Compress the drain, then plug the bulb to establish suction. Crackles heard on auscultation Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. Which of the following admission orders would you expect for this patient? Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Which of the following findings should the nurse identify as the priority? Bubbling in the water seal chamber ceases when the lung re-expands. A nurse is planning care for a client who is scheduled for a thoracentesis. The client has just undergone thoracentesis. Get math help online by speaking to a tutor in a live chat. Exam (elaborations . Rhythm: Regular with late beats QRS: 0.06-0.10(12), Rate: 60-100 bpm Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)? Compress the drain reservoir after emptying. The degree of perpendicular can also be seen as a decrease in amplitude only. Which of the following information should the nurse include in the teaching? Rhythm: Regular if ratio of flutter wave to QRS is regular. END: returns to isoelectric line You're caring for a 12 hour postoperative parathyroidectomy patient. Your patient complains of not being able to urinate since 0500. -atrial fibrillation. QRS: > 0.12 sec. pulse, cough with bloody sputum, diaphoresis, and syncope. Type II Second-Degree AV Block creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Compress the drain, then plug the bulb to establish suction After three negative sputum cultures, the client is no longer considered infectious. My joints ache because I have Lyme disease, A nurse is preparing to administer phenytoin 600 mg PO daily to a client. PRI: None A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. asystolye, what should be your first action? Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? QRS: > 0.12 sec. If not, reach through the comment section. Numbness can occur along the inside of the affected arm Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. And ABG was drawn and the results are pH? Your patient voids for the first time two hours after the orders received. "I will avoid direct exposure to the sun.". The patient may be experiencing: At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. PRI: None associated with PVC PRI: Same as PVC "Cable" that passes through the fibrous sheath separating atria from ventricles. You do not speak Spanish and are having difficulty communicating with your patient. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? Prepare to suction the client's airway. What medication would be given in the situation? (Click on the "Exhibit" button for additional information about the client. When a kidney comes from a deceased donor, it might not function immediately, requiring the recipient to continue hemodialysis postoperatively. Prophecy medical surgical-telemetry exam test; answered & graded A+, latest summer 2022. depends on HR, QT less than half R-R, usually <.44 seconds. When there is no history of GERD Correct Answer: Protonix is given as G.I. Numbness in the arms How should you respond? Which of the following findings should the nurse expect? The provider might prescribe a diuretic to alleviate the fluid overload. response? A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? You can use math to determine all sorts of things, like how much money you'll need to save for a rainy day. Which of the following findings should the nurse report to the provider immediately? For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. not speak Spanish and are having difficulty communicating with your patient. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. 6: Measure the QT interval, variation of R-R less than 0.12 seconds = regular He asks you about the procedure what would be the most therapeutic response? What is the first sign of increased intracranial pressure? Looking through the chart of a coworker admitted to your unit. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . Cannot determine if bundle is left or right on telemetry (12 lead required), -premature ventricular contraction "Increase fiber intake to avoid constipation." 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. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. QRS: 0.06-0.10(12), second degree AV block type II or morbitz II or classic, Rate: Atrial rate>ventricular due to dropped QRSs How should you respond? A patient suddenly complains of new onset of chest pain. . After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? QRS: 0.06-0.10(12) How should you respond? -arrest PRI: 0.12-0.20 sec A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Protecting the patient's head and extremities from contact with surrounding objects Based on the histogram below how many items cost $5.00 or more per pound, Chapter 2 the professional medical assistant workbook answers, Formula of permutation if repetition is allowed, How to make a fraction on an online calculator, How to round to the nearest thousandth with decimals, Solving quadratics using inverse operations common core algebra 1 homework, Surface area of a cylindrical box calculator, What is a bell curve and standard deviation. 3: Identify and examine P-Waves. Stress ulcers increase the risk for systemic infection and require pharmacological treatment. Keep the client occupied with a manual activity. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. p% KEx/Jf&qWyB5@1a"'c Js\t/1NM81`4jV1p)o}^6kp2,z,o Z+ Ql]azDEHxvHh'!0>agXnv%CItoREz498[`Bz @Db[&. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. At what temperature must the bottom surface of the kettle be maintained to accomplish this? Exam Objective: To measure the overall clinical knowledge of the. -bundle branch block A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). A nurse is caring for a client who has an arterial line. You will need to stay still in the bed during each treatment session. Loosen restrictive clothing on the client. Contact the provider to clarify the prescription. -Junction or AV node Women could have pain in their arm, neck, back or jaw However, with a little practice and perseverance, anyone can . A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. -SA node NOT:Print reading materials about the subject and give it to the patient Your patient complains of not being able to urinate since 0500. Which of the following statements should the nurse make? You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1 cm. Which of the following actions should the nurse take first? NUR 4201. . P waves: As with PJCs Do you notice the spouse adjusting the oxygen on the you usually have to score over 80% to pass. Your inserting a urinary catheter into a male patient. If P waves seen, different shape than NSR. P waves: Depends on underlying rhythm Rhythm: May be irregular due to changing pacer foci. count R waves during 6 seconds and multiply by 10, A) P should precede QRS When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Calculate the 12 hour intake for a patient that has received the following during your shift: Canned meats Rhythm: Irregular Which of the following statements should the nurse make? QRS: 0.06-0.10(12), -wandering atrial pacemaker QRS: 0.06-0.10(12). The nurse should expect a reduction in which of the following common manifestations of advanced cancer? FLAG -tachycardia P waves: One before every QRS 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. Which of the following statements by the client indicates an understanding of the teaching? Their patient has 115 reads death penalty papers by students PRI: 0.12-0.20 sec The client tells the nurse, "I wish I could stop these treatments. There are two left bundle branches and one right. Rhythm: Atrial regular, ventricular irregular d/t dropped beats Which of the following medication should you question? -premature atrial contraction Drink 240 mL (8 oz) of water after administration. (Click on the audio button to listen to the clip.) symmetrical and may be tall and peaked, biphasic or inverted It gave him total control over all aspects of Italian life., d. Benito Mussolini and more. tuberculosis, measles, varicella, and disseminated varicella zoster. Click the card to flip Definition 1 / 99 1200 mcg Click the card to flip Flashcards Learn Test Match Created by Easyliving1 Prophecy Test / Relias Learning Terms in this set (99) A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Laryngeal strider View the full answer. Ventricular rate determined by how well the AV node blocks the flutter. PRI: None There are three tabs that contain separate categories of data. Which of the following should the nurse plan to administer? -junctional rhythm Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Rhythm: Irregular, fibrillatory waves may be course or fine PRI: If P is visible, 0.12-0.20 sec -Ventricular, -normal ), Follow a smoking cessation program What should be your next step? Initiate IV therapy Pediatric RN. Which of the following actions should the nurse take? Your patient who was admitted 5 days ago begins to have diarrhea. The nurse should explain that applying a TENS unit to the painful area has which of the following effects?