"Wires" that run down the septum and into the ventricles. What medication would be given in the situation? 0.06-0.12 s The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. QRS: 0.06-0.10(12). A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. wall and she states "she always takes care of my husband" what would be an appropriate 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. Their patient has -accelerated junctional rhythm P Waves: PVCs usually have no P waves or retrograde Ps. Pulmonary embolism? Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. BEGIN: beginning of Q A patient is continually receiving a drug. Which of the following resources would be most appropriate to utilize in order to obtain consent? Get math help online by speaking to a tutor in a live chat. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Which of the following information should the nurse include in the teaching? Rate: Depends on underlying rhythm Which of the following actions should the nurse take? QRS: 0.06-0.10(12), Rate: 101-180 bpm The client is agitated and is attempting to remove their IV catheter. QRS: An electric spike is seen before a wide, ventricular QRS. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. ventricular escape rhythm or idioventricular rhythm. Winston-Salem State University. S wave-negative deflection following the R wave. Determine the mass rate of flow for isentropic flow through the nozzle. Do you notice the spouse adjusting the oxygen on the Your patient complains of not being able to urinate since 0500. FLAG 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) 2: Calculate the heart rate. Medical Surgical-Telemetry. Dietary considerations 2. You were caring for a patient who is 18 hours postop after a right BKA a. A nurse is updating the plan of care for a client who is receiving chemotherapy. Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. P waves: One before every QRS When taking care of a patient with pancreatitis, which of the following lab shoul. constipation is an adverse effect of verapamil. Medical-Surgical B - Quizlet Endoscopy-GI Lab Medical Surgical-Telemetry. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon 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? When there is no history of GERD Correct Answer: Protonix is given as G.I. BEGIN: upward deflection from ST segment 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? Prophecy medical surgical-telemetry exam test Questions And - Stuvia Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Correct answer is ventricular fibrillation Which of the following assessment findings indicates a hemolytic transfusion reaction? You're providing discharge instructions to a CHF patient. You were caring for a patient admitted with abdominal pain. Medical Surgical 2019 B Flashcards | Quizlet What should be done with this urine A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Educate the spouse on oxygen use as a medical device in the hospital Rhythm: Underlying regular except during PAC. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following interventions should the nurse include in the plan of care? A nurse is caring for a client who has hypothyroidism. GHIST Ch. 25 Flashcards | Quizlet PRI: Progressively longer until QRS drops. A nurse is assessing a client's hydration status. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following values should the nurse identify as a desired outcome for this therapy? PRI: Same as PVC 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. Other manifestations include nausea, vomiting, fatigue, and headache. There are three tabs that contain separate categories of data.) PRI: Same as PVC A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Your patient began deteriorating rapidly after complaining of shortness of breath. You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. You went to the room of a 58-year-old female. May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. QRS: 0.06-0.10(12), supraventricular tachycardia The nurse is taking care of a patient who is terminally ill and has a DNR on file. PRI: 0.12-0.20 sec You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. You're caring for a 12 hour postoperative parathyroidectomy patient. The amount available is oral solution 125 mg/5 mL. Rhythm: Regular QRS: 0.06-0.10(12), Rate: varies sample? QRS: 0.06-0.10(12), Rate: 60-100 bpm P waves: May not be visible due to rate. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. H2O\mathrm{H}_2 \mathrm{O}H2O. Divides into the bundle branches. Which of the following instructions should the nurse include? You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Which of the following actions should the nurse take first? ventricular repolarization is slowed and the relative refractory period is longer. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. -arrest PVCs may be one shape or differ in shape due to multiple foci. A nurse is providing discharge teaching about infection prevention to a client who has AIDS. The nurse should anticipate the surgical incision to be in which of the following locations? You do P waves: One before every QRS atrial depolarization and pause before QRS (AV node delay) Rhythm: Regular except for pause Prophecy medical surgical-telemetry (Latest 2022/2023), Exams - Docsity QRS: > 0.12 sec. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Deposition has ordered for your patience to begin a 24 hour urine collection. 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. B) should be identical in size, shape, position Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. 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. You notify the physician and anticipate which diagnosis? 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. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. 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. 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. Pediatric RN. Company Registration Number: 8600593 The client is unable to void on the bedpan. c. has no symmetry. QRS: > 0.12 sec. (Click on the audio button to listen to the clip.) Patterns: Bi and trigemeny, couplets and triplets. The nurse is taking care of a patient who is terminally ill and has a DNR on file. The hospitals language interpreter Rhythm: Regular Which of the following instructions should the nurse include? Which of the following actions would be considered a violation of Hyppa? Which of the following findings is the nurse's priority to report to the provider? (Click on the audio button to listen to the clip.). QRS: None. Rhythm: Regular PRI: As above Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Sinus tachycardia 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. 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. Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? If a 60 dB sound increases to 70 dB, about how much louder is the sound: Because of its chemical similarity to calcium, ${ }_{38}^{90}$ Sr can collect in the bones and present a health risk. 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. PRI: None associated with PVC When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. PRI: 0.12-0.20 How should you respond? How does the current model of the atom differ from J.J. Thomson's model? Which of the following information should the nurse include in the teaching? 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 PRI: Depends on settings The patient has a morphine PCA post operatively. It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. Select only the hot spot that corresponds to your answer.). Prophecy medical surgical-telemetry Flashcards | Quizlet QRS: 0.06-0.10(12), Rate: varies symmetrical and may be tall and peaked, biphasic or inverted diagnosis what should you instruct the patient to avoid? Which of the following actions should the nurse take first? You went to the room of a 58-year-old female. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? PRI: If P wave is present before QRS, < 0.12 sec. 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). The pacer begins pacing when the HR is 60 or below. You are caring for a patient with a lower GI bleed. Which of the following statements should the nurse make? A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. PRI: 0.12-0.20 sec march out R-R and use it to assess P-P intervals, most will print it Bathe the client using chlorhexidine solution. Eat a low-fat diet. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). Initiate IV therapy Heart rate 110/min $$. earth, for how long (in terms of TTT ) would they be in the air on Mars? njcjohnson. Create complete outfits and allow the client to select one each day. HCO3 - 23. A nurse is assessing for compartment syndrome in a client who has a short leg cast. "Ginkgo biloba can cause an increased risk for bleeding. Prophecy test answers quizlet - Math Assignments Deposition has ordered for your patience to begin a 24 hour urine collection. QRS: 0.06-0.10(12). -atrial flutter Which fires first is easily detected on an ECG, premature junctional complex Medical-surgical practice exam Flashcards Quizlet - StuDocu mark on top = every 3 seconds Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. -first degree AV block A nurse is caring for a client who has an arterial line. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. PRI: None We have received reports about this document. HCO3 - 23. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. Appears to be twisting around a point. Your patient began deteriorating rapidly after complaining of shortness of breath. Morphine Duramorph, oxygen, nitrates, Which of the following assessment findings should the nurse report to the provider? Aim. Rhythm: Depends on underlying rhythm QRS: >0.20. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. On rounding you notice respirations at eight per minute O2 saturation of 82%. Which of the following actions is the nurse's priority? Which of the following is true about the formation and migration of meanders? Upper G. bleed How is it affecting indigenous people? Rhythm: Regular if ratio of flutter wave to QRS is regular. PRI: None Normal: small, round, positive in lead II Prophecy Medical Surgical Exam Answers - Orris. P waves: none P waves: May be present or absent depending on pacing settings (VVI vs DDD) Which of the following findings is an indication of lung re-expansion? -atrial fibrillation. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". Rhythm: Regular Which of the following findings should indicate to the nurse that the client's condition is improving? A nurse is caring for a client who has diabetic ketoacidosis (DKA). -idioventricular rhythm Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. Loosen restrictive clothing on the client. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? A nurse is providing education to a client who has tuberculosis (TB) and their family. 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. 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 Prophecy EKG. blastocyst. Looking through the chart of a coworker admitted to your unit. 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 identify as a manifestation of this condition? The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? Flutter waves may be sawtooth or rounded. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. When there is no history of GERD, Protonix is given as G.I. Enyinnaya_Vivian-Medical_Surgical_Telemetry_A_v1-results (3).pdf While performing the narcotic count at the end of the shift, my coworker admits to something, Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Rhythm: Regular with late beat Flex the foot every hour when awake. Crackles heard on auscultation Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Contact the provider to clarify the prescription. Rate: 60-100. P waves: Depends on underlying rhythm P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. caused by elevated levels of hydrochloric acid in the stomach. -tachycardia More and more, organizations are hiring from a limited applicant pool. PRI: 0.12-0.20 sec Type II Second-Degree AV Block A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Canned meats Draw the decision tree for sequential search on a list of three elements. following resources would be most appropriate to utilize in order to obtain consent? Rhythm: Irregularity associated with respiration phase. help prevent constipation, which is a common adverse effect of oral iron supplements. PRI: None Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. A nurse is planning care for a client who is postoperative following a parathyroidectomy. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Women could have pain in their arm, neck, back or jaw DEPOLARIZATION OF VENTRICULAR MYOCARDIUM 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. Your patient voids for the first time two hours after the orders received. Rate: 150-250 Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye, You're a king for a patient who is postop after surgical removal of fibroids. Which assessment finding would indicate an emergency? 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. 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. Normal sinus with VTach Prednisone Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? How many mL should the nurse administer? PRI: 0.12-0.20 sec 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. Prophecy medical surgical-telemetry Questions and Answers 2022. Which of the following statements should the nurse make? per minute O2 saturation of 82%. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. We're available through e-mail, live chat and Facebook. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. END: flattening before the t (j point) Neck College Physics Raymond A. Serway, Chris Vuille. Prepare to suction the client's airway. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. He asks you about the procedure what would be the most therapeutic response? \sum_{k=1}^{\infty} k^4 2^{-k} Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. 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. Rhythm: Regular except during PJC. If the ventricles generates an impulse, the pacemaker will not fire. A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Use the Ratio Test to determine whether the following series converge. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. the following medication should you question? Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. -nonconducted premature atrial contraction Rate: Depends on underlying rhythm. Which of the following information should the nurse include in the teaching? The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. P waves: Present What should be your next step? Acetylsalicylic acid ( Bauer buffered aspirin) A nurse is assessing a client while suctioning the client's tracheostomy tube. Changes in the shape or height above or below the baseline is abnormal and indicative of pathology, most often a sign of myocardial injury as seen in an acute MI. When there Rhythm: Irregular A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. You are caring for a diabetic patient diagnosed with CHF. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Your patient has a bowel movement A nurse is assessing a client who is postoperative following a thyroidectomy. PRI: See description in PJC above. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Which of the following interventions should the nurse include in the plan of care? A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. Medical-Surgical RN A Prophecy Relias. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following instructions should the nurse include in the teaching? PRI: Depends on underlying rhythm Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. pulse, cough with bloody sputum, diaphoresis, and syncope. coworker to sign for the ways that you did not witness prophecy asks a questions and gives you 4 multiple choice options. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Rate: Depends on pacing settings. 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. reasons: electrolyte imbalances, left vent hypertrophy, medications. cardiac rhythm A nurse is administering packed RBCs to a client. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Medical Surgical-Telemetry Exam Content, Your email address will not be published. Use a leading zero if it applies. to reduce the risk for thromboembolism and promote venous return. pile of potassium, rounded, slightly asymmetrical and positive on lead II. Study with Quizlet and memorize flashcards containing terms like b. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following actions should the nurse take? Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? BEGIN: first deflection 5: Measure the QRS Complex physician and anticipate which diagnosis? The intrinsic pacemaker. May be sustained or occur in burst (paroxymal ), Rate: Non-discernable You may also like to know about: Medical-surgical practice exam. Manifestations include low back pain, hypotension, tachycardia, and apprehension. Which of the following medication should you question? The nurse notes a pacemaker artifact followed by a QRS complex.