prophecy medical surgical telemetry b quizletprophecy medical surgical telemetry b quizlet

Which of the following actions should the nurse take? Identify the sequence of actions the nurse should take. Their patient has 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. Prophecy health medical surgical RN A (Latest 2022/2023). (elaborations) - Prophecy medical surgical-telemetry 2022 7. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. QRS: During standstill, no QRSs are present, Rate: None Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. is no history of GERD Acetylsalicylic acid ( Bauer buffered aspirin) Rhythm: Regular You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Morphine Duramorph, oxygen, nitrates, place a pressure bag around the flush solution. Neuro ICU. Pain that increases with passive movement. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Which of the following statements should the nurse make? QRS: None. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Nursing Management of the Surgical Client Prophecy health medical surgical RN A. Which of the following findings is an indication of lung re-expansion? QRS: >0.20. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. P waves: One before every QRS Prophecy Medical Surgical Telemetry Exam A V1. a result of impaired arterial circulation affecting follicular growth. Which assessment finding The medication is supplied as 125 milligrams in a 2ml vial. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Classifications A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Prophecy health medical surgical RN A correct Answers 2022 2023. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . After three negative sputum cultures, the client is no longer considered infectious. Which of the following actions should the nurse anticipate taking? Your inserting a urinary catheter into a male patient. Which of the following information should the nurse include in the teaching? Don't suffer through your problems alone, help is always available. Which of the following assessment findings indicates a hemolytic transfusion reaction? Glucose 272 After notifying the physician, what action should you take NEXT? Slow the infusion rate circulatory overload. How many mL should the nurse administer? Prednisone can also reduce intestinal absorption of calcium. Expert Answer. PACU RN. You are caring for a patient with a lower GI bleed. Numbness in the arms The patient may be experiencing: QRS: 0.06-0.10(12), Rate: 40-60 bpm A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. 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. "Discontinuing with the treatments is your choice if it is your wish to do so.". The patient is lying in a supine position. Which of the following actions should the nurse identify as the priority? -ventricular fibrillation The patient is on lasix and solumedrol IV. Math is a subject that can be difficult for some students to grasp. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Clinical Results - Medical Surgical-Telemetry A v1 Assessment. At the Bundle of His C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter Which of the following actions would be considered a violation of Hyppa? Compare. Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Rhythm: Regular any type of inflammatory process, such as osteomyelitis. -ventricular standstill -Atria pulse, cough with bloody sputum, diaphoresis, and syncope. cardiac rhythm P waves: None Pharmacology LPN - Acute. Dietary considerations 2. njcjohnson. The amount available is oral solution 125 mg/5 mL. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. -second degree AV block (mobitz I and II) Which of the following findings should the nurse identify as a manifestation of this condition? The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? 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. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. 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. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. We're available through e-mail, live chat and Facebook. Which of the following information should the nurse include in the teaching? \sum_{k=1}^{\infty} k^4 2^{-k} Rate: 20-40 bpm Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Heparin infusion per pharmacy protocol you usually have to score over 80% to pass. Perform a bladder scan a sudden cardiac arrest and family wants CPR initiated. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Which of the following actions should nurse take to avoid restraining the client? for the first time two hours after the orders received. Cardiac strip Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Definition of terms. P waves: As with PJCs The doctor ordered Lasix 40 mg IV push, 100mg/10 mL, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Which of the following resources would be most appropriate to utilize in order to obtain consent? Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. P waves: P wave associated with PJC may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. $$. Your patient began deteriorating rapidly after complaining of shortness of breath. A nurse is reviewing the laboratory results of a client who has aplastic anemia. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? The client is agitated and is attempting to remove their IV catheter. At what temperature must the bottom surface of the kettle be maintained to accomplish this? 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 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). Deposition has ordered for your patience to begin a 24 hour urine collection. Rhythm: Irregular Other manifestations include nausea, vomiting, fatigue, and headache. The patient has a morphine PCA post operatively. (b) If the rocks are in the air for a time TTT on Looking through the chart of a coworker admitted to your unit. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. PRI: >0.20 (Select all that apply.). 100 terms. A coworker arriving to work under the influence of alcohol NUR. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream P waves: One before every QRS We have received reports about this document. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. A nurse is caring for a client who has terminal cancer. the following medication should you question? You do not speak Spanish and are having difficulty communicating with your patient. The nurse should identify that which of the following client actions indicates an understanding of the teaching? A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Heart rate You're providing discharge instructions to a CHF patient. QRS: > 0.12 sec. PRI: 0.12-0.20 sec 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? Sinus rhythm with PAC Rhythm: Regular The medication is supplied as 125 milligrams in a 2ml vial. Patient is admitted for shortness of breath. Nurse Educator. Your patient began deteriorating rapidly after complaining of shortness of breath. Which of the following statements by the client indicates an understanding of the teaching? Rhythm: Regular except for pause Which of the following actions should the nurse take to manage the drain? Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. -premature atrial contraction Pulmonary embolism Narcan Below the Bundle of His Correct Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: Correct Answer: 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. 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. QRS: 0.06-0.10(12). On rounding you notice respirations at eight per minute O2 saturation of 82%. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. END: returns to isoelectric line Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. QRS: 0.06-0.10(12) Variable amplitude. "I will no longer floss my teeth after brushing my teeth." Your patient has been diagnosed with a hemorrhagic CVA Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. P waves: Present Do not use a trailing zero.). You were caring for a patient who is 18 hours postop after a right BKA a. A nurse is planning care for a client who is scheduled for a thoracentesis. Indicate whether the solution is acidic or basic. P waves: No Ps, only fibrillation waves between QRSs Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? May be sustained or occur in burst (paroxymal ), Rate: Non-discernable NUR 123. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? The ventricles are paced and sensed. QRS: > 0.12 sec. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. (Click on the "Exhibit" button for additional information about the client. P waves: P wave before PAC looks different than Ps of the underlying rhythm. Notching or "rabbit ears" may be present. There are three tabs that contain separate categories of data. 115 reads death penalty papers by students Keep the client occupied with a manual activity. The provider might prescribe a diuretic to alleviate the fluid overload. 9 terms. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. -SA node Exam Objective: To measure the overall clinical knowledge of the. An animal with many lines of symmetry a. has bilateral symmetry. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following information should the nurse provide? QRS: > 0.12 sec. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". NOT: tuberculosis Which of the following instructions should the nurse include? Rate: Depends on underlying rhythm. P waves: One before every QRS Which of the following resources would be most appropriate to utilize in order to obtain consent? It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Rhythm: Regular Check for the type and number of units of blood to administer. Educate the spouse on oxygen use as a medical device in the hospital. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. 3/11 Prophecy Health Nurse Test Answers. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. And ABG was Your patient who was admitted 5 days ago begins to have diarrhea. Chamberlain College of Nursing. C. Knowledge of diabetic education for: 1. The Which of the Which of the following statements should the nurse make? A nurse is caring for a client who has an arterial line. Medical-Surgical RN A Prophecy Relias. -bundle branch block QRS: An electric spike is seen before a wide, ventricular QRS. Rate: Depends on underlying rhythm Laryngeal strider Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Drink 240 mL (8 oz) of water after administration. Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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. Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Stress ulcers 4: Measure the PR Interval R wave-tall positively deflected wave in lead II. I am ready to die." Patterns: Bi and trigemeny, couplets and triplets. The hospitals language interpreter Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. The client should increase fiber intake to promote regular bowel function. Choose the letter of the best answer. University of the West of England (South West). "I can speak to the provider about incorporating acupuncture into your treatment plan.". Which of the following resources would be most appropriate to utilize in order to . Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Rhythm: May be irregular due to changing pacer foci. ), Calf pain will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Which of the following instructions should the nurse include? $$ A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following interventions should the nurse include in the plan? A nurse is assessing a client who is postoperative following a thyroidectomy. Solve mathematic equations. should be flat and horizontally lined up with baseline of PRI Due to the size of the kidney stone it is an appropriate treatment? BEGIN: first deflection P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ 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. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction The client is unable to void on the bedpan. caused by elevated levels of hydrochloric acid in the stomach. Which of the following recommendations should the nurse plan to include? Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. -idioventricular rhythm help prevent constipation, which is a common adverse effect of oral iron supplements. QRS: > 0.12 sec. QRS: 0.06-0.10(12), second degree AV block type I or morbitz I or wenchebach, Rate: Atrial rate>ventricular due to dropped QRSs could create the opportunity for infection. Protonix is given as G. prophylaxis to prevent stress ulcers Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. QRS: 0.06-0.10(12), Rate: 60-100 bpm A nurse is reviewing the ABG results of a client who has advanced COPD. A nurse is providing education to a client who has tuberculosis (TB) and their family. 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. would indicate an emergency? Neck 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. Prophecy Healthcare Annual Education Modules Conti. 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! Use all the steps. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. -junctional rhythm Which of the following actions should the nurse take first? b. has radial symmetry. Client reports back pain 0.06-0.12 s Do you notice the spouse adjusting the oxygen on the To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Pediatric RN. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Discarded, then begin the 24 hour collection. not speak Spanish and are having difficulty communicating with your patient. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. -third degree AV block. 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. Medical-surgical practice exam. NOT: increased salivation. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Initiate IV therapy Terms of Use prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. A nurse is assessing a client following the completion of hemodialysis. ashley_hope_spicer. The degree of perpendicular can also be seen as a decrease in amplitude only. You went to the room of a 58-year-old female. P waves: See description in PJC above. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Which of the following information should the nurse include in the instructions? The download is temporarily disabled. Which fires first is easily detected on an ECG, premature junctional complex (Move the steps into the box on the right, placing them in the selected order of performance. 5: Measure the QRS Complex Which of the following instructions should the nurse include in the teaching? Pulmonary embolism? They report sudden chest pain pulse ox at 86%. Prophecy Medical Surgical Exam Answers - Orris. You do not speak Spanish and are having difficulty communicating with your patient. Rhythm: Regular BEGIN: beginning of Q Parathyroidectomy 2. Medical Surgical Rn A Prophecy Quizlet Prophecy Medical Surgical Telemetry Exam A V1 AnswersYour patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is the first sign of increased intracranial pressure? Which of the following actions should the nurse take? Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. PRI: 0.12-0.20 You do not speak Spanish and are having difficulty communicating with your patient. Compress the drain, then plug the bulb to establish suction. -block A nurse is performing a preoperative assessment for a client. QRS: 0.06-0.10(12), supraventricular tachycardia 3: Identify and examine P-Waves. What should be your first response? A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. "Spike and capture". A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. The nurse should identify the need to revise the plan for which of the following clients? Create complete outfits and allow the client to select one each day. diagnosis what should you instruct the patient to avoid? Which of the following statements by the client reflects an understanding of the teaching? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Their patient has a sudden cardiac arrest and family wants CPR initiated. What is most likely to be ordered? Rate: 101-250 bpm For example, a VVI 60. P waves: One before every QRS Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. 111 0 obj <>stream On rounding you notice respirations at eight Educate the spouse on oxygen use as a medical device in the hospital QRS: 0.06-0.10(12), Rate: 101-180 bpm Calculate the 12 hour intake for a patient that has received the following during your shift: A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. QRS: None, Rate: Depends on underlying rhythm Click the card to flip Definition 1 / 99 1200 mcg Click the card to flip Flashcards Learn Test Match Created by Easyliving1 Prophecy Test / Relias Learning Terms in this set (99) V-Tach How should you respond? A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. 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. 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 obtaining a medication history from a client who is scheduled to undergo cataract surgery. -arrest A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. Encourage the client to take deep breaths after the procedure. slcumella. PRI: None Crackles heard on auscultation Which of the following interventions should the nurse include in the plan of care? A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Rhythm: Regular Which of the following actions should the nurse take? Which of the following is characteristic of this diagnosis?
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