prophecy medical surgical telemetry b quizlet

Rhythm: Atrial regular, ventricular irregular d/t dropped beats The client is agitated and is attempting to remove their IV catheter. A nurse is assessing a client's hydration status. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Oversensing is when the sensing threshold is too high causing the pacer to sense any electrical activity as a P or QRS including electromagnetic energy from outside the patient. BEGIN: J point Exam Objective: To measure the overall clinical knowledge of the. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Patterns: Bi and trigemeny, couplets and triplets. A nurse is caring for a client who has an arterial line. Rhythm: Underlying regular except during PAC. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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Heart rate 52/min Endoscopy-GI Lab Medical Surgical-Telemetry. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. A nurse is caring for a client who has terminal cancer. ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. I will refer you to community resources that can provide support. LATTER PHASE OF VENTRICULAR REPOLARIZATION any type of inflammatory process, such as osteomyelitis. If an accessory pathway exists which by passes the AV node or if a reentry circuit occurs within the node, a tachyarrhythmia called PSVT can occur(more details later). Heart rate An animal with many lines of symmetry a. has bilateral symmetry. Rhythm: Regular except for pause. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. QRS: > 0.12 sec. Use all the steps. A kettle with a flat bottom 30 cm in diameter is available. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." 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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? NOT: tuberculosis Upper G. bleed QRS: > 0.12 sec. If not, reach through the comment section. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? P waves: Present Document that depolarization has occurred. Normal: small, round, positive in lead II A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. The P waves: No Ps, only fibrillation waves between QRSs The client is unable to void on the bedpan. -nonconducted premature atrial contraction Which of the following instructions should the nurse include in the plan of care? Educate the spouse on oxygen use as a medical device in the hospital. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. Choose the letter of the best answer. Which of the following orders would you question. Which of the following actions should the nurse take? Protecting the patient's head and extremities from contact with surrounding objects Determine the mass rate of flow for isentropic flow through the nozzle. Which of the following findings should the nurse expect? Winston-Salem State University. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Usually set to pace if SA rate <60 if you don't pass, click on the details info. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? The client tells the nurse, "I wish I could stop these treatments. QRS: 0.06-0.10(12) First-Degree AV Block For which of the following adverse effects should the nurse instruct the client to notify the provider? A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Your patient has been diagnosed with a hemorrhagic CVA Prophecy medical surgical-telemetry answered Test 2022.pdf. If the ventricles generates an impulse, the pacemaker will not fire. Keep the client occupied with a manual activity. A nurse is caring for a client who has DKA. P waves: Present Correct Answer: Honor the patient's wishes Correct Answer: Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Your patient began deteriorating rapidly after complaining of shortness of breath. 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! "I will avoid direct exposure to the sun.". Rhythm: Atrial regular, ventricular irregular d/t dropped beats +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream count R waves during 6 seconds and multiply by 10, A) P should precede QRS On rounding you notice respirations at eight You are caring for a diabetic patient diagnosed with CHF. -Ventricular, -normal Which of the following findings is the nurse's priority? march out R-R and use it to assess P-P intervals, most will print it These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. PRI: Depends on underlying rhythm When taking care of a patient with pancreatitis, which of the following lab should be reviewed? P waves: Depends on underlying rhythm Prednisone can also reduce intestinal absorption of calcium. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Rifampin A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. You do not speak Spanish and are having difficulty communicating with your patient. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? P waves: May not be visible due to rate. You were caring for a patient who is 18 hours postop after a right BKA a. Which of the following statements by the client indicates an understanding of the teaching? QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. The patient is lying in a supine position. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Rhythm: Regular if ratio of flutter wave to QRS is regular. Which of the following is true about the formation and migration of meanders? not always present You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is administering packed RBCs to a client. the following medication should you question? d. has a distinct head and tail end. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. P waves: P wave associated with PJC may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. 111 0 obj <>stream Which of the following instructions should the nurse include? Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. You do Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Compare. slcumella. Medical Surgical-Telemetry. Correct answer is ventricular fibrillation P waves: See description in PJC above. Airborne -atrial flutter Pediatric RN. "Ginkgo biloba can cause an increased risk for bleeding. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. 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 There are two left bundle branches and one right. University of California, Los Angeles . Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Rhythm: Irregular "Increase fiber intake to avoid constipation." You are caring for a diabetic patient admitted for uncontrolled blood sugar. Deposition has ordered for your patience to begin a 24 hour urine collection. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 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. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). PRI: If P wave is present before QRS, < 0.12 sec. What medication would be given in the situation? Sinus rhythm with PAC The nurse should identify the need to revise the plan for which of the following clients? Your patient who was admitted 5 days ago begins to have diarrhea. P waves: Same as PVC Rhythm: Regular How should you respond? Which of the A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Rate: Depends on underlying rhythm. QRS: 0.06-0.10(12), -wandering atrial pacemaker The client becomes restless, dyspneic, and has crackles noted to the lung bases. PRI: See description in PJC above. Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. The nurse is taking care of a patient who is terminally ill and has a DNR on file. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. . Perform a bladder scan Which of the following actions would be considered a violation of Hyppa? Rhythm: Irregular, fibrillatory waves may be course or fine Third-Degree AV Block, Rate: Depends on underlying rhythm : 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. Oncology. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. Prophecy medical surgical-telemetry exam test Questions And Answers. symmetrical and may be tall and peaked, biphasic or inverted QRS: 0.06-0.10(12), Rate: 60-100 bpm P waves: As with PJCs May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Knowledge of contraindications related to antidiabetic medications. reasons: electrolyte imbalances, left vent hypertrophy, medications. After notifying the physician, what action should you take NEXT? PACU RN. -tachycardia When there is no history of GERD Correct Answer: Protonix is given as G.I. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? The patient has a morphine PCA post operatively. 100 terms 4.8. slcumella . can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION NUR. I am ready to die." Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. and it will give you the questions you missed and your incorrect answer. Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? You're providing discharge instructions to a CHF patient. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. Prophecy Healthcare Annual Education Modules Conti. Notching or "rabbit ears" may be present. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. A nurse is assessing a client who has diabetes insipidus. (Click on the "Exhibit" button for additional information about the client. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. Contact the provider to clarify the prescription. Their patient has a sudden cardiac arrest and family wants CPR initiated. PRI: If P wave is present before QRS, < 0.12 sec. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. QRS: 0.06-0.10(12), Rate: varies The medication is supplied as 125 milligrams in a 2ml vial. After three negative sputum cultures, the client is no longer considered infectious. Your patient has dysphagia. NUR 4201. . FLAG Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. BEGIN: upward deflection from ST segment HCO3 - 23. Keep a lead-lined container in the client's room. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? is no history of GERD Which of the following actions should the nurse take to manage the drain? Sinus tachycardia What is most likely to be ordered? NOT:Print reading materials about the subject and give it to the patient The download is temporarily disabled. Which of the following information should the nurse include in the instructions? Inherent rate is 40-60. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. Compress the drain, then plug the bulb to establish suction. 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. What should be done with this urine sample? Study Resources. Repair of the diverticulum is accomplished through an open incision in the client's neck. How should you respond? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . On rounding you notice respirations at eight per minute O2 saturation of 82%. The patient's blood sugar is currently 60. Numbness can occur along the inside of the affected arm You're providing discharge instructions to a CHF patient. P waves: One before every QRS Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. Discarded, then begin the 24 hour collection. PRI: Same as PVC HCO3 - 23. You do not speak Spanish and are having difficulty communicating with your patient. Which assessment finding following resources would be most appropriate to utilize in order to obtain consent? Which of the following actions should the nurse take? Which of the following information should the nurse include in the teaching? Bathe the client using chlorhexidine solution. What should be your first response? You are caring for a patient with a lower GI bleed. -arrhythmia Heart rate 110/min Cardiac strip PRI: When present they are all the same. 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. Which of the following interventions should the nurse include in the plan of care? 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. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Prophecy Medical Surgical Telemetry Exam A V1. Your patient began deteriorating rapidly after complaining of shortness of breath. Acetylsalicylic acid ( Bauer buffered aspirin). When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Draw the decision tree for sequential search on a list of three elements. 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 As you inflate a balloon, the patient complains of discomfort what is the best action? Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Infer why little evidence of Proterozoic orogenies exists today. PRI: Progressively longer until QRS drops. "Spike and capture". On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Assess the patient Which of the following actions should nurse take to avoid restraining the client? END: start of t wave QRS: > 0.12 sec. A nurse is performing a preoperative assessment for a client. Rhythm: Irregular Which of the following values should the nurse identify as a desired outcome for this therapy? Neck The patient has NKDA. Spinach Classifications Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hr period. (elaborations) - Prophecy medical surgical-telemetry 2022 7. Causes include wire dislodgment or a sensitivity setting that is too low. Which assessment finding would indicate an emergency? -Atria Rate: 60-100. Create complete outfits and allow the client to select one each day. QRS: 0.06-0.10(12), Rate: 40-60 bpm Prophecy medical surgical-telemetry Questions and Answers 2022. Alternate application of heat and cold to the affected joints. PVCs may be one shape or differ in shape due to multiple foci. END: returns to isoelectric line Rate: Depends on underlying rhythm atrial depolarization and pause before QRS (AV node delay) A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following statements by the client indicates an understanding of the teaching? gabbz524. Rhythm: Regular You notify the physician and anticipate which diagnosis? QRS: None, Rate: Depends on underlying rhythm Rate: Depends on underlying rhythm QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. HCO3 - 23. QRS: 0.06-0.10(12), supraventricular tachycardia A nurse is assessing for compartment syndrome in a client who has a short leg cast. Prophecy medical surgical telemetry exam a v1 answers - In addition, Prophecy medical surgical telemetry exam a v1 answers can also help you to check your. Restlessness DEPOLARIZATION OF VENTRICULAR MYOCARDIUM It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Which of the following statements should the nurse make? Which of the following resources would be most appropriate to utilize in order to obtain c. could create the opportunity for infection. Terms of Use Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. QRS: 0.06-0.10(12), Rate: 101-180 The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. You are caring for a patient admitted with diverticulitis. response? On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). The nurse should identify that which of the following client actions indicates an understanding of the teaching? PRI: 0.12-0.20 sec Indicate whether the solution is acidic or basic. How should you respond? QRS: An electric spike is seen before a wide, ventricular QRS. Dyspnea Julie S Snyder, Linda Lilley, Shelly Collins. Rhythm: Regular At least 3 different P wave morphologies. More and more, organizations are hiring from a limited applicant pool. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The medication is supplied as 125 milligrams in a 2ml vial. Rhythm: None A nurse is teaching a client about osteoporosis prevention. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. The client should increase fiber intake to promote regular bowel function. Which fires first is easily detected on an ECG, premature junctional complex P waves: P wave before PAC looks different than Ps of the underlying rhythm. You do not speak Spanish and are having difficulty communicating with your patient. When there is no history of GERD, Protonix is given as G.I. A nurse is reviewing the ABG results of a client who has advanced COPD. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION Which of the following statements should the nurse make? Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.