Exam (elaborations)
NCLEX CRITICALLY THINKING APRIL 20TH
- Course
- Institution
NCLEX CRITICALLY THINKING APRIL 20THNCLEX CRITICALLY THINKING APRIL 20TH
[Show more]
Seller
Follow
WALDENEXAMS
Reviews received
Content preview
NCLEX CRITICALLY THINKING APRIL 20THYou are caring for a patient who has had an exacerbation of his heart failure. The
patient has crackles ¾ up each lung. What is your priority assessment?
A. Blood pressure
B. Saturation
C. Urinary output
D. Skin integrity
They are in heart failure and the UO is what will make a difference in their
condition. Need to get the fluid off. This is left sided heart failure because it is
building up in the lungs. You need to give them diuretics to get that fluid off the
body.
1) You are caring for a patient who is a renal patient. Doc has given your
patient a 1200ml fluid restriction per day. How many (CCs) would your
patient be allowed from 0700-1500.
A. 400ml
B. 500ml
C. 600ml
D. 700ml
C because half the fluids be given for the 2 meals. Fluid restriction should be
monitored for low NA, renal failure and heart failure.
2) You are assessing your patient. You note in the history your patient has
parathyroid disease. The patient is displaying a positive Chovstek and
Trousseau signs. What electrolyte are you worried about being off?
A. High sodium
B. High magnesium
C. Low magnesium
D. Low calcium
Calcium level 8-10, it is nerve excitability in the cheek. Trousseau sign is the
blood pressure hand curls in. Medications that cause low calcium phenytoin,
phenobarbital, rifampim (orange urine), corticosteroids.
, 3) You are caring for a patient on the medical-surgical floor. The patient is
receiving erythropoietin. You know that the following makes erythropoietin.
A. The urinary system
B. Lymphatic system
C. Parathyroid
D. Endocrine
A because its produced by the kidneys.
4) You have just received report. You are to give Vancomycin to a patient with
MRSA. You have checked the patient’s BUN and Creatinine. The BUN
result is 14. The creatinine result is 0.9. You know you should expect to do
what according to these lab results.
A. Hold the medication and call the doctor
B. These are normal labs and you should proceed with the order.
C. Call the pharmacist and ask about renal dosing
D. Check the patients I & O.
BUN – 10 -20
Creatinine 0.6 – 1.2
Vanc is a powerful antibiotic.
5) The above patient is to receive the third dose of Vancomycin. What do you
know needs to be done? (SATA)
A. Draw a trough 30 minutes before you start the Vancomycin. Draw a peak
1-hour after the Vancomycin is infused.
B. You know the trough level refers to the amount of time for dosing
intervals and the peak refers to the dose of the medication being
delivered.
C. Draw a peak 30 minutes before you start the Vancomycin. Draw a trough
1-hour after the Vanc is infused.
D. Neither if the doctor doesn’t order.
Trough levels are collected just prior to a person's next vancomycin dose. Peak
levels are collected 1 to 2 hours after the completion of the
intravenous vancomycin dose. The pharmacy orders the peak and trough and they
will change the time and dose if they are not in normal range.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller WALDENEXAMS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now