Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION Rate: 20-40 bpm 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 . She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. QRS: 0.06-0.10(12), Rate: varies PRI: None when QRSs are not present PRI: Same as PVC Rhythm: Regular except for pause morphology should be identical, based on its origin The nurse notes a pacemaker artifact followed by a QRS complex. "Increase fiber intake to avoid constipation." 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable P waves: P wave before PAC looks different than Ps of the underlying rhythm. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Lipase and amylase A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Prophecy Healthcare Annual Education Modules Conti. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Their patient has Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Their patient has a sudden cardiac arrest and family wants CPR initiated. If rate >101 then rhythm is multifocal atrial tachycardia A nurse is caring for a client who has diabetic ketoacidosis (DKA). View the full answer. -ventricular tachycardia "This identifies if the pacemaker cells of my heart are working properly." 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. : 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. Rhythm: Regular The nurse should identify the need to revise the plan for which of the following clients? Pharmacology LPN - Acute. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. less than 300 mg/dL indicates improvement in the client's status. Pulmonary embolism Slow the infusion rate Encourage the client to take deep breaths after the procedure. Client reports back pain prophecy asks a questions and gives you 4 multiple choice options. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. not always present Deposition has ordered for your patience to begin a 24 hour urine collection. Usually one impulse predominates. .34-.43 place a pressure bag around the flush solution. 3: Identify and examine P-Waves. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. incompatible blood products and create a systemic inflammatory response. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon You went to the room of a 58-year-old female. Med Surg 2 - Medical surgical study materials LATEST. Based on the histogram below how many items cost $5.00 or more per pound, Chapter 2 the professional medical assistant workbook answers, Formula of permutation if repetition is allowed, How to make a fraction on an online calculator, How to round to the nearest thousandth with decimals, Solving quadratics using inverse operations common core algebra 1 homework, Surface area of a cylindrical box calculator, What is a bell curve and standard deviation. Lipase - 196 count R waves during 6 seconds and multiply by 10, A) P should precede QRS Don't suffer through your problems alone, help is always available. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Keep a lead-lined container in the client's room. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm "Discontinuing with the treatments is your choice if it is your wish to do so.". A nurse is preparing to administer a blood transfusion to a client who has anemia. Compress the drain, then plug the bulb to establish suction A nurse is reviewing the ABG results of a client who has advanced COPD. A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. 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! Rhythm: Regular What should be Your COPD patient is complaining of wheezing and increased shortness of breath ashley_hope_spicer. njcjohnson. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. At what temperature must the bottom surface of the kettle be maintained to accomplish this? Study with Quizlet and memorize flashcards containing terms like b. Study Resources. help prevent constipation, which is a common adverse effect of oral iron supplements. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? tuberculosis, measles, varicella, and disseminated varicella zoster. A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Prophecy EKG. Parathyroidectomy 2. Rate: Depends on pacing settings. Maintain an appropriate weight QRS: 0.06-0.10(12). Rhythm: Depends on underlying rhythm A patient is continually receiving a drug. A nurse is assessing for compartment syndrome in a client who has a short leg cast. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. P waves: One before every QRS. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. A kettle with a flat bottom 30 cm in diameter is available. How should you respond? Sinus tachycardia How should you respond? You are caring for a diabetic patient diagnosed with CHF. $$ Which of the following resources would be most appropriate to utilize in order to obtain consent? P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. A nurse is caring for a client who has hypothyroidism. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Which of the following instructions should the nurse include in the teaching? Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. V-Tach The amount available is oral solution 125 mg/5 mL. Educate the spouse on oxygen use as a medical device in the hospital It is now 1900. Your patient has been diagnosed with a hemorrhagic CVA Your email address will not be published. Which of the following statements by the client indicates an understanding of the teaching? Required fields are marked *. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. The hospitals language interpreter 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 Which assessment finding would indicate an emergency? maximum height HHH. 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. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. Notching or "rabbit ears" may be present. Which of the following actions should the nurse anticipate taking? Mealtimes do not pertain to this client due to the NPO status. Constipation Rate: Depends on underlying rhythm. Which of the following findings is the nurse's priority to report to the provider? When there is no history of GERD, Protonix is given as G.I. Due to the size of the kidney stone it is an appropriate treatment? The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? Pediatric RN. On rounding you notice respirations at eight per minute O2 saturation of 82%. The degree of perpendicular can also be seen as a decrease in amplitude only. Which of the following findings indicates a potential complication? QRS: 0.06-0.10(12) Save my name, email, and website in this browser for the next time I comment. Due to the size of the kidney stone it is an appropriate treatment? Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Which of the following information should the nurse include in the teaching? QRS: 0.06-0.10(12), -wandering atrial pacemaker -Ventricular, -normal Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. PRI: When present they are all the same. Rhythm: Irregularity associated with respiration phase. ), Follow a smoking cessation program The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following actions would be considered a violation of Hyppa? QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Ventricular rate determined by how well the AV node blocks the flutter. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 100 terms 4.8. slcumella . Medical-Surgical RN A Prophecy Relias. Rate: Depends on underlying rhythm Registered Nurse in the Medical. What medication would be given in the situation? He asks you about the procedure what would be the most therapeutic response? A certain volcano on earth can eject rocks vertically to a QRS: > 0.12 sec. FLAG The client has just undergone thoracentesis. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. P waves: As with PJCs Which of the following resources would be most appropriate to utilize in order to obtain consent? Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. and it will give you the questions you missed and your incorrect answer. P waves: One before every QRS Deposition has ordered for your patience to begin a 24 hour urine collection. PRI: 0.12-0.20 sec A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. QRS: > 0.12 sec. Which of the following instructions should the nurse include in the teaching? A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Heart rate 52/min You are caring for a patient with a lower GI bleed. The symptoms are indicative of: Which of the following electrolyte value should be Addressed immediately by the nurse How much of the medication should the nurse administer to ensure the ordered dose is given. premature junctional contraction A nurse is caring for a client who has an arterial line. B) should be identical in size, shape, position 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. Rhythm: Atrial regular, ventricular irregular d/t dropped beats On rounding you notice respirations at eight per minute O2 saturation of 82%. Your inserting a urinary catheter into a male patient. NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. constipation is an adverse effect of verapamil. Which of the following manifestations should the nurse expect? 3/11 Prophecy Health Nurse Test Answers. More and more, organizations are hiring from a limited applicant pool. QRS: > 0.12 sec. A nurse is planning care for a client who is scheduled for a thoracentesis. The intrinsic pacemaker. Alternate application of heat and cold to the affected joints. Which of the following orders would you question. Rhythm: Regular except during PJC. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. This can be due to lead dislodgement. QRS: None. is no history of GERD Women could have pain in their arm, neck, back or jaw Your patient fell and hit his head on the bed rail during a physical therapy session. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid Your patient who was admitted 5 days ago begins to have diarrhea. Which of the following interventions should the nurse include in the plan of care? w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Your patient has a bowel movement Which of the following assessment findings should the nurse report to the provider? Clinical Results - Medical Surgical-Telemetry A v1 Assessment. As you inflate a balloon, the patient complains of discomfort what is the best action? Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Rhythm: Regular except for the PVCs Numbness in the arms NOT: increased salivation. 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? Use the Ratio Test to determine whether the following series converge. HCO3 - 23. Which of the following should the nurse plan to administer? A nurse is planning a health promotional presentation for a group of African American clients at a community center. There are two left bundle branches and one right. 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. The pacer begins pacing when the HR is 60 or below. Avocados If P waves seen, different shape than NSR. QRS: 0.06-0.10(12). H2O\mathrm{H}_2 \mathrm{O}H2O. response? Sputum with streaks of blood A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. An animal with many lines of symmetry a. has bilateral symmetry. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Which of the following is true about the formation and migration of meanders? 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. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Which of the following actions should the nurse take? Which of the following actions would be considered a violation of Hyppa? "I can speak to the provider about incorporating acupuncture into your treatment plan.". Which assessment finding would indicate an emergency? 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. HCO3 - 23. indicate that the nephrostomy tube is dislodged or clogged. Which of the following findings should the nurse expect? (Round the answer to the nearest whole number. P waves: Present 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. 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. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. circulatory overload. . Neck Type II Second-Degree AV Block Which of the following statements by the client indicates an understanding of the teaching? Family members in the household should undergo TB testing. -accelerated junctional rhythm Upper G. bleed You do not speak Spanish and are having difficulty communicating with your patient. You went to the room of a 58-year-old female. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream 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?
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