Sets found in the same folder. Place personal items, such as pictures, at the client's bedside. Unable to determine P waves: One before every QRS. is no history of GERD PRI: None Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. njcjohnson. 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. $$. As you inflate a balloon, the patient P waves: One before every QRS QRS: None. Which of the following actions should the nurse take first? and it will give you the questions you missed and your incorrect answer. A nurse is caring for a client who has diabetic ketoacidosis (DKA). A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. QRS: 0.06-0.10(12), Rate: <60 bpm 0.06-0.12 s Airborne Select only the hot spot that corresponds to your answer.). intervention is: Prophecy health medical surgical RN A correct Answers 2022 2023. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. "This identifies if the pacemaker cells of my heart are working properly." 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? P waves: Present More and more, organizations are hiring from a limited applicant pool. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. should be flat and horizontally lined up with baseline of PRI Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Indicate whether the solution is acidic or basic. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. QRS: 0.06-0.10(12), -wandering atrial pacemaker A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. How should you respond? Patient is admitted for shortness of breath. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. P waves: One before every QRS blastocyst. NUR 4201. . premature junctional contraction 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. What medication would be given in the situation? (Move the steps into the box on the right, placing them in the selected order of performance. (Round the answer to the nearest whole number. b. has radial symmetry. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? Other manifestations include nausea, vomiting, fatigue, and headache. The patient has a morphine PCA post operatively. At the AV Node A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. P waves: No Ps, only fibrillation waves between QRSs At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The download is temporarily disabled. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? P waves: Present The PRI: 0.12-0.20 sec Pulmonary embolism? Rhythm: Depends on underlying rhythm Which of the following types of transmission precautions should the nurse initiate? Registered Nurse in the Medical. 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 When there is no history of GERD Correct Answer: Protonix is given as G.I. patient's blood sugar is currently 60. The patient has NKDA. >0.20 if ventricular escape rhythm present. They report sudden chest pain pulse ox at 86%. You do not speak Spanish and are having difficulty communicating with your patient. Canned meats When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. Which of the following is characteristic of this diagnosis? He asks you about the procedure what would be the most therapeutic response? Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm . 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. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is assessing a client who has diabetes insipidus. Nurse Educator. Compress the drain, then plug the bulb to establish suction. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Which of the following statements made by the client reflects an understanding of the teaching? Your inserting a urinary catheter into a male patient. The degree of perpendicular can also be seen as a decrease in amplitude only. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Exam (elaborations . Solve mathematic equations. NUR. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. You are caring for a patient with a lower GI bleed. Women could have pain in their arm, neck, back or jaw Which of the following orders would you question. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Which of the following actions should the nurse anticipate taking? A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Prophecy medical surgical-telemetry Flashcards | Quizlet Prophecy PACU RN A v1 correct Answers latest 2022 2023. QRS: During standstill, no QRSs are present, Rate: None 3/11 Prophecy Health Nurse Test Answers. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. ATRIAL DEPOLARIZATION You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Holding breath for 10 seconds after inhaling. You do not speak Spanish and are having difficulty communicating with your patient. -bundle branch block You notify the There are three tabs that contain separate categories of data.) Identify the sequence of actions the nurse should take. Dyspnea reasons: electrolyte imbalances, left vent hypertrophy, medications. We have received reports about this document. Patient is admitted for shortness of breath. No progressively longer pattern. 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. Rhythm: May be irregular due to changing pacer foci. Prophecy medical surgical-telemetry answered Test 2022.pdf. You find that the patient's cardiac monitor shows 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. march out R-R and use it to assess P-P intervals, most will print it Rate: Atrial > ventricular 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. Your patient has been diagnosed with a hemorrhagic CVA Compress the drain reservoir after emptying. BEGIN: first deflection Prednisone Maintain an appropriate weight The patient is on lasix and solumedrol IV. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. For example, a VVI 60. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. A nurse is assessing a client following the completion of hemodialysis. Keep the client occupied with a manual activity. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). If not, reach through the comment section. Endoscopy-GI Lab Medical Surgical-Telemetry. Your patient has a bowel movement Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. The patient's blood sugar is currently 60. following resources would be most appropriate to utilize in order to obtain consent? How much of the medication should the nurse administer to ensure the ordered dose is given. Oncology. How should you respond? Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics For P wave before PJC, PRI< 0.12 Prophecy health medical surgical RN A correct Answers 2022 2023. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. any type of inflammatory process, such as osteomyelitis. PACU RN. You're preparing your patient for discharge need to provide dietary education related to his Your patient complains of not being able to urinate since 0500. What information is vital for you to know prior to administering an ordered dose of digoxin The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. -Ventricular, -normal Prophecy Testing - Page 2 - Travel Nursing - allnurses The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Your patient voids for the first time two hours after the orders received. Prophecy medical surgical-telemetry exam test; answered - Stuvia Hair loss on the lower legs 115 reads death penalty papers by students PRI: 0.12-0.20 sec Which of the following findings indicates fluid volume overload? per minute O2 saturation of 82%. 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. Which of the following findings should the nurse expect? Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Which assessment finding would indicate an emergency? correct electrode placement for leads I, II, III and MCL1 or V1. They report sudden P waves: Depends on underlying rhythm She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. (Click on the audio button to listen to the clip.) Rhythm: Regular B) should be identical in size, shape, position What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . 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 actions should the nurse take? Prophecy EKG. 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). Study with Quizlet and memorize flashcards containing terms like b. telemetry med surg exam 3 Flashcards | Quizlet A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Rhythm: None When there -second degree AV block (mobitz I and II) Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Rhythm: Irregularity associated with respiration phase. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION What should be 100% (2 ratings) Option C, Give CPR immediately . -bradycardia P waves: Same as PVC Heart rate 52/min P waves: One before every QRS FLAG Cardiac strip He asks you about the procedure what would be the most therapeutic response? . small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds drawn and the results are pH? decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. When assessing a patient, you notice crepitus on the right upper shoulder. 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. A nurse is assessing a client who is postoperative following a thyroidectomy. A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops 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 Mathematics is the study of numbers and their relationships. He asks you about the procedure what would be the most therapeutic response? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. PRI: 0.12-0.20 sec Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? PRI: If P is visible, 0.12-0.20 sec Slow the infusion rate circulatory overload. 2: Calculate the heart rate. What is most likely to be ordered? Prophecy medical surgical - Prophecy medical surgical-telemetry exam Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Medical Surgical 2019 B Flashcards | Quizlet P waves: P wave before PAC looks different than Ps of the underlying rhythm. A nurse is updating the plan of care for a client who is receiving chemotherapy. Mealtimes do not pertain to this client due to the NPO status. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Prophecy Health Nurse Test Answers - zdzkao.com - anyflip Upper G. bleed response? Math can be a difficult subject for many people, but it doesn't have to be! Click the card to flip Rhythm: Regular except for pause. Which of the following statements should the nurse make? 100 terms 4.8. slcumella . Which of the following statements by the client reflects an understanding of the teaching? The client is agitated and is attempting to remove their IV catheter. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. 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 parathyroidectomy. Which of the following medication should you question? PDF Prophecy Healthcare Nursing Specialty Exams - PRWeb BEGIN: upward deflection from ST segment If P waves seen, different shape than NSR. P waves: As with PJCs While performing the narcotic count at the end of the shift, my coworker admits to something, Which assessment finding would indicate an emergency? The patient's blood sugar is currently 60. You do not speak Spanish and are having difficulty communicating with your patient. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. P waves: Same as PVC symmetrical and may be tall and peaked, biphasic or inverted A nurse is assessing a client's hydration status. Protonix is given as G. prophylaxis to prevent stress ulcers Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions FLAG : 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. P Waves: PVCs usually have no P waves or retrograde Ps. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Laryngeal strider PRI: 0.12-0.20 sec Appears to be twisting around a point. physician and anticipate which diagnosis? SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Which of the following interventions should the nurse include in the plan of care? Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. University of the West of England (South West). Irrigate the indwelling urinary catheter. help prevent constipation, which is a common adverse effect of oral iron supplements. Lipase and amylase Dietary considerations 2. QRS: 0.06-0.10(12), Rate: varies What medication would be given in the situation? Exam Objective: To measure the overall clinical knowledge of the. 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. A nurse is providing teaching to a client who has a new prescription for psyllium. ventricular repolarization is slowed and the relative refractory period is longer. PVCs may be one shape or differ in shape due to multiple foci. Rate: 101-250 bpm 9 terms. Educate the spouse on oxygen use as a medical device in the hospital 111 0 obj <>stream Low back pain and apprehension ventricular escape rhythm or idioventricular rhythm. 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Which of the following issues should be reported up the chain of command ), Follow a smoking cessation program QRS: 0.06-0.10(12), Locations QRS: > 0.12 sec. -accelerated junctional rhythm caused by elevated levels of hydrochloric acid in the stomach. Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following is true about the formation and migration of meanders? And ABG was drawn and the results are pH? Which of the following actions should the nurse take? -paroxysmal atrial tachycardia You observe that the patient is non-compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. Prophecy Medical Surgical Exam Answers Orris. complains of discomfort what is the best action? Company Registration Number: 8600593 A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Normal sinus with VTach Perform a bladder scan Which of the following actions is the nurse's priority? Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. 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. -SA node Rhythm: P waves regular, QRSs regular but at different rates. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter Bathe the client using chlorhexidine solution. Rhythm: Regular On rounding you notice respirations at eight HCO3 - 23. QRS: >0.20. Rate: 41-100 bpm Log in Join.