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MARK KLIMEK NCLEX REVIEW QUESTIONS WITH ANSWERS
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MARK KLIMEK NCLEX REVIEW QUESTIONS WITH ANSWERS
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Primary dietaryprescription for calcium
nephrolithiasis (kidney
stones) ? PG. 85Low calcium diet
For client with
nephrolithiasis the diet
should be ___ ashAcid
If kidney stone is calcium
phosphate the diet must be
low in ___ tooPhosphorus
Primary diet tx for uric acid
nephrolithiasis is __ ____Low purine
Client with uric acid
nephrolithiasis should have
a diet low in ____Methionine
What is methionine? Precursor of the amino acid cystine
2 foods high in
methionine?Eggs, milk
Clients with cystine
nephrolithiasis should have
an ____ ash dietAlkaline Inc. fluids over 3000 cc
/day is more effective in
treating renal calculi than
ANY dietary modification,
T/F?True. Want to flush tract than worry about diet
What is the common name
for
Laryngotracheobronchitis -
LTBCroup
What is the typical temp
elevation in croup?Low grade, usually below 102, but can go up to 104.
Are ATBs helpful for croup?
For epiglottits?For croup, no. Epiglottitis, yes
Is croup viral or bacterial? Viral
With which condition is
croup most often
confused?Epiglottitis
Can croup be managed at
home? Can epiglottitis be
managed at home?Yes. No, epiglottitis is a 911 emergency
Are sedatives used for
kids with croup?No, bc this would mask the signs of respiratory distress
What causes epiglottitis? A
virus or bacteria?H. influenza BACTERIA
What is the best tx for
croup?Cool moist air
What should never be done
to a child with epiglottitis?Never put anything in the child's mouth, ie, a tongue
blade can lead to obstruction
What are the typical signs
and symptoms of croup?Barking cough, inspiratory stridor, labored resp. pattern What 3 signs tell you that
the child has epiglottitis
instead of croup?Muffled voice, drooling, increased fever
When is croup bad enough
to be evaluated by a doc?When retractions, and high pitched stridor are present
What lead level needs
intervention?50-60 micrograms/ dl
With which class of drugs
will a child with lead
poisoning be treated?Chelating agents
What do chelating drugs
do?They increase the excretion of heavy metals
The most freq. cause of
lead poisoning is...Ingestion of lead-based paint chips
Name 3 common chelating
agents for lead poisoningEDTA, desferal, BAL in oil
S&S of lead poisoning Drowsiness, clumsiness, ataxia, seizures, coma, resp.
arrest
Sx of lead poisoning show
up in the ____ systemNeuro
Leukemia is cancer of the
___ forming tissuesBlood
The type of cell that is most
common and problematic
in leukemia is ____Immature WBC
In leukemia the RBC count
is ...Low, bc the bone marrow is going "wild" producing all
those immature WBC - no energy or nutrients to make
platelets
In leukemia, the platelet
count is ...Low, bc the bone marrow is going "wild" producing all
those immature WBC - no energy or nutrients to make
platelets Bc the RBCs are low, the
pt will exhibit ___ and ___Pallor and fatigue
Bc of the immature WBCs,
the pt is at risk for ___Infection
Bc of low platelets, the pt is
at risk for ___, ___, and
___Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland
enlargement in leukemia?All those small immature WBC clog the lymph system
Should you take a rectal
temp on a child with
leukemia?No
Should you take an oral
temp on a child with
leukemia?Yes, as long as they are over 4 years old, in remission,
and have no sores in their mouth
Should the child with active
leukemia use straws, forks,
cups?NO straws, NO forks, YES cups
RN's priority in tx a child
with newly diagnosed
leukemia is...Dec. risk of infection
When the leukemia child's
platelets and WBC's are
low, his activities should be
...Limited
When the platelet and
WBCs are low the nurse
should not insert a..Suppository
Are IM injections and IV
sticks permitted on a child
with leukemia?When labs are low IMs avoided and IVs limited; only
done when absolutely necessary (to give chemo or
measure blood counts)
Why are kids on chemo
also on allopurinolTo prevent uric acid kidney stones (remember when
chemo kills cancer cells, purines and uric acid build up
and could cause kidney stones
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