A nurse is assessing a client following the completion of hemodialysis. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Neuro ICU. -arrest "I will eat more high-fiber foods." After ensuring a patent airway, which of the following nursing interventions is the priority? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Sinus tachycardia Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. PRI: None The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Your patient began deteriorating rapidly after complaining of shortness of breath. PVCs may be one shape or differ in shape due to multiple foci. Nursing Management of the Surgical Client Prophecy health medical surgical RN A. "Ginkgo biloba can cause an increased risk for bleeding. prophecy asks a questions and gives you 4 multiple choice options. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Protonix is given as G. prophylaxis to prevent stress ulcers the recruiter can 'reset' the test so you can take it again. 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. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Which of the following resources would be most appropriate to utilize in order to obtain consent? Expert Help. Restlessness NOT: tuberculosis PRI: For underlying rhythm 0.12-0.20 sec. On rounding you notice respirations at eight per minute O2 saturation of 82%. 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. (Move the steps into the box on the right, placing them in the selected order of performance. chest pain pulse ox at 86%. Which of the following findings is the nurse's priority? : 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. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. Rate: Depends on pacing settings. Which of the following medication should you question? You do not speak Spanish and are having difficulty communicating with your patient. Mealtimes do not pertain to this client due to the NPO status. The nurse notes a pacemaker artifact followed by a QRS complex. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ Rate: Depends on underlying rhythm. Refused to sign for the waste Which of the following actions should the nurse take first? Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Medical Surgical-Telemetry. Which of the following instructions should the nurse include? A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. Rhythm: Irregular Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Which of HCO3 - 23. A nurse is teaching a client about osteoporosis prevention. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. per minute O2 saturation of 82%. V-Tach You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Which of the following findings is an indication of lung re-expansion? Ibuprofen can cause gastrointestinal bleeding in older adult clients. cardiac rhythm Maintain an appropriate weight Long refractory periods potentiates the risk for multifocal VT or Torsades Prophecy health medical surgical RN A ANSWERS 2022. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM each small box = 0.04 seconds Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Drink 240 mL (8 oz) of water after administration. Heart rate 52/min Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. QRS: 0.06-0.10(12). time between the onset of ventricular depolarization and the end of repolarization QRS: 0.06-0.10(12), Rate: varies Assess your patient for a change in condition As you inflate a balloon, the patient They report sudden Which of the following assessment findings should the nurse report to the provider? Which of the following is true about the formation and migration of meanders? 5: Measure the QRS Complex Which of the following images depicts a condition caused by pernicious anemia? medical/surgical, psychiatry, pediatrics, and neonatal intensive care. P waves: No P waves. What should be Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. -tachycardia When there is no history of GERD Correct Answer: Protonix is given as G.I. 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 Do you notice the spouse adjusting the oxygen on the will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Rhythm: Regular Acetylsalicylic acid ( Bauer buffered aspirin) PRI: None Which of the following statements by the client indicates understanding of the teaching? And ABG was drawn and the results are pH? Eat a low-fat diet. Prophecy PACU RN A v1 correct Answers latest 2022 2023. You're caring for a 12 hour postoperative parathyroidectomy patient. Crackles heard on auscultation He asks you about the procedure what would be the most therapeutic response? Which of the following actions should the nurse take? P waves: One before every QRS 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? QRS: 0.06-0.10(12), supraventricular tachycardia How should you respond? -atrial flutter A nurse is reviewing the laboratory results of a client who has aplastic anemia. Encourage the client to take deep breaths after the procedure A nurse is caring for a client who is receiving a blood transfusion. pulse, cough with bloody sputum, diaphoresis, and syncope. A nurse is providing education to a client who has tuberculosis (TB) and their family. 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? (Select all that apply. (Click on the audio button to listen to the clip.). +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. BEGIN: beginning of Q -arrhythmia Educate the spouse on oxygen use as a medical device in the hospital. response? 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. NUR. njcjohnson. sample? A nurse is administering packed RBCs to a client. Alternate application of heat and cold to the affected joints. "This identifies if the pacemaker cells of my heart are working properly." Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. (Select all that apply. You're providing discharge instructions to a CHF patient. P waves: As with PJCs Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. 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. Rhythm: Regular Cardiac strip NICU RN. A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following medication should you question? A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in urinary output. Medical Surgical Telemetry B. Which of the following findings should the nurse expect? On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). wrong answer: Report any visual disturbances immediately while on the medications. atrial depolarization and pause before QRS (AV node delay) Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Don't suffer through your problems alone, help is always available. Parathyroidectomy 2. Client reports back pain Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Rate: Depends on underlying rhythm depends on HR, QT less than half R-R, usually <.44 seconds. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Popular books. P waves: See description in PJC above. A nurse is providing teaching to a client who has AIDS. PACU RN. PRI: If P wave is present before QRS, < 0.12 sec. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Which of the following information should the nurse include in the teaching? PRI: Progressively longer until QRS drops. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. Rhythm: Regular except for pause P waves: One before every QRS Rhythm: Depends on underlying rhythm After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? QRS: None. A patient is continually receiving a drug. complains of discomfort what is the best action? A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. The client should increase fiber intake to promote regular bowel function. Dietary considerations 2. Which assessment finding would indicate an emergency? Which of the following resources would be most appropriate to utilize in order to . PRI: If P is visible, 0.12-0.20 sec Do not use a trailing zero.). END: end of T You notify the physician and anticipate which diagnosis? When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing P Waves: PVCs usually have no P waves or retrograde Ps. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. 4: Measure the PR Interval How should you respond? Which of the following instructions should the nurse include in the teaching? Registered Nurse in the Medical. "I can speak to the provider about incorporating acupuncture into your treatment plan.". You do not speak Spanish and are having difficulty communicating with your patient. mark on top = every 3 seconds Select only the hot spot that corresponds to your answer.). What should be done with this urine sample? QRS: 0.06-0.10(12), Rate: 60-100 bpm Heart rate Which of the following instructions should the nurse include? Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? "Wires" that run down the septum and into the ventricles. .34-.43 It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. A nurse is updating the plan of care for a client who is receiving chemotherapy. reads at 25 mm/sec Which of the following actions would be considered a violation of Hyppa? PRI: See description in PJC above. P waves: None Other manifestations include dyspnea and decreased oxygen saturation. (elaborations) - Prophecy medical surgical-telemetry 2022 7. The patient's blood sugar is currently 60. Solve mathematic equations. QRS: > 0.12 sec. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Rhythm: Regular except for pause. \sum_{k=1}^{\infty} k^4 2^{-k} The pacer begins pacing when the HR is 60 or below. and it will give you the questions you missed and your incorrect answer. P waves: Same as PVC It is now 1900. How much of the medication should the nurse administer to ensure the ordered dose is given. The patient is on lasix and solumedrol IV. Bathe the client using chlorhexidine solution. -Ventricular, -normal Which of the following actions should nurse take to avoid restraining the client? %PDF-1.6 % QRS: > 0.12 sec. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. PRI: None Morphine Duramorph, oxygen, nitrates, Prophecy medical surgical-telemetry exam test Questions And Answers. A nurse is caring for a client who has diabetic ketoacidosis (DKA). -junctional rhythm At least 3 different P wave morphologies. PRI: If P wave is present before QRS, < 0.12 sec. Nurse Educator. Which assessment finding Which of the following statements by the client indicates an understanding of the teaching? A nurse is performing a preoperative assessment for a client. A nurse is caring for a client who has DKA. What information is vital for you to know prior to administering an ordered dose of digoxin Which of the following instructions should the nurse include in the plan of care? A nurse is planning care for a client who is having a modified radical mastectomy of the right breast.
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