Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Intense headache. PRI: Depends on settings -arrhythmia Your patient began deteriorating rapidly after complaining of shortness of breath. Which of the following actions should the nurse take to manage the drain? A nurse is caring for a client who has DKA. Rhythm: Regular except for pause Use the Ratio Test to determine whether the following series converge. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? wall and she states "she always takes care of my husband" what would be an appropriate Log in Join. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. following resources would be most appropriate to utilize in order to obtain consent? each small box = 0.04 seconds 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. C. Knowledge of diabetic education for: 1. Check for the type and number of units of blood to administer. The medication is supplied as 125 milligrams in a 2ml vial. ), Calf pain identify crackles as a manifestations of pulmonary edema and notify the provider. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Bubbling in the water seal chamber ceases when the lung re-expands. Sputum with streaks of blood -atrial fibrillation. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Rhythm: Regular reasons: electrolyte imbalances, left vent hypertrophy, medications. You were caring for a patient admitted with abdominal pain. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. The intrinsic pacemaker. Your COPD patient is complaining of wheezing and increased shortness of breath Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the to reduce the risk for thromboembolism and promote venous return. Variable amplitude. PRI: None Usually set to pace if SA rate <60 ashley_hope_spicer. PRI: If P wave is present before QRS, < 0.12 sec. How much of the medication should the nurse administer to ensure the ordered dose is given. Your patient who was admitted 5 days ago begins to have diarrhea. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Pulmonary embolism? Compress the drain, then plug the bulb to establish suction Which of the following actions would be considered a violation of Hyppa? Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Prophecy health medical surgical RN A (Latest 2022/2023). V-Tach End: beginning of QRS At least 3 different P wave morphologies. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Heart rate 110/min Which of the following statements by the client indicates an understanding of the teaching? PRI: Progressively longer until QRS drops. Rhythm: P waves regular, QRSs regular but at different rates. Lipase and amylase 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) A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? Which of the following results should the nurse expect? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Upper G. bleed Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? Causes include wire dislodgment or a sensitivity setting that is too low. circulatory overload. How does the current model of the atom differ from J.J. Thomson's model? A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. maximum height HHH. Prophecy Medical Surgical Exam Answers - Orris. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. Which of the following findings should the nurse report to the provider immediately? caused by elevated levels of hydrochloric acid in the stomach. QRS: During standstill, no QRSs are present, Rate: None You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Repair of the diverticulum is accomplished through an open incision in the client's neck. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). sick sinus syndrome, Rate: 60-100 bpm Rifampin Rhythm: Regular Med Surg 2 - Medical surgical study materials LATEST. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Prophecy health medical surgical RN A correct Answers 2022 2023. . Canned meats Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Nurse Educator. Which assessment finding would indicate an emergency? The patient may be experiencing: Correct Answer: Pulmonary embolism Cardiac strip Correct Answer: Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. "Cable" that passes through the fibrous sheath separating atria from ventricles. Which of the following information should the nurse provide? Low back pain and apprehension . ventricular escape rhythm or idioventricular rhythm. PRI: 0.12-0.20 sec should be flat and horizontally lined up with baseline of PRI Operating Room RN. Which of the following findings indicates a potential complication? P waves: One before every QRS Rhythm: Regular with late beat Rhythm: May be irregular due to changing pacer foci. PRI: None Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Rate: Depends on underlying rhythm The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. When assessing a patient, you notice crepitus on the right upper shoulder. Prophecy Healthcare Annual Education Modules Conti. A kettle with a flat bottom 30 cm in diameter is available. Neck Which of the following medication should you question? Ibuprofen can cause gastrointestinal bleeding in older adult clients. The patient is lying in a supine position. How should you respond? You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Narcan complains of discomfort what is the best action? Which of the following actions should the nurse take? Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. 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Medical-surgical practice exam. QRS: 0.06-0.10(12), Rate: 101-180 bpm You do not speak Spanish and are having difficulty communicating with your patient. Due to the size of the kidney stone it is an appropriate treatment? Rhythm: Regular except for pause. "I will avoid direct exposure to the sun.". How many mL should the nurse administer? Rhythm: Regular with late beats -nonconducted premature atrial contraction -junctional rhythm Which of the following actions should the nurse anticipate taking? How should you respond? P waves: Same as PVC Which of the following resources would be most appropriate to utilize in order to . The patient has a morphine PCA post operatively. -first degree AV block Prophecy medical surgical-telemetry exam test Questions And Answers. Divides into the bundle branches. 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. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Airborne More and more, organizations are hiring from a limited applicant pool. Rhythm: Regular Which of the following actions should nurse take to avoid restraining the client? He asks you about the procedure what would be the most therapeutic response? The amount available is oral solution 125 mg/5 mL. Which of the following findings should the nurse expect? PRI: 0.12-0.20 sec 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. blastocyst. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. QRS: 0.06-0.10(12). Initiate IV therapy A nurse is updating the plan of care for a client who is receiving chemotherapy. sample? The hospitals language interpreter A nurse is assessing a client who has peripheral arterial disease. There are two left bundle branches and one right. Hair loss on the lower legs The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. PRI: 0.12-0.20 Pain that increases with passive movement. Flutter waves may be sawtooth or rounded. Morphine Duramorph, oxygen, nitrates, HCO3 - 23. The patient is on lasix and solumedrol IV. R wave-tall positively deflected wave in lead II. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? Which of the following statements by the client reflects an understanding of the teaching? These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? You do not speak Spanish and are having difficulty communicating with your patient. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 "I can speak to the provider about incorporating acupuncture into your treatment plan.". Which of the following instructions should the nurse include? At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Sinus tachycardia -atrial flutter 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 . -tachycardia PRI: None QRS: 0.06-0.10(12), Rate: varies Usually set to pace if ventricular rate <60 Calculate the 12 hour intake for a patient that has received the following during your shift: Indicate whether the solution is acidic or basic. And ABG was drawn and the results are pH? c. has no symmetry. Which of the following disorders presents the greatest risk to this group of clients? Laryngeal strider QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye, You're a king for a patient who is postop after surgical removal of fibroids. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. Rhythm: Regular except during PJC. QRS: An electric spike is seen before a wide, ventricular QRS. Scan the environment by turning your head from side to side.". QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. PRI: Same as PVC The nurse should identify that which of the following client actions indicates an understanding of the teaching? Which of the following orders would you question. Knowledge of contraindications related to antidiabetic medications. "This identifies if the pacemaker cells of my heart are working properly." One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which occurs to compensate for blood loss. Protecting the patient's head and extremities from contact with surrounding objects Usually set to pace if SA rate <60 A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. 3: Identify and examine P-Waves. Other manifestations include dyspnea and decreased oxygen saturation. Which of the following statements by the client indicates an understanding of the teaching? PRI: If P is visible, 0.12-0.20 sec Numbness can occur along the inside of the affected arm NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. QRS: > 0.12 sec. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. A nurse is teaching a client about osteoporosis prevention. 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. QRS: > 0.12 sec. Rate: Depends on underlying rhythm A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). QRS: 0.06-0.10(12). View the full answer. Due to the size of the kidney stone it is an appropriate treatment? A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. (Select all that apply. 3/11 Prophecy Health Nurse Test Answers. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Rhythm: Regular What should be done with this urine You will need to stay still in the bed during each treatment session. cardiac rhythm A nurse is caring for a client who has an arterial line. PRI: 0.12-0.20 sec Correct Answer: Honor the patient's wishes Correct Answer: Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Your patient began deteriorating rapidly after complaining of shortness of breath. QRS: >0.20. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. If rate >101 then rhythm is multifocal atrial tachycardia A nurse is planning care for an older adult client who has dementia. LATTER PHASE OF VENTRICULAR REPOLARIZATION A nurse is providing teaching to a client who has AIDS. When assessing a patient, you notice crepitus on the right upper shoulder. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Ventricular rate determined by how well the AV node blocks the flutter. Which of the following actions should the nurse take? Which of the following findings indicates fluid volume overload? 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. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. -bradycardia P waves: One before every QRS. if you don't pass, click on the details info. PRI: None associated with PVC QRS: 0.06-0.10(12) Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Rate: 101-250 bpm Your patient complains of not being able to urinate since 0500. As you inflate a balloon, the patient march out R-R and use it to assess P-P intervals, most will print it Telemetry A, Medical Surgical-Telemetry Exam Content Outline. The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? PRI: Same as PVC PRI: None A nurse is caring for a client who has diabetic ketoacidosis (DKA). Mathematics is the study of numbers and their relationships. NOT: tuberculosis What medication would be given in the situation? creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. The nurse is taking care of a patient who is terminally ill and has a DNR on file. As you inflate a balloon, the patient complains of discomfort what is the best action? A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse anticipate taking? Which of the following findings should the nurse report to the provider as an adverse effect of this medication? (Round the answer to the nearest whole number. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Which of the following information should the nurse include in the teaching? Nursing Management of the Surgical Client Prophecy health medical surgical RN A. PRI: None Don't suffer through your problems alone, help is always available. Rhythm: Underlying regular except during PAC. Looking through the chart of a coworker admitted to your unit. Rhythm: Depends on underlying rhythm P waves: Present Your patient has been diagnosed with a hemorrhagic CVA Rate: Viable. Which of the following findings should the nurse report to the provider? The nurse is taking care of a patient who is terminally ill and has a DNR on file. Study Resources. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is assessing for compartment syndrome in a client who has a short leg cast. time between the onset of ventricular depolarization and the end of repolarization Which of the following statements by the client indicates understanding of the teaching? Acetylsalicylic acid ( Bauer buffered aspirin). Bathe the client using chlorhexidine solution. PRI: For underlying rhythm 0.12-0.20 sec. A nurse is assessing a client following the completion of hemodialysis. "Increase fiber intake to avoid constipation." Encourage the client to take deep breaths after the procedure. Which of the following instructions should the nurse include in the teaching? $$ 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. Which of the following statements should the nurse make? amplitude 0.5-2.5 mm, 0.10 seconds or less, damaged atria (enlarged makes p wave look like an "m") or an impulse origin outside of the SA node (ectopic), Start: beginning of P Potassium 2 mEq/L Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. "Wires" that run down the septum and into the ventricles. 115 reads death penalty papers by students Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. .34-.43 Which of the following actions should the nurse take? An animal with many lines of symmetry a. has bilateral symmetry. You do Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Rhythm: Regular You notify the physician and anticipate which diagnosis? Rhythm: Irregular Rate: Atrial > ventricular 5: Measure the QRS Complex gabbz524. The Which of the following issues should be reported up the chain of command slcumella. Which of the following manifestations should the nurse expect? QRS: 0.06-0.10(12), -wandering atrial pacemaker Other manifestations include nausea, vomiting, fatigue, and headache. Prophecy Medical Surgical Telemetry Exam A V1. However, with a little practice and perseverance, anyone can . Which of the following medication should you question? To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic).

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