BEGIN: first deflection depends on HR, QT less than half R-R, usually <.44 seconds. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. C. Knowledge of diabetic education for: 1. Draw the decision tree for sequential search on a list of three elements. Which of the following actions is the nurse's priority? For example, a VVI 60. Divides into the bundle branches. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Which of the following findings should indicate to the nurse that the client's condition is improving? Prophecy health medical surgical RN A ANSWERS 2022. 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! Which of the following information should the nurse include in the instructions? 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. -block A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). for the first time two hours after the orders received. BEGIN: beginning of Q Create complete outfits and allow the client to select one each day. You do You notify the physician and anticipate which diagnosis? There are two left bundle branches and one right. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Normal: small, round, positive in lead II You do not speak Spanish and are having difficulty communicating with your patient. 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. Other manifestations include dyspnea and decreased oxygen saturation. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. not speak Spanish and are having difficulty communicating with your patient. -ventricular tachycardia QRS: 0.06-0.10(12), Rate: 60-100 bpm What education should you provide to. For P wave before PJC, PRI< 0.12 Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM QRS: None. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. QRS: None, Rate: Depends on underlying rhythm Encourage the client to take deep breaths after the procedure. What is most likely to be ordered? QRS: 0.06-0.10(12), Locations 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're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Assess your patient for a change in condition Cardiac strip Family members in the household should undergo TB testing. 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. Rhythm: Irregularity associated with respiration phase. More and more, organizations are hiring from a limited applicant pool. They report sudden chest pain pulse ox at 86%. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. 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 admitting a client who has active tuberculosis. Rate: 150-250 Loosen restrictive clothing on the client. Type I Second-Degree AV Block 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 nonpharmacological interventions should the nurse suggest to the client to reduce pain? University of the West of England (South West). You were caring for a patient who is 18 hours postop after a right BKA a. Sedimentation rate Select only the hot spot that corresponds to your answer.). PRI: For underlying rhythm 0.12-0.20 sec. You do not speak Spanish and are having difficulty communicating with your patient. Educate the spouse on oxygen use as a medical device in the hospital Which assessment finding would indicate an emergency? Which of the following findings should the nurse expect? Which of the following actions should the nurse anticipate taking? Rhythm: Regular except for the PVCs (Click on the audio button to listen to the clip.) prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . 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. After notifying the physician, what action should you take NEXT? Rate: Atrial > ventricular Which of the following statements should the nurse make? PRI: If P wave is present before QRS, < 0.12 sec. EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. QRS: An electric spike is seen before a wide, ventricular QRS. Prophecy PACU RN A v1 correct Answers latest 2022 2023. Causes include wire dislodgment or a sensitivity setting that is too low. Contact the provider to clarify the prescription. Prophecy EKG. 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 NOT: increased salivation. PRI: 0.12-0.20 sec A nurse is providing education to a client who is at risk for osteoporosis. 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. Rhythm: P waves regular, QRSs regular but at different rates. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Research the impact of amalgamation gold processing on the Amazon region of Brazil. Which of the following statements should the nurse make? 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. ), Follow a smoking cessation program -arrhythmia A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which fires first is easily detected on an ECG, premature junctional complex : 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. -nonconducted premature atrial contraction What should be your next step? Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Which of the following findings should the nurse identify as a manifestation of this condition? Rhythm: Atrial regular, ventricular irregular d/t dropped beats If not, reach through the comment section. Refused to sign for the waste Rate: Depends on underlying rhythm LATTER PHASE OF VENTRICULAR REPOLARIZATION 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. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). prophylaxis to prevent stress ulcers. We have received reports about this document. Prophecy health medical surgical RN A correct Answers 2022 2023. Which of the following findings should the nurse report to the provider immediately? -accelerated junctional rhythm Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. -bradycardia ), Calf pain Save my name, email, and website in this browser for the next time I comment. "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. QRS: 0.06-0.10(12), Rate: 60-100 bpm Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Winston-Salem State University. Rhythm: Regular except for pause. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. QRS: > 0.12 sec. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. A certain volcano on earth can eject rocks vertically to a He asks you about the procedure what would be the most therapeutic response? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. PRI: Same as PVC prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. The nurse is taking care of a patient who is terminally ill and has a DNR on file. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Your email address will not be published. An animal with many lines of symmetry a. has bilateral symmetry. Stress ulcers Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the QRS: 0.06-0.10(12), supraventricular tachycardia your next step? Do not use a trailing zero.). morphology should be identical, based on its origin Identify the sequence of actions the nurse should take. intervention is: On rounding you notice respirations at eight Prophecy medical surgical-telemetry (Latest 2022/2023), Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Medical-Surgical RN A Prophecy Relias (Latest 2022/2023) DownLoad to Score A, Prophecy medical surgical-telemetry Questions and Answers 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Prophecy RN Pharmacology A (Latest 2022/2023) Already Graded A, Prophecy- Core Mandatory Part II (Nursing) (Latest 2022/2023) Graded A, Medical-Surgical RN A questions and answers latest 2022, Prophecy PACU RN A v1 correct Answers latest 2022 /2023. Heart rate 52/min 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 . each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. Rhythm: Regular Low back pain and apprehension BEGIN: upward deflection from ST segment Avocados End: beginning of QRS H2O\mathrm{H}_2 \mathrm{O}H2O. 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. Which of the following instructions should the nurse include in the teaching? PRI: None when QRSs are not present 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? Parathyroidectomy 2. Patient is admitted for shortness of breath. Pain that increases with passive movement. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. count R waves during 6 seconds and multiply by 10, A) P should precede QRS 4: Measure the PR Interval You do not speak Spanish and are having difficulty communicating with your patient. QRS: 0.06-0.10(12) wrong answer: NPO, antibiotic, anticholinergic. Nurse Educator. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Type II Second-Degree AV Block What should be your FIRST action. Operating Room RN. Rhythm: Regular except during PJC. Narcan And ABG was -second degree AV block (mobitz I and II) Which of the following actions should the nurse take first? Rate: Depends on pacing settings. No progressively longer pattern. Which assessment finding Correct answer is ventricular fibrillation Prophecy Healthcare Annual Education Modules Conti. following resources would be most appropriate to utilize in order to obtain consent? To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. "Ginkgo biloba can cause an increased risk for bleeding. Which of the following results should the nurse expect? Rifampin A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following actions should the nurse identify as the priority? correct electrode placement for leads I, II, III and MCL1 or V1. 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). Which of the following information should the nurse include in the teaching? a sudden cardiac arrest and family wants CPR initiated. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Your inserting a urinary catheter into a male patient. Which of the following actions should the nurse take? Expert Answer. 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. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Pulmonary embolism Keep the client occupied with a manual activity. P waves: P wave before PAC looks different than Ps of the underlying rhythm. View the full answer. P waves: One before every QRS You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Mother Baby. The nurse should identify the need to revise the plan for which of the following clients? Prophecy Medical Surgical Exam Answers Orris. 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? A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Restlessness Rhythm: Depends on underlying rhythm A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should anticipate the surgical incision to be in which of the following locations? A nurse is providing teaching to a client who has AIDS. -idioventricular rhythm Didn't nurse ask you about the typical signs and symptoms of myocardial infarction any type of inflammatory process, such as osteomyelitis. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. You're preparing your patient for discharge need to provide dietary education related to his A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. 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. Which of the following actions should nurse take to avoid restraining the client? 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! Which of the following actions would be considered a violation of Hyppa? "I will avoid direct exposure to the sun.". We're available through e-mail, live chat and Facebook. Constipation PRI: 0.12-0.20 sec You notify the How should you respond? BEGIN: J point to reduce the risk for thromboembolism and promote venous return. Which of the following is true about the formation and migration of meanders? Prophecy Medical Surgical Telemetry Exam A V1. Sinus tachycardia Expert Help. d. has a distinct head and tail end. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? njcjohnson. coworker to sign for the ways that you did not witness PVCs may be one shape or differ in shape due to multiple foci. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular 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? 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? Which of the following educational topics would be appropriate for you to include as part of patient teaching? Document that depolarization has occurred. Rhythm: Depends on underlying rhythm A nurse is providing education to a client who has tuberculosis (TB) and their family. Use a leading zero if it applies. S wave-negative deflection following the R wave. A coworker arriving to work under the influence of alcohol When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). Rhythm: Regular if ratio of flutter wave to QRS is regular. 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Which of the following medication should you question? A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops 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). Which of the following issues should be reported up the chain of command Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Check for the type and number of units of blood to administer. 55 terms. 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. 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. Which of the following findings should the nurse identify as the priority? Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following admission orders would you expect for this patient? A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. The patient has a morphine PCA post operatively. The provider might prescribe a diuretic to alleviate the fluid overload. "Increase fiber intake to avoid constipation." A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Which of the following findings is the nurse's priority to report to the provider? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? 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? Knowledge of contraindications related to antidiabetic medications.
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