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Adult Nursing 1- Final Exam
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Adult Nursing 1- Final Exam
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NCLEX-RN EXAM REVIEWAcetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - ANS-Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - ANS-Sodium
aminoglycosides (mycins) - ANS-
Angiotensin II in the lungs is a potent? - ANS-vasodialator
At what pain level should an Opioid Analgesic be considered? - ANS-Pain level of 6 or
greater. Opioids are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - ANS-too much fluid in the vascular space
(first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - ANS-E = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - ANS-TB syringe
HIV Nursing and Collaborative Management includes... - ANS-- Monitor disease
progression and immune function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T
cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
How do you convert Centigrade to Fahrenheit - ANS-C+40, multiply 9/5 and subtract 40
,How do you convert Fahrenheit to Centigrade - ANS-F+40, multiply 5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive
response? - ANS-Elicitation: Tapping on the face at a point just anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive
response? - ANS-Elicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes
Positive response: Muscular contraction including flexion of the wrist and
metacarpophalangeal joints,
hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - ANS-Strict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - ANS-It is the opposite of aldosterone,
so it causes excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - ANS-up to 3
times (every 5 minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs -
ANS-Address physiological needs first, followed by safety and security needs, love and
belonging needs, self esteem needs and finally self actualization needs. *When a
physiological need is not addressed in the question, look for the option that addresses
safety.
How would you treat fluid volume excess? - ANS-Give Diuretics (Lasix), fluid
restrictions, weigh daily, monitor K+
, If a question is related to the nursing process, read the question to determine the step of
the nursing process. What are the steps in the nursing process and what kind of
question might be related to that step. - ANS-Assessment question address the
gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information,
identify and communicate nursing diagnoses and determine the health team's ability to
meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of care.
Implementation questions reflect the management and organization of care and the
assignment and delegation of tasks. Be prepared for questions on client teaching.
Evaluation questions focus on comparing the actual outcomes of care with the expected
outcomes and on communicating and documenting findings.
If PVC's are left untreated what can it lead to? - ANS-Ventricular fibrillation
Name 3 Invasive non-pharmacological pain relief techniques. - ANS-Nerve blocks
Interruption of neural pathways
Acupuncture
Name 3 types of IV fluids - ANS-Isotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Name 4 types of Nonopioid Analgesics - ANS-1. Acetaminophen: Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain
relief) - ANS-Ten's
heat and cold application
message therapy
relaxation techniques
guided imagery
biofeedback techniques
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