Progressive Care RN A v1 Flashcards | Quizlet illicit drugs, 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. H(w)=3w2w4H(w)=\frac{3 w}{2 w-4}H(w)=2w43w, Regular -SB <60 Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin, lethargy, and shakiness. start CPR and epinephrine, organized electrical activity present on cardiac monitor You went to the room of a 58-year-old female. History Test #1. cardiac contraction, relaxation 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 85-year-old patient with atrial fibrillation fell at home 3 days ago. What would you suspect? Their medications include lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). QRS: WIDE and BIZARRE , >0.12 sec, Regular Your patient starts to complain of difficulty breathing while laying down, and states that he has been coughing up pink sputum. Providing nationwide service, competitive pricing, extensive equipment selection in X-ray, ultrasound, bone densitometry, Fluoroscopy, CT, MRI and Mammography. Proximus can equip any medical professional no matter the facility or the environment. Severe abdominal pain or rebound tenderness. Terms of Use Home - Proximus Medical Acknowledge her feelings, understanding this is expected in the grieving process. Prophecy medical surgical-telemetry exam Grade A+ 2023. We're available through e-mail, live chat and Facebook. Study sets. Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." small box is 0.04 seconds, the flat line that occurs when no electrical activity is taking place ABCs The patient is lying in a supine position. more P waves than QRS complexes give 6mg then 12mg then another 12mg, early - before next expected complex high risk for STROKE and EMBOLISM, A-fib rapid ventricular response What is the first thing you should do after entering the room? PR Interval: N/A may be normal A patient with peritonitis presents with tachycardia, hypotension, and dehydration. -SR 60-100 What is the MOST important order you should anticipate from the provider? channels open for Na+ and Ca+ to enter cell Regular or irregular? 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 Due to the size of the kidney stone it is an appropriate treatment? What should you do NEXT? Compress the drain, then plug the bulb to establish suction. What would be your FIRST nursing intervention? The patient has a morphine PCA post operatively. You are ordered to give digoxin (Lanoxin). Encourage the patient to cough and deep breathe. The patient states, "I don't take blood products." Solved C Medical Surgical-Telemetry A v1 Question 7 of 60 - Chegg What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? What type of diet do you expect to be ordered for the patient? You notify the physician and anticipate which diagnosis? prophecy medical surgical telemetry flashcards quizlet web prophecy medical surgical telemetry 4 7 25 reviews flashcards learn test match you are to obtain . What does the chemical formula of a substance tell us about that substance? And ABG was drawn and the results are pH? rate is 100-250 bpm Respect his wishes and notify the provider. What proper PPE should you use before entering the room? Relias rn pharmacology a quizlet Home | procareoh 60 terms. The patient's blood sugar is currently 60. gives us full picture of what is going on in heart, uses 5 leads How should you respond? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. 5. transcutaneous pacing, SA node firing too fast no atrial impulse is conducted through AV node into the ventricles 1699 S Main Street. Their patient has a sudden cardiac arrest and family wants CPR initiated. Medical-Surgical RN A Prophecy Relias. p waves may be inverted, before, during or after the QRS cardiac cell is normally negatively charged You receive a provider's order that is not consistent with evidence-based practice. Rate: <60 You notice she has been having several episodes of acute confusion since being admitted to your unit. How many mLs per hour should the IV pump be set to? How should you respond? The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. symmetrical We're available through e-mail, live chat and Facebook. You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx. limxx3x3+2=1\lim_{x\to -\infty}\frac{\sqrt[3]{x}}{\sqrt[3]{x}+2}=1 The nursing assistant recommends using soft mitt restraints on the patient. Relias Healthcare Assessments | Relias no discernable waves, code blue Discarded, then begin the 24 hour collection. No relationship between P waves and QRS does not go home with patient Which of the following resources would be most appropriate to utilize in order to obtain consent? physiologic or psychologic stress You find that the patient's cardiac monitor shows asystolye, what should be your first action? <0.12 seconds (3 blocks) You're providing discharge instructions to a CHF patient. What tests do you expect the provider to order? Left sided weakness of the leg, arm, and face. Which of the following resources would be most appropriate to utilize in order to obtain consent? An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. +j|a( ej sAQJ=rr\_7ARp@x?e$bT1A}*6a$aw=;wJ szQ_@ endstream endobj 112 0 obj <>stream Hold digoxin (Lanoxin) and call the provider. Wide QRS: delay in ventricular contraction, delay of conduction through bundle branches or purkinje fibers He states he needs to have a bowel movement and would like some privacy to use the bathroom. 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 Focus on Nursing Pharmacology Amy M. . cos2=2. Schools. Your patient fell and hit his head on the bed rail during a physical therapy session. P waves are upright and similar How do you ensure effective drain function? Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has recently made her urine reddish-orange. Your patient weighs 176 pounds. obesity The symptoms are indicative of: You're reviewing the menu list of a patient on Warfran what food should they not eat? synchronized cardioversion Knowledge Domains Medical Surgical-Telemetry RN. need to have an electrical current present in heart to shock Prophecy medical surgical-telemetry exam test; answered - Stuvia QRS: <0.12 sec, IRREGULAR Your new patient understands very limited English. Sit calmly next to her and offer her compassion and a sense of security. Find 15 ways to say PROPHECY, along with antonyms, related words, and example sentences at Thesaurus.com, the world's most trusted free thesaurus. Your patient is currently under 1:1 observation for suicide precautions. Your IV medication on hand has 25,000 units of Heparin in 500 mL of D5W. analyze P wave and measure PR interval you do an assessment and notice lice in her hair. QRS: <0.12 sec Sputum with streaks of blood A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? maybe the result of medications, PR interval is progressively longer until QRS is dropped What should be done with this urine sample? -Junctional tachycardia 100-150, Only Purkinje Fibers Firing Rhythms (Everything else has failed), *Fires normally @ 20-50* Prophecy medical surgical-telemetry exam test Questions And - Stuvia Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is unable to bear weight when transferring from the bed to the chair? Discuss code status with the patient and follow up with provider to ensure the medical record reflects her wishes. Use the organization's interpreter services. You note his lower abdomen is distended. Prophecy medical surgical-telemetry exam Grade A+ 2023. Tension PTX, tamponade, toxins, thrombosis (PE), thrombosis (MI), MEDICAL EMERGENCY w@3 Eu93,vsp^UC6S@~vU=6p,4_[j:Vm&@Gdw2uI On which day does the smallest range occur? Her responses are caustic and abrasive. Who should be notified immediately? They report sudden chest pain pulse ox at 86%. What should you do NEXT? 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? prophecy medical surgical telemetry exam a v1 quizlet 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. kacithom. when QRS gets back to isometric line, total time for ventricular depolarization and repolarization 17 terms. What is the MOST appropriate response? You may also like to know about: Exam (elaborations) - Medical-surgical rn a prophecy relias test, answered 2022 . What is your first action? Terms of Use QRS: WIDE, >0.12 sec, Regular Carotid Endarterectomy RN -Frequent neuro checks -Close BP monitoring -Airway monitoring -Monitoring for hematoma formation IVC filter SVT ACLS algorithm Bookmark File Prophecy Rn Pharmacology Exam Answers Free Download Pdf Rate: 50-100 "Restraints can be temporarily off while directly working with staff. DONT BLOW IT, BUCKS. DM Knowledge of common gastrointestinal post-operative complications. Prophecy medical surgical-telemetry 2022. Prophecy health medical surgical RN A Learn with flashcards, games, and more for free. Rate: 60-100 Your patient complains of not being able to urinate since 0500. Caput 2 (264-260) 15 terms. What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? Rate: refer to underlying rhythm may be temporary or permanent QRS: variable What should be your next step? You do not speak Spanish and are having difficulty communicating with your patient. round K+ leaves cell, but cell is positively charged Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. When would sucralfate (Carafate) 4 times daily be scheduled for? Rate: >100 4. start an infusion concerned if more than 6 per minute 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. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. must be connected to central monitoring Lauren1519. B. prophecy Flashcards and Study Sets | Quizlet Gastrointestinal A. What would be the MOST appropriate action? risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine. Which mode of oxygen delivery would MOST likely reverse these symptoms? Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. A female patient requests a female nurse to provide care for her based on her religious beliefs. She is feeling panicked and does not think she can handle staying in the hospital for her surgery. Upon entering your patient's room, you note that they are having a seizure. typically done in A-fib RVR, SVT, A-flutter, synchronized cardioversion nursing consideration, conscious sedation Proximus Medical is your partner in digital medical imaging. e) Use the information from parts (a)-(d) to sketch the graph of fff. make sure "All Clear", occurs above the ventricle (commonly in Bundle of HIS) 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. J point to beginning of T wave, represents ventricular depolarization or relative refractory period Smallest tidal range: ________________________. USMLE - United States Medical Licensing Examination; View all for Qualifications. R-R is equal will progress quickly to v-fib, Hypovolemia, Hypoxia, Hydrogen ion acidosis, Hypoglycemia, hypo/hyperkalemia, hypothermia As you inflate a balloon, the patient complains of discomfort what is the best action? Husband stays late till 9 consistently, 2nd Degree AV Block Type I Mobitz, Wenckebach, IRREGULAR vagal stimulation When assessing a patient, you notice crepitus on the right upper shoulder. no pusle, no breathing, unconcious, good, effective CPR batteries can last 5+ years patient arrives on unit. Unit 2 Biology Questions. Get To Know Us. panic/anxiety prophylaxis to prevent stress ulcers. identify and treat cause (Hs and Ts), conduction abnormality Which is the MOST appropriate action? Your patient is admitted from the ED with failure to thrive and advanced dementia. CPR pacing may be required, 1. get 12 lead EKG QRS: WIDE, >0.12 sec, Regular Which of the following is the most appropriate intervention, Have the patient drink 120 ML's of orange juice. Which of the following resources would be most appropriate to utilize in order to obtain consent? 2. identify underlying cause Rate: 60-100 ventricular fibrillation Fractured clavicle Pneumonia Pulmonary orbis Subcutaneous emphysema N You are taking this assessment for FASTAFF (U.S. You just left your patient's room with her husband at bedside. vagal maneuvers (carotid massage, bear down, cough) What is your FIRST action? defibrillation Germany. What blood product do you expect to administer? QRS: N/A, Regular I'm tired of my life." 35 terms 4.6 (10) DCJusino. You received a patient post op transurethral resection of the prostate (TURP). inconsistent She hears a pop sound after coughing in her surgical wound has dehisced, Apply sterile saline soap towels over the extruding site. PDF Nurse Testing Prophecy Medical Surgical Exam Pdf Pdf - Roll.lms A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. PR Interval: N/A You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. Med-Surg: Telemetry Flashcards | Quizlet nursing exam 1 medical surgical Flashcards and Study Sets - Quizlet initial scock is 50-100 joules What is the BEST indication of an acute neurological problem? 52 terms. will see when you are first have an MI, J point is below the isoelectric line there is never a pulse patient is usually asymptomatic c) Find the local maximum and minimum values. b) Find the intervals of increase or decrease. It should be available to new users, both individuals and organizations, by the fall of 2021. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? 70 terms. EXAM 1: Medical-Surgical Nursing Review. What is a priority in care for this patient? Verify your patient's consent to release information to her mother. -Junctional rhythm 40-60 Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? Your patient has a non-productive cough and presence of secretions in his tracheostomy. Which assessment finding would indicate an emergency? aka A-fib RVR check electrolytes and review medication English 111. A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Acid-Base Imbalances WIDE QRS always, Spike comes before QRS and QRS will be wide, Spikes happen regardless of QRS on their own. The family states he appears to be more confused than his baseline. Deflate the balloon, advance the catheter further, then reinflate the balloon. medication induced Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. What is the EARLIEST sign indicating increased intracranial pressure (ICP)? You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? 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 normal for athletes, during sleep, or lower metabolic needs 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 would be the MOST appropriate action? ANTICOAGULATION 1 / 60. Proximus Medical additionally offers a multi-lingual staff for your convenience and medical equipment requirements. Biografien. initial shock is 200-360 joules, don't stop CPR until shock is charged and ready P to QRS ratio is 1:1, SA node firing too slow 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. follow ACLS for symptomatic patient, AV node becomes pacemaker of the heart (40-60 bpm) You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Take a look in our Product Categories or just contact us today! P before every QRS? Which actions should you take FIRST? 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. Your patient may have tuberculosis TB) and is placed in airborne precautions. surgical intervention, stops the heart to see underlying heart rhythm oxygen is flammable Educate the spouse on oxygen use as a medical device in the hospital. What is most likely to be ordered? Civics chapter 2. 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. You do not speak Spanish and are having difficulty communicating with your patient. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. -SVT 150-350, *Fires normally @ 40-60* Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? What is an early symptom that the patient is developing a complication of heart failure? Request an order for soft mitts as they are the least restrictive. caused by medication, MI, valvular disorders, myocarditis different than AICD, transcutaneous Term. We're available through e-mail, live chat and Facebook. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt.
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