Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Exam Objective: To measure the overall clinical knowledge of the. Medical-Surgical B 5.0 (2 reviews) Term 1 / 75 Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. The medication is supplied as 125 milligrams in a 2ml vial. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. 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 (Click on the audio button to listen to the clip.) The nurse is taking care of a patient who is terminally ill and has a DNR on file. -bundle branch block Medical Surgical-Telemetry. Rate: Depends on underlying rhythm PRI: None associated with PVC The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics Rhythm: Irregularity associated with respiration phase. If P waves seen, different shape than NSR. PRI: None Usually set to pace if SA rate <60 Rhythm: Regular with late beats QRS: An electric spike is seen before a wide, ventricular QRS. Rate: 20-40 bpm The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. Which of the following information should the nurse provide? ), Follow a smoking cessation program Prophecy medical surgical-telemetry exam test Questions And Answers. Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. PRI: Same as PVC A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? 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Determine the mass rate of flow for isentropic flow through the nozzle. Encourage the client to take deep breaths after the procedure. Which of the following interventions should the nurse include in the plan of care? your next step? P waves: As with PJCs 100 terms. Heparin infusion per pharmacy protocol Holding breath for 10 seconds after inhaling. On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. wrong answer: Report any visual disturbances immediately while on the medications. PRI: If P wave is present before QRS, < 0.12 sec. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. PRI: If P wave is present before QRS, < 0.12 sec. Medical Surgical-Telemetry Exam Content, Your email address will not be published. (Select all that apply. 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. Save my name, email, and website in this browser for the next time I comment. A nurse is assessing for compartment syndrome in a client who has a short leg cast. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Irrigate the indwelling urinary catheter. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. The ventricles are paced and sensed. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Which of the following actions should the nurse take first? 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. Irregular if variable ratio. PRI: For underlying rhythm 0.12-0.20 count R waves during 6 seconds and multiply by 10, A) P should precede QRS (Click on the "Exhibit" button for additional information about the client. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Normal sinus with VTach University of the West of England (South West). You're preparing your patient for discharge need to provide dietary education related to his the following medication should you question? A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Normal: small, round, positive in lead II Pediatric RN. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. premature junctional contraction ashley_hope_spicer. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Heart rate 110/min View the full answer. not speak Spanish and are having difficulty communicating with your patient. The 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. Which of the following issues should be reported up the chain of command May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm (elaborations) - Prophecy medical surgical-telemetry 2022 7. Rhythm: Depends on underlying rhythm 100% (2 ratings) Option C, Give CPR immediately . w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI Which of the following resources would be most appropriate to utilize in order to . After three negative sputum cultures, the client is no longer considered infectious. should be flat and horizontally lined up with baseline of PRI Discarded, then begin the 24 hour collection. 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. You find that the patient's cardiac monitor shows asystolye, what should be your first action? Rate: Atrial > ventricular NICU RN. Which of the following assessment findings indicates a hemolytic transfusion reaction? "Spike and capture". A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Use the Ratio Test to determine whether the following series converge. 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. QRS: 0.06-0.10(12), Rate: 60-100 bpm You're caring for a 12 hour postoperative parathyroidectomy patient. Rhythm: Depends on underlying rhythm Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. PRI: None Winston-Salem State University. You were caring for a patient admitted with abdominal pain. You notify the physician and anticipate which diagnosis? A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. 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. diagnosis what should you instruct the patient to avoid? Which of the following resources would be most appropriate to utilize in order to obtain consent? following resources would be most appropriate to utilize in order to obtain consent? You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. The patient has a morphine PCA post operatively. Solve mathematic equations. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. -paroxysmal atrial tachycardia To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. You are caring for a patient admitted with diverticulitis. -SA node R wave-tall positively deflected wave in lead II. Rhythm: Regular The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? You're caring for a 12 hour postoperative parathyroidectomy patient. A nurse is caring for a client who has an arterial line. -arrhythmia A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. (b) If the rocks are in the air for a time TTT on A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Compress the drain, then plug the bulb to establish suction. FLAG P waves: One before every QRS A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. The patient is on lasix and solumedrol IV. Patterns: Bi and trigemeny, couplets and triplets. a result of impaired arterial circulation affecting follicular growth. Not: start CPR Which of the following findings should indicate to the nurse that the client's condition is improving? They report sudden chest pain pulse ox at 86%. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. P waves: See description in PJC above. Rate: 101-250 bpm Which of the following instructions should the nurse include in the plan of care? I will refer you to community resources that can provide support. "Wiring" that allows rapid impulse movement around the atria to coordinate simultaneous atria contraction. A nurse is reviewing the ABG results of a client who has advanced COPD. Upper G. bleed My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Which of the following statements should the nurse make? 67 terms. He asks you about the procedure what would be the most therapeutic response? suppression of bone formation, and an increase in bone resorption by osteoclasts. -junctional rhythm The client is agitated and is attempting to remove their IV catheter. A nurse is providing teaching to a client who has AIDS. response? 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. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Which of the following actions should the nurse anticipate taking? A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Pulmonary embolism? Usually set to pace if SA rate <60 Determine whether compound below exhibit a molecular dipole moment: Deposition has ordered for your patience to begin a 24 hour urine collection. "I will no longer floss my teeth after brushing my teeth." Crackles heard on auscultation Infer why little evidence of Proterozoic orogenies exists today. small deflection before P- round, small, symmetrical and positive in lead II, horizontal axis=time in seconds Rate: Depends on underlying rhythm QRS: 0.06-0.10(12). Looking through the chart of a coworker admitted to your unit. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Heart rate 52/min A nurse is providing discharge teaching about infection prevention to a client who has AIDS. 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. Rhythm: Regular Your patient began deteriorating rapidly after complaining of shortness of breath. Rate: Viable. FLAG You do PACU RN. Company Registration Number: 8600593 Lipase - 196 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 Rhythm: None P waves: Depends on underlying rhythm A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. The nurse is taking care of a patient who is terminally ill and has a DNR on file. Rhythm: Underlying regular except during PAC. Julie S Snyder, Linda Lilley, Shelly Collins. -tachycardia constipation is an adverse effect of verapamil. Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . A nurse is caring for a client who has DKA. V-Tach . At the AV Node At the Bundle of His Rhythm: Regular HCO3 - 23. Prophecy health medical surgical RN A (Latest 2022/2023). Math is a subject that can be difficult for some students to grasp. What is most likely to be ordered? Bathe the client using chlorhexidine solution. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? NOT: increased salivation. When there -Atria HCO3 - 23. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? QRS: 0.06-0.10(12), Rate: 101-180 bpm Which of the following information should the nurse include in the teaching? Educate the spouse on oxygen use as a medical device in the hospital The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. Airborne Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. The pacer begins pacing when the HR is 60 or below. Which of the following orders would you question. No progressively longer pattern. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. for the first time two hours after the orders received. As you inflate a balloon, the patient complains of discomfort what is the best action? Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. (Click on the "Exhibit" button for additional information about the client. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? NOT:Print reading materials about the subject and give it to the patient Which of the following actions should the nurse take first? identify crackles as a manifestations of pulmonary edema and notify the provider. 111 0 obj <>stream If rate >101 then rhythm is multifocal atrial tachycardia Cardiac strip Due to the size of the kidney stone it is an appropriate treatment? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Dietary considerations 2. -block Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Use all the steps. Patterns: Bi and trigemeny, couplets and triplets. The intrinsic pacemaker. LATTER PHASE OF VENTRICULAR REPOLARIZATION Which of the following actions would be considered a violation of Hyppa? Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? Rate: 60-100. sample? mark on top = every 3 seconds Which of the following statements by the client indicates an understanding of the teaching? Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? -second degree AV block (mobitz I and II) Exam (elaborations) - Prophecy health medical surgical rn a, 2022 8. "I can speak to the provider about incorporating acupuncture into your treatment plan.". They report sudden PRI: 0.12-0.20 sec And ABG was drawn and the results are pH? ventricular escape rhythm or idioventricular rhythm. PRI: Same as PVC You are caring for a patient with a lower GI bleed. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. A nurse is assessing a client who has peripheral arterial disease. You were caring for a patient admitted with abdominal pain. Morphine Duramorph, oxygen, nitrates, Which of the following types of transmission precautions should the nurse initiate? You're providing discharge instructions to a CHF patient. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Medical-surgical practice exam. The client tells the nurse, "I wish I could stop these treatments. A nurse is providing education to a client who is at risk for osteoporosis. complains of discomfort what is the best action? Rate: Depends on underlying rhythm.