Which of the following recommendations should the nurse plan to include? FLAG Rhythm: Regular Keep a lead-lined container in the client's room. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Medical Surgical Telemetry B. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. He asks you about the procedure what would be the most therapeutic response? PRI: Same as PVC 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. You do not speak Spanish and are having difficulty communicating with your patient. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. PACU RN. (Select all that apply. A nurse is assessing a client who has diabetes insipidus. The medication is supplied as 125 milligrams in a 2ml vial. The patient has a morphine PCA post operatively. Do you notice the spouse adjusting the oxygen on the Refused to sign for the waste gabbz524. PRI: 0.12-0.20 sec Which of the following issues should be reported up the chain of command Below the Bundle of His A nurse is admitting a client who has active tuberculosis. However, with a little practice and perseverance, anyone can . QRS: An electric spike is seen before a wide, ventricular QRS. Maintain an appropriate weight 111 0 obj <>stream -second degree AV block (mobitz I and II) - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). If the ventricles generates an impulse, the pacemaker will not fire. 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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? Glucose 272 We have received reports about this document. Hair loss on the lower legs The nurse should identify that which of the following values is an indication of an adverse effect of the medication? Educate the spouse on oxygen use as a medical device in the hospital Client reports back pain Which of the following actions would be considered a violation of Hyppa? Sinus rhythm with PAC Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Pain that increases with passive movement. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Usually set to pace if ventricular rate <60 PRI: For underlying rhythm 0.12-0.20 sec. Which of the following actions should the nurse identify as the priority? 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. prophecy asks a questions and gives you 4 multiple choice options. Flutter waves may be sawtooth or rounded. "Spike and capture". Medical Surgical-Telemetry. It is now 1900. And ABG was Patterns: Bi and trigemeny, couplets and triplets. 100 terms 4.8. slcumella . Slow the infusion rate Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Medical-surgical practice exam. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions The patient's blood sugar is currently 60. Medical-Surgical RN A Prophecy Relias. 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. -atrial fibrillation. Prednisone can also reduce intestinal absorption of calcium. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Prophecy health medical surgical RN A ANSWERS 2022. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. -atrial flutter 2: Calculate the heart rate. Classifications A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Their patient has a sudden cardiac arrest and family wants CPR initiated. QRS: 0.06-0.10(12). Terms of Use Prophecy medical surgical-telemetry Questions and Answers 2022. How much of the medication should the nurse administer to ensure the ordered dose is given. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A nurse is planning care for a client who is scheduled for a thoracentesis. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. -ventricular fibrillation A nurse is reviewing the ABG results of a client who has advanced COPD. A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. PRI: See description in PJC above. Type II Second-Degree AV Block PRI: Progressively longer until QRS drops. march out R-R and use it to assess P-P intervals, most will print it Rhythm: Regular A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. A nurse is providing teaching to a client who has a new prescription for psyllium. A certain volcano on earth can eject rocks vertically to a Which of the following resources would be most appropriate to utilize in order to obtain consent? Rhythm: Depends on underlying rhythm A nurse is providing teaching to a client who has AIDS. PRI: If P is visible, 0.12-0.20 sec Which of the following manifestations should the nurse expect? Julie S Snyder, Linda Lilley, Shelly Collins. Patterns: Bi and trigemeny, couplets and triplets. would indicate an emergency? A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. It is now 1900. At what temperature must the bottom surface of the kettle be maintained to accomplish this? QRS: 0.06-0.10(12), Rate: 40-60 bpm Based on the histogram below how many items cost $5.00 or more per pound, Chapter 2 the professional medical assistant workbook answers, Formula of permutation if repetition is allowed, How to make a fraction on an online calculator, How to round to the nearest thousandth with decimals, Solving quadratics using inverse operations common core algebra 1 homework, Surface area of a cylindrical box calculator, What is a bell curve and standard deviation. Study with Quizlet and memorize flashcards containing terms like What should you assess regardless of age group?, The National Patient Safety Goal 6 is to ), AdminiSTER o2 ), Follow a smoking cessation program 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. Aceticsalicylic acid, bayer buffered aspirin, 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 monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. NOT:Print reading materials about the subject and give it to the patient (You will find hot spots to select in the artwork below. Lipase and amylase Which of the following actions should the nurse take? A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements should the nurse make? Lipase - 196 -idioventricular rhythm Airborne PRI: If P wave is present before QRS, < 0.12 sec. Rate: Depends on underlying rhythm normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter QRS: During standstill, no QRSs are present, Rate: None P waves: One before every QRS Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. and you know dark tarry stool what would be the diagnosis? A nurse is assessing a client while suctioning the client's tracheostomy tube. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. "Cable" that passes through the fibrous sheath separating atria from ventricles. What medication would be given in the situation? A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Aim. 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. Operating Room RN. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream Which of the following actions should the nurse take? QRS: 0.06-0.10(12), Rate: <60 bpm END: end of T H2O\mathrm{H}_2 \mathrm{O}H2O. A nurse is caring for a client who has terminal cancer. Which of the following findings should the nurse expect? Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Don't suffer through your problems alone, help is always available. Dyspnea If rate >101 then rhythm is multifocal atrial tachycardia Which of the following actions should the nurse take? -accelerated junctional rhythm Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Appears to be twisting around a point. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Other manifestations include dyspnea and decreased oxygen saturation. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. -third degree AV block. Which of the following statements made by the client reflects an understanding of the teaching? Pediatric RN. Draw the decision tree for sequential search on a list of three elements. Clinical Results - Medical Surgical-Telemetry A v1 Assessment. Due to the size of the kidney stone it is an appropriate treatment? Which of the following interventions should the nurse include in the plan of care? What should be your next step? 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. Which of the following electrolyte value should be Addressed immediately by the nurse P waves: Present Math is a way of solving problems by using numbers and equations. the following medication should you question? QRS: 0.06-0.10(12), Rate: varies PRI: 0.12-0.20 sec 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. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. Pulmonary embolism You were caring for a patient who is 18 hours postop after a right BKA a. less than 300 mg/dL indicates improvement in the client's status. Which of the following instructions should the nurse include? -ventricular standstill Crackles heard on auscultation 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. You're providing discharge instructions to a CHF patient. Rhythm: Regular with late beat -arrest What is most likely to be ordered? After notifying the physician, what action should you take NEXT? Prepare to suction the client's airway. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm The nurse should anticipate the surgical incision to be in which of the following locations? A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Which of the following information should the nurse include in the teaching? Determine whether compound below exhibit a molecular dipole moment: PRI: None PRI: For underlying rhythm 0.12-0.20 Causes include wire dislodgment or a sensitivity setting that is too low. Repair of the diverticulum is accomplished through an open incision in the client's neck. You went to the room of a 58-year-old female. physician and anticipate which diagnosis? -bradycardia P waves: P wave before PAC looks different than Ps of the underlying rhythm. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. premature atrial contraction Select only the hot spot that corresponds to your answer.). Which of the following medication may cause urine discoloration (Move the steps into the box on the right, placing them in the selected order of performance. Which of the following statements should the nurse make? Prophecy Medical Surgical Exam Answers Orris. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Which of the following admission orders would you expect for this patient? A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Eat a low-fat diet. Your patient began deteriorating rapidly after complaining of shortness of breath. 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. could create the opportunity for infection. Rate: Atrial > ventricular Which of the following statements should the nurse make? Looking through the chart of a coworker admitted to your unit Which of the following actions should the nurse anticipate taking? Create complete outfits and allow the client to select one each day. 115 reads death penalty papers by students Heparin infusion per pharmacy protocol Which of the following statements by the client indicates an understanding of the teaching? You do not speak Spanish and are having difficulty communicating with your patient.