Due to the size of the kidney stone it is an appropriate treatment? A nurse is updating the plan of care for a client who is receiving chemotherapy. The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? PRI: None Didn't nurse ask you about the typical signs and symptoms of myocardial infarction, Women could have pain in their arm, neck, back or jaw, While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness. How much of the medication should the nurse administer to ensure the ordered dose is given. An animal with many lines of symmetry a. has bilateral symmetry. 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. END: end of T There are three tabs that contain separate categories of data. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon -ventricular tachycardia 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? Rate: Depends on pacing settings. 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? 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. Transcribed image text: Medical Surgical-Telemetry A v1 Question 21 of 60 Time Remaining 41:47 You are on the old me You to the shown to what to be your FIRST Calcode SCP You were that to FASTAFF (US.ing Corporation Main Once checy Avrigt Adediche 29 tv 8 . Which of the following medication should you question? The nurse is taking care of a patient who is terminally ill and has a DNR on file. A nurse is providing education to a client who is at risk for osteoporosis. When there The "classic" QRS complex is composed of three distinct waves: Q wave-the negative deflection following the PRI. suppression of bone formation, and an increase in bone resorption by osteoclasts. Prednisone Bathe the client using chlorhexidine solution. P waves: Same as PVC Math can be a difficult subject for many people, but it doesn't have to be! prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . Patient is admitted for shortness of breath. Your inserting a urinary catheter into a male patient. 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? Which of the following findings should the nurse identify as the priority? b. has radial symmetry. What should be your next step? Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. 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Which of the following resources would be most appropriate to utilize in order to obtain consent? Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? The amount available is oral solution 125 mg/5 mL. (Select all that apply. NOT: increased salivation. . Repair of the diverticulum is accomplished through an open incision in the client's neck. Pulmonary embolism Use all the steps. Looking through the chart of a coworker admitted to your unit. The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. PRI: None The intrinsic pacemaker. The patient has NKDA. The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. (Click on the "Exhibit" button for additional information about the client. Registered Nurse in the Medical. circulatory overload. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. College Physics Raymond A. Serway, Chris Vuille. -atrial flutter The patient has a morphine PCA post operatively. Scan the environment by turning your head from side to side.". A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following results should the nurse expect? -Junction or AV node Prophecy Medical Surgical Telemetry Exam A V1. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. BEGIN: upward deflection from ST segment 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 . Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. PRI: As above The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. A nurse is planning care for an older adult client who has dementia. Avocados You may also like to know about: 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. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. atrial depolarization and pause before QRS (AV node delay) QRS: 0.06-0.10(12), Rate: 60-100 bpm ), Calf pain PRI: None associated with PVC Rhythm: Regular with late beats Alternate application of heat and cold to the affected joints. Which of the following interventions should the nurse include in the plan of care? When assessing a patient, you notice crepitus on the right upper shoulder. A nurse is providing teaching to a client who has AIDS. Intense headache. Bubbling in the water seal chamber ceases when the lung re-expands. You're preparing your patient for discharge need to provide dietary education related to his S wave-negative deflection following the R wave. You were caring for a patient admitted with abdominal pain. Which of the following disorders presents the greatest risk to this group of clients? On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). After three negative sputum cultures, the client is no longer considered infectious. Which of the following actions should the nurse take? would indicate an emergency? P waves: One before every QRS If not, reach through the comment section. 115 reads death penalty papers by students Which of the following findings should the nurse identify as a manifestation of this condition? P waves: Present Rhythm: Regular ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Which of the following statements by the client indicates understanding of the teaching? Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Which of the following information should the nurse include in the teaching? Do not use a trailing zero.). Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Sputum with streaks of blood A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. This image depicts glossitis, which can indicate pernicious anemia. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? PRI: 0.12-0.20 sec not always present 3: Identify and examine P-Waves. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. 100% (2 ratings) Option C, Give CPR immediately . Prophecy health medical surgical RN A (Latest 2022/2023). important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). QRS: 0.06-0.10(12), Rate: 40-60 bpm (Select all that apply.). Which of the following should the nurse plan to administer? complains of discomfort what is the best action? Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Pain that increases with passive movement. Hemodialys is something required following surgery PRI: See description in PJC above. Which fires first is easily detected on an ECG, premature junctional complex -junctional tachycardia PRI: For underlying rhythm 0.12-0.20 sec. Pediatric RN. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 100 terms. When there is no history of GERD Correct Answer: Protonix is given as G.I. Which of the following statements by the client reflects an understanding of the teaching? The patient is on lasix and solumedrol IV. P waves: P wave before PAC looks different than Ps of the underlying rhythm. 100 terms 4.8. slcumella . The medication is supplied as 125 milligrams in a 2ml vial. What is most likely to be ordered? Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. PRI: 0.12-0.20 Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? (Click on the audio button to listen to the clip.) Definition of terms. Long refractory periods potentiates the risk for multifocal VT or Torsades Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Rhythm: Regular On rounding you notice respirations at eight per minute O2 saturation of 82%. -block Which of the following actions would be considered a violation of Hyppa? The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Math is a subject that can be difficult for some students to grasp. Use a leading zero if it applies. FLAG Your email address will not be published. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Other manifestations include nausea, vomiting, fatigue, and headache. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. It is now 1900. 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. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. 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 caring for a client who had a nephrostomy tube inserted 12 hr ago. Medical Surgical-Telemetry. slcumella. What is most likely to be ordered? QRS: 0.06-0.10(12), Rate: varies sick sinus syndrome, Rate: 60-100 bpm Do you notice the spouse adjusting the oxygen on the Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). a sudden cardiac arrest and family wants CPR initiated. Which of the following issues should be reported up the chain of command Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? PRI: 0.12-0.20 sec could create the opportunity for infection. Company Registration Number: 8600593 Sedimentation rate $$ Ibuprofen can cause gastrointestinal bleeding in older adult clients. Which of the Type I Second-Degree AV Block 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? 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 should be implemented? A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. The degree of perpendicular can also be seen as a decrease in amplitude only. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. 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. No progressively longer pattern. Rhythm: Underlying regular except during PAC. The client is agitated and is attempting to remove their IV catheter. LATTER PHASE OF VENTRICULAR REPOLARIZATION 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. .34-.43 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. Place personal items, such as pictures, at the client's bedside. Type II Second-Degree AV Block P waves: Same as PVC 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! A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. QRS: > 0.12 sec. 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. A nurse is planning care for a client who is scheduled for a thoracentesis. Eat a low-fat diet. Women could have pain in their arm, neck, back or jaw Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. You notify the Usually set to pace if SA rate <60 A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following educational topics would be appropriate for you to include as part of patient teaching? Low back pain and apprehension The nurse should expect a reduction in which of the following common manifestations of advanced cancer? A nurse is performing a preoperative assessment for a client. They report sudden chest pain pulse ox at 86%. Your patient began deteriorating rapidly after complaining of shortness of breath. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. A nurse is planning a health promotional presentation for a group of African American clients at a community center. PRI: Same as PVC reasons: electrolyte imbalances, left vent hypertrophy, medications. "I will no longer floss my teeth after brushing my teeth." A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Rhythm: Depends on underlying rhythm As you inflate a balloon, the patient Due to the size of the kidney stone it is an appropriate treatment? A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Not: start CPR "Cable" that passes through the fibrous sheath separating atria from ventricles. The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. You're caring for a 12 hour postoperative parathyroidectomy patient. Morphine Duramorph, oxygen, nitrates, Expert Help. mark on top = every 3 seconds Which of the following actions should the nurse anticipate taking? Which of the following information should the nurse include in the instructions? Glucose 272 A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Which of the following manifestations should the nurse expect? QRS: 0.06-0.10(12). Your patient fell and hit his head on the bed rail during a physical therapy session. Which of the following statements should the nurse make?
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prophecy medical surgical telemetry b quizlet