diagnosis what should you instruct the patient to avoid? Restlessness Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Due to the size of the kidney stone it is an appropriate treatment? Which of the following should the nurse plan to administer? Endoscopy-GI Lab Medical Surgical-Telemetry. A nurse is administering packed RBCs to a client. b. has radial symmetry. Which of the following images depicts a condition caused by pernicious anemia? The nurse should expect a reduction in which of the following common manifestations of advanced cancer? Which of the following information should the nurse include in the teaching? Log in Join. There are three tabs that contain separate categories of data.) You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Which of the following actions should nurse take to avoid restraining the client? Which of the following interventions should the nurse include in the plan? Normal sinus with VTach morphology should be identical, based on its origin The AV node contains specialized cells that can serve as the secondary pacemaker if the SA fails. Prepare to suction the client's airway. Rhythm: Regular except for the PVCs She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Scan the environment by turning your head from side to side.". A nurse is caring for a client who has DKA. constipation is an adverse effect of verapamil. Dietary considerations 2. Math is a way of solving problems by using numbers and equations. View the full answer. If rate >101 then rhythm is multifocal atrial tachycardia You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. On rounding you notice respirations at eight You went to the room of a 58-year-old female. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. premature junctional contraction To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). QRS: 0.06-0.10(12). Compress the drain reservoir after emptying. Which of the following assessment findings should the nurse report to the provider? You were caring for a patient who is 18 hours postop after a right BKA a. B. P waves: Depends on underlying rhythm 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. Expert Answer. could create the opportunity for infection. 5: Measure the QRS Complex Other manifestations include dyspnea and decreased oxygen saturation. -accelerated idioventricular rhythm, Rate: Depends on underlying rhythm Flutter waves may be sawtooth or rounded. \sum_{k=1}^{\infty} k^4 2^{-k} incompatible blood products and create a systemic inflammatory response. wall and she states "she always takes care of my husband" what would be an appropriate The patient has NKDA. Rhythm: Regular We have received reports about this document. PRI: See description in PJC above. A nurse is performing a preoperative assessment for a client. physician and anticipate which diagnosis? The medication is supplied as 125 milligrams in a 2ml vial. Which of the following findings indicates a potential complication? A nurse is assessing a client who is postoperative following a thyroidectomy. If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. The nurse should identify the need to revise the plan for which of the following clients? HCO3 - 23. Which of the following instructions should the nurse include? He asks you about the procedure what would be the most therapeutic response? Below the Bundle of His The client becomes restless, dyspneic, and has crackles noted to the lung bases. As you inflate a balloon, the patient p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. It is now 1900. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Protonix is given as G. prophylaxis to prevent stress ulcers Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Medical-surgical practice exam. Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. There are three tabs that contain separate categories of data. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Type II Second-Degree AV Block Hemodialys is something required following surgery When taking care of a patient with pancreatitis, which of the following lab should be reviewed? the recruiter can 'reset' the test so you can take it again. Create complete outfits and allow the client to select one each day. Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. Heart rate 52/min END: start of t wave A nurse is providing teaching to a client who has AIDS. PRI: For underlying rhythm 0.12-0.20 A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. PRI: For underlying rhythm 0.12-0.20 sec. PRI: 0.12-0.20 The client has just undergone thoracentesis. Rhythm: Regular Glucose 272 When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Which of the following actions should the nurse take? Rate: 150-250 Which of the following resources would be most appropriate to utilize in order to obtain c. Winston-Salem State University. How should you respond? The intrinsic pacemaker. Which of the following actions should the nurse take first? d. has a distinct head and tail end. You do not speak Spanish and are having difficulty communicating with your patient. 9 terms. Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics atrial depolarization and pause before QRS (AV node delay) Intense headache. suppression of bone formation, and an increase in bone resorption by osteoclasts. FLAG PRI: Same as PVC >0.20 if ventricular escape rhythm present. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI You're caring for a 12 hour postoperative parathyroidectomy patient. He asks you about the procedure what would be the most therapeutic response? Use a leading zero if it applies. 2: Calculate the heart rate. When assessing a patient, you notice crepitus on the right upper shoulder. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". How should you respond? ), Calf pain Assess your patient for a change in condition not speak Spanish and are having difficulty communicating with your patient. Aim. %PDF-1.6 % My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. Divides into the bundle branches. QRS: 0.06-0.10(12) The download is temporarily disabled. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. "I can speak to the provider about incorporating acupuncture into your treatment plan.". 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 Which of the following findings is an indication of lung re-expansion? A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. gabbz524. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. for the first time two hours after the orders received. Heparin infusion per pharmacy protocol A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. Rate: Atrial > ventricular Their patient has a sudden cardiac arrest and family wants CPR initiated. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. Which of the following instructions should the nurse include in the teaching? PRI: None blastocyst. PVCs may be one shape or differ in shape due to multiple foci. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular The client is agitated and is attempting to remove their IV catheter. Numbness can occur along the inside of the affected arm 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. Do you notice the spouse adjusting the oxygen on the (Click on the audio button to listen to the clip.) Rhythm: Regular with late beat ventricular escape rhythm or idioventricular rhythm. 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. per minute O2 saturation of 82%. To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. PRI: If P wave is present before QRS, < 0.12 sec. -arrhythmia QRS: > 0.12 sec. You will need to stay still in the bed during each treatment session. PRI: As above each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. What should be your next step? Which of the following actions should the nurse anticipate taking? Which of the following findings should the nurse identify as the priority? Rhythm: Irregularity associated with respiration phase. Rate: 20-40 bpm Which of the following statements by the client indicates an understanding of the teaching? Click the card to flip P waves: Same as PVC Which of the following findings should the nurse report to the provider as an adverse effect of this medication? -Atria A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. QRS: An electric spike is seen before a wide, ventricular QRS. Family members in the household should undergo TB testing. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. identify crackles as a manifestations of pulmonary edema and notify the provider. 55 terms. QRS: >0.20. However, with a little practice and perseverance, anyone can . - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Encourage the client to take deep breaths after the procedure. Not: start CPR Prophecy health medical surgical RN A correct Answers 2022 2023. Compare. Which of the following findings should the nurse report to the provider immediately? S wave-negative deflection following the R wave. Which of the following actions is the nurse's priority? The nurse notes a pacemaker artifact followed by a QRS complex. A nurse is caring for a client who has hypothyroidism.