caring for a client who has terminal cancer. This image depicts glossitis, which can indicate pernicious anemia. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Looking through the chart of a coworker admitted to your unit. -Atria What is most likely to be ordered? Potassium 2 mEq/L sample? QRS: None, Rate: Depends on underlying rhythm if you don't pass, click on the details info. Prophecy Healthcare Annual Education Modules Conti. pile of potassium, rounded, slightly asymmetrical and positive on lead II. (Click on the audio button to listen to the clip.). Which of the following statements should the nurse make? The nurse should explain that applying a TENS unit to the painful area has which of the following effects? The You find that the patient's cardiac monitor shows asystolye, what should be your first action? Normal: small, round, positive in lead II QRS: > 0.12 sec. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Rate: 60-100. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Which of the following actions should the nurse take first? At the Bundle of His -tachycardia 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. Sinus tachycardia following resources would be most appropriate to utilize in order to obtain consent? They report sudden chest pain pulse ox at 86%. Which of the following instructions should the nurse include? After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? Use all the steps. time between the onset of ventricular depolarization and the end of repolarization Women could have pain in their arm, neck, back or jaw Rhythm: Regular except for pause. P waves: Present 55 terms. Which of the following assessment findings should the nurse report to the provider? Contact the provider to clarify the prescription. Third-Degree AV Block, Rate: Depends on underlying rhythm \sum_{k=1}^{\infty} k^4 2^{-k} Which of the following statements by the client indicates understanding of the teaching? Failure to capture occurs when depolarization does not follow pacer stimulation. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. Canned meats Prophecy Medical Surgical Telemetry Exam A V1. B. We have received reports about this document. When taking care of a patient with pancreatitis, which of the following lab shoul. any type of inflammatory process, such as osteomyelitis. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? Rate: 41-100 bpm Rhythm: Regular except during PJC. prophecy asks a questions and gives you 4 multiple choice options. should be flat and horizontally lined up with baseline of PRI A nurse is caring for a client who has hypothyroidism. to reduce the risk for thromboembolism and promote venous return. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds you usually have to score over 80% to pass. ventricular escape rhythm or idioventricular rhythm. "Discontinuing with the treatments is your choice if it is your wish to do so.". Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Rate: Atrial > ventricular e"'.~V,m5{b#&qH/BpUMysS\& #T4VW, YFz5#uRFFIf 78:H43\'n'MD'VB9dq~q1S4z:tjy=*q)&xLzQnKKM,#7&//z/cEJ0u\&
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BEGIN: upward deflection from ST segment Bathe the client using chlorhexidine solution. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). wrong answer: Report any visual disturbances immediately while on the medications. The nurse should identify the need to revise the plan for which of the following clients? Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. Which of the following findings should the nurse identify as a manifestation of this condition? A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Don't suffer through your problems alone, help is always available. There are three tabs that contain separate categories of data. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? the following medication should you question? You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Usually one impulse predominates. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: As above P Waves: PVCs usually have no P waves or retrograde Ps. Medical Surgical Telemetry B. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. The client should increase fiber intake to promote regular bowel function. Your inserting a urinary catheter into a male patient. Which of the following interventions should the nurse include in the plan? mark on top = every 3 seconds What should be P waves: May be present or absent depending on pacing settings (VVI vs DDD) a sudden cardiac arrest and family wants CPR initiated. Alternate application of heat and cold to the affected joints. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Which of the following actions should the nurse take? Slow the infusion rate And ABG was When there is no history of GERD Correct Answer: Protonix is given as G.I. Your patient has a bowel movement PRI: Depends on settings 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. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. 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? Sputum with streaks of blood Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? march out R-R and use it to assess P-P intervals, most will print it A nurse is caring for a client who has DKA. Pulmonary embolism? symmetrical and may be tall and peaked, biphasic or inverted Definition of terms. You are caring for a diabetic patient admitted for uncontrolled blood sugar. njcjohnson. is no history of GERD A nurse is assessing a client while suctioning the client's tracheostomy tube. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. Medical-Surgical RN A Prophecy Relias. You will need to stay still in the bed during each treatment session. QRS: 0.06-0.10(12). You notify the physician and anticipate which diagnosis? Rate: 20-40 bpm 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 notify the The client is agitated and is attempting to remove their IV catheter. a result of impaired arterial circulation affecting follicular growth. Acetylsalicylic acid ( Bauer buffered aspirin) 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 . As you inflate a balloon, the patient complains of discomfort what is the best action? 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? It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable University of the West of England (South West). creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. Which of the following findings indicates a potential complication? A nurse is performing a preoperative assessment for a client. The pacer begins pacing when the HR is 60 or below. Drink 240 mL (8 oz) of water after administration. For which of the following adverse effects should the nurse instruct the client to notify the provider? ventricular repolarization is slowed and the relative refractory period is longer. Popular books. PVCs may be one shape or differ in shape due to multiple foci. However, with a little practice and perseverance, anyone can . -nonconducted premature atrial contraction A nurse is administering packed RBCs to a client. Assess the patient Your patient complains of not being able to urinate since 0500. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. What medication would be given in the situation? Crackles heard on auscultation A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. He asks you about the procedure what would be the most therapeutic response? A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. The client is unable to void on the bedpan. Numbness in the arms P waves: Present PRI: 0.12-0.20 sec Their patient has 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. Patterns: Bi and trigemeny, couplets and triplets. Oncology. A nurse is caring for a client who has an arterial line. sick sinus syndrome, Rate: 60-100 bpm A nurse is providing discharge teaching about infection prevention to a client who has AIDS. each small box = 0.04 seconds And ABG was drawn and the results are pH? You were caring for a patient who is 18 hours postop after a right BKA a. PRI: Depends on underlying rhythm (Click on the "Exhibit" button for additional information about the client. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Bubbling in the water seal chamber has ceased. Rhythm: Depends on underlying rhythm A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Which of the following issues should be reported up the chain of command Which of the following manifestations should the nurse expect? After notifying the physician, what action should you take NEXT? Usually set to pace if SA rate <60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Dyspnea A nurse is assessing a client who has peripheral arterial disease. A nurse is planning care for an older adult client who has dementia. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. If not, reach through the comment section. 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 are caring for a patient admitted with diverticulitis. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Rhythm: Irregularity associated with respiration phase. 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. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Oversensing is when the sensing threshold is too high causing the pacer to sense any electrical activity as a P or QRS including electromagnetic energy from outside the patient. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. BEGIN: J point Below the Bundle of His Required fields are marked *. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? A nurse is reviewing the laboratory results of a client who has aplastic anemia. Rhythm: Depends on underlying rhythm Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. What should be your first response? "This identifies if the pacemaker cells of my heart are working properly." P waves: One before every QRS Rate: Depends on pacing settings. PRI: Same as PVC Which of the following findings should the nurse report to the provider immediately? QRS: 0.06-0.10(12), Rate: 101-180 bpm Other manifestations include nausea, vomiting, fatigue, and headache. If P waves seen, different shape than NSR. Neck Prophecy Medical Surgical Telemetry Exam A V1. HCO3 - 23. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? QRS: >0.20. Flutter waves may be sawtooth or rounded. following is the best nursing action? "longer, longer, drop" intervention is: The patient has a morphine PCA post operatively. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? prophylaxis to prevent stress ulcers. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Keep a lead-lined container in the client's room. Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? (Round the answer to the nearest whole number. Rhythm: None -ventricular tachycardia Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Looking through the chart of a coworker admitted to your unit. Prophecy medical surgical-telemetry Questions and Answers 2022. Prednisone 115 reads death penalty papers by students Neuro ICU. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. NUR 4201. . If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Prednisone can also reduce intestinal absorption of calcium. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter PRI: None correct electrode placement for leads I, II, III and MCL1 or V1. 0.06-0.12 s These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION Rhythm: Regular 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. -third degree AV block. You do not speak Spanish and are having difficulty communicating with your patient. PRI: None The hospitals language interpreter A coworker arriving to work under the influence of alcohol 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? Heart rate Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond? Glucose 272 physician and anticipate which diagnosis? Which of the following information should the nurse include in the teaching? Notching or "rabbit ears" may be present. As you inflate a balloon, the patient Rate: Depends on underlying rhythm Laryngeal strider (Select all that apply. Hemodialys is something required following surgery Which of the following types of transmission precautions should the nurse initiate? PRI: None associated with PVC The client has just undergone thoracentesis. Which of the following actions would be considered a violation of Hyppa? Rhythm: Regular Rhythm: Regular On rounding you notice respirations at eight -arrest Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. P waves: Present Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Your COPD patient is complaining of wheezing and increased shortness of breath Which of the following resources would be most appropriate to utilize in order to obtain consent? A nurse is providing teaching to a client who has a new prescription for psyllium. Rate: Depends on pacing settings. your next step? The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. Log in Join. >0.20 if ventricular escape rhythm present. NUR. P waves: As with PJCs The amount available is oral solution 125 mg/5 mL. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. -Junction or AV node No progressively longer pattern. The intrinsic pacemaker. 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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