EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. NOT: tuberculosis The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? A certain volcano on earth can eject rocks vertically to a count R waves during 6 seconds and multiply by 10, A) P should precede QRS Rhythm: None Deposition has ordered for your patience to begin a 24 hour urine collection. (Click on the "Exhibit" button for additional information about the client. The nurse should identify the need to revise the plan for which of the following clients? Popular books. Prophecy medical surgical-telemetry exam test Questions And Answers. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 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To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. A nurse is assessing a client while suctioning the client's tracheostomy tube. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. 55 terms. atrial depolarization and pause before QRS (AV node delay) -nonconducted premature atrial contraction BEGIN: upward deflection from ST segment A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. The patient has a morphine PCA post operatively. Rhythm: Regular except for the PVCs Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Lipase - 196 A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. : 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. Your email address will not be published. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". A nurse is providing discharge instructions to a client who has active tuberculosis (TB). \sum_{k=1}^{\infty} k^4 2^{-k} QRS: 0.06-0.10(12), Rate: 40-60 bpm PRI: 0.12-0.20 More and more, organizations are hiring from a limited applicant pool. The medication is supplied as 125 milligrams in a 2ml vial. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? As you inflate a balloon, the patient Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. You were caring for a patient admitted with abdominal pain. Divides into the bundle branches. Loosen restrictive clothing on the client. Other manifestations include dyspnea and decreased oxygen saturation. Due to the size of the kidney stone it is an appropriate treatment? The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. PRI: None QRS: 0.06-0.10(12), Rate: varies It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. Your patient has been diagnosed with a hemorrhagic CVA You were caring for a patient admitted with abdominal pain. Prophecy health medical surgical RN A ANSWERS 2022. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Which of the following medication should you question? Irrigate the indwelling urinary catheter. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? A patient is continually receiving a drug. 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 march out R-R and use it to assess P-P intervals, most will print it On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Terms of Use Study Resources. Mealtimes do not pertain to this client due to the NPO status. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. What should be done with this urine sample? Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions 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 . P waves: One before every QRS Rhythm: Irregular, fibrillatory waves may be course or fine Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. sick sinus syndrome, Rate: 60-100 bpm Which of the following instructions should the nurse include in the teaching? Which of the following interventions should the nurse include in the plan of care? Rhythm: Atrial regular, ventricular irregular d/t dropped beats sample? Which of the following actions is the nurse's priority? Due to the size of the kidney stone it is an appropriate treatment? ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. 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. Save my name, email, and website in this browser for the next time I comment. We have received reports about this document. PRI: None when QRSs are not present (Select all that apply.). Which of the following instructions should the nurse include in the plan of care? You do Which of the following resources would be most appropriate to utilize in order to obtain c. Insert an NG tube Scan the bladder with a portable ultrasound. Pediatric RN. A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Other manifestations include nausea, vomiting, fatigue, and headache. 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. PRI: Same as PVC Registered Nurse in the Medical. Which of the following information should the nurse provide? i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ What medication would be given in the situation? The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. The nurse notes a pacemaker artifact followed by a QRS complex. QRS: 0.06-0.10(12). On rounding you notice respirations at eight per minute O2 saturation of 82%. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Rate: Depends on underlying rhythm Which of the following findings should the nurse report to the provider immediately? Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. -idioventricular rhythm Prednisone can also reduce intestinal absorption of calcium. What should be your next step? PRI: Depends on underlying rhythm Which of the following actions should the nurse take to manage the drain? . Rhythm: Depends on underlying rhythm The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. P waves: No Ps, only fibrillation waves between QRSs Which of the following actions should the nurse take? A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. (You will find hot spots to select in the artwork below. would indicate an emergency? "Ginkgo biloba can cause an increased risk for bleeding. Unable to determine The Normal: small, round, positive in lead II Prophecy health medical surgical RN A correct Answers 2022 2023. Rate: 20-40 bpm (Select all that apply. (Move the steps into the box on the right, placing them in the selected order of performance. You do not speak Spanish and are having difficulty communicating with your patient. PRI: None P waves: P wave before PAC looks different than Ps of the underlying rhythm. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Their patient has a sudden cardiac arrest and family wants CPR initiated. A nurse is assessing a client who has peripheral arterial disease. Which of the following actions should nurse take to avoid restraining the client? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Your patient fell and hit his head on the bed rail during a physical therapy session. Research the impact of amalgamation gold processing on the Amazon region of Brazil. Which of the following interventions should the nurse include in the plan of care? Use all the steps. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Which of the following statements by the client indicates an understanding of the teaching? 100 terms. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? coworker to sign for the ways that you did not witness Terminal fibers branches from the bundles, distributing the impulse throughout the ventricles. Looking through the chart of a coworker admitted to your unit. Discarded, then begin the 24 hour collection. premature atrial contraction You do not speak Spanish and are having difficulty communicating with your patient. patient's blood sugar is currently 60. 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Operating Room RN. Deposition has ordered for your patience to begin a 24 hour urine collection. Which of the following educational topics would be appropriate for you to include as part of patient teaching? How should you respond? QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. B. Heart rate To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? Sinus rhythm with PAC Dietary considerations 2. NICU RN. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. a sudden cardiac arrest and family wants CPR initiated. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Rhythm: Irregular slcumella. The client should increase fiber intake to promote regular bowel function. You're providing discharge instructions to a CHF patient. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? The medication is supplied as 125 milligrams in a 2ml vial. 1520 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. Compress the drain, then plug the bulb to establish suction -Ventricular, -normal C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. -SA node Solve mathematic equations. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. 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. Classifications "Wires" that run down the septum and into the ventricles. Their patient has each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. QRS: > 0.12 sec. PRI: Same as PVC "Cable" that passes through the fibrous sheath separating atria from ventricles. Your patient has a bowel movement First-Degree AV Block NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. 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. The nurse should anticipate the surgical incision to be in which of the following locations? and it will give you the questions you missed and your incorrect answer. Pulmonary embolism? Constipation 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. the following medication should you question? 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. Usually one impulse predominates. Acetylsalicylic acid ( Bauer buffered aspirin) Which of the following disorders presents the greatest risk to this group of clients? LATTER PHASE OF VENTRICULAR REPOLARIZATION Which of the following assessment findings should the nurse report to the provider? less than 300 mg/dL indicates improvement in the client's status. Which of the following findings should the nurse expect? Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. Which assessment finding would indicate an emergency? Rhythm: Depends on underlying rhythm 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. When taking care of a patient with pancreatitis, which of the following lab shoul. ventricular repolarization is slowed and the relative refractory period is longer. At the Bundle of His following resources would be most appropriate to utilize in order to obtain consent? The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? (Click on the audio button to listen to the clip.). Rhythm: Atrial regular, ventricular irregular d/t dropped beats Rhythm: Regular with late beats Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Medical-surgical practice exam. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? 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. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck.