P waves: No Ps, only fibrillation waves between QRSs following resources would be most appropriate to utilize in order to obtain consent? -block A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. 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). The nurse should explain that applying a TENS unit to the painful area has which of the following effects? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Solve mathematic equations. PRI: 0.12-0.20 sec Terms of Use You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Which of the following statements should the nurse make? Which of the following findings is the nurse's priority to report to the provider? -paroxysmal atrial tachycardia Women could have pain in their arm, neck, back or jaw A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). P waves: Present throughout strip A nurse is updating the plan of care for a client who is receiving chemotherapy. PRI: None when QRSs are not present A nurse is planning care for an older adult client who has dementia. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. "This identifies if the pacemaker cells of my heart are working properly." Parathyroidectomy 2. Prophecy Med Surg QuizletProphecy is designed by nurses, for nurses, of Clinical Problems 10th Medical Surgical Nursing 10th Edition quizlet 2 c. What Are the Three Surgical Phases? The medication is supplied as 125 milligrams in a 2ml vial. PRI: If P wave is present before QRS, < 0.12 sec. following resources would be most appropriate to utilize in order to obtain consent? Company Registration Number: 8600593 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. No progressively longer pattern. A nurse is caring for a client who has an arterial line. P waves: No P waves. More and more, organizations are hiring from a limited applicant pool. "Wires" that run down the septum and into the ventricles. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. P waves: Same as PVC It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. A nurse is reviewing the ABG results of a client who has advanced COPD. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). PRI: See description in PJC above. response? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. What should be You do not speak Spanish and are having difficulty communicating with your patient. atrial depolarization and pause before QRS (AV node delay) As you inflate a balloon, the patient complains of discomfort what is the best action? He asks you about the procedure what would be the most therapeutic response? prophylaxis to prevent stress ulcers. Which of the following actions would be considered a violation of Hyppa? Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. diagnosis what should you instruct the patient to avoid? Prophecy Healthcare Annual Education Modules Conti. P waves: Present Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. QRS: An electric spike is seen before a wide, ventricular QRS. Scan the bladder with a portable ultrasound. -bundle branch block They report sudden chest pain pulse ox at 86%. drawn and the results are pH? Rhythm: Atrial regular, ventricular irregular d/t dropped beats Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. For which of the following adverse effects should the nurse instruct the client to notify the provider? is no history of GERD At the AV Node The nurse should identify that which of the following values is an indication of an adverse effect of the medication? 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 $$ The client becomes restless, dyspneic, and has crackles noted to the lung bases. We have received reports about this document. The client is agitated and is attempting to remove their IV catheter. The hospitals language interpreter A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Prophecy PACU RN A v1 correct Answers latest 2022 2023. A nurse is planning care for a client who is scheduled for a thoracentesis. suppression of bone formation, and an increase in bone resorption by osteoclasts. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? 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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. Rhythm: Regular the recruiter can 'reset' the test so you can take it again. The pacer begins pacing when the HR is 60 or below. not speak Spanish and are having difficulty communicating with your patient. Which of the following orders would you question Correct Answer: KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? The client tells the nurse, "I wish I could stop these treatments. Deposition has ordered for your patience to begin a 24 hour urine collection. NICU RN. normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter You find that the patient's cardiac monitor shows asystolye, what should be your first action? Usually one impulse predominates. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. Canned meats Math is a way of solving problems by using numbers and equations. 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? How much of the medication should the nurse administer to ensure the ordered dose is given. 3: Identify and examine P-Waves. Do not use a trailing zero.). The client should increase fiber intake to promote regular bowel function. After notifying the physician, what action should you take NEXT? Pulmonary embolism QRS: 0.06-0.10(12), Locations reasons: electrolyte imbalances, left vent hypertrophy, medications. >0.20 if ventricular escape rhythm present. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Which of the following admission orders would you expect for this patient? (elaborations) - Prophecy medical surgical-telemetry 2022 7. P waves: See description in PJC above. mark on top = every 3 seconds Which of the following findings should the nurse identify as the priority? Bathe the client using chlorhexidine solution. 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 Normal sinus with VTach Patient is admitted for shortness of breath. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. PRI: Same as PVC You're caring for a 12 hour postoperative parathyroidectomy patient. P waves: Present Which of the following interventions should the nurse include in the plan of care? "I will avoid direct exposure to the sun.". You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following information should the nurse include in the teaching? help prevent constipation, which is a common adverse effect of oral iron supplements. Ibuprofen can cause gastrointestinal bleeding in older adult clients. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION b. has radial symmetry. Third-Degree AV Block, Rate: Depends on underlying rhythm A nurse is assessing a client who has peripheral arterial disease. It is now 1900. Which of the following actions should the nurse take? They report sudden chest pain pulse ox at 86%. Rhythm: Underlying regular except during PAC. $$. 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. Which assessment finding would indicate an emergency? Dyspnea A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following orders would you question. Rhythm: Regular PRI: None QRS: During standstill, no QRSs are present, Rate: None (Click on the "Exhibit" button for additional information about the client. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). 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. njcjohnson. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Low back pain and apprehension Slow the infusion rate circulatory overload. Knowledge of contraindications related to antidiabetic medications. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Document that depolarization has occurred. Sinus rhythm with PAC Rhythm: Regular with late beat PRI: None Which assessment finding 5: Measure the QRS Complex A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Type II Second-Degree AV Block B) should be identical in size, shape, position Rhythm: Regular The patient has a morphine PCA post operatively. (Click on the "Exhibit" button for additional information about the client. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Oncology. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. P waves: One before every QRS A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. PRI: 0.12-0.20 sec Prophecy health medical surgical RN A (Q&A)2022, Prophecy health medical surgical RN A ANSWERS 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Exam Answered 2023, Nursing Medical Surgical Exam 126 Best Exam Solution With Latest Updates 2022/2023, NUR 372 Medical Surgical Q and A with Explanations Latest update 2022/2023 Rated A+ Assure, Targeted Medical-Surgical: Endocrine Exam latest 2023, Medical surgical Nursing critical care exam 3 Latest 2023. Which of the following medication may cause urine discoloration The degree of perpendicular can also be seen as a decrease in amplitude only. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Dietary considerations 2. Their patient has a sudden cardiac arrest and family wants CPR initiated. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Rhythm: Regular The nurse is taking care of a patient who is terminally ill and has a DNR on file. Which of the following statements by the client indicates an understanding of the teaching? Not: start CPR Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Variable amplitude. BEGIN: first deflection Rhythm: Regular 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. 100% (2 ratings) Option C, Give CPR immediately . Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. FLAG QRS: 0.06-0.10(12), Rate: 60-100 bpm These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. You are caring for a diabetic patient diagnosed with CHF. If not, reach through the comment section. The patient is on lasix and solumedrol IV. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. QRS: None. PVCs may be one shape or differ in shape due to multiple foci. Rate: Viable. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. . END: returns to isoelectric line PRI: Depends on underlying rhythm Increase shortness of breath Insert an NG tube You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. BEGIN: beginning of Q You're preparing your patient for discharge need to provide dietary education related to his 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. H2O\mathrm{H}_2 \mathrm{O}H2O. What is the first sign of increased intracranial pressure? A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Rate: 150-250 depends on HR, QT less than half R-R, usually <.44 seconds. following is the best nursing action? When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Prophecy Medical Surgical Exam Answers Orris. Lipase - 196 Rate: Depends on underlying rhythm Acetylsalicylic acid ( Bauer buffered aspirin) You do not speak Spanish and are having difficulty communicating with your patient. patient's blood sugar is currently 60. You are caring for a patient with a lower GI bleed. coworker to sign for the ways that you did not witness If P waves seen, different shape than NSR. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? Your patient began deteriorating rapidly after complaining of shortness of breath. Looking through the chart of a coworker admitted to your unit. Manifestations include low back pain, hypotension, tachycardia, and apprehension. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? End: beginning of QRS caused by elevated levels of hydrochloric acid in the stomach. Prophecy Medical Surgical Exam Answers - Orris. PRI: For underlying rhythm 0.12-0.20 A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. I am ready to die." The provider might prescribe a diuretic to alleviate the fluid overload. Scan the environment by turning your head from side to side.". Correct answer is ventricular fibrillation On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). The download is temporarily disabled. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 There are three tabs that contain separate categories of data. 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. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS.