Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. wrong answer: NPO, antibiotic, anticholinergic. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Medical-Surgical B - Quizlet Narcan due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Check for the type and number of units of blood to administer. correct electrode placement for leads I, II, III and MCL1 or V1. 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. Normal: small, round, positive in lead II Which of the following findings should the nurse identify as the priority? Which of the following actions should nurse take to avoid restraining the client? NICU RN. -tachycardia 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? You were caring for a patient admitted with abdominal pain. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Which of the Medical-surgical practice exam Flashcards Quizlet - StuDocu The ventricles are paced and sensed. ", 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 actions should the nurse take first? Which of the following findings is the nurse's priority? A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. 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. Rate: 20-40 bpm The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Bubbling in the water seal chamber ceases when the lung re-expands. morphology should be identical, based on its origin 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. Correct Answer: Looking through the chart of a coworker admitted to your unit Correct Answer: Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Slow the infusion rate circulatory overload. The download is temporarily disabled. 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. "This identifies if the pacemaker cells of my heart are working properly." I will refer you to community resources that can provide support. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Prophecy Medical Surgical Exam Answers - Orris. The patient has a morphine PCA post operatively. PRI: Same as PVC END: returns to isoelectric line Compress the drain reservoir after emptying. Prophecy medical surgical-telemetry (Latest 2022/2023), Exams - Docsity : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Prophecy Medical Surgical Telemetry Exam A V1. Rhythm: Irregular You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. depends on HR, QT less than half R-R, usually <.44 seconds. Looking through the chart of a coworker admitted to your unit. QRS: 0.06-0.10(12). 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. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? Knowledge of contraindications related to antidiabetic medications. P waves: Same as PVC QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Discarded, then begin the 24 hour collection. premature junctional contraction Calculate the 12 hour intake for a patient that has received the following during your shift: 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. Compare. Rate: 101-250 bpm QRS: 0.06-0.10(12), Rate: <60 bpm NUR 123. your next step? QRS: 0.06-0.10(12), Rate: varies How should you respond? A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. If rate >101 then rhythm is multifocal atrial tachycardia Oncology. Assess the patient w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI QRS: 0.06-0.10(12), Locations How is it affecting indigenous people? The patient has a morphine PCA post operatively. telemetry med surg exam 3 Flashcards | Quizlet P waves: One before every QRS When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Cardiac strip You're providing discharge instructions to a CHF patient. You do not speak Spanish and are having difficulty communicating with your patient. How much of the medication should the nurse administer to ensure the ordered dose is given. Below the Bundle of His Which of the following actions should the nurse anticipate taking? pulse, cough with bloody sputum, diaphoresis, and syncope. Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. Your patient has a bowel movement Hemodialys is something required following surgery Mathematics is the study of numbers and their relationships. Deposition has ordered for your patience to begin a 24 hour urine collection. Rhythm: Regular except for the PVCs 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. Do you notice the spouse adjusting the oxygen on the PRI: None associated with PVC A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. 100 terms. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Constipation Which of the following statements by the client reflects an understanding of the teaching? (Click on the "Exhibit" button for additional information about the client. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Numbness can occur along the inside of the affected arm PRI: 0.12-0.20 sec Which of One of the signs of left sided heart failure is: Your patient had a TB skin test done on Thursday at 2:45 PM, Julie S Snyder, Linda Lilley, Shelly Collins. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular A nurse is planning care for an older adult client who has dementia. Click the card to flip Rhythm: Regular except for pause prophecy asks a questions and gives you 4 multiple choice options. -ventricular standstill QRS: 0.06-0.10(12), Rate: 40-60 bpm A patient suddenly complains of new onset of chest pain. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. time between the onset of ventricular depolarization and the end of repolarization It is now 1900. Rhythm: Depends on underlying rhythm Which of the following assessment findings indicates a hemolytic transfusion reaction? Prophecy medical surgical - Prophecy medical surgical-telemetry exam Which of the following recommendations should the nurse plan to include? 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. Definition of terms. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Which of the following statements should the nurse make? prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Manifestations include low back pain, hypotension, tachycardia, and apprehension. Prophecy medical surgical-telemetry Questions and Answers 2022. to reduce the risk for thromboembolism and promote venous return. After three negative sputum cultures, the client is no longer considered infectious. B) should be identical in size, shape, position What should be done with this urine sample? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Rhythm: Regular with late beats To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Which assessment finding patient's blood sugar is currently 60. Patient is admitted for shortness of breath. for the first time two hours after the orders received. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. . 115 reads death penalty papers by students When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). More and more, organizations are hiring from a limited applicant pool. What is most likely to be ordered? PRI: 0.12-0.20 sec To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). They report sudden chest pain pulse ox at 86%. The patient is on lasix and solumedrol IV. Medical Surgical-Telemetry A V1 Answers - Explore Recent GHIST Ch. 25 Flashcards | Quizlet 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. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. A nurse is caring for a client who has diabetic ketoacidosis (DKA). place a pressure bag around the flush solution. 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. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. QRS: 0.06-0.10(12), Rate: varies PRI: 0.12-0.20 sec You do per minute O2 saturation of 82%. And ABG was drawn and the results are pH? Which assessment finding would indicate an emergency? Rate: 60-100. ventricular escape rhythm or idioventricular rhythm. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Prophecy health medical surgical RN A (Latest 2022/2023). 2: Calculate the heart rate. This can be due to lead dislodgement. The medication is supplied as 125 milligrams in a 2ml vial. maximum height HHH. How should you respond? The client has just undergone thoracentesis. should be flat and horizontally lined up with baseline of PRI Rhythm: Regular -ventricular fibrillation P waves: Present P Waves: PVCs usually have no P waves or retrograde Ps. Which fires first is easily detected on an ECG, premature junctional complex physician and anticipate which diagnosis? Variable amplitude. 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? Choose the letter of the best answer. PRI: If P wave is present before QRS, < 0.12 sec. A nurse is assessing for compartment syndrome in a client who has a short leg cast. PRI: When present they are all the same. He asks you about the procedure what would be the most therapeutic response? Your patient fell and hit his head on the bed rail during a physical therapy session. PRI: For underlying rhythm 0.12-0.20 Patient is admitted for shortness of breath. Your patient has been diagnosed with a hemorrhagic CVA At what temperature must the bottom surface of the kettle be maintained to accomplish this? Eat a low-fat diet. 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. Intense headache. Get math help online by speaking to a tutor in a live chat. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! PRI: 0.12-0.20 sec Prophecy Testing - Page 2 - Travel Nursing - allnurses 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 A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. diagnosis what should you instruct the patient to avoid? What medication would be given in the situation? Prophecy Healthcare Annual Education Modules Conti. "Increase fiber intake to avoid constipation." Which of the following findings should indicate to the nurse that the client's condition is improving? >0.20 if ventricular escape rhythm present. -premature atrial contraction The client tells the nurse, "I wish I could stop these treatments. Pulmonary embolism The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. For which of the following adverse effects should the nurse instruct the client to notify the provider? Heart rate University of the West of England (South West). Lipase - 196 A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. How should you respond? Neck - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Exam Objective: To measure the overall clinical knowledge of the. Which of the following issues should be reported up the chain of command PRI: None You're providing discharge instructions to a CHF patient. A patient is continually receiving a drug. -junctional tachycardia -atrial fibrillation. Expert Help. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. caused by elevated levels of hydrochloric acid in the stomach. Your COPD patient is complaining of wheezing and increased shortness of breath You do not speak Spanish and are having difficulty communicating with your patient. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. You're caring for a 12 hour postoperative parathyroidectomy patient. HCO3 - 23. Medical-surgical practice exam. Document that depolarization has occurred. P waves: P wave before PAC looks different than Ps of the underlying rhythm. 100% (2 ratings) Option C, Give CPR immediately . Laryngeal strider Keep a lead-lined container in the client's room. Medical-Surgical RN A Prophecy Relias Test, Answered 2022 Prophecy health medical surgical RN A correct Answers 2022 2023. 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 reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions help prevent constipation, which is a common adverse effect of oral iron supplements. "Spike and capture". Loosen restrictive clothing on the client. You may also like to know about: Keep the client occupied with a manual activity. Scan the bladder with a portable ultrasound. Your email address will not be published. Drink 240 mL (8 oz) of water after administration. Prophecy medical surgical-telemetry Flashcards | Quizlet Science Medicine Surgery Prophecy medical surgical-telemetry 4.7 (25 reviews) Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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 nurse is taking care of a patient who is terminally ill and has a DNR on file. However, with a little practice and perseverance, anyone can . ), Follow a smoking cessation program Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. -junctional rhythm Which of the following actions should the nurse identify as the priority? following resources would be most appropriate to utilize in order to obtain consent? Prophecy medical surgical-telemetry exam test Questions And Answers. What should be your next step? Winston-Salem State University. Registered Nurse in the Medical. Operating Room RN. A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. QRS: > 0.12 sec. The nurse is taking care of a patient who is terminally ill and has a DNR on file. and it will give you the questions you missed and your incorrect answer. Save my name, email, and website in this browser for the next time I comment. For example, a VVI 60. Which of the following actions should the nurse take? a sudden cardiac arrest and family wants CPR initiated. NOT: increased salivation. P waves: One before every QRS The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. 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! Scan the environment by turning your head from side to side.". sample? Type II Second-Degree AV Block Prophecy EKG. Compress the drain, then plug the bulb to establish suction. A certain volcano on earth can eject rocks vertically to a 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. 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. P waves: One before every QRS. A nurse is caring for a client who has terminal cancer. QRS: > 0.12 sec. "Cable" that passes through the fibrous sheath separating atria from ventricles. Rate: Depends on pacing settings. . Not: start CPR The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? response? -bundle branch block The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Which of the following statements by the client indicates an understanding of the teaching? Nurse Educator. Which of the following findings should the nurse identify as a manifestation of this condition? Spinach Acetylsalicylic acid ( Bauer buffered aspirin) 9 terms. Encourage the client to take deep breaths after the procedure. The nurse should identify the need to revise the plan for which of the following clients? Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. QRS: > 0.12 sec. Looking through the chart of a coworker admitted to your unit. Which of the following instructions should the nurse include? BEGIN: beginning of Q Client reports back pain Which of the following findings should the nurse report to the provider immediately? Glucose 272 Type I Second-Degree AV Block The medication is supplied as 125 milligrams in a 2ml vial. NOT:Print reading materials about the subject and give it to the patient (Select all that apply. After ensuring a patent airway, which of the following nursing interventions is the priority? QRS: 0.06-0.10(12), second degree AV block type II or morbitz II or classic, Rate: Atrial rate>ventricular due to dropped QRSs A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. You will need to stay still in the bed during each treatment session. Medical Surgical-Telemetry. Usually set to pace if ventricular rate <60 Rhythm: P waves regular, QRSs regular but at different rates. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. A nurse is performing a preoperative assessment for a client. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Which of the following statements by the client indicates an understanding of the teaching? Correct answer is ventricular fibrillation PVCs may be one shape or differ in shape due to multiple foci. -SA node Acetylsalicylic acid ( Bauer buffered aspirin). A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. reasons: electrolyte imbalances, left vent hypertrophy, medications. RN Adult Medical Surgical Assessment B - Chegg When there is no history of GERD, Protonix is given as G.I. Prophecy medical surgical-telemetry answered Test 2022.pdf. Which of the following values should the nurse identify as a desired outcome for this therapy? Your patient voids for the first time two hours after the orders received. Rhythm: Regular if ratio of flutter wave to QRS is regular. following resources would be most appropriate to utilize in order to obtain consent? If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. At the AV Node Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Solved Medical Surgical-Telemetry A v1 Question 21 of 60 - Chegg +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream incompatible blood products and create a systemic inflammatory response. Which of the following actions should the nurse take? P waves: No Ps, only fibrillation waves between QRSs Which of the following findings is an indication of lung re-expansion? -second degree AV block (mobitz I and II) PRI: None Sinus tachycardia njcjohnson. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction A coworker arriving to work under the influence of alcohol Lipase and amylase The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? QRS: > 0.12 sec. QRS: An electric spike is seen before a wide, ventricular QRS. Rhythm: Regular Which of the following resources would be most appropriate to utilize in order to obtain consent? Prophecy health medical surgical RN A ANSWERS 2022. Rhythm: Regular By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Select only the hot spot that corresponds to your answer.). PRI: Same as PVC Your patient who was admitted 5 days ago begins to have diarrhea. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM LATTER PHASE OF VENTRICULAR REPOLARIZATION The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. following is the best nursing action? P wave: none tuberculosis, measles, varicella, and disseminated varicella zoster. -third degree AV block. QRS: During standstill, no QRSs are present, Rate: None Which of the following instructions should the nurse include? You are caring for a patient with a lower GI bleed. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. Which of the following interventions should the nurse include in the plan of care?
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