NCLEX- incorrect Qs (review)
MAP formula
(SBP + 2DBP)/3
The nurse is caring for a client prescribed lithium. Which laboratory tests would be necessary for the nurse to monitor? Select all that apply. - Troponin - Creatinine - Thyroid-stimulating hormone - Sodium - Potassium
- Creatinine - Thyroid-stimulating hormone - Sodium Essential labs to monitor while a client takes lithium include the lithium level, thyroid panel (lithium may cause hypothyroidism), creatinine (risk of nephrotoxicity), and sodium (hyponatremia may precipitate lithium toxicity).
what drug is implemented for the tx of ventricular tachycardia, ventricular fibrillation, and a-fib?
amiodarone
a patient is experiencing dyspnea and dizziness with a rhythm of sinus brady, what medication should be administered?
atropine If the client has bradycardia and concurrent dizziness, hypotension, or dyspnea, this calls for treatment with atropine. Atropine must be administered while an emergency (code) cart is nearby.
MRSA is which type of infection?
bacterial
Sodium controls, maintains, and manages circulating ________ ___________, and it also is necessary for the transmission of _______ __________.
blood volume nerve impulses
What does the frontal lobe control?
speech production language understanding movement smell reasoning problem solving emotions/personality happiness taste self control long term memory
infiltration signs and symptoms
taut cool edematous skin around IV site
The nurse practice act describes?
the scope of nursing practice
5 symptoms of alcohol withdrawal
tremors elevated temp agitation insomnia sweating
common adverse effects of benzotropine -who would be given this medication
urinary retention consitipation blurred vision dry mouth client dx with parkinsons
where should IM injections be given for clients 12 months or less?
vastus lateralis
when should a pregnant woman go to the L&D?
when they see a large gush of fluid coming out of their vagina
therapeutic lithium level?
0.6-1.2 mEq/L
when should a pregnant client recieve Rho(D) immune globin?
27 wks and within 72 hours of delivery
1 oz = ? ml
30
WBC normal range ?
4,500 to 11,000 WBCs per microliter (4.5 to 11.0 × 109/L).
What is true about an MDI (metered dose inhaler)? SATA a. an MDI uses a propellant to deliver medication b. multiple doses are available to use in the MDI c. there is a large risk of bacterial contamination d. an advantage for MDI is its portability e. a spacer is necessary for administration
A, B, D
The nurse care for a client who delivered an 8 lb infant by cesarean birth. The client is one day postpartum. The nurse recalls the client is at risk for which potential complication? SATA a. depression b. hemmorhage c. urinary incontinence d. thromboemblism e. incisional infection f. episiotomy infection
A, B, D, E
what is aminophylline used for ? and what is the therapeutic range?
Aminophylline is used to prevent and treat wheezing, shortness of breath, and difficulty breathing caused by asthma, chronic bronchitis, emphysema, and other lung diseases. It relaxes and opens air passages in the lungs, making it easier to breathe. 10-20 mcg/mL
-triptan
Anti-migraine
a client with a dx of HIV is admitted to the hospital with pneumonia. which client behavior does the nurse expect? a. fearful of going to a longterm care facility b. angry with the healthcare system c. willing to communicate about the disease d. positive outlook on HIV status
B The nurse would expect the client to be angry about the disease progression and the need for hospitalization
A 6-month-old is brought to the clinic for a well-baby checkup. During the exam, the nurse expects to observe which assessment finding? a. a pincer grasp b. sitting with support c. tripling of the birth weight d. presence of the posterior fontanelle e. bearing weight when held in standing position f. rolling from back to abdomen
B, E, F -the babies weight would be tripled at 1 year, not 6 months
A nurse manager of a home health nursing agency is completing client assignments for the nursing staff. Which client should be assigned to the most experienced registered nurse? A. A recovering Guillain-Barre syndrome client complaining of constant fatigue B. A client with stage 3 and 4 pressure injuries present on the sacral area C. A 2-week postoperative laryngectomy client due to laryngeal cancer D. A client due for discharge from home health services in the coming week
B. A client with stage 3 and 4 pressure injuries present on the sacral area A client with stage 3 and 4 pressure injuries present on the sacral region requires extensive wound care from an experienced nurse capable of properly assessing and caring for the client's pressure injuries.
A client has been prescribed alendronate (Fosamax) 5 mg daily for her osteoporosis. Which teaching would the nurse include to avoid side effects? A. The client should rotate injection sites during administration of medication. B. The client should monitor liver function tests frequently. C. The client should take the medication early in the morning and not lay down until breakfast. D. The client should report any vaginal bleeding.
C Alendronate is a bisphosphonate that may cause a side effect of esophagitis when the tablet is not completely swallowed. The client should take the drug early in the morning, 30 minutes before eating, and should remain upright during the 30 minutes before eating.
The nurse provides care for a client with a new diagnosis of herpes zoster that is diffusely spread over the abdomen and back. The nurse recalls which is true about the transmission of herpes zoster? a. standard precautions are needed until lesions completely heal b. droplet precautions are needed for at least 3-5 days c. contact precautions are needed until lesions are crusted over d. airborne and contact precautions are needed until lesions are dry
D Herpes zoster requires aiborne precautions with private room, negative pressure airflow, and an N95 mask for care. Contact precautions include gown and gloves.
T or F: alcohol based sanitizer is effective in killing Cdiff?
FALSE Alcohol is ineffective in eradicating the spore
those with ulcerative colitis are at risk for?
FVD fluid vol deficit
4 Early signs of lithium toxicity
Fine tremors, nausea, vomiting, diarrhea.
The nurse is caring for a client with bulimia nervosa. The nurse anticipates a prescription for which medication? A. metformin B. bupropion C. fluoxetine D. clozapine
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) and is the only approved medication for bulimia nervosa. This medication effectively treats this disorder, especially when coupled with psychotherapy. Fluoxetine assists in increasing a client's weight and may mitigate comorbid disorders such as generalized anxiety disorder.
describe a positive kernigs sign
The client complains of pain when his knee is extended with his hip flexed
T or F? corticosteriods can cause insomnia
YES, take this med in the morning
Bicarbonate regulates the body's ______-______ balance
acid-base
Chloride regulates ______-_______ balance and ____________ fluid balance.
acid-base extracellular
what medication is given to slow the growth of herpes virus?
acyclovir
epinephrine affects what receptor?
adrenergic
how does varicella spread
aerosolised droplets
how is TB spread?
airborne droplets
what complication of IV drug abuse is the nurse most likely to observe?
cellulitis -most drug abusers do not inject sterile purified material with aseptic technique
Calcium plays a role in blood __________, the formation of _______, nerve impulse transmission, and controlling _________ contractions.
clotting bones muscle
what precaution is implemented for Cdiff
contact precaution
Hepatitis A is transmitted by
fecal-oral route
list three factors that contribute to delirium
fever (brain/body gets overheated) hypoglycemia infection (UTI)
displacement (IV) sign
fluid building up
order of doffing ppe
gloves gown mask then wash hands
what does potassium control?
helps nerves to function and for muscles to contract
what is a common adverse effect of an epidural analgesia? and what is the intervention?
hypotension 0.9% saline bolus
hepatitis B and C and D is commonly transmitted through?
infected blood or body fluids
a patient is experiencing a hypotensive crisis, what medication may be administered?
labetalol a drug of choice for a client experiencing a hypertensive crisis. This medication lowers both heart rate and blood pressure.
What dx is interferon given for?
multiple sclerosis
symptoms seen in preeclampsia
proteinuria retinal vascular constriction
how often should a clonidine patch be changed?
q7 days
Phlebitis signs and symptoms
redness pain tenderness warmth along the vein where the IV is inserted
What does the parathyroid gland do?
regulates calcium levels in the blood
