Divides into the bundle branches. -SA node P waves: One before every QRS 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. 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 patient has NKDA. The patient has a morphine PCA post operatively. QRS: PVC will be wide (>0.12) and aberrant compared with underlying rhythm. Unable to determine P waves: One before every QRS At the Bundle of His -ventricular standstill would indicate an emergency? Med Surg 2 - Medical surgical study materials LATEST. Prophecy Healthcare Annual Education Modules Conti. Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? P waves: Present What education should you provide to. Assess your patient for a change in condition PRI: Depends on settings Numbness can occur along the inside of the affected arm Mother Baby. However, with a little practice and perseverance, anyone can . 100% (2 ratings) Option C, Give CPR immediately . Select only the hot spot that corresponds to your answer.). A coworker arriving to work under the influence of alcohol Winston-Salem State University. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . correct electrode placement for leads I, II, III and MCL1 or V1. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. 115 reads death penalty papers by students Choose the letter of the best answer. Rhythm: Regular wrong answer: NPO, antibiotic, anticholinergic. A nurse is performing a preoperative assessment for a client. The intrinsic pacemaker. 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. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Indicate whether the solution is acidic or basic. Definition of terms. What should be done with this urine sample? Aspirate the fluid, advance the catheter farther, then re-inflate the balloon. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? PRI: Same as PVC Rhythm: Underlying regular except during PAC. Prophecy health medical surgical RN A correct Answers 2022 2023. A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. \sum_{k=1}^{\infty} k^4 2^{-k} The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. Which of the following resources would be most appropriate to utilize in order to obtain consent? A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following actions should the nurse take? 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. You do not speak Spanish and are having difficulty communicating with your patient. Correct Answer: Aspirate the fluid, advance the catheter farther, then re-inflate the balloon When assessing a patient, you notice crepitus on the right upper shoulder. Cardiac strip You do not speak Spanish and are having difficulty communicating with your patient. Do not use a trailing zero.). Your patient began deteriorating rapidly after complaining of shortness of breath. Which assessment finding would indicate an emergency? Which of the following orders would you question Correct Answer: KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? Deposition has ordered for your patience to begin a 24 hour urine collection. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction You find that the patient's cardiac monitor shows any type of inflammatory process, such as osteomyelitis. Compress the drain reservoir after emptying. 1520 Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. The amount available is oral solution 125 mg/5 mL. To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). you usually have to score over 80% to pass. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. 111 0 obj <>stream ), AdminiSTER o2 You went to the room of a 58-year-old female. Heart rate 52/min Usually one impulse predominates. Rhythm: Regular with late beats Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. The patient is lying in a supine position. After ensuring a patent airway, which of the following nursing interventions is the priority? Rate: Depends on underlying rhythm Heart rate Rate: Viable. Third-Degree AV Block, Rate: Depends on underlying rhythm A nurse is caring for a client who has diabetic ketoacidosis (DKA). Nursing Management of the Surgical Client Prophecy health medical surgical RN A. The client becomes restless, dyspneic, and has crackles noted to the lung bases. (Click on the audio button to listen to the clip.) View the full answer. Which of the following instructions should the nurse include in the teaching? 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. 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? caused by elevated levels of hydrochloric acid in the stomach. Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. PRI: Same as PVC +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream -block The hospitals language interpreter 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. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? PRI: None njcjohnson. Determine the mass rate of flow for isentropic flow through the nozzle. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? The nurse should expect a reduction in which of the following common manifestations of advanced cancer? QRS: 0.06-0.10(12), Rate: 101-180 "Spike and capture". Rhythm: Regular "Discontinuing with the treatments is your choice if it is your wish to do so.". Which of the following information should the nurse provide? The provider might prescribe a diuretic to alleviate the fluid overload. And ABG was A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Your patient voids for the first time two hours after the orders received. Which of the following is characteristic of this diagnosis? You were caring for a patient admitted with abdominal pain. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. First-Degree AV Block By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Potassium 2 mEq/L Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Medical-Surgical RN A Prophecy Relias. I am ready to die." Identify the sequence of actions the nurse should take. 0.06-0.12 s P waves: One before every QRS Your COPD patient is complaining of wheezing and increased shortness of breath Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Dietary considerations 2. Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following actions should nurse take to avoid restraining the client? prophylaxis to prevent stress ulcers. Expert Help. Patient is admitted for shortness of breath. Administer ranitidine, A nurse is assessing heart sounds of a client who reports substernal precordial pain. Rhythm: Regular except during PJC. 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? Which of the following actions should the nurse take first? Abuse Advanced Care Planning Age-Specific Bio-Terrorism Blood Glucose Monitoring Body Mechanics/Ergonomics A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication. This image depicts glossitis, which can indicate pernicious anemia. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. Repair of the diverticulum is accomplished through an open incision in the client's neck. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Rhythm: Depends on underlying rhythm A nurse is assessing a client following the completion of hemodialysis. Other manifestations include dyspnea and decreased oxygen saturation. Which of the following resources would be most appropriate to utilize in order to obtain consent? Your inserting a urinary catheter into a male patient. Sedimentation rate When taking care of a patient with pancreatitis, which of the following lab shoul. "longer, longer, drop" On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). B. Prophecy health medical surgical RN A ANSWERS 2022. Which of the following findings is an indication of lung re-expansion? the following medication should you question? per minute O2 saturation of 82%. Which of the following types of transmission precautions should the nurse initiate? Medical Surgical-Telemetry. Endoscopy-GI Lab Medical Surgical-Telemetry. Prophecy Medical Surgical Telemetry QuizletMedical Surgical Telemetry B Flashcards. Which of the following issues should be reported up the chain of command QRS: >0.20. A nurse is providing teaching to a client who has a new prescription for psyllium. P waves: P wave before PAC looks different than Ps of the underlying rhythm. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. 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. prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. END: flattening before the t (j point) Medical-surgical practice exam. "Cable" that passes through the fibrous sheath separating atria from ventricles. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following findings should the nurse report to the provider? help prevent constipation, which is a common adverse effect of oral iron supplements. Other manifestations include nausea, vomiting, fatigue, and headache. A nurse is caring for a client who is having a tonic-clonic seizure while in bed and has become cyanotic. is no history of GERD As you inflate a balloon, the patient complains of discomfort what is the best action? >0.20 if ventricular escape rhythm present. Don't suffer through your problems alone, help is always available. QRS: > 0.12 sec. Log in Join. PRI: Same as PVC Client reports back pain A nurse is planning care for a client who is postoperative following a parathyroidectomy. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. -atrial flutter Correct Answer: Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? PRI: If P is visible, 0.12-0.20 sec You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". Draw the decision tree for sequential search on a list of three elements. Which of the following statements by the client indicates an understanding of the teaching? https://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. College Physics Raymond A. Serway, Chris Vuille. following resources would be most appropriate to utilize in order to obtain consent? Which of the following information should the nurse include in the teaching? indicate that the nephrostomy tube is dislodged or clogged. -nonconducted premature atrial contraction A nurse is planning a health promotional presentation for a group of African American clients at a community center. Rhythm: Regular QRS: > 0.12 sec. Which of the following statements should the nurse make? place a pressure bag around the flush solution. HCO3 - 23. They report sudden chest pain pulse ox at 86%. 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. Refused to sign for the waste Knowledge of contraindications related to antidiabetic medications. You were caring for a patient who is 18 hours postop after a right BKA a. Scan the environment by turning your head from side to side.". On rounding you notice respirations at eight per minute O2 saturation of 82%. PRI: Progressively longer until QRS drops. Which of the following statements by the client reflects an understanding of the teaching? It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. 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 Which of the following is true about the formation and migration of meanders? Keep a lead-lined container in the client's room. Your patient has a bowel movement decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. Rhythm: Regular except for the PVCs Save my name, email, and website in this browser for the next time I comment. Prophecy health medical surgical RN A (Q&A)2022, Prophecy health medical surgical RN A ANSWERS 2022, Medical-Surgical RN A Prophecy Test, Relias Learning Exam Answered 2023, Nursing Medical Surgical Exam 126 Best Exam Solution With Latest Updates 2022/2023, NUR 372 Medical Surgical Q and A with Explanations Latest update 2022/2023 Rated A+ Assure, Targeted Medical-Surgical: Endocrine Exam latest 2023, Medical surgical Nursing critical care exam 3 Latest 2023. The patient has a morphine PCA post operatively. How should you respond? PRI: For underlying rhythm 0.12-0.20 P waves: As with PJCs The client is agitated and is attempting to remove their IV catheter. Which of the following medication may cause urine discoloration 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.
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