1 | P a g e NCLEX RN - NATIONAL COUNCIL LICENSURE EXAMINATION PEARSON TEST BANK QUESTIONS, ANSWERS & RATIONALES LATEST UPDATAED 2024 | A GUARANTEED PASS| ALREADY GRADED A Isotonic IV fluids NS And lactated Ringers Are used as fluid replacement for fluid volume deficit Serum phenytoin 10-20 mcg/ml Normal glucose Infant 40-60mg/dl Normal resp for infant 30-60 Normal temp for infant 97.7-99.7 What is the antidote for norepinephrine? Phentolamine (Regitine) What is autonomic dysreflexia? Life-threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia? Severe hypotension, throbbing headache,diaphoresis,bradycardia,flushing and piloerection. Magnesium 1.5-2.5 mEq What is the therapeutic magnesium level to prevent seizures in a preeclamptic client? 4-7 mEq Absent or decreased deep -tendon reflexes Earliest sign of magnesium toxicity Calcium gluconate (antidote) 2 | P a g e Magnesium toxicity Magnesium sulfate IV antidote? Calcium gluconate IV Acetaminophen N-acetylcysteine Most effective if given w/in 8hrs of ingesting acetaminophen Anticholinergics Physostigmine Arsenic Chelation therapy: 1.dimercarpol 2.penincillamine 3.calcium disodium edetate 4. Succimer Benzodiazepines Flumazenil Beta blockers (High dose) glucagon Calcium channel blockers Glucagon, calcium chloride, calcium gluconate Cholinergics Atropine,pralidoxime Cyanide Amyl nitrate Sodium thiosulfate Hyperbaric oxygen chamber Digitalis/digoxin Digoxin antibodies: digoxin immune fab, digifab,digibind Dnoxaparin 3 | P a g e Protamine sulfate Ethylene glycol Ethanol Fomepizole Pyridoxine hydrochloride(vitamin b6) Heparin Protamine sulfate Is a process of learning a different culture to adapt to a new or changing environment. Acculturation. It is a subjective perspective of the person's heritage and a sense of belonging to a group Ethnic identity Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer). Low -risk therapies: Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & African Americans. High risk of obesity & diabetes mellitus Surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death. Administration of medication is an acceptable practice except if the medication is derived from blood products. Jehovah's Witnesses Believers adhere to dietary kosher laws. In this religion, the dairy -meat combination is unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven -hoofed, and ritually slaughtered. Orthodox Judaism include whole medical systems, mind -body medicine, biologically based practices, manipulative & body -based practices, & energy medicine. Five categories of complementary and alternative medicine (CAM): 4 | P a g e Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group & commands, rather than seeks suggestions or input. Manager addresses problem (quality improvement) with taff, designs a plan without input, & wants all problems reported directly back to her Autocratic leader Participative & would likely meet with each staff person individually to determine staff member's perception of problem. Would also speak with the staff about any issues & ask the staff for input with developing a plan. Democratic leader Passive and nondirective. Would state what the problem was & inform staff that the staff needed to come up with a plan to "fix it." Laissez -faire leader Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit. Overhydration or fluid overload & occurs when fluid intake or fluid retention Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes Common food sources of potassium: Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted Hyponatremia Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide -
based or magnesium -based antacids. Malnutrition is associated with alcoholism. Hypophosphatemia Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. Hyperphosphatemia Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning.
based or magnesium -based antacids. Malnutrition is associated with alcoholism. Hypophosphatemia Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. Hyperphosphatemia Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning.
