Be sure you understand your computer programs notation. ventricle is quivering PR Interval: N/A Explain the evidence that supports this hypothesis. What would you anticipate the provider ordering for this patient? Click the card to flip . medications How do you ensure effective drain function? Schools. chest pain, CHECK PATIENT You do not speak Spanish and are having difficulty communicating with your patient. hypothyroidism, CHECK PATIENT You enter a patient's room and notice the telemetry box on the bed and the IV on the floor connected to running IV fluids. Compress the drain, then plug the bulb to establish suction. The nurse is taking care of a patient who is terminally ill and has a DNR on file. You just left your patient's room with her husband at bedside. may require conscious sedation, surgical procedure What is the first thing you should do after entering the room? Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? These symptoms are indicative of what condition? DONT BLOW IT, BUCKS. What is your recommendation? Check your work with a graphing device. inconsistent How should you respond? Dont Go Retrograde On Your Word Of The Day Quiz Streak! Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. 1.2 milligrams is equal to how many micrograms? Husband stays late till 9 consistently, 2nd Degree AV Block Type I Mobitz, Wenckebach, IRREGULAR 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. Nationwide Service, Competitive Pricing, Great Equipment Selection in X-Ray, Ultrasound, Bone Densitometry, Fluoroscopy, CT, MRI and Mammography. Prophecy medical surgical-telemetry 2022. -SVT 150-350, *Fires normally @ 40-60* What symptoms may indicate intolerance to the feedings? The provider is suspecting influenza. Check your work by evaluating both your answer and the original problem by computer. no atrial impulse is conducted through AV node into the ventricles Proximus Medical is your partner in digital medical imaging. Stay with the patient and ask fi she has a plan to carry out this wish. does not go home with patient risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine. NO P WAVE bc SA node didn't fire Notify the charge nurse and social worker of your concerns. specific medications cardiac patients being actively treated EKG graphic recording of the electrical activity of the heart L-R is time vertical is voltage small box is 0.04 seconds isoelectric line the flat line that occurs when no electrical activity is taking place used as baseline to identify changing electrical movement positive deflection most common you do Skip to document Ask an Expert Sign inRegister Sign inRegister Home What is the BEST way to respond? She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. need to have an electrical current present in heart to shock GENERATION Z IS TRAUMATIZED BY CLIMATE CHANGEAND THEYRE THE KEY TO FIGHTING IT. Terms of Use Sit calmly next to her and offer her compassion and a sense of security. BUNDLE BRANCH BLOCK or BLOCK IN PURKINJE FIBERS (idioventricular), Chopy but not as high as polymorphic V tach, Only purkinje fibers firing Identify each of the following integrals or expressions as one of the functions of this chapter. What education about performing hand hygiene should you give? What is the EARLIEST sign indicating increased intracranial pressure (ICP)? . What type of isolation precautions should you initiate, if any? Prophecy medical surgical-telemetry exam Grade A&plus; 2023&comma;Medical-Surgical RN A Prophecy Relias Exam 2023 latest update&Prophecy health medical surgical RN A with complete solution 2023 $ 46.47 $ 29.49 3 items P-P ad R-R consistent but NO correlation "You have the right to refuse the blood transfusion. symmetrical SOB Hypoxia Prior to suctioning the patient, what should you do FIRST? hyperthyroidism You do not speak Spanish and are having . What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? no defined P wave Company Registration Number: 61965243 Answers; https://www.stuvia.com/doc/1713194/prophecy-medical-surgicaltelemetry-exam-test-answered-en-graded-a-latest-summer-2022. Tension PTX, tamponade, toxins, thrombosis (PE), thrombosis (MI), MEDICAL EMERGENCY Physical assessment reveals jugular vein distention and a third heart sound (S3). inherent rate of 30-40 bpm (if SA and AV node fail), stimulation concerned if more than 6 per minute Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? Request an order for soft mitts as they are the least restrictive. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. charliedude21. A patient has recently been diagnosed with terminal cancer. Your 72-year-old male patient is admitted for colon cancer related complications and has a history of CHF, stroke, and a recent knee replacement. Encourage the patient to cough and deep breathe. Question: C Medical Surgical-Telemetry A v1 Question 7 of 60 Time Remaining: When assessing a patient, you notice crepitus on the night upper shoulder You notify the physician and anticipate which diagnosis? two separate impulses are happening at same time, electronic devices that delivers electrical stimulation to the heart to regulate HR i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ medications - BBs, digoxin, CCBs Rate: 60-100 PR Interval: N/A What is the BEST indication of an acute neurological problem? And ABG was drawn and the results are pH? limxx3x3+2=1\lim_{x\to -\infty}\frac{\sqrt[3]{x}}{\sqrt[3]{x}+2}=1 Your IV medication on hand has 25,000 units of Heparin in 500 mL of D5W. I'm tired of my life." 3. give atropine 0.5mg IV Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $25.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Your patient weighs 176 pounds. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. Prophecy medical surgical-telemetry 2022. treat the underlying cause used as baseline to identify changing electrical movement, when a wave moves towards the top of the paper, when a wave moves towards the bottom of the paper, calculate HR 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. On which day does the smallest range occur? Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. Spain. sabineWin Teacher. Your patient starts to complain of difficulty breathing while laying down, and states that he has been coughing up pink sputum. 2 terms. Who should be notified immediately? ventricle rate is variable You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Sputum with streaks of blood P wave is upright in front of QRS, wide and bizarre 17 terms. ensure all clear, MEDICAL EMERGENCY Julie S Snyder, Linda Lilley, Shelly Collins. QRS: <0.12 sec You received a patient post op transurethral resection of the prostate (TURP). Your patient is on contact precautions for active MRSA. NOT: increased salivation. very tall and narrow QRS 1 / 60. You're providing discharge instructions to a CHF patient. Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease, depression, and alcohol use. Smallest tidal range: ________________________. One needs to go to surgery, one needs STAT lab draws from a PICC line, another has chest pain rated 8/10, and another needs toileting. P before every QRS? Discarded, then begin the 24 hour collection. Four Tips From Experts to Maintain Your Medical X-Ray Equipment, Benefits of Portable Digital X-Ray Machines, The Different Types of X-Ray Equipment What Are Each Used For. Sell. She also exhibits occasional episodes of tremors in her upper extremities. Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. Will be shorter than T wave key to blocks - PR interval, consistent prolonged PR interval (>0.20) Morphine Duramorph, oxygen, nitrates, shock hypothermia Providing nationwide service, competitive pricing, extensive equipment selection in X-ray, ultrasound, bone densitometry, Fluoroscopy, CT, MRI and Mammography. Educate the spouse on oxygen use as a medical device in the hospital. P wave: Present, upright 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 mode of oxygen delivery would MOST likely reverse these symptoms? more P waves than QRS complexes You were caring for a patient who is 18 hours postop after a right BKA a. What is your FIRST action? Company Registration Number: 61965243 What should you do NEXT? What do you expect is happening? Her responses are caustic and abrasive. of medical surgical nursing janice l hinkle kerry h cheever civilization and its discontents sigmund freud prophecy rn pharmacology a flashcards quizlet Jul 23 2022 web prophecy rn pharmacology a flashcards quizlet prophecy rn pharmacology a 3 7 15 reviews your patient is to receive 2 g vancomycin . Copyrights 2023 | Proximus Medical | All Rights Reserved | Created by DEGOM Marketing. QRS is normal, valvular disease treat underling cause What other assessment finding would you anticipate as part of your physical assessment? Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. cardiomyopathy, HR is bounding all over the place . PR interval is less than 0.12 seconds if visible Patient is admitted for shortness of breath. On rounding you notice respirations at eight per minute O2 saturation of 82%. Prophecy medical surgical-telemetry. ANTICOAGULATION beta-blockers Rate: >100 Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? -SB <60 A patient suddenly complains of new onset of chest pain. produces 12 difference waveforms BrownPenguin97743. initial shock is 200-360 joules, don't stop CPR until shock is charged and ready defibrillation L-R is time Which of the following resources would be most appropriate to utilize in order to obtain consent? no pusle, no breathing, unconcious, good, effective CPR P waves are upright and similar University; American . On his second hospitalized day, you notice he is more anxious and restless than his baseline. When there is no history of GERD, Protonix is given as G.I. b) Find the intervals of increase or decrease. channels open for Na+ and Ca+ to enter cell What is a priority in care for this patient? What blood product do you expect to administer? d) Find the intervals of concavity and the inflection points. Patients with diabetes are at high risk for complications from damage to what body areas? A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? Rate: regular atrial if asymptomatic, observe and monitor Cardiovascular Dysrhythmia Interpretation Endocrine 9% 13% 10% Gastrointestinal 7% 15% General Knowledge 12% 7% Neurological 10% 7% 7% Pharmacology Professional Issues . 0.12-0.20 second You are preparing to hang 1 unit PRBC's to administer to your patient. You do not speak Spanish and are having difficulty communicating with your patient. The surgical removal of the lining of a portion of clogged carotid artery leading to the brain. QRS: variable +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream We're available through e-mail, live chat and Facebook. sydneybrannan. What is an appropriate VTE prophylaxis order for this patient? asystole, defined as 3 or more consecutive PVCs common medications: beta-blockers, calcium channel blocker, fluids, atria contracts more than ventricle Stimulants Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. On which day does the greatest tidal range occur? An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. What is your FIRST step? What should be your next step? round Which of the following resources would be most appropriate to utilize in order to obtain consent? Prophecy general ICU A V3. make sure "All Clear", occurs above the ventricle (commonly in Bundle of HIS) France. 35 terms 4.6 (10) DCJusino. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Company Registration Number: 61965243 70 terms. What is your FIRST action? 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. no discernable waves, code blue panic/anxiety ventricles have fully contracted You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. cardiac cell is normally negatively charged Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside. The urine sample taken by the patie . You are ordered to give digoxin (Lanoxin). What should be your FIRST intervention? Regular or irregular? Caput 2 (264-260) 15 terms. The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." Turn q 2hours, request nutrition consult, request low airloss mattress. transvenous 5. transcutaneous pacing, SA node firing too fast P Wave: Present, upright must be connected to central monitoring What is the MOST likely cause of this? CPR Discuss code status with the patient and follow up with provider to ensure the medical record reflects her wishes. Coarse: big waves "I must be within an arms' length view of you at all times for your safety, including while using the bathroom.". Parathyroidectomy 2. His medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition (not medication related) might cause an elevation in the patients PT/INR level? will see if you have a prolonged MI gives us full picture of what is going on in heart, uses 5 leads What signs require further intervention? AV Node fired Prophecy medical surgical - Prophecy medical surgical-telemetry exam test; answered &amp; graded A+, - Studocu Prophecy medical surgical prophecy medical exam answered graded latest summer 2022. you are to obtain informed consent for patient scheduled for surgery. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, Prophecy medical surgical-telemetry 2022(Answered), Lippincott Manual of Medical - Surgical Nursing Adaptation of Nettina: Lippincott Manual of Nursing. Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Black and tarry colored stools are CLASSIC symptoms of what condition? smoke over fire, clouds over grass, poop in the middle, continuous telemetry monitoring indications, any ICU patient What is the MOST important order you should anticipate from the provider? Subtotal thyroidectomy IV. What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? CAD Belgium. 1699 S Main Street. rheumatic heart disease, CHECK PATIENT EXAM 1: Medical-Surgical Nursing Review. Study sets. do not see any p waves $ 31.00 $ 20.00. maybe the result of medications, PR interval is progressively longer until QRS is dropped named according to site of origin of impulse and mechanism of conduction, uses 10 electrodes (one of each limb, 6 on chest) Your patient may have tuberculosis TB) and is placed in airborne precautions. absence of cardiac electricity 34 terms. What should you do NEXT? Prophecy medical surgical-telemetry exam Grade A+ 2023. cardiac contraction, relaxation The provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. will see when you are first have an MI, J point is below the isoelectric line Acetylsalicylic acid ( Bauer buffered aspirin). high risk for STROKE and EMBOLISM, A-fib rapid ventricular response Your coworker posted photos on social media from a birthday party they had for her in the unit breakroom. impulse that happened early, trigeminal pattern of premature complexes, Normal The provider orders a Heparin infusion of 900 units/hr. Unit 2 Biology Questions. identify and treat cause (Hs and Ts), conduction abnormality You went to the room of a 58-year-old female. Fill in each blank so that the resulting statement is true, cos2=2\cos^2 \alpha=\frac{\underline{\qquad}}{2} njcjohnson. mechanical failure of heart P wave: Present, upright Other Quizlet sets. DM Learn prophecy with free interactive flashcards. You notice she has been having several episodes of acute confusion since being admitted to your unit. obesity Your Partner in Digital Medical Imaging. Exam (elaborations) - Medical-surgical rn a prophecy relias test&comma; answered 2022 . Knowledge of common gastrointestinal post-operative complications. establish airway, attempts to restore the normal HR by sending an electrical shock to heart As you inflate a balloon, the patient complains of discomfort what is the best action? Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? R-R is equal HTN Explain. p waves may be inverted, before, during or after the QRS Prophecy Medical Surgical Telemetry Exam A V1. Prophecy pacu rn a v1 questions & answers&comma; 2022 3. What is your patient MOST likely experiencing. Based on this statement, which nursing diagnosis would be appropriate? USMLE - United States Medical Licensing Examination; View all for Qualifications. Wenckebach, PR interval is consistent until QRS is dropped What condition do you MOST likely suspect? What should you do? rate is 100-250 bpm Gastrointestinal A. What is clubbing of the fingers MOST likely associated with? synchronized cardioversion synchronized cardioversion if unstable, "controlled shocking" When is the best time to administer insulin lispro (Humalog)? conduction is blocked below the AV node, caused by ischemia, PR interval varies dizziness 21 terms. rhythm is not regular What is the MOST appropriate response? The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. Medical Surgical Telemetry B. Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. more P waves than QRS complexes 2. identify underlying cause Shows firing of SA node, 0.06-0.10 sec SHOULD BE <0.12 sec Where do you study. 35 terms. illicit drugs, CHECK PATIENT medication induced Terms of Use The patient's blood sugar is currently 60. Medical-Surgical RN A Prophecy Relias 1.2 milligrams is equal to how many micrograms? hypoxia anticoagulation (blood can clot in atria), rapid, disorganized, and uncoordinated electrical activity in atria What is the first sign of increased intracranial pressure? initiates electrical impulses at rate of 60-100 bpm, synchronizes atrial and ventricular activity if symptomatic, treat via ACLS bradycardia algorithm You were caring for a patient admitted with abdominal pain. Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. Your patient complains of not being able to urinate since 0500. PR Interval: N/A Midterm Study guide. adenosine IV Which assessment finding would indicate an emergency? A patient with peritonitis presents with tachycardia, hypotension, and dehydration. During your assessment you note she has a flat affect and says, "I just want to die. Rate: 50-100 PR interval: >0.20 sec CONSISTENTLY LONG Recent flashcard sets. Husband stays late till 9, then 11, then 1, then doesn't come home at all, Irregular or regular batteries can last 5+ years P Wave: NONE I will inform the provider of your decision.". inferior wall MI B. Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. casa multifamiliar de 3 pisos, williams class of 2025 acceptance rate,