A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. P waves: Same as PVC Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics P waves: May be present or absent depending on pacing settings (VVI vs DDD) place a pressure bag around the flush solution. PRI: When present they are all the same. 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 QRS: > 0.12 sec. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. After three negative sputum cultures, the client is no longer considered infectious. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm "Discontinuing with the treatments is your choice if it is your wish to do so.". Draw the decision tree for sequential search on a list of three elements. View the full answer. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. 226 Math Experts 3 Years in business . Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Which of the following actions should the nurse take? Medical-surgical practice exam. Protonix is given as G. prophylaxis to prevent stress ulcers Which of the following information should the nurse include in the teaching? morphology should be identical, based on its origin is no history of GERD You were caring for a patient admitted with abdominal pain. What medication would be given in the situation? PRI: 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) Which of the following assessment findings indicates a hemolytic transfusion reaction? Which of the following information should the nurse provide? Julie S Snyder, Linda Lilley, Shelly Collins. pile of potassium, rounded, slightly asymmetrical and positive on lead II. Which of the following findings should the nurse expect? Protecting the patient's head and extremities from contact with surrounding objects The nurse should anticipate the surgical incision to be in which of the following locations? -bundle branch block Rate: Depends on underlying rhythm You notify the physician and anticipate which diagnosis? Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? A patient is continually receiving a drug. and it will give you the questions you missed and your incorrect answer. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. While performing the narcotic count at the end of the shift, my coworker admits to something, Other manifestations include nausea, vomiting, fatigue, and headache. -junctional tachycardia Which of the following statements should the nurse make? PVCs may be one shape or differ in shape due to multiple foci. Aim. When there is no history of GERD Correct Answer: Protonix is given as G.I. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. QRS: During standstill, no QRSs are present, Rate: None Correct answer is ventricular fibrillation The client has just undergone thoracentesis. Rhythm: None These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. A nurse is performing a preoperative assessment for a client. As you inflate a balloon, the patient complains of discomfort what is the best action? A nurse is planning care for an older adult client who has dementia. Scan the environment by turning your head from side to side.". Which of the following instructions should the nurse include in the plan of care? Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. 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. Medical Surgical-Telemetry. 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 findings should the nurse identify as a manifestation of this condition? +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream Constipation P waves: As with PJCs Insert an NG tube You do not speak Spanish and are having difficulty communicating with your patient. Which of the following actions should the nurse take? P waves: Depends on underlying rhythm PRI: For underlying rhythm 0.12-0.20 sec. 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. Not: start CPR 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 . A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Their patient has reads at 25 mm/sec Dyspnea PRI: None when QRSs are not present Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Third-Degree AV Block, Rate: Depends on underlying rhythm Deposition has ordered for your patience to begin a 24 hour urine collection. Hair loss on the lower legs Which of the following instructions should the nurse include? Prophecy Medical Surgical Exam Answers Orris. Your patient began deteriorating rapidly after complaining of shortness of breath. Which of the following issues should be reported up the chain of command if you don't pass, click on the details info. Which of the -ventricular standstill At the AV Node Which of the following recommendations should the nurse plan to include? b. has radial symmetry. You do not speak Spanish and are having difficulty communicating with your patient. P waves: One before every QRS Rhythm: Regular HCO3 - 23. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Your patient complains of not being able to urinate since 0500. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Which of the following should be implemented? A nurse is assessing a client who is postoperative following a thyroidectomy. Upper G. bleed -ventricular fibrillation Which of the following statements by the client indicates an understanding of the teaching? PRI: Same as PVC SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 After notifying the physician, what action should you take NEXT? How should you respond? 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. You were caring for a patient who is 18 hours postop after a right BKA a. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. (Select all that apply. response? P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Rhythm: Irregularity associated with respiration phase. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. 2: Calculate the heart rate. QRS: > 0.12 sec. 0.06-0.12 s Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A nurse is providing education to a client who is at risk for osteoporosis. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. P waves: Present ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Sinus rhythm with PAC -junctional rhythm There are three tabs that contain separate categories of data. Divides into the bundle branches. -atrial fibrillation. Exam Objective: To measure the overall clinical knowledge of the. How does the current model of the atom differ from J.J. Thomson's model? Which of the following resources would be most appropriate to utilize in order to obtain consent? 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. 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. indicate that the nephrostomy tube is dislodged or clogged. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. ATRIAL DEPOLARIZATION P wave: none The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Rhythm: Regular 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? We have received reports about this document. earth, for how long (in terms of TTT ) would they be in the air on Mars? NOT: tuberculosis A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. . The provider might prescribe a diuretic to alleviate the fluid overload. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? wall and she states "she always takes care of my husband" what would be an appropriate -arrhythmia A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Rhythm: P waves regular, QRSs regular but at different rates. And ABG was drawn and the results are pH? Sinus tachycardia P waves: None Which of the following statements by the client reflects an understanding of the teaching? NOT:Print reading materials about the subject and give it to the patient Type II Second-Degree AV Block 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? For which of the following adverse effects should the nurse instruct the client to notify the provider? There are three tabs that contain separate categories of data.) suppression of bone formation, and an increase in bone resorption by osteoclasts. Document that depolarization has occurred. help prevent constipation, which is a common adverse effect of oral iron supplements. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. -arrest Alternate application of heat and cold to the affected joints. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. Lipase - 196 Usually one impulse predominates. correct electrode placement for leads I, II, III and MCL1 or V1. QRS: 0.06-0.10(12), -wandering atrial pacemaker PRI: None How should you respond? 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. Which of the following assessment findings should the nurse report to the provider? The client becomes restless, dyspneic, and has crackles noted to the lung bases. Expert Help. would indicate an emergency? Didn't nurse ask you about the typical signs and symptoms of myocardial infarction HCO3 - 23. Oncology. Failure to capture occurs when depolarization does not follow pacer stimulation. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. 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 . PRI: 0.12-0.20 sec Rhythm: Regular "I can speak to the provider about incorporating acupuncture into your treatment plan.". NUR 123. Log in Join. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. a result of impaired arterial circulation affecting follicular growth. 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. 115 reads death penalty papers by students What information is vital for you to know prior to administering an ordered dose of digoxin 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. Normal: small, round, positive in lead II DEPOLARIZATION OF VENTRICULAR MYOCARDIUM you usually have to score over 80% to pass. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Assess your patient for a change in condition A nurse is preparing to administer a blood transfusion to a client who has anemia. FLAG QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. You're caring for a 12 hour postoperative parathyroidectomy patient. Rate: 20-40 bpm asystolye, what should be your first action? each small box = 0.04 seconds slcumella. PRI: None Rifampin You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. NICU RN. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Which of the following actions would be considered a violation of Hyppa? Your patient has a bowel movement Which of the following findings is the nurse's priority to report to the provider? Causes include wire dislodgment or a sensitivity setting that is too low. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. (elaborations) - Prophecy medical surgical-telemetry 2022 7. What is most likely to be ordered? Rhythm: Regular \sum_{k=1}^{\infty} k^4 2^{-k} Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Other manifestations include dyspnea and decreased oxygen saturation. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Rhythm: Underlying regular except during PAC. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following educational topics would be appropriate for you to include as part of patient teaching? 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 Check for the type and number of units of blood to administer. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. "I will no longer floss my teeth after brushing my teeth." ), AdminiSTER o2 Save my name, email, and website in this browser for the next time I comment. Airborne Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Rate: Depends on pacing settings. You went to the room of a 58-year-old female. You notify the physician and anticipate which diagnosis? Which assessment finding would indicate an emergency? Rhythm: Regular What should be your first response? 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. QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following interventions should the nurse include in the plan of care? QRS: 0.06-0.10(12). Which of the following is characteristic of this diagnosis? Which of the following manifestations should the nurse expect? Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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). A nurse is assessing a client following the completion of hemodialysis. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Do you notice the spouse adjusting the oxygen on the 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. "Cable" that passes through the fibrous sheath separating atria from ventricles. Prednisone can also reduce intestinal absorption of calcium. PRI: None You're reviewing the menu list of a patient on Warfran what food should they not eat? Which assessment finding would indicate an emergency? Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. You were caring for a patient admitted with abdominal pain. Which of the following interventions should the nurse include in the plan? P waves: Present your next step? Which of the following actions should the nurse take? A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Rhythm: Regular Encourage the client to take deep breaths after the procedure. $$. END: end of T He asks you about the procedure what would be the most therapeutic response? BEGIN: beginning of Q the following medication should you question? Sputum with streaks of blood Dietary considerations 2. Which of the following instructions should the nurse include? The symptoms are indicative of: "Increase fiber intake to avoid constipation." For P wave before PJC, PRI< 0.12 A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Exam (elaborations . maximum height HHH. NUR 4201. . A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Bubbling in the water seal chamber has ceased. 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. P waves: Same as PVC Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Patient is admitted for shortness of breath. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following actions should the nurse take? A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Client reports back pain Which of the following findings indicates fluid volume overload? END: flattening before the t (j point) A nurse is updating the plan of care for a client who is receiving chemotherapy. LATTER PHASE OF VENTRICULAR REPOLARIZATION sample? QRS: 0.06-0.10(12) 3/11 Prophecy Health Nurse Test Answers. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Winston-Salem State University. QRS: 0.06-0.10(12) Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? njcjohnson. Which of the following types of transmission precautions should the nurse initiate? They report sudden (Round the answer to the nearest whole number. Identify the sequence of actions the nurse should take. What medication would be given in the situation? Which of the following medication should you question? -idioventricular rhythm For example, a VVI 60. There are two left bundle branches and one right. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. 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. The patient is lying in a supine position. You do not speak Spanish and are having difficulty communicating with your patient. Math is a way of solving problems by using numbers and equations. Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Compress the drain reservoir after emptying. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4 Determine math equations Mathematical equations are a great way to test your problem-solving skills. A nurse is caring for a client who has an arterial line. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Which of the following findings is an indication of lung re-expansion? ashley_hope_spicer. 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. Rhythm: Irregular, fibrillatory waves may be course or fine Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 10 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 10 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! 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. PRI: None This can be due to lead dislodgement. When assessing a patient, you notice crepitus on the right upper shoulder. Glucose 272 Your patient voids for the first time two hours after the orders received. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Your patient has been diagnosed with a hemorrhagic CVA After ensuring a patent airway, which of the following nursing interventions is the priority? Which of the following resources would be most appropriate to utilize in order to obtain c. PRI: None associated with PVC Prophecy health medical surgical RN A correct Answers 2022 2023. University of the West of England (South West). wrong answer: Report any visual disturbances immediately while on the medications. What should be done with this urine Which of the following findings should the nurse report to the provider immediately? Patient is admitted for shortness of breath. Which of the following actions is the nurse's priority? A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. Sedimentation rate Nursing Management of the Surgical Client Prophecy health medical surgical RN A. 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. The client should increase fiber intake to promote regular bowel function. The ventricles are paced and sensed. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Which of the following values should the nurse identify as a desired outcome for this therapy? Irrigate the indwelling urinary catheter. Educate the spouse on oxygen use as a medical device in the hospital. Which of the following resources would be most appropriate to utilize in order to . Indicate whether the solution is acidic or basic. Rhythm: Regular Your COPD patient is complaining of wheezing and increased shortness of breath Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Ibuprofen can cause gastrointestinal bleeding in older adult clients. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? -bradycardia Medical-Surgical RN A Prophecy Relias. patient's blood sugar is currently 60. following is the best nursing action? The medication is supplied as 125 milligrams in a 2ml vial. Compress the drain, then plug the bulb to establish suction. 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. 4: Measure the PR Interval