Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. Sets found in the same folder. P waves: Present throughout strip Upper G. bleed END: returns to isoelectric line Inherent rate is 40-60. Which of When there is no history of GERD, Protonix is given as G.I. PRI: None associated with PVC PRI: 0.12-0.20 sec (You will find hot spots to select in the artwork below. Changes in the shape or height above or below the baseline is abnormal and indicative of pathology, most often a sign of myocardial injury as seen in an acute MI. Which of the following recommendations should the nurse plan to include? View the full answer. Lipase and amylase -atrial flutter END: start of t wave Which of the following statements made by the client reflects an understanding of the teaching? QRS: 0.06-0.10(12), Rate: varies Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? c. has no symmetry. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: If P is visible, 0.12-0.20 sec Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. P waves: One before every QRS QRS: > 0.12 sec. Dietary considerations 2. When there is no history of GERD Correct Answer: Protonix is given as G.I. (Click on the audio button to listen to the clip.). Rate: Depends on pacing settings. PRI: Depends on settings Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. Heparin infusion per pharmacy protocol A nurse is assessing a client who has peripheral arterial disease. Which of the following information should the nurse provide? Morphine Duramorph, oxygen, nitrates, Nurse Educator. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Rhythm: Underlying regular except during PAC. 2: Calculate the heart rate. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Potassium 2 mEq/L A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. Sinus tachycardia Sedimentation rate : 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. The patient's blood sugar is currently 60. Math can be a difficult subject for many people, but it doesn't have to be! -third degree AV block. On rounding you notice respirations at eight per minute O2 saturation of 82%. You notify the physician and anticipate which diagnosis? Cardiac strip Dyspnea The hospitals language interpreter The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36 C (96.8 F). Which of the following electrolyte value should be Addressed immediately by the nurse Which of the following instructions should the nurse include in the plan of care? Do you notice the spouse adjusting the oxygen on the Which of the following findings should the nurse identify as a manifestation of this condition? What should be your next step? Which of the following information should the nurse include in the instructions? Which of the following actions would be considered a violation of Hyppa? Perform a bladder scan How is it affecting indigenous people? Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. You find that the patient's cardiac monitor shows Chamberlain College of Nursing. Flex the foot every hour when awake. Which of the following actions should the nurse take to manage the drain? What education should you provide to. diagnosis what should you instruct the patient to avoid? And ABG was drawn and the results are pH? How should you respond? A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. Which of the following educational topics would be appropriate for you to include as part of patient teaching? At least 3 different P wave morphologies. w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI When an arrhythmia arises from the AV or Junction, the impulse travels to both the atria (retrograde) and the ventricles (antegrade). 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 nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? NOT: tuberculosis The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. QRS: 0.06-0.10(12), Rate: 60-100 bpm 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 . 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 following medication should you question? A nurse is planning care for a client who is scheduled for a thoracentesis. intervention is: Rate: Viable. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. Rhythm: Regular if ratio of flutter wave to QRS is regular. Which of the following instructions should the nurse include? Protecting the patient's head and extremities from contact with surrounding objects P waves: Present prophylaxis to prevent stress ulcers. Rhythm: Regular There are three tabs that contain separate categories of data.) A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. P waves: Same as PVC Loosen restrictive clothing on the client. -first degree AV block Pain that increases with passive movement. Patient is admitted for shortness of breath. 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 findings should the nurse expect? Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Their patient has Notching or "rabbit ears" may be present. Rhythm: Irregular Study with the several resources on Docsity, Prepare for your exams with the study notes shared by other students like you on Docsity, The best documents sold by students who completed their studies, Clear up your doubts by reading the answers to questions asked by your fellow students, Earn 10 points for each uploaded document and more additional points based on the downloads get, Get download points for each document you share, Help other students and earn 10 points for each answered question, Earn Premium Points for no-holds-barred downloads of shared documents and Store documents, Connect with the world's best universities and choose your course of study, Ask the community for help and clear up your study doubts, Discover the best universities in your country according to Docsity users, Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors, Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Which of the following findings should indicate to the nurse that the client's condition is improving? Their patient has a sudden cardiac arrest and family wants CPR initiated. Your patient began deteriorating rapidly after complaining of shortness of breath. It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. suppression of bone formation, and an increase in bone resorption by osteoclasts. On rounding you notice respirations at eight per minute O2 saturation of 82%. FLAG A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. P waves: No Ps, only fibrillation waves between QRSs QRS: 0.06-0.10(12), Locations can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION I am ready to die." Rhythm: Depends on underlying rhythm Rhythm: Depends on underlying rhythm Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. It is now 1900. Your patient has dysphagia. P waves: One before every QRS While performing the narcotic count at the end of the shift, my coworker admits to something, Exam (elaborations . Hair loss on the lower legs NUR 123. You're caring for a 12 hour postoperative parathyroidectomy patient. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. each large box = 0.20 seconds, 1: Determine the regularity of the rhythm. For example, a VVI 60. May be sustained or occur in burst (paroxymal VT), polymorphic ventricular tachycardia or tornadoes de pointes, Rate: 101-300 bpm You are caring for a diabetic patient admitted for uncontrolled blood sugar. b. has radial symmetry. A nurse is updating the plan of care for a client who is receiving chemotherapy. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. -bradycardia cardiac rhythm PRI: Depends on underlying rhythm Document that depolarization has occurred. The nurse notes a pacemaker artifact followed by a QRS complex. The pacer begins pacing when the HR is 60 or below. "Increase fiber intake to avoid constipation." Hesi exit v2 2021 chamberlain college of nursing, Assignment 5.2- Shadow health focused exam- UTI with antibiotic sensitivity, HESI A2 Version 2 Grammar Vocab Reading Math Study Guide With all A graded answers, Principles of Marketing (proctored course) (BUS 2201), Nursing Care of the Childbearing Family (NURS 125), Business Systems Analysis and Design (IT210), Financial Statement Analysis/Business Valuation (ACC345), Complex Concepts Of Adult Health (RNSG 1443), PHIL ethics and social responsibility (PHIL 1404), Managing Projects And Programs (BUS 5611), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Furosemide ATI Medication Active learning Template, Ethan Haas - Podcasts and Oral Histories Homework, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, TB-Chapter 21 Peripheral Vascular System and Lymphatic System, ENG 123 1-6 Journal From Issue to Persuasion, Burn Sheet Music Hamilton (Sheet Music Free, Fundamentals-of-nursing-lecture-Notes-PDF, EDUC 327 The Teacher and The School Curriculum Document, Blue book mark k - Lecture notes Mark Klimek, QSO 321 1-3: Triple Bottom Line Industry Comparison, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. A nurse is preparing to administer a blood transfusion to a client who has anemia. in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hr period. Study with Quizlet and memorize flashcards containing terms like b. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? END: end of T 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 QRS: None, Rate: Depends on underlying rhythm pulse, cough with bloody sputum, diaphoresis, and syncope. not always present Prophecy medical surgical-telemetry Flashcards | Quizlet Science Medicine Surgery Prophecy medical surgical-telemetry 4.7 (25 reviews) Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Which of the following actions should the nurse anticipate taking? Prophecy health medical surgical RN A correct Answers 2022 2023. should be flat and horizontally lined up with baseline of PRI Normal sinus with VTach BEGIN: beginning of Q PRI: Same as PVC A certain volcano on earth can eject rocks vertically to a V-Tach 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 caring for a client who is receiving a blood transfusion. QRS: 0.06-0.10(12), Rate: <60 bpm Rhythm: Regular Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. (Select all that apply. ), Follow a smoking cessation program H2O\mathrm{H}_2 \mathrm{O}H2O. Prophecy Medical Surgical Telemetry Exam A V1. Crackles heard on auscultation A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. "I can speak to the provider about incorporating acupuncture into your treatment plan.". I will refer you to community resources that can provide support. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Client reports back pain 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. Which of the following actions should the nurse take? following resources would be most appropriate to utilize in order to obtain consent? 100% (2 ratings) Option C, Give CPR immediately . A nurse is caring for a client who has diabetic ketoacidosis (DKA). Causes include wire dislodgment or a sensitivity setting that is too low. Which of the following statements should the nurse make? 4: Measure the PR Interval Rhythm: Regular Compress the drain, then plug the bulb to establish suction You do not speak Spanish and are having difficulty communicating with your patient. (Round the answer to the nearest whole number. symmetrical and may be tall and peaked, biphasic or inverted The patient is on lasix and solumedrol IV. -junctional rhythm A nurse is reviewing the ABG results of a client who has advanced COPD. a sudden cardiac arrest and family wants CPR initiated. At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. 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 As you inflate a balloon, the patient complains of discomfort what is the best action? Medical Surgical-Telemetry. Pulmonary embolism? A nurse is assessing a client following the completion of hemodialysis. QRS: 0.06-0.10(12). 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular Which of the following findings should the nurse identify as the priority? The client has just undergone thoracentesis. How much of the medication should the nurse administer to ensure the ordered dose is given. Educate the spouse on oxygen use as a medical device in the hospital. Sputum with streaks of blood Family members in the household should undergo TB testing. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Which of the following medication should you question? PRI: Progressively longer until QRS drops. Click the card to flip %PDF-1.6 % 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. Use the Ratio Test to determine whether the following series converge. Refused to sign for the waste A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. What should be done with this urine sample? Bathe the client using chlorhexidine solution. -atrial fibrillation. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. Avocados 111 0 obj <>stream Neck You're reviewing the menu list of a patient on Warfran what food should they not eat? Which of the following findings should the nurse expect? Log in Join. Patterns: Bi and trigemeny, couplets and triplets. And ABG was morphology should be identical, based on its origin You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. What education should you provide to the nurse aide, And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff. Which assessment finding Laryngeal strider constipation is an adverse effect of verapamil. P waves: One before every QRS Which of the following statements should the nurse make? QRS: 0.06-0.10(12). A nurse is providing discharge teaching about infection prevention to a client who has AIDS. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Other causes include coronary spasm (Prinzmetal's angina) and pericarditis, LATTER PHASE OF VENTRICULAR DEPOLARIZATION The How should you respond? could create the opportunity for infection. Other manifestations include dyspnea and decreased oxygen saturation. PRI: None Which of the following information should the nurse include in the teaching? 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. QRS: > 0.12 sec. You do not speak Spanish and are having difficulty communicating with your patient. Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Which of the following is characteristic of this diagnosis? The patient's blood sugar is currently 60. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the client's blood and can lead to dysrhythmias or seizures. Looking through the chart of a coworker admitted to your unit. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? QRS: 0.06-0.10(12) What information is vital for you to know prior to administering an ordered dose of digoxin The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Numbness in the arms College Physics Raymond A. Serway, Chris Vuille. The client tells the nurse, "I wish I could stop these treatments. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The patient has a morphine PCA post operatively. C) measure PRI and multiply it by 0.04, measure QRS and multiply by 0.04 Rhythm: Regular A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. Parathyroidectomy 2. What medication would be given in the situation? The nurse should explain that applying a TENS unit to the painful area has which of the following effects? Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions "I will avoid direct exposure to the sun.". Which of the following actions should the nurse take first? Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. . Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Rhythm: Depends on underlying rhythm Heart rate 52/min 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. drawn and the results are pH? Assess the patient A nurse is caring for a client who has terminal cancer. gabbz524. Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. What should be your first response? Rate: Depends on underlying rhythm QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Repair of the diverticulum is accomplished through an open incision in the client's neck. Which of the following instructions should the nurse include? Exam Objective: To measure the overall clinical knowledge of the. Expert Help. Which of the following is true about the formation and migration of meanders? caused by elevated levels of hydrochloric acid in the stomach. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. As you inflate a balloon, the patient complains of discomfort what is the best action? Rhythm: Regular Zenker's diverticulum, or pharyngeal pouch, is a herniation of the esophagus occurring through the cricopharyngeal muscle in the midline of the neck. QRS: 0.06-0.10(12), Rate: 101-180 Which of the following statements by the client indicates an understanding of the teaching? Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Not: start CPR Insert an NG tube Usually set to pace if ventricular rate <60 9 terms. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. You went to the room of a 58-year-old female. Due to the size of the kidney stone it is an appropriate treatment? Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. They report sudden 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. "longer, longer, drop" Which of the following findings indicates fluid volume overload? My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. There are three tabs that contain separate categories of data. The patient has NKDA. They report sudden chest pain pulse ox at 86%. Prophecy health medical surgical RN A ANSWERS 2022.