On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). help prevent constipation, which is a common adverse effect of oral iron supplements. Which of the following resources would be most appropriate to utilize in order to obtain consent? On rounding you notice respirations at eight per minute O2 saturation of 82%. A nurse is caring for a client who has an arterial line. njcjohnson. Your COPD patient is complaining of wheezing and increased shortness of breath Prophecy Medical Surgical Telemetry Exam A V1. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. How should you respond? FLAG When taking care of a patient with pancreatitis, which of the following lab shoul. Which of the following findings is the nurse's priority? Patterns: Bi and trigemeny, couplets and triplets. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. BEGIN: J point Type I Second-Degree AV Block You are caring for a diabetic patient admitted for uncontrolled blood sugar. incompatible blood products and create a systemic inflammatory response. How is it affecting indigenous people? 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. If the ventricles generates an impulse, the pacemaker will not fire. (elaborations) - Prophecy medical surgical-telemetry 2022 7. The nurse should identify that which of the following client actions indicates an understanding of the teaching? You notify the physician and anticipate which diagnosis? Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Pulmonary embolism? Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. PRI: 0.12-0.20 sec Client reports back pain Contact the provider to clarify the prescription. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. You find that the patient's cardiac monitor shows Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? However, with a little practice and perseverance, anyone can . Notching or "rabbit ears" may be present. Which of the following information should the nurse include in the teaching? End: beginning of QRS (Round the answer to the nearest whole number. NICU RN. What is most likely to be ordered? Which of the following actions should the nurse take? asystolye, what should be your first action? You notify the physician and anticipate which diagnosis? Which of the following educational topics would be appropriate for you to include as part of patient teaching? wrong answer: NPO, antibiotic, anticholinergic. A nurse is providing education to a client who is at risk for osteoporosis. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. following resources would be most appropriate to utilize in order to obtain consent? QRS: 0.06-0.10(12), Rate: varies Company Registration Number: 8600593 QRS: 0.06-0.10(12), Rate: 60-100 bpm to reduce the risk for thromboembolism and promote venous return. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Due to the size of the kidney stone it is an appropriate treatment? Rhythm: Regular with late beat Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. the following medication should you question? PRI: Depends on underlying rhythm PRI: 0.12-0.20 sec Acetylsalicylic acid ( Bauer buffered aspirin) Which of the following statements by the client reflects an understanding of the teaching? A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. PRI: 0.12-0.20 sec blastocyst. The pacer begins pacing when the HR is 60 or below. Which of the following findings indicates fluid volume overload? A kettle with a flat bottom 30 cm in diameter is available. You may also like to know about: Which of the following instructions should the nurse include in the teaching? May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Other manifestations include nausea, vomiting, fatigue, and headache. QRS: 0.06-0.10(12) time between the onset of ventricular depolarization and the end of repolarization a sudden cardiac arrest and family wants CPR initiated. (Click on the audio button to listen to the clip.). Eat a low-fat diet. could create the opportunity for infection. Study with Quizlet and memorize flashcards containing terms like b. Rate: Depends on pacing settings. P waves: Same as PVC Bathe the client using chlorhexidine solution. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following electrolyte value should be Addressed immediately by the nurse A nurse is performing a preoperative assessment for a client. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Numbness in the arms Sinus rhythm with PAC PRI: None H2O\mathrm{H}_2 \mathrm{O}H2O. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. P waves: As with PJCs The nurse should anticipate the surgical incision to be in which of the following locations? When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). How many mL should the nurse administer? Aceticsalicylic acid, bayer buffered aspirin, You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". Rate: 101-250 bpm P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. More and more, organizations are hiring from a limited applicant pool. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. Rhythm: Regular except for pause. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? 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Which of the following interventions should the nurse include in the plan of care? He asks you about the procedure what would be the most therapeutic response? The nurse should expect a reduction in which of the following common manifestations of advanced cancer? pulse, cough with bloody sputum, diaphoresis, and syncope. the recruiter can 'reset' the test so you can take it again. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). The patient is on lasix and solumedrol IV. each small box = 0.04 seconds A nurse is assessing a client following the completion of hemodialysis. Prophecy medical surgical-telemetry (Latest 2022/2023), Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Medical-Surgical RN A Prophecy Relias (Latest 2022/2023) DownLoad to Score A, Prophecy medical surgical-telemetry Questions and Answers 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Prophecy RN Pharmacology A (Latest 2022/2023) Already Graded A, Prophecy- Core Mandatory Part II (Nursing) (Latest 2022/2023) Graded A, Medical-Surgical RN A questions and answers latest 2022, Prophecy PACU RN A v1 correct Answers latest 2022 /2023. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Which of the following statements by the client indicates an understanding of the teaching? 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. Which of the following statements made by the client reflects an understanding of the teaching? The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. QRS: 0.06-0.10(12), Rate: varies Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? On rounding you notice respirations at eight per minute O2 saturation of 82%. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? "Discontinuing with the treatments is your choice if it is your wish to do so.". Rhythm: P waves regular, QRSs regular but at different rates. P waves: One before every QRS 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). -arrhythmia prophecy asks a questions and gives you 4 multiple choice options. -junctional rhythm Which of the following findings is the nurse's priority to report to the provider? A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. You're providing discharge instructions to a CHF patient. What should be done with this urine sample? NOT:Print reading materials about the subject and give it to the patient P waves: One before every QRS Sinus tachycardia PRI: None PRI: For underlying rhythm 0.12-0.20 A nurse is caring for a client who has terminal cancer. P waves: Present PRI: When present they are all the same. Repair of the diverticulum is accomplished through an open incision in the client's neck. The patient's blood sugar is currently 60. you usually have to score over 80% to pass. Heart rate 110/min Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following recommendations should the nurse plan to include? -bundle branch block Prophecy medical surgical-telemetry answered Test 2022.pdf. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? BEGIN: upward deflection from ST segment sample? Aim. Which of the following images depicts a condition caused by pernicious anemia? What should be your FIRST action. Educate the spouse on oxygen use as a medical device in the hospital At what temperature must the bottom surface of the kettle be maintained to accomplish this? Math can be a difficult subject for many people, but it doesn't have to be! intervention is: A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. 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. -premature atrial contraction As you inflate a balloon, the patient 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 . You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. A nurse is providing education to a client who has tuberculosis (TB) and their family. When there is no history of GERD Correct Answer: Protonix is given as G.I. HCO3 - 23. Rate: Depends on underlying rhythm A nurse is providing teaching to a client who has a new prescription for psyllium. FLAG A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. atrial depolarization and pause before QRS (AV node delay) After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? 115 reads death penalty papers by students the following medication should you question? "Increase fiber intake to avoid constipation." A nurse is administering packed RBCs to a client. NOT: tuberculosis Rate: Depends on underlying rhythm QRS: >0.20. Which of the following instructions should the nurse include? Medical-Surgical RN A Prophecy Relias. Which of the following statements should the nurse make? identify crackles as a manifestations of pulmonary edema and notify the provider. You are caring for a patient with a lower GI bleed. 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. View the full answer. P waves: Present Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. What medication would be given in the situation? Which of the following findings should the nurse report to the provider immediately? Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Check for the type and number of units of blood to administer. The nurse notes a pacemaker artifact followed by a QRS complex. 226 Math Experts 3 Years in business . The client is agitated and is attempting to remove their IV catheter. Which of the following admission orders would you expect for this patient? 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? How should you respond? Dyspnea Hair loss on the lower legs Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. P waves: One before every QRS Medical Surgical-Telemetry. Which of the following disorders presents the greatest risk to this group of clients? Inherent rate is 40-60. 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. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. What medication would be given in the situation? The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. Rhythm: Irregular The For P wave before PJC, PRI< 0.12 PRI: If P is visible, 0.12-0.20 sec Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. END: returns to isoelectric line When there is no history of GERD, Protonix is given as G.I. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? Divides into the bundle branches. You're reviewing the menu list of a patient on Warfran what food should they not eat? (Select all that apply. -first degree AV block Exam (elaborations . Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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