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KAPLAN NCLEX READINESS EXAM Flashcards Quizlet
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3/15/2021 KAPLAN NCLEX READINESS EXAM Flashcards | QuizletKAPLAN NCLEX READINESS EXAM
Terms in this set (120)
-Leave the cuff inflated and suction through the
What to do if a tracheostomy tracheostomy
tube cuff is inflated -Reduces the risk of aspiration. Assess for position
and pressure but do not deflate before suction
-Check Oxygen Saturation Levels
What to do if a patient presents
-Shallow respirations seen, impaired alveolar gas
with use of Heroin
exchange and possible respiratory arrest
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-Have you had chest pain?
What to ask a patient using -Action of Nicotine is Vasoconstriction; Increased
Nicotine Polacrilex? heart rate and myocardial oxygen consumption;
Increased risk of angina and myocardial infarction
What action is most -Ask the client to describe the pain
appropriate to take if a patient -Must validate the client is in pain before
is overusing a PCA pump? implementation
https://quizlet.com/514986844/kaplan-nclex-readiness-exam-flash-cards/ 1/21
,3/15/2021 KAPLAN NCLEX READINESS EXAM Flashcards | Quizlet
Why question the -Furosemide may promote significant diuresis; first
administration of 40 mg oral dose of ACE inhibitors increases risk of "first dose"
furosemide in the morning with phenomenon due to vasodilation and diuresis
enalapril 20 mg in the increases risk of orthostatic hypotension
morning?
-Drive anywhere because the patient cannot turn
What should a client not do
their head which puts danger to themselves and
with Halo Traction?
others
What bathroom mode should -Bedside commode every 2 hours
be used for a client with -Keeps the client active and independent
Alzheimer's disease who is
confused and incontinent of
urine?
What is the first action a nurse -Administer the 6 units of regular insulin
should take for a client who subcutaneously
has a blood glucose of 480 -Sliding scale-receives predetermined amount of
and is prescribed 6 units of insulin according to glucose level; surgery and
regular insulin subcutaneously? infection
Should the nurse administer -No, do not administer and notify provider
naproxen and cefaclor to a -Risk of hypersensitivity reaction
client who had a reaction to
aspirin and penicillin?
When taking care of a patient -I should take polyethylene glycol with a large glass
with an ileostomy, which of water
comment made by the patient -Osmotic laxative and is contraindicated; avoid
should the nurse include enteric-coated or capsule medication, which may
further teaching? not be absorbed through GI tract
https://quizlet.com/514986844/kaplan-nclex-readiness-exam-flash-cards/ 2/21
, 3/15/2021 KAPLAN NCLEX READINESS EXAM Flashcards | Quizlet
-Deep, low-pitched rumbling sounds are heard
mainly on expiration
What breath sounds should be
-Assessment: outcome expected; sonorous
heard for a client with chronic
wheezes or rhonchi, caused by mucus in the
bronchitis and peripheral
airways; excessive mucous production is primary
vascular disease?
symptom
-Serum BUN and Creatinine
What to monitor with -Nephrotoxic; will see proteinuria, oliguria,
Gentamicin? hematuria, thirst, increased BUN, decreased
creatine clearance
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-Place client supine with the foot of the bed
What position do you place a
elevated
pregnant client with a
-Trendelenburg or knee chest position desired to
prolapsed umbilical cord?
decrease pressure on umbilical cord
https://quizlet.com/514986844/kaplan-nclex-readiness-exam-flash-cards/ 3/21
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