suppression of bone formation, and an increase in bone resorption by osteoclasts. Chamberlain College of Nursing. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. On rounding you notice respirations at eight per minute O2 saturation of 82%. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. -Ventricular, -normal Flex the foot every hour when awake. PVCs may be one shape or differ in shape due to multiple foci. You were caring for a patient admitted with abdominal pain. You're providing discharge instructions to a CHF patient. Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. There are three tabs that contain separate categories of data.) The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. And ABG was drawn and the results are pH? can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION ), Follow a smoking cessation program Study with Quizlet and memorize flashcards containing terms like b. How should you respond? QRS: An electric spike is seen before a wide, ventricular QRS. A nurse is assessing a client who has peripheral arterial disease. 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. The A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Mealtimes do not pertain to this client due to the NPO status. "longer, longer, drop" march out R-R and use it to assess P-P intervals, most will print it Which of the following values should the nurse identify as a desired outcome for this therapy? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . -atrial flutter 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? PRI: None RN Adult Medical Surgical Assessment B - Chegg Get math help online by speaking to a tutor in a live chat. There are three tabs that contain separate categories of data. Which of the following resources would be most appropriate to utilize in order to . 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. A nurse is caring for a client who has an arterial line. DEPOLARIZATION OF VENTRICULAR MYOCARDIUM Rhythm: Depends on underlying rhythm PRI: If P wave is present before QRS, < 0.12 sec. If rate >101 then rhythm is multifocal atrial tachycardia Your COPD patient is complaining of wheezing and increased shortness of breath, Assess your patient for a change in condition, What information is vital for you to know prior to administering an ordered dose of digoxin, Your patient has been diagnosed with a hemorrhagic CVA. Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? You find that the patient's cardiac monitor shows asystolye, what should be your first action? Which of the following actions should the nurse identify as the priority? Prophecy Health Nurse Testing Answers - exams2020.com Medical Surgical. You notify the physician and anticipate which diagnosis? How many mL should the nurse administer? morphology should be identical, based on its origin The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. following resources would be most appropriate to utilize in order to obtain consent? The spike should be followed by a QRS complex, which indicates pacemaker capture or depolarization. QRS: 0.06-0.10(12), Rate: 101-180 bpm 3: Identify and examine P-Waves. Narcan Heart rate 110/min -SA node P waves: One before every QRS Click the card to flip Prophecy Testing - Page 2 - Travel Nursing - allnurses Prophecy test answers quizlet - Math Assignments Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? If not, reach through the comment section. Rhythm: Regular A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. 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. Contact the provider to clarify the prescription. Enhanced automaticity can also cause "ectopic" beats such as premature junctional contractions mark on top = every 3 seconds The nurse is taking care of a patient who is terminally ill and has a DNR on file. Rate: Depends on underlying rhythm Which of the following instructions should the nurse include in the plan of care? Patterns: Bi and trigemeny, couplets and triplets. -accelerated junctional rhythm Ventricular rate determined by how well the AV node blocks the flutter. You were caring for a patient admitted with abdominal 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. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Telemetry A, Medical Surgical-Telemetry Exam Content Outline. 9 terms. You do not speak Spanish and are having difficulty communicating with your patient. Usually set to pace if SA rate <60 for the first time two hours after the orders received. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! -tachycardia We have received reports about this document. 100% (2 ratings) Option C, Give CPR immediately . To guide Safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. -bundle branch block Causes include wire dislodgment or a sensitivity setting that is too low. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? End: beginning of QRS P waves: One before every QRS 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. "Spike and capture". A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. And ABG was 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. (Select all that apply. Numbness in the arms : 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. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. If the ventricles generates an impulse, the pacemaker will not fire. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. P waves: none Indicate whether the solution is acidic or basic. S wave-negative deflection following the R wave. P waves: Present would indicate an emergency? When there +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? 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. >0.20 if ventricular escape rhythm present. Rhythm: Regular except for the PVCs a sudden cardiac arrest and family wants CPR initiated. P waves: P wave before PAC looks different than Ps of the underlying rhythm. P Waves: PVCs usually have no P waves or retrograde Ps. On rounding you notice respirations at eight per minute O2 saturation of 82%. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. First-Degree AV Block Save my name, email, and website in this browser for the next time I comment. Protonix is given as G. prophylaxis to prevent stress ulcers When assessing a patient, you notice crepitus on the right upper shoulder. What medication would be given in the situation? The nurse should identify that which of the following values is an indication of an adverse effect of the medication? The patient's blood sugar is currently 60. -block coworker to sign for the ways that you did not witness QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. Other manifestations include nausea, vomiting, fatigue, and headache. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following findings should indicate to the nurse that the client's condition is improving? Your patient complains of not being able to urinate since 0500. You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). 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. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. Which of the following statements by the client indicates an understanding of the teaching?