When taking care of a patient with pancreatitis, which of the following lab should be reviewed? QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. BEGIN: upward deflection from ST segment What medication would be given in the situation? 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. Refused to sign for the waste A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. PRI: 0.12-0.20 sec Meclizine can also be used for the treatment of vertigo or other conditions including nausea, vomiting, and insomnia. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. Pulmonary embolism A nurse is providing discharge teaching to a client who is to self-administer heparin subcutaneously. When taking care of a patient with pancreatitis, which of the following lab shoul. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream The amount available is oral solution 125 mg/5 mL. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? (Click on the audio button to listen to the clip.). PRI: If P wave is present before QRS, < 0.12 sec. I am ready to die." 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? A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. QRS: 0.06-0.10(12), supraventricular tachycardia A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? He asks you about the procedure what would be the most therapeutic response? Your patient began deteriorating rapidly after complaining of shortness of breath. Which of the following findings should indicate to the nurse that the client's condition is improving? When there is no history of GERD Correct Answer: Protonix is given as G.I. More and more, organizations are hiring from a limited applicant pool. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following actions should the nurse take to manage the drain? Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. What is the first sign of increased intracranial pressure? Rhythm: Regular if ratio of flutter wave to QRS is regular. Get Instant Access to Prophecy Health Nurse Test Answers at our eBook Library. Spinach A nurse is preparing to administer a blood transfusion to a client who has anemia. a sudden cardiac arrest and family wants CPR initiated. A nurse is providing discharge instructions to a client who has active tuberculosis (TB). At what temperature must the bottom surface of the kettle be maintained to accomplish this? Usually one impulse predominates. On rounding you notice respirations at eight per minute O2 saturation of 82%. 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? Your patient began deteriorating rapidly after complaining of shortness of breath. Upper G. bleed 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! A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. ", A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. You find that the patient's cardiac monitor shows asystolye, what should be your first action? The patient's blood sugar is currently 60. ), Calf pain Study with Quizlet and memorize flashcards containing terms like b. decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. P waves: One before every QRS How should you respond? A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. The nurse should monitor the client's glucose levels on a set schedule, either every 6 hr or per facility protocol. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. You went to the room of a 58-year-old female. This image depicts glossitis, which can indicate pernicious anemia. He asks you about the procedure what would be the most therapeutic response? 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These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. How many mL should the nurse administer? The nurse should instruct the client that which of the following medications can increase their risk for developing osteoporosis? Rate: Atrial > ventricular A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Rhythm: Regular The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? sick sinus syndrome, Rate: 60-100 bpm NUR. You do not speak Spanish and are having difficulty communicating with your patient. the following medication should you question? 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. : 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. A nurse is providing teaching to a client who has end-stage kidney disease and is waiting for a kidney transplant. Bubbling in the water seal chamber ceases when the lung re-expands. Rhythm: Depends on underlying rhythm Rhythm: Irregular Numbness can occur along the inside of the affected arm Laryngeal strider can take many shapes, VENTRICULAR DEPOLARIZATION and BEGINNING OF VENTRICULAR REPOLARIZATION QRS: >0.20. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. At least 3 different P wave morphologies. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. 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. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. coworker to sign for the ways that you did not witness By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. Compress the drain reservoir after emptying. The nurse should explain that applying a TENS unit to the painful area has which of the following effects? Telemetry detects the ability of cardiac cells to generate a spontaneous and repetitive electrical impulse through the heart muscle. intervention is: -idioventricular rhythm Which of the following actions should the nurse anticipate taking? To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). A nurse is providing teaching to a client who has AIDS. Rhythm: Irregularity associated with respiration phase. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. END: returns to isoelectric line Prophecy Medical Surgical Telemetry Exam A V1. Women could have pain in their arm, neck, back or jaw Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. indicate that the nephrostomy tube is dislodged or clogged. physician and anticipate which diagnosis? 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. 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. Stress ulcers When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Which of the following statements should the nurse make? premature atrial contraction -paroxysmal atrial tachycardia Which of the following medication should you question? Manifestations include low back pain, hypotension, tachycardia, and apprehension. Increase shortness of breath Which of the following images depicts a condition caused by pernicious anemia? Correct Answer: Change in LOC A patient suddenly complains of new onset of chest pain. Rate: Depends on pacing settings. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Knowledge of contraindications related to antidiabetic medications. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. c. has no symmetry. The client becomes restless, dyspneic, and has crackles noted to the lung bases. QRS: 0.06-0.10(12), Rate: varies complains of discomfort what is the best action? Which of the following actions should the nurse take? What information is vital for you to know prior to administering an ordered dose of digoxin A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. HCO3 - 23. The patient has NKDA. Ventricular rate determined by how well the AV node blocks the flutter. Causes include wire dislodgment or a sensitivity setting that is too low. Pulmonary embolism? The nurse should identify that which of the following values is an indication of an adverse effect of the medication? QRS: 0.06-0.10(12), Locations Registered Nurse in the Medical. 100 terms 4.8. slcumella . 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. QRS: > 0.12 sec. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. The patient is on lasix and solumedrol IV. Which of the following findings is an indication of lung re-expansion? (Round the answer to the nearest whole number. Prophecy health medical surgical RN A correct Answers 2022 2023. $$ Which of the following actions is the nurse's priority? Eat a low-fat diet. Prednisone will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. Their patient has a sudden cardiac arrest and family wants CPR initiated. PRI: None ), AdminiSTER o2 pile of potassium, rounded, slightly asymmetrical and positive on lead II. a result of impaired arterial circulation affecting follicular growth. The client is unable to void on the bedpan. Which of the following actions should the nurse take? Inherent rate is 40-60. Encourage the client to take deep breaths after the procedure. P waves: Present View the full answer. While performing the narcotic count at the end of the shift, my coworker admits to something, Lipase - 196 Which of the following educational topics would be appropriate for you to include as part of patient teaching? 100 terms. Rhythm: Regular PRI: 0.12-0.20 QRS: 0.06-0.10(12), Rate: 101-180 bpm The nurse should expect a reduction in which of the following common manifestations of advanced cancer? Rhythm: Atrial regular, ventricular irregular d/t dropped beats Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain? Exam Objective: To measure the overall clinical knowledge of the. A kettle with a flat bottom 30 cm in diameter is available. A nurse is assessing a client who is postoperative following a thyroidectomy. "Cable" that passes through the fibrous sheath separating atria from ventricles. On rounding you notice respirations at eight per minute O2 saturation of 82%. Prophecy health medical surgical RN A Learn with flashcards, games, and more - for free. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? pulse, cough with bloody sputum, diaphoresis, and syncope. The patient is lying in a supine position. Below the Bundle of His R wave-tall positively deflected wave in lead II. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. Pediatric RN. reads at 25 mm/sec A nurse is assessing a client while suctioning the client's tracheostomy tube. reasons: electrolyte imbalances, left vent hypertrophy, medications. Check for the type and number of units of blood to administer. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? 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. -arrest If an accessory pathway exists which by passes the AV node or if a reentry circuit occurs within the node, a tachyarrhythmia called PSVT can occur(more details later). Correct answer is ventricular fibrillation Which of the following issues should be reported up the chain of command Which of the following disorders presents the greatest risk to this group of clients? You're caring for a 12 hour postoperative parathyroidectomy patient. A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Which of the following information should the nurse include in the instructions? Rhythm: Regular A nurse is providing teaching to a client who has a new prescription for psyllium.
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