The degree of perpendicular can also be seen as a decrease in amplitude only. Irregular if variable ratio. is no history of GERD These values indicate the patient is experiencing: Correct Answer: Your inserting a urinary catheter into a male patient. Mother Baby. -SA node Rate: 101-250 bpm 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? Refused to sign for the waste Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? What is most likely to be ordered? -second degree AV block (mobitz I and II) Which of the following statements should the nurse make? PRI: None Medical Surgical Telemetry B. Due to the size of the kidney stone it is an appropriate treatment? The nurse should expect a reduction in which of the following common manifestations of advanced cancer? P wave: none Morphine Duramorph, oxygen, nitrates, Causes include wire dislodgment or a sensitivity setting that is too low. earth, for how long (in terms of TTT ) would they be in the air on Mars? a sudden cardiac arrest and family wants CPR initiated. PRI: As above A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. END: returns to isoelectric line 226 Math Experts 3 Years in business . It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. Prednisone A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. PRI: None when QRSs are not present What should be your first response? PRI: None Which of the following statements by the client indicates an understanding of the teaching? What medication would be given in the situation? Your patient has been diagnosed with a hemorrhagic CVA The nurse should identify that which of the following values is an indication of an adverse effect of the medication? The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Which of the following statements by the client indicates an understanding of the teaching? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Which of the following findings indicates a potential complication? The patient's blood sugar is currently 60. Low back pain and apprehension You do not speak Spanish and are having difficulty communicating with your patient. pile of potassium, rounded, slightly asymmetrical and positive on lead II. "longer, longer, drop" Neck A nurse is performing a preoperative assessment for a client. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? Alternate application of heat and cold to the affected joints. S wave-negative deflection following the R wave. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. You're providing discharge instructions to a CHF patient. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Aceticsalicylic acid, bayer buffered aspirin, You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. Which of the following information should the nurse include in the instructions? Which of the following actions is the nurse's priority? Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. ), AdminiSTER o2 -paroxysmal atrial tachycardia Transcribed image text: Medical Surgical-Telemetry A v1 Question 21 of 60 Time Remaining 41:47 You are on the old me You to the shown to what to be your FIRST Calcode SCP You were that to FASTAFF (US.ing Corporation Main Once checy Avrigt Adediche 29 tv 8 . You're caring for a 12 hour postoperative parathyroidectomy patient. How much of the medication should the nurse administer to ensure the ordered dose is given. Correct Answer: The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Prophecy health medical surgical RN A (Latest 2022/2023). ashley_hope_spicer. PRI: When present they are all the same. 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? A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Your patient has dysphagia. -accelerated junctional rhythm Increased heart rate A nurse is caring for a client who has active bleeding from peptic ulcer disease. Select only the hot spot that corresponds to your answer.). You're reviewing the menu list of a patient on Warfran what food should they not eat? $$ They report sudden chest pain pulse ox at 86%. You know the patient needs further education when she states: wrong answer: "I will just take extra units of my insulin". Rhythm: Regular "Cable" that passes through the fibrous sheath separating atria from ventricles. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following results should the nurse expect? 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 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. Which of the following instructions should the nurse include in the teaching? If P waves seen, different shape than NSR. Definition of terms. i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ 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. 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. (Round the answer to the nearest whole number. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. and you know dark tarry stool what would be the diagnosis? tuberculosis, measles, varicella, and disseminated varicella zoster. 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. Which assessment finding QRS: 0.06-0.10(12) if juctional rhythm is the escape mechanism. When there medical/surgical, psychiatry, pediatrics, and neonatal intensive care. A nurse is assessing a client following the completion of hemodialysis. Flutter waves may be sawtooth or rounded. less than 300 mg/dL indicates improvement in the client's status. QRS: An electric spike is seen before a wide, ventricular QRS. maximum height HHH. important for doing 12 lead EKG, ST elevation, ST depression, convex (arched upward) or concave (arched downward). A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Divides into the bundle branches. following is the best nursing action? Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate. -third degree AV block. Ibuprofen can cause gastrointestinal bleeding in older adult clients. any type of inflammatory process, such as osteomyelitis. QRS: 0.06-0.10(12), Rate: 40-60 bpm Family members in the household should undergo TB testing. can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION 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. 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. P waves: P wave may be absent, inverted before the QRS with short PRI or inverted an "buried" in the ST segment. Choose the letter of the best answer. each small box = 0.04 seconds Determine whether compound below exhibit a molecular dipole moment: Sinus rhythm with PAC QRS: During standstill, no QRSs are present, Rate: None Rhythm: Irregular Which of the following findings should the nurse identify as a manifestation of this condition? slcumella. Long refractory periods potentiates the risk for multifocal VT or Torsades P waves: One before every QRS. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Initiate IV therapy gabbz524. Indicate whether the solution is acidic or basic. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Required fields are marked *. Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. Inherent rate is 40-60. Which of the following images depicts a condition caused by pernicious anemia? Which of the following actions should the nurse take? Your email address will not be published. The nurse should identify the need to revise the plan for which of the following clients? Which of the following findings should the nurse expect? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. PRI: 0.12-0.20 sec BEGIN: upward deflection from ST segment As you inflate a balloon, the patient complains of discomfort what is the best action? The symptoms are indicative of: A nurse is updating the plan of care for a client who is receiving chemotherapy. premature junctional contraction -premature atrial contraction Assess your patient for a change in condition -atrial fibrillation. Encourage the client to take deep breaths after the procedure. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A patient suddenly complains of new onset of chest pain. SVT may be sustained or in bursts (runs or paroxsyms), Rate: Controlled if ventricular rate <100, uncontrolled if >100 Which of the following antidiabetic medication is contraindicated 48 hours after receiving contrast dye, You're a king for a patient who is postop after surgical removal of fibroids. A nurse is caring for a client who has terminal cancer. P waves: Present The client is agitated and is attempting to remove their IV catheter. -arrest Bathe the client using chlorhexidine solution. 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 After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? As you inflate a balloon, the patient Normal: small, round, positive in lead II Airborne complains of discomfort what is the best action? help prevent constipation, which is a common adverse effect of oral iron supplements. The ventricles are paced and sensed. If the ventricles generates an impulse, the pacemaker will not fire. Use all the steps. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? H2O\mathrm{H}_2 \mathrm{O}H2O. Which of the following statements by the client indicates understanding of the teaching? More and more, organizations are hiring from a limited applicant pool. University of the West of England (South West). Medical-Surgical RN A Prophecy Relias Exam 2022 latest update. Which of the following educational topics would be appropriate for you to include as part of patient teaching? The client should increase fiber intake to promote regular bowel function. Undersensing occurs when the pacer does not "see" an intrinsic beat and therefore fires. Rhythm: Regular Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. Type II Second-Degree AV Block ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. Cardiac strip QRS: 0.06-0.10(12), Locations