NCLEX STUDY
A nurse reviews the medication history of a client admitted to the hospital and notes that the client is taking leflunomide (Arava). During data collection, the nurse asks which question to determine medication effectiveness?
"Do you have any joint pain ? "
The nurse is assessing a client's postoperative pain using the PQRSTU method. Using this method, which of the following questions would the nurse ask the client?
- P-provokes "What makes your pain better or worse?" - Q-quality "What does the pain feel like?" - R-radiates "Where is the pain located?" - S-severity "How does the pain affect you?" on scale 0-10 T-time U-ask the patient...what do you think it is ?
A nurse is monitoring a newborn who was born to a drug-addicted mother. Which of the following findings would the nurse expect to note during data collection for this newborn?
-Hyperextends and postures -Is irritable -Is difficult to console -Cries incessantly
Foods that contain potassium include ?
-Kiwifruit (highest in K ) -Bananas -Cantaloupe -Oranges -Avocados -Apricots -Potatoes
CD4+ includes
-The CD4+ count is used to determine the child's immune status. -The CD4+ count is used to identify the risk for disease progression. -The CD4+ count identifies the need for Pneumocystis jiroveci pneumonia prophylaxis after 1 year of age. -The CD4 count is measured at ages 1 and 3 months, every 3 months until the age of 2 years, and at least every 6 months thereafter. -More frequent monitoring of CD4+ counts is indicated when pneumonia prophylaxis and antiretroviral therapy are administered.
Clinical manifestations of respiratory alkalosis are ?
-tachypnea -mental status changes -dizziness -pallor around the mouth -spasms of the muscles of the hands -hypokalemia
What is the normal therapeutic range for digoxin ? (in ng)
0.5 to 2 ng/mL.
Creatinine levels
0.6-1.3 mg/dL
In respiratory acidosis, the pH is ____ and the Pco2 is ____
1- down 2- up
1- Respiratory acidosis is present when the PCO2 is _____ 2- Respiratory alkalosis is present when the PCO2 is ____
1- greater than 45 2- less than 35
1- Acidosis is defined as a pH ________ 2- Alkalosis is defined as a pH _______
1- less than 7.35 2- greater than 7.45
magnesium level ?
1.6-2.6 mg/dL
To treat hypoglycemia
1/2 cup OJ or fruit juice 6-10 hard candies 4 cubes of sugar 4 tsp of sugar 6 saltine crackers 3 graham crackers 1 TBSP honey/syrup
When performing CPR, how many breaths do you give per minute ?
10 breaths per minute
The therapeutic range for serum phenytoin (Dilantin) level is ?
10- 20mcg/mL
What is the normal serum lipase levels ?
10-140 Units/L
What is the normal hemoglobin level for adult female ?
12-15g/dL
Sodium (Na) lab value
135-145 mEq/L
What is the normal cholesterol level ?
140 to 199 mg/dL.
Platelet count
150,000- 450,000
What is a normal activated partial thromboplastin aPTT level ?
20-36 seconds
Post op bowel surgery, it is normal for bowel sounds to be absent for how many days ?
3-4 days
Potassium (K) lab value
3.5-5.1 mEq/L
normal Pco2 value
35-45 mm Hg
What is the normal value for white blood cells (WBC) ?
4,500-11,000 cells/mm
What test identifies compatibility when donating blood ? (determines blood type)
Indirect Coombs'
Ethnocentrism
It is imposing one's beliefs on individuals from another culture
What is the normal hematocrit level for adult male ?
42%-52%
What is the lab value for blood urea nitrogen (BUN) ?
5-20 mg/dL 10-20 mg/dL
The normal range for the protein level in the adult client is ?
6- 8g/dL
normal pH level
7.35- 7.45
What is the normal fasting blood glucose level ? also...normal blood glucose level ?
70-110 mg/dL (250-300 is considered critical)
Normal BUN for older adult
8-21 mg/dL
Serum Calcium level
8.6-10.0 mg/dL
What is the normal prothrombin time (PT) level for adult women ?
9.5-11.3
What is the normal prothrombin time (PT) level for adult men ?
9.6-11.8
Chloride
98-107 mEq/L
placenta separation indicates
A change in the uterine contour
Tardive dyskinesia
Abnormal movements and involuntary movements of the mouth, tongue, and face
What diuretic is used in the treatment of metabolic alkalosis ?
Acetazolamide (Diamox)
A hospitalized client with severe seborrheic dermatitis is receiving treatments of topical glucocorticoid applications followed by the application of an occlusive dressing. The nurse monitors the client for which systemic effect that can occur as a result of this treatment?
Adrenal suppression
A low hemoglobin indicates ?
Anemia
A nurse is assigned to care for a client with herpes simplex virus (HSV) who is receiving acyclovir (Zovirax). The nurse is monitoring for adverse effects of the medication. Which of the following laboratory results would the nurse specifically monitor to identify an adverse effect associated with the use of this medication?
Blood Urea Nitrogen (BUN)
What test confirms how well the immune system is working ?
CD4 count
Side effect for Capecitabine (Xeloda) (prescribed for breast cancer )
Diarrhea
A nurse is collecting data from a client who is taking pantoprazole (Protonix). The nurse determines that the medication is effective if the client states relief of:
Heartburn
Gastroschisis
Herniation of the gut
A client with heart disease who is taking digoxin (Lanoxin) complains of having no appetite, is this a sign of high or low digoxin levels ?
High
A nurse is caring for a client who has been taking acetazolamide (Diamox) for glaucoma. The nurse reviews the assessment data documented in the client's medical record and determines that an adverse effect of the medication may be occurring if which of the following is noted?
Jaundice
Nursing model
Nursing staff are led by a nurse when providing care to a group of clients.
How should Levothyroxine (Synthroid) be taken ?
On an empty stomach, to enhance absorption
What test confirms HIV
P24 antigen assay
" - Zole "
Remembering that medication names for acid pump inhibitors end with the suffix, "-zole,"
A nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse monitors the client for which acid-base imbalance that most likely occurs in clients with this condition?
Respiratory acidosis
Addison's disease
Risk for Hyperkalemia
Cushing's syndrome
Risk for hypokalemia
A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to:
Treat hypocalcemic tetany.
What is the antidote for Warfarin (Coumadin) ?
Vitamin K
are Intestinal secretions like diarrhea, drainage tubes, ileostomy considered alkalosis or acidosis ?
acidosis (anything that comes out of the intestines, butt)
Sensible losses
are those that the person is aware of, such as those that occur through wound drainage, GI tract losses, and urination.
When you see the word "systemic"
avoid the option that says "local"
When a pt is hypomagnesemia monitor for what ?
dysrhythmias -anything below 1.6 is considered hypomagnesemia
Foods high in phosphate include ?
fish, eggs, milk products, vegetables, whole grains, and carbonated beverages.
Normal saline is the
initial IV rehydration fluid
Pantoprazole
is a gastric acid pump inhibitor that increases the gastric pH and reduces gastric acid production. It is used to treat gastric and duodenal ulcers and gastroesophageal reflux disease.
Autocratic leadership
is an approach in which the leader retains all authority and is primarily concerned with task accomplishment. It is an effective leadership style to implement in an emergency or crisis situation
Omphalocele
large herniation of the gut into the umbilical cord
Hypoglycemia occurs if the blood glucose level is
less than 70mg/dl <70mg/dl
Insensible losses
may occur without the person's awareness. Insensible losses occur daily through the skin and the lungs.
Respiratory acidosis
pH decreases below normal levels
Respiratory alkalosis
pH increases above normal levels
What causes hypocalcemia
prolonged bedrest
Clear liquid diet include ?
water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, Popsicles, and regular or decaffeinated coffee or tea. A clear liquid diet consists of foods that are relatively transparent to light and are clear and liquid at room and body temperature
