prophecy medical surgical telemetry b quizlet

Low stimulation threshold can lead to non-capture due to scaring at the anchor site of the wire in the right ventricle causing increased resistance to the impulse. He asks you about the procedure what would be the most therapeutic response? Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. PRI: Same as PVC Hemodialys is something required following surgery Rhythm: Atrial regular, ventricular irregular d/t dropped beats How should you respond? A nurse is caring for a client who has diabetic ketoacidosis (DKA). The patient may be experiencing: Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Prophecy Medical Surgical Telemetry Exam A V1. Prophecy health medical surgical RN A (Latest 2022/2023). How should you respond? -ventricular fibrillation Which of the following findings should the nurse report to the provider? Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. P waves: May be present or absent depending on pacing settings (VVI vs DDD) normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter QRS: 0.06-0.10(12) A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. QRS: 0.06-0.10(12). Slow the infusion rate Bubbling in the water seal chamber ceases when the lung re-expands. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? The nurse is taking care of a patient who is terminally ill and has a DNR on file. PRI: If P is visible, 0.12-0.20 sec Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Which of the following statements should the nurse make? These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. A nurse is planning care for a client who is postoperative following a parathyroidectomy. ), Calf pain A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The hospitals language interpreter should be flat and horizontally lined up with baseline of PRI A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. 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. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. When taking care of a patient with pancreatitis, which of the following lab shoul. Which of the following assessment findings indicates a hemolytic transfusion reaction? Type II Second-Degree AV Block Which of the following actions would be considered a violation of Hyppa? P waves: Same as PVC would indicate an emergency? Rhythm: Irregular, fibrillatory waves may be course or fine circulatory overload. NOT: tuberculosis Potassium 2 mEq/L Numbness in the arms Sets found in the same folder. Nurse Educator. 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 -idioventricular rhythm -junctional tachycardia ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Prophecy health medical surgical RN A correct Answers 2022 2023. Med Surg 2 - Medical surgical study materials LATEST. For example, a VVI 60. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Which of the following information should the nurse include in the teaching? Which of the following medication should you question? Rhythm: Regular Rhythm: Depends on underlying rhythm Which of the following findings should the nurse report to the provider as an adverse effect of this medication? When there 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. Which of the following assessment findings should the nurse report to the provider? 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. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid morphology should be identical, based on its origin A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. 3/11 Prophecy Health Nurse Test Answers. identify crackles as a manifestations of pulmonary edema and notify the provider. QRS: 0.06-0.10(12), Rate: varies prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Your patient began deteriorating rapidly after complaining of shortness of breath. How should you respond? Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Your patient who was admitted 5 days ago begins to have diarrhea. PRI: None Use the Ratio Test to determine whether the following series converge. P waves: Present a result of impaired arterial circulation affecting follicular growth. Which of the following instructions should the nurse include? PRI: Progressively longer until QRS drops. P waves: Same as PVC 2: Calculate the heart rate. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Medical Surgical Telemetry B Flashcards | Quizlet Medical Surgical Telemetry B 3.8 (9 reviews) Term 1 / 9 The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. QRS: > 0.12 sec. -bundle branch block QRS: An electric spike is seen before a wide, ventricular QRS. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). The patient has a morphine PCA post operatively. You notify the physician and anticipate which diagnosis? Log in Join. march out R-R and use it to assess P-P intervals, most will print it wrong answer: NPO, antibiotic, anticholinergic. Your patient voids There are three tabs that contain separate categories of data.) ventricular repolarization is slowed and the relative refractory period is longer. 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. PRI: Same as PVC Telemetry A, Medical Surgical-Telemetry Exam Content Outline. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. "I can speak to the provider about incorporating acupuncture into your treatment plan.". It is now 1900. 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. Long refractory periods potentiates the risk for multifocal VT or Torsades The client is agitated and is attempting to remove their IV catheter. Which of the following statements by the client indicates an understanding of the teaching? the recruiter can 'reset' the test so you can take it again. -ventricular standstill 2022 apple notes web clipper shortcut on prophecy labor and delivery rn a v1 quizlet. Mathematics is the study of numbers and their relationships. Which of the following actions should the nurse anticipate taking? slcumella. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? They report sudden chest pain pulse ox at 86%. Acetylsalicylic acid ( Bauer buffered aspirin). -atrial flutter %PDF-1.6 % Usually set to pace if SA rate <60 Nursing Management of the Surgical Client Prophecy health medical surgical RN A. 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? Their patient has a sudden cardiac arrest and family wants CPR initiated. BEGIN: upward deflection from ST segment (Select all that apply.). Rhythm: Regular except for pause. Rhythm: Regular 0.06-0.12 s You notify the physician and anticipate which diagnosis? 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. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 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. Eat a low-fat diet. Rhythm: Regular with late beat A nurse is administering packed RBCs to a client. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. You were caring for a patient admitted with abdominal pain. incompatible blood products and create a systemic inflammatory response. PRI: None count R waves during 6 seconds and multiply by 10, A) P should precede QRS Avocados There are three tabs that contain separate categories of data. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Which of the following actions would be considered a violation of Hyppa? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Create complete outfits and allow the client to select one each day. Bathe the client using chlorhexidine solution. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. Which of the following actions should the nurse take? The nurse notes a pacemaker artifact followed by a QRS complex. ashley_hope_spicer. A nurse is caring for a client who is receiving a blood transfusion. What should be done with this urine (You will find hot spots to select in the artwork below. And ABG was drawn and the results are pH? Rhythm: Regular 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. Their patient has Inherent rate is 40-60. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. NOT:Print reading materials about the subject and give it to the patient PRI: If P wave is present before QRS, < 0.12 sec. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Educate the spouse on oxygen use as a medical device in the hospital BEGIN: beginning of Q gabbz524. 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. A certain volcano on earth can eject rocks vertically to a Insert an NG tube A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Rhythm: Regular Rate: Viable. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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 instructions should the nurse include in the teaching? Intense headache. P waves: Depends on underlying rhythm Medical Surgical Rn A Prophecy Quizlet Prophecy Medical Surgical Telemetry Exam A V1 AnswersYour patient has symptomatic anemia but is refusing a blood transfusion for religious reason. 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 of the following findings should the nurse expect? Refused to sign for the waste 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 do Which of the following results should the nurse expect? Medical Surgical-Telemetry. Rhythm: Depends on underlying rhythm time between the onset of ventricular depolarization and the end of repolarization The ventricles are paced and sensed. Which of the following interventions should the nurse include in the plan? May be sustained or occur in burst (paroxymal ), Rate: Non-discernable For which of the following adverse effects should the nurse instruct the client to notify the provider? The amount available is oral solution 125 mg/5 mL. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. P waves: May not be visible due to rate. Stress ulcers A nurse is teaching a client about osteoporosis prevention. Calculate the 12 hour intake for a patient that has received the following during your shift: Prepare to suction the client's airway. pulse, cough with bloody sputum, diaphoresis, and syncope. Other manifestations include nausea, vomiting, fatigue, and headache. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. Rate: 41-100 bpm Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. What medication would be given in the situation? The nurse should explain that applying a TENS unit to the painful area has which of the following effects? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the The symptoms are indicative of: Aim. Medical-Surgical RN A Prophecy Relias. ventricular escape rhythm or idioventricular rhythm. QRS: > 0.12 sec. maximum height HHH. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Neck C. Knowledge of diabetic education for: 1. Medical-surgical practice exam. Irregular if variable ratio. 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. Which of the following actions should the nurse take? Which of the following resources would be most appropriate to utilize in order to obtain consent? Mealtimes do not pertain to this client due to the NPO status. 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? Click the card to flip Definition 1 / 99 1200 mcg Click the card to flip Flashcards Learn Test Match Created by Easyliving1 Prophecy Test / Relias Learning Terms in this set (99) What should be your first response? Chamberlain College of Nursing. 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! We have received reports about this document. QRS: 0.06-0.10(12). 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. A nurse is performing a preoperative assessment for a client. 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? "Spike and capture". A nurse is assessing a client who is postoperative following a thyroidectomy. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. The pacer begins pacing when the HR is 60 or below. Deposition has ordered for your patience to begin a 24 hour urine collection. The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Prophecy Medical Surgical Telemetry Exam A V1. Manifestations include low back pain, hypotension, tachycardia, and apprehension. 100 terms. PRI: 0.12-0.20 sec b. has radial symmetry. Math can be a difficult subject for many people, but it doesn't have to be! A patient is continually receiving a drug. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Rhythm: Regular The patient is on lasix and solumedrol IV. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Protecting the patient's head and extremities from contact with surrounding objects Normal: small, round, positive in lead II Which of the following actions is the nurse's priority? Rate: Depends on pacing settings. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? A nurse is providing discharge instructions to a client who has active tuberculosis (TB). could create the opportunity for infection. Which of the following statements by the client indicates understanding of the teaching? P waves: Same as PVC Looking through the chart of a coworker admitted to your unit. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Due to the size of the kidney stone it is an appropriate treatment? Prednisone can also reduce intestinal absorption of calcium. Prophecy health medical surgical RN A ANSWERS 2022. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ The nurse should expect a reduction in which of the following common manifestations of advanced cancer? Which of the following statements by the client indicates an understanding of the teaching? 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. P waves: Present throughout strip V-Tach What is the first sign of increased intracranial pressure? Rate: Depends on pacing settings. coworker to sign for the ways that you did not witness A nurse is assessing a client's hydration status. Prednisone When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. END: end of T We're available through e-mail, live chat and Facebook. The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. P waves: One before every QRS A nurse is caring for a client who has DKA. Rhythm: Regular with late beats "Cable" that passes through the fibrous sheath separating atria from ventricles. Which of the following medication may cause urine discoloration Rhythm: Regular Usually one impulse predominates. QRS: None, Rate: Depends on underlying rhythm 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. The nurse should anticipate the surgical incision to be in which of the following locations? Rhythm: Irregularity associated with respiration phase. View the full answer. Type I Second-Degree AV Block Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Canned meats constipation is an adverse effect of verapamil. The provider might prescribe a diuretic to alleviate the fluid overload. 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? A kettle with a flat bottom 30 cm in diameter is available. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. PRI: 0.12-0.20 sec The patient's blood sugar is currently 60.