Definition of terms. Rhythm: Regular How should you respond? QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. . A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The provider might prescribe a diuretic to alleviate the fluid overload. PRI: 0.12-0.20 sec NUR 4201. . There are three tabs that contain separate categories of data.) Which of the following assessment findings should the nurse report to the provider? You do not speak Spanish and are having difficulty communicating with your patient. PRI: If P wave is present before QRS, < 0.12 sec. Required fields are marked *. %PDF-1.6
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i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Classifications Which of the following actions should the nurse take? 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. 100 terms. 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. Looking through the chart of a coworker admitted to your unit A patient suddenly complains of new onset of chest pain. Rhythm: Regular prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Discarded, then begin the 24 hour collection. A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. PRI: None The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Which of the following types of transmission precautions should the nurse initiate? Which of the following should the nurse plan to administer? PRI: As above Which of the following findings should the nurse identify as a manifestation of this condition? H2O\mathrm{H}_2 \mathrm{O}H2O. Rhythm: Irregular Which of the following is true about the formation and migration of meanders? Family members in the household should undergo TB testing. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. What should be your first response? However, with a little practice and perseverance, anyone can . If P waves seen, different shape than NSR. If rate >101 then rhythm is multifocal atrial tachycardia Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. P waves: No Ps, only fibrillation waves between QRSs When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Prophecy medical surgical-telemetry exam test Questions And Answers. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. A nurse is assessing a client who is postoperative following a thyroidectomy. Repair of the diverticulum is accomplished through an open incision in the client's neck. Which of the following actions should the nurse take first? C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 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 PRI: None Crackles heard on auscultation -ventricular tachycardia Chamberlain College of Nursing. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Which of the following actions should the nurse take first? Your patient fell and hit his head on the bed rail during a physical therapy session. -atrial fibrillation. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Solve mathematic equations. 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. Prednisone can also reduce intestinal absorption of calcium. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. Other manifestations include nausea, vomiting, fatigue, and headache. Bubbling in the water seal chamber has ceased. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Which of the following medication should you question? You may also like to know about: P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. current traveling quickly down the His and purkinjes, bypass pathway or the impulse origin was ectopic and close to the AV node, QRS complex normal length and characteristics. "Spike and capture". Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. 55 terms. Prophecy EKG. The patient may be experiencing: A nurse is administering packed RBCs to a client. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. -nonconducted premature atrial contraction Which of the following actions would be considered a violation of Hyppa? What is most likely to be ordered? Which of the following instructions should the nurse include? Heart rate A nurse is assessing a client's hydration status. patient's blood sugar is currently 60. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following medication should you question? Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? Their patient has a sudden cardiac arrest and family wants CPR initiated. (Select all that apply. The medication is supplied as 125 milligrams in a 2ml vial. and you know dark tarry stool what would be the diagnosis? symmetrical and may be tall and peaked, biphasic or inverted The nurse should explain that applying a TENS unit to the painful area has which of the following effects? Unable to determine LATTER PHASE OF VENTRICULAR REPOLARIZATION A nurse is planning care for a client who is postoperative following a parathyroidectomy. "I can speak to the provider about incorporating acupuncture into your treatment plan.". Patient is admitted for shortness of breath. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? 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. Exam (elaborations . Intense headache. You notify the physician and anticipate which diagnosis? The patient's blood sugar is currently 60. The patient is on lasix and solumedrol IV. Patterns: Bi and trigemeny, couplets and triplets, Rate: Depends on underlying rhythm It is now 1900. QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? 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. 5: Measure the QRS Complex Which of the following statements should the nurse make? Get math help online by speaking to a tutor in a live chat. Which of the following findings should the nurse expect? A nurse is assessing for compartment syndrome in a client who has a short leg cast. Bathe the client using chlorhexidine solution. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. 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? 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? After ensuring a patent airway, which of the following nursing interventions is the priority? Math can be a difficult subject for many people, but it doesn't have to be! Rhythm: Regular Causes include wire dislodgment or a sensitivity setting that is too low. Keep the client occupied with a manual activity. coworker to sign for the ways that you did not witness And ABG was drawn and the results are pH? important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). FLAG The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? -premature atrial contraction response? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Manifestations include low back pain, hypotension, tachycardia, and apprehension. -bradycardia +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@
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Medical Surgical-Telemetry. wall and she states "she always takes care of my husband" what would be an appropriate QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Which of the following disorders presents the greatest risk to this group of clients? QRS: > 0.12 sec. morphology should be identical, based on its origin Due to the size of the kidney stone it is an appropriate treatment? After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? -tachycardia Women could have pain in their arm, neck, back or jaw We have received reports about this document. -SA node It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Which of the following actions would be considered a violation of Hyppa? .34-.43 PRI: Same as PVC While performing the narcotic count at the end of the shift, my coworker admits to something, Deposition has ordered for your patience to begin a 24 hour urine collection. P waves: One before every QRS cardiac rhythm Upper G. bleed Pediatric RN. QRS: > 0.12 sec. Pain that increases with passive movement. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Rate: Depends on pacing settings. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Rhythm: Depends on underlying rhythm depends on HR, QT less than half R-R, usually <.44 seconds. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. $$. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. He asks you about the procedure what would be the most therapeutic response? Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? >0.20 if ventricular escape rhythm present. Which of the following should be implemented? Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Compare. PRI: 0.12-0.20 sec each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. Prophecy health medical surgical RN A correct Answers 2022 2023. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Which of the following medication may cause urine discoloration Which of the following resources would be most appropriate to utilize in order to obtain c. Which of the following actions should nurse take to avoid restraining the client? Pulmonary embolism? Patient is admitted for shortness of breath. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Your patient voids for the first time two hours after the orders received. Avocados Rhythm: Irregularity associated with respiration phase. Maintain an appropriate weight The client is unable to void on the bedpan. PRI: >0.20 When there is no history of GERD Correct Answer: Protonix is given as G.I. 3: Identify and examine P-Waves. PRI: Same as PVC Which of the following instructions should the nurse include? HCO3 - 23. A nurse is preparing to administer a blood transfusion to a client who has anemia. Study Resources. Divides into the bundle branches. A nurse is caring for a client who has terminal cancer. 100 terms 4.8. slcumella . A nurse is providing discharge teaching about infection prevention to a client who has AIDS. 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. intervention is: reasons: electrolyte imbalances, left vent hypertrophy, medications. premature junctional contraction ventricular repolarization is slowed and the relative refractory period is longer. -first degree AV block QRS: 0.06-0.10(12) Protonix is given as G. prophylaxis to prevent stress ulcers -paroxysmal atrial tachycardia medical/surgical, psychiatry, pediatrics, and neonatal intensive care. physician and anticipate which diagnosis? You will need to stay still in the bed during each treatment session. ashley_hope_spicer. Which of the following actions would be considered a violation of Hyppa? 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 . P waves: Present Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. 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? Your patient has been diagnosed with a hemorrhagic CVA QRS: 0.06-0.10(12), Rate: 60-100 bpm Increase shortness of breath A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. S wave-negative deflection following the R wave. Educate the spouse on oxygen use as a medical device in the hospital. Rhythm: Regular except for pause A certain volcano on earth can eject rocks vertically to a Lipase and amylase Other manifestations include dyspnea and decreased oxygen saturation. PRI: When present they are all the same. Which of the following statements by the client indicates understanding of the teaching? (Select all that apply.). Which of the following orders would you question. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). c. has no symmetry. After three negative sputum cultures, the client is no longer considered infectious. 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. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. 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. Which of the following actions is the nurse's priority? Heart rate 52/min ), Follow a smoking cessation program On rounding you notice respirations at eight PRI: None when QRSs are not present A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops PRI: If P is visible, 0.12-0.20 sec Compress the drain, then plug the bulb to establish suction. Rhythm: Depends on underlying rhythm Your patient who was admitted 5 days ago begins to have diarrhea. 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. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. There are three tabs that contain separate categories of data. PRI: None The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? "Ginkgo biloba can cause an increased risk for bleeding. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Which of the following issues should be reported up the chain of command As you inflate a balloon, the patient complains of discomfort what is the best action? Medical Surgical-Telemetry Exam Content, Your email address will not be published. "Discontinuing with the treatments is your choice if it is your wish to do so.". Perform a bladder scan Determine the mass rate of flow for isentropic flow through the nozzle. How does the current model of the atom differ from J.J. Thomson's model? Airborne b. has radial symmetry. Medical-Surgical RN A Prophecy Relias Test, Answered 2022 When there Irregular if variable ratio. If the drug is eliminated from the body over time so that the fraction that remains after t hours is e0.4t,e^{-0.4 t},e0.4t, at what constant rate should the drug be administered to maintain a steady level of the drug in the bloodstream? A nurse is providing education to a client who is at risk for osteoporosis. -Atria When assessing a patient, you notice crepitus on the right upper shoulder. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The patient is lying in a supine position. Inherent rate is 40-60. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Mother Baby. Your patient has dysphagia. BEGIN: beginning of Q A nurse is performing a preoperative assessment for a client. Prepare to suction the client's airway. Healthcare Assessments - Relias DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Which of the following instructions should the nurse include? Which of the following statements by the client indicates an understanding of the teaching? QRS: None, Rate: Depends on underlying rhythm Failure to capture occurs when depolarization does not follow pacer stimulation. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. -idioventricular rhythm He asks you about the procedure what would be the most therapeutic response? On rounding you notice respirations at eight per minute O2 saturation of 82%. The intrinsic pacemaker. A nurse is reviewing the ABG results of a client who has advanced COPD. Pharmacology LPN - Acute. Rhythm: Atrial regular, ventricular irregular d/t dropped beats not always present P waves: Same as PVC Medical-surgical practice exam. Rhythm: Regular asystolye, what should be your first action? END: returns to isoelectric line Patterns: Bi and trigemeny, couplets and triplets. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Click the card to flip 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! 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. Prophecy PACU RN A v1 correct Answers latest 2022 2023. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Do you notice the spouse adjusting the oxygen on the You do not speak Spanish and are having difficulty communicating with your patient. Sedimentation rate Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. GHIST Ch. 25 Flashcards | Quizlet A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. 9 terms. If not, reach through the comment section. slcumella. Rhythm: Regular A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. P waves: May be present or absent depending on pacing settings (VVI vs DDD) Nursing Management of the Surgical Client Prophecy health medical surgical RN A. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. correct electrode placement for leads I, II, III and MCL1 or V1. maximum height HHH. march out R-R and use it to assess P-P intervals, most will print it A nurse is caring for a client who has hypothyroidism. Third-Degree AV Block, Rate: Depends on underlying rhythm Prophecy medical surgical-telemetry answered Test 2022.pdf. Prophecy Medical Surgical Telemetry Exam A V1. A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. What should be done with this urine sample? Which of the following instructions should the nurse include in the teaching? Dyspnea "longer, longer, drop" Which of the following statements should the nurse make? Medical-Surgical RN A Prophecy Relias. Expert Help. your next step? A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. suppression of bone formation, and an increase in bone resorption by osteoclasts. You do not speak Spanish and are having difficulty communicating with your patient. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Rate: 101-250 bpm PRI: Same as PVC A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.