PRI: None A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. The client becomes restless, dyspneic, and has crackles noted to the lung bases. 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? Which of the following findings is the nurse's priority? Contact the provider to clarify the prescription. This can be due to lead dislodgement. Which of the following electrolyte value should be Addressed immediately by the nurse, Which of the following medication may cause urine discoloration, Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? PRI: 0.12-0.20 sec How many mL should the nurse administer? Rhythm: Atrial regular, ventricular irregular d/t dropped beats The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. NUR 123. 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. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Which of the following admission orders would you expect for this patient? seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Your patient who was admitted 5 days ago begins to have diarrhea. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ A nurse is caring for a client who has DKA. BEGIN: upward deflection from ST segment Which of the following types of transmission precautions should the nurse initiate? The client should increase fiber intake to promote regular bowel function. Perform a bladder scan Which of the following disorders presents the greatest risk to this group of clients? Prednisone can also reduce intestinal absorption of calcium. Stress ulcers QRS: During standstill, no QRSs are present, Rate: None -accelerated junctional rhythm I will refer you to community resources that can provide support. "Spike and capture". The Exam (elaborations . pile of potassium, rounded, slightly asymmetrical and positive on lead II. Women could have pain in their arm, neck, back or jaw Which of the following interventions should the nurse include in the plan? Your patient began deteriorating rapidly after complaining of shortness of breath. Prophecy health medical surgical RN A (Latest 2022/2023). Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Which of the following statements by the client indicates an understanding of the teaching? Laryngeal strider When assessing a patient, you notice crepitus on the right upper shoulder. Enyinnaya_Vivian-Medical_Surgical_Telemetry_A_v1-results (3).pdf You were caring for a patient admitted with abdominal pain. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing R wave-tall positively deflected wave in lead II. Low back pain and apprehension Rate: 150-250 Which of the following statements should the nurse make? Holding breath for 10 seconds after inhaling. Check for the type and number of units of blood to administer. A nurse is caring for a client who has terminal cancer. This image depicts glossitis, which can indicate pernicious anemia. Rhythm: Regular except for pause. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which of the following findings should indicate to the nurse that the client's condition is improving? P waves: As with PJCs Rhythm: Regular Place personal items, such as pictures, at the client's bedside. S wave-negative deflection following the R wave. Which fires first is easily detected on an ECG, premature junctional complex We have received reports about this document. -atrial flutter P waves: Same as PVC When taking care of a patient with pancreatitis, which of the following lab shoul. Which of the following instructions should the nurse include? Prophecy health medical surgical RN A correct Answers 2022 2023. Which of the following orders would you question. Rhythm: May be irregular due to changing pacer foci. No progressively longer pattern. PRI: See description in PJC above. Pediatric RN. Which of the following electrolyte value should be Addressed immediately by the nurse Prophecy medical surgical-telemetry (Latest 2022/2023), Copyright 2023 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved, Sign up to Docsity to download documents and test yourself with our Quizzes, Medical-Surgical RN A Prophecy Relias (Latest 2022/2023) DownLoad to Score A, Prophecy medical surgical-telemetry Questions and Answers 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Answered 2022, Prophecy RN Pharmacology A (Latest 2022/2023) Already Graded A, Prophecy- Core Mandatory Part II (Nursing) (Latest 2022/2023) Graded A, Medical-Surgical RN A questions and answers latest 2022, Prophecy PACU RN A v1 correct Answers latest 2022 /2023. You went to the room of a 58-year-old female. A nurse is planning care for an older adult client who has dementia. Healthcare Assessments - Relias Prophecy medical surgical-telemetry answered Test 2022.pdf. 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 planning care for a client who is postoperative following a parathyroidectomy. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Which of the following actions should the nurse take? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Prophecy Healthcare Annual Education Modules Conti. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics Prophecy med surg quizlet - Math Tutor On rounding you notice respirations at eight per minute O2 saturation of 82%. Which of the following assessment findings indicates a hemolytic transfusion reaction? 4: Measure the PR Interval Keep a lead-lined container in the client's room. Alternate application of heat and cold to the affected joints. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Rate: Viable. Their patient has a sudden cardiac arrest and family wants CPR initiated. sick sinus syndrome, Rate: 60-100 bpm Chamberlain College of Nursing. Which of the following findings should the nurse expect? Patterns: Bi and trigemeny, couplets and triplets. Prophecy Medical Surgical Exam Answers Orris. premature atrial contraction Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! PRI: If P is visible, 0.12-0.20 sec You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. You're caring for a 12 hour postoperative parathyroidectomy patient. A nurse is caring for a client who has hypothyroidism. PRI: When present they are all the same. Which of the following medication may cause urine discoloration -bradycardia A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. PRI: 0.12-0.20 sec EXHIBIT, A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. for the first time two hours after the orders received. P waves: P wave associated with PJC may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. -bundle branch block Causes include wire dislodgment or a sensitivity setting that is too low. Log in Join. Morphine Duramorph, oxygen, nitrates, Click the card to flip Your patient has been diagnosed with a hemorrhagic CVA Rifampin -junctional tachycardia P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. You do P wave: none A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Rhythm: Regular PRI: 0.12-0.20 sec When there is no history of GERD, Protonix is given as G.I. Your COPD patient is complaining of wheezing and increased shortness of breath 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. Glucose 272 Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. premature junctional contraction You will need to stay still in the bed during each treatment session. 115 reads death penalty papers by students 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 do not speak Spanish and are having difficulty communicating with your patient. intervention is: For P wave before PJC, PRI< 0.12 P waves: Present You were caring for a patient who is 18 hours postop after a right BKA a. a sudden cardiac arrest and family wants CPR initiated. sample? Winston-Salem State University. You notify the physician and anticipate which diagnosis? Oncology. 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 Bubbling in the water seal chamber ceases when the lung re-expands. PRI: Same as PVC Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. Which of the following medication should you question? P waves: Present Usually set to pace if SA rate <60 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. Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. It was an all-compassing, authoritarian dictatorship that subordinated individual needs, and employed police power and mass propaganda to achieve total control., a. If rate >101 then rhythm is multifocal atrial tachycardia The hospitals language interpreter Don't suffer through your problems alone, help is always available. reasons: electrolyte imbalances, left vent hypertrophy, medications. You are caring for a diabetic patient diagnosed with CHF. View the full answer. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Rate: Depends on underlying rhythm. A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Rhythm: Regular Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Prophecy medical surgical exam a v1 answers | Math Materials The intrinsic pacemaker. 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 . 111 0 obj <>stream (Select all that apply. Airborne Prophecy PACU RN A v1 correct Answers latest 2022 2023. The client is agitated and is attempting to remove their IV catheter. First-Degree AV Block The nurse should expect a reduction in which of the following common manifestations of advanced cancer? Repair of the diverticulum is accomplished through an open incision in the client's neck. A coworker arriving to work under the influence of alcohol drawn and the results are pH? A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops What medication would be given in the situation? Prophecy medical surgical - Prophecy medical surgical-telemetry exam A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). suppression of bone formation, and an increase in bone resorption by osteoclasts. Which of the following medication should you question? Avocados Which of the following resources would be most appropriate to utilize in order to obtain consent? Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? A nurse is reviewing the ABG results of a client who has advanced COPD. 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? Increase shortness of breath The client is unable to void on the bedpan. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? Which of the following manifestations should the nurse expect? When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). NUR 4201. . you usually have to score over 80% to pass. Prophecy medical surgical telemetry exam a v1 answers - In addition, Prophecy medical surgical telemetry exam a v1 answers can also help you to check your. Below the Bundle of His A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. P waves: none While performing the narcotic count at the end of the shift, my coworker admits to something, More and more, organizations are hiring from a limited applicant pool. Registered Nurse in the Medical. (Move the steps into the box on the right, placing them in the selected order of performance. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. PRI: 0.12-0.20 sec Slow the infusion rate B. 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. They report sudden chest pain pulse ox at 86%. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Medical-Surgical RN A Prophecy Relias. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Keep the client occupied with a manual activity. Rate: 20-40 bpm PRI: 0.12-0.20 sec count R waves during 6 seconds and multiply by 10, A) P should precede QRS The download is temporarily disabled. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. symmetrical and may be tall and peaked, biphasic or inverted You were caring for a patient who is 18 hours postop after a right BKA a. d. has a distinct head and tail end. following is the best nursing action? Do you notice the spouse adjusting the oxygen on the Which of the following statements by the client indicates an understanding of the teaching? Their patient has a sudden cardiac arrest and family wants CPR initiated. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. -block B) should be identical in size, shape, position Medical Surgical Telemetry B. patient's blood sugar is currently 60. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Which of the following statements by the client reflects an understanding of the teaching? A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following instructions should the nurse include? Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Type I Second-Degree AV Block QRS: 0.06-0.10(12), second degree AV block type I or morbitz I or wenchebach, Rate: Atrial rate>ventricular due to dropped QRSs Rhythm: Underlying regular except during PAC. Dietary considerations 2. Prednisone Hemodialys is something required following surgery "Cable" that passes through the fibrous sheath separating atria from ventricles. atrial depolarization and pause before QRS (AV node delay) 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. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. Which of the following actions should the nurse take first? Prophecy health medical surgical RN A ANSWERS 2022. Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? Use a leading zero if it applies. Flutter waves may be sawtooth or rounded. QRS: An electric spike is seen before a wide, ventricular QRS. Choose the letter of the best answer. Crackles heard on auscultation w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. You notify the physician and anticipate which diagnosis? can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. The patient is on lasix and solumedrol IV. PRI: 0.12-0.20 sec Definition of terms. As you inflate a balloon, the patient complains of discomfort what is the best action? Rhythm: Regular Rate: 60-100. P waves: Same as PVC Variable amplitude. 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. b. has radial symmetry. The patient has NKDA. Heparin infusion per pharmacy protocol Scan the bladder with a portable ultrasound. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. Medical Surgical-Telemetry A V1 Answers - Explore Recent You find that the patient's cardiac monitor shows asystolye, what should be your first action? Ibuprofen can cause gastrointestinal bleeding in older adult clients. Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. -idioventricular rhythm Prophecy medical surgical-telemetry exam test Questions And - Stuvia Educate the spouse on oxygen use as a medical device in the hospital PRI: Depends on underlying rhythm You're providing discharge instructions to a CHF patient. Which of the following interventions should the nurse include in the plan of care? After three negative sputum cultures, the client is no longer considered infectious. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Cardiac strip Rhythm: Regular Medical Surgical Rn A Prophecy Quizlet Prophecy Medical Surgical Telemetry Exam A V1 AnswersYour patient has symptomatic anemia but is refusing a blood transfusion for religious reason. chest pain pulse ox at 86%. 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 Rhythm: Regular prophecy medical surgical exam a v1 quizlet Prophecy is designed by nurses, for nurses, and evaluates the clinical, . The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). PRI: Depends on settings Potassium 2 mEq/L A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Usually set to pace if ventricular rate <60 You're caring for a 12 hour postoperative parathyroidectomy patient. Which of the following issues should be reported up the chain of command (elaborations) - Prophecy medical surgical-telemetry 2022 7. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Correct Answer: Narcan You were caring for a patient who is 18 hours postop after a right BKA a. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? What should be your first response? P waves: One before every QRS Due to the size of the kidney stone it is an appropriate treatment? Which of the following actions should the nurse take first? -Junction or AV node Mealtimes do not pertain to this client due to the NPO status. -second degree AV block (mobitz I and II) LATTER PHASE OF VENTRICULAR REPOLARIZATION Deposition has ordered for your patience to begin a 24 hour urine collection. A nurse is administering packed RBCs to a client. Endoscopy-GI Lab Medical Surgical-Telemetry. When assessing a patient, you notice crepitus on the right upper shoulder. The pacer begins pacing when the HR is 60 or below. >0.20 if ventricular escape rhythm present. Your patient complains of not being able to urinate since 0500. Cardiac strip Deposition has ordered for your patience to begin a 24 hour urine collection. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following actions should the nurse take? gabbz524. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). prophecy asks a questions and gives you 4 multiple choice options. A nurse is providing education to a client who has tuberculosis (TB) and their family. Your patient has a bowel movement 2: Calculate the heart rate. Rhythm: None Solved Medical Surgical-Telemetry A v1 Question 21 of 60 - Chegg the recruiter can 'reset' the test so you can take it again. -premature atrial contraction 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. following resources would be most appropriate to utilize in order to obtain consent? A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. "I will no longer floss my teeth after brushing my teeth." A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. -third degree AV block. One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which occurs to compensate for blood loss. Prophecy Health Nurse Test Answers - zdzkao.com - anyflip Prophecy medical surgical-telemetry exam test Questions And Answers. Correct answer is ventricular fibrillation Due to the size of the kidney stone it is an appropriate treatment? pulse, cough with bloody sputum, diaphoresis, and syncope. Which of the following findings should the nurse report to the provider? prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. Neuro ICU. QRS: 0.06-0.10(12), Rate: <60 bpm Usually set to pace if SA rate <60 55 terms. Exam Objective: To measure the overall clinical knowledge of the. Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following resources would be most appropriate to utilize in order to . Scan the environment by turning your head from side to side.". PRI: None -Atria Which of the following actions would be considered a violation of Hyppa? Which of the following images depicts a condition caused by pernicious anemia? A nurse is caring for a client who has diabetic ketoacidosis (DKA). PRI: None when QRSs are not present Which of the following values should the nurse identify as a desired outcome for this therapy? QRS: > 0.12 sec. Restlessness Document that depolarization has occurred. Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? PRI: For underlying rhythm 0.12-0.20 sec. Rhythm: Regular except for the PVCs ventricular escape rhythm or idioventricular rhythm. A nurse is performing a preoperative assessment for a client. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. -ventricular fibrillation What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? Which assessment finding would indicate an emergency? It is now 1900. A certain volcano on earth can eject rocks vertically to a Usually one impulse predominates. Rhythm: Regular P waves: No P waves. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. A nurse is preparing to administer a blood transfusion to a client who has anemia. tuberculosis, measles, varicella, and disseminated varicella zoster. Numbness in the arms Assess your patient for a change in condition QRS: > 0.12 sec. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. maximum height HHH.