no defined P wave Sputum with streaks of blood hypoxia 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 B. 35 terms 4.6 (10) DCJusino. Can a nonspontaneous process occur? The severity fluctuates throughout the day. Who should be notified immediately? "Sorry, it is a slow-release medication that cannot be opened or crushed.". USMLE - United States Medical Licensing Examination; View all for Qualifications. Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. Where do you study. "You have the right to refuse the blood transfusion. absence of cardiac electricity A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? 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. may require conscious sedation, surgical procedure Terms of Use As you inflate a balloon, the patient complains of discomfort what is the best action? What is the MOST appropriate response? A female patient requests a female nurse to provide care for her based on her religious beliefs. caused by medication, MI, valvular disorders, myocarditis Due to the size of the kidney stone it is an appropriate treatment? What condition (not medication related) might cause an elevation in the patients PT/INR level? Your post-op patient has a Jackson-Pratt (JP) drain in place. Exam (elaborations) - Prophecy medical surgical-telemetry exam 2022 8. inferior wall MI You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? You note his lower abdomen is distended. NO P WAVE bc SA node didn't fire As you are walking down the hallway you overhear your colleague discussing her personal family issues with a patient. P Wave: Present, upright limxx3x3+2=1\lim_{x\to -\infty}\frac{\sqrt[3]{x}}{\sqrt[3]{x}+2}=1 P wave: Present, upright QRS: variable Prophecy pacu rn a v1 questions & answers, 2022 3. The provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. will see if you have a prolonged MI Prophecy Medical Surgical-Telemetry Exam 2022. sabineWin Teacher. A(n) _______ container uses keys to rapidly access elements. medication induced OSA upright Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. The Netherlands. 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. Which patient should you tend to FIRST? Find study resources for. 35 terms. How many units should you administer? Parathyroidectomy 2. pacing may be required, 1. get 12 lead EKG follow ACLS for symptomatic patient, AV node becomes pacemaker of the heart (40-60 bpm) P waves not followed by QRS Prophecy RN Pharmacology A. Encourage the patient to cough and deep breathe. Regular or irregular? Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? How do you ensure effective drain function? Your new patient understands very limited English. nurse can push, but have to have provider at bedside P wave: Present, upright initial shock is 200-360 joules, don't stop CPR until shock is charged and ready Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and bloody sputum. beta-blockers What proper PPE should you use before entering the room? dizziness P Wave: NONE Lauren1519. if symptomatic, same as sinus bradycardia, ventricular tachycardia small box is 0.04 seconds, the flat line that occurs when no electrical activity is taking place Prophecy Medical Surgical Exam Answers - Orris. Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. surgical intervention, stops the heart to see underlying heart rhythm restoration of negative charge, "dysrhythmias" Hold digoxin (Lanoxin) and call the provider. Educate the spouse on oxygen use as a medical device in the hospital. Your patient may have tuberculosis TB) and is placed in airborne precautions. Julie S Snyder, Linda Lilley, Shelly Collins. Prophecy Rn Pharmacology Exam A V1 - Answers for 2019 Prophecy Prep RN Pharmacology Exam; The Prophecy Prep RN Pharmacology Test is a condensed version of the full length Prophecy pre-hire assessment measuring vital competencies that are important to 427 New Sanford Road La Vergne, TN 37086 Phone: 1.800.274.6848. P waves are upright and similar Rate: <60 more P waves than QRS complexes You receive a provider's order that is not consistent with evidence-based practice. SOB Terms of Use Copyrights 2023 | Proximus Medical | All Rights Reserved | Created by DEGOM Marketing. What would be the MOST appropriate action? The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The provider is suspecting influenza. muscles of atria quiver What is the proper technique when suctioning a tracheostomy? Acid-Base Imbalances make sure "All Clear", occurs above the ventricle (commonly in Bundle of HIS) BUNDLE BRANCH BLOCK or BLOCK IN PURKINJE FIBERS (idioventricular), Chopy but not as high as polymorphic V tach, Only purkinje fibers firing You do not speak Spanish and are having difficulty communicating with your patient. What should you do? R-R is equal You last saw the patient 1 hour ago. What would you anticipate the provider ordering for this patient? 1 / 60. You do not speak Spanish and are having difficulty communicating with your patient. It should be available to new users, both individuals and organizations, by the fall of 2021. . disorders of the electrical impulse within the heart that causes disturbances epinephrine IVP Which is the MOST appropriate action? What do you expect is happening? Medical-Surgical RN A Prophecy Relias 1.2 milligrams is equal to how many micrograms? What is an early symptom that the patient is developing a complication of heart failure? however, Cl- now enters cell Which of the following actions would be considered a violation of Hyppa? Providing nationwide service, competitive pricing, extensive equipment selection in X-ray, ultrasound, bone densitometry, Fluoroscopy, CT, MRI and Mammography. Rate: unmeasurable round What should be your FIRST intervention? Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen saturations despite being on 2L/min of O2 by nasal cannula. QAnons followers have faced failed prophecies before, but last week appeared to be the movements most severe breaking point. vertical is voltage Check your work with a graphing device. You are caring for a patient with a history of diabetes mellitus. What tests do you expect the provider to order? 0.35-0.45 seconds, early ventricular repolarization synchronized cardioversion if unstable, "controlled shocking" Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. Which of the following medication should you question? P wave: Present, upright . check electrolytes and review medication should be narrow In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. must be connected to central monitoring Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? What is the MOST appropriate action to take? Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? QRS: N/A, Regular What condition do you MOST likely suspect? symmetrical English 111. AV Node fired GIANNIS ANTETOKOUNMPOS PATIENCE IS A GIFT TO MILWAUKEE. Prophecy medical surgical-telemetry 4.7 (25 reviews) You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. See how your sentence looks with different synonyms. What should you do NEXT? common medications: beta-blockers, calcium channel blocker, fluids, atria contracts more than ventricle What electrolyte imbalance would you expect to be associated with this patient? DM Caput 2 (264-260) 15 terms. physiologic or psychologic stress Nursing Corporation) (Main Ofice) Prophecy good working IV, closest to heart How should you respond? . While in a supine position your patient states, "I'm tired and cannot catch my breath." Your patient with CHF states, "I can still eat the same food, I just have to weight myself everyday." Company Registration Number: 61965243 A NG tube is in place for decompression; however, you note during the assessment that the stomach is rigid and hard during palpation. QRS is normal, valvular disease Learn prophecy with free interactive flashcards. QRS: WIDE, >0.12 sec, Regular Which medication would you possibly hold and seek clarification? When taking care of a patient with pancreatitis, which of the following lab should be reviewed? aka A-fib RVR normal for athletes, during sleep, or lower metabolic needs what is your first action? Exam Qsen Prophecy Rn Pharmacology A Latest . measured from the start of Q to J point, Point where the QRS complex and ST segment meet Deflate the balloon, advance the catheter further, then reinflate the balloon. Schools. While performing your assessment, you notice jugular vein distention and coarse crackles in both lungs on auscultation. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. give 6mg then 12mg then another 12mg, early - before next expected complex QRS: WIDE and BIZARRE , >0.12 sec, Regular 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. Husband and wife live separate lives and don't communicate, SA Node DID NOT FIRE rheumatic heart disease, CHECK PATIENT He asks you about the procedure what would be the most therapeutic response? Subtotal thyroidectomy IV. vagal maneuvers (carotid massage, bear down, cough) most common giving shock at a specific time in cardiac cycle web rn basic math ability exam b v1 answers made by riann de prophecy rn pharmacology exam a v1 PR Interval: N/A you do an assessment and notice lice in her hair. Spain. cardiomyopathy, HR is bounding all over the place 60 terms. A patient suddenly complains of new onset of chest pain. Proximus Medical is your partner in digital medical imaging. Proximus Medical is your partner in digital medical imaging. You have 4 patients who have high priority needs. different than AICD, transcutaneous Left sided weakness of the leg, arm, and face. CPR What other assessment finding would you anticipate as part of your physical assessment? Black and tarry colored stools are CLASSIC symptoms of what condition? Turn q 2hours, request nutrition consult, request low airloss mattress. 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 Exam 2022, You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not speak Spanish and are having difficulty communicating with your patient. Which of the following reso. transvenous w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI c) Find the local maximum and minimum values. 215 terms. need to have an electrical current present in heart to shock start CPR and epinephrine, organized electrical activity present on cardiac monitor Ischemia, treat the underlying cause Discuss code status with the patient and follow up with provider to ensure the medical record reflects her wishes. A patient on warfarin (Coumadin/Jantoven) has an INR of 6. 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. Which tool should you use to assess pain in you 80-year-old patient with severe dementia? may be temporary or permanent Your patient began deteriorating rapidly after complaining of shortness of breath. P before every QRS? What signs require further intervention? The patient has a morphine PCA post operatively. You have a patient going for dialysis. CHF Use the definition of the function being defined for all x in some infinite open interval extending in the positive x- direction or in negative x- direction to prove that the stated limit is correct. rounded and usually upright, J point is above isoelectric line Coarse: big waves Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. Your patient complains of not being able to urinate since 0500. achswims05. Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC). What should be your next step? P-P ad R-R consistent but NO correlation Their medications include lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). common medications - Atropine, Dopamine, Epinephrine I'm tired of my life." oxygen is flammable Prophecy health medical surgical RN A Learn with flashcards, games, and more for free. if symptomatic, treat via ACLS bradycardia algorithm identify and treat cause (Hs and Ts), conduction abnormality QRS for every P? Hettydk. 82 terms. Window Han recht Medical Surgical-Telemetry A v1 Question 19 of 60 Time Remaining 43:44 The pared to your patient to begin 24 hour une collection your parent Voics for the first time wo hours to the Rod What do with this in mi? Midterm Study guide. very tall and narrow QRS The nursing assistant recommends using soft mitt restraints on the patient. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. 126 terms. Belgium. Specializing in office-based medical diagnostic systems. 4. start an infusion (866) 894-1113 What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? Let me know when the therapy session is finished and I will re-apply them.". She is feeling panicked and does not think she can handle staying in the hospital for her surgery. treat underling cause Electrolyte imbalances When assessing a patient, you notice crepitus on the right upper shoulder. What diagnosis do you suspect? 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. Nationwide Service, Competitive Pricing, Great Equipment Selection in X-Ray, Ultrasound, Bone Densitometry, Fluoroscopy, CT, MRI and Mammography. What is your recommendation? Your patient is 4 hours post open appendectomy and has not voided yet. initiates electrical impulses at rate of 60-100 bpm, synchronizes atrial and ventricular activity Click the card to flip . These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. What is the BEST way to respond? Prophecy Medical Surgical Telemetry Exam A V1. shock What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? rate is 100-250 bpm alana_choudhury. What is your FIRST action? PR interval is 0.12-0.20 seconds 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. panic/anxiety Remind her later of her responsibility for establishing and maintaining professional boundaries with patients. The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? obesity P wave is upright in front of QRS, wide and bizarre physics formula overview. will see when you are first have an MI, J point is below the isoelectric line EXAM 1: Medical-Surgical Nursing Review. He states he needs to have a bowel movement and would like some privacy to use the bathroom. Prophecy medical surgical-telemetry. charliedude21. Proximus can equip any medical professional no matter the facility or the environment. 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. you do Skip to document Ask an Expert Sign inRegister Sign inRegister Home Course; Prophecy medical surgical-telemetry; Institution; Prophecy Medical Surgical-telemetry; Book; Medical-Surgical Nursing; You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not speak Spanish and are having . PR Interval: N/A What type of isolation precautions should you initiate, if any? 2 terms. QRS wide or narrow? *Fires normally @ 60-100* Rate: 50-100 17 terms. Tension PTX, tamponade, toxins, thrombosis (PE), thrombosis (MI), MEDICAL EMERGENCY Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. What would be the MOST appropriate action? When there is no history of GERD, Protonix is given as G.I. does not go home with patient ventricle rate is variable 51 terms. Your language. hypothermia Your IV medication on hand has 25,000 units of Heparin in 500 mL of D5W. sales@proximusmedical.com. Which of the following is MOST important in preventing a catheter associated urinary tract infection (CAUTI)? 70 terms. She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. Which of the following symptoms would cause you the MOST concern? feels like heart "skips a beat" Wide QRS: delay in ventricular contraction, delay of conduction through bundle branches or purkinje fibers Which of the following resources would be most appropriate to utilize in order to obtain consent? Wenckebach, PR interval is consistent until QRS is dropped What diagnostic finding would support a diagnosis of deep vein thrombosis? Schools. Click the card to flip Which interventions would be MOST appropriate based on your assessment? Fine: small waves -SR 60-100 You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. What test would you expect to be ordered? Prophecy medical surgical-telemetry test, answered_ 2022. ensure all clear, MEDICAL EMERGENCY What medication would be given in the situation? e) Use the information from parts (a)-(d) to sketch the graph of fff. QRS: <0.12 sec, IRREGULAR Prophecy medical surgical-telemetry exam Grade A+ 2023. We're available through e-mail, live chat and Facebook. impulse that happened early, trigeminal pattern of premature complexes, Normal
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