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MARK KLIMEK NCLEX PRACTICE EXAM Q&A $13.49   Add to cart

Exam (elaborations)

MARK KLIMEK NCLEX PRACTICE EXAM Q&A

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MARK KLIMEK NCLEX PRACTICE EXAM Q&A

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  • October 11, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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biggdreamer
MARK KLIMEK NCLEX PRACTICE EXAM
Q&A
Abg interpretation - answer-if ph and bicarb are both in same direction = metabolic

Normal ph value - answer-7.35-7.45

Normal bicarb - answer-22-26

Normal pao2 - answer-80-100

Normal paco2 - answer-35-45

"when the ph goes so does the patient" - answer-**except for potassium (compensation)

Ph ^ = pt ^
Ph\/ = pt \/

Causes of resp. Acid-base imbalance - answer-is it lung? Yes = respiratory

Overventilating = alkalosis
Underventilating = acidosis

Only things that count as metabolic alkalosis - answer-suctioning and vomiting

Ventilator high pressure alarms - answer-working too hard to push air in cause by
obstruction

*tube kinked
*water in tubing
*mucus in airway

Ventilator low pressure alarm - answer-working too little to push air in caused by
disconnections

Denial rules to follow - answer-confront abuse - tell them the difference of what they say
/ are doing
Support loss - support denial of loss because its serving a purpose

Wernicke's korsakoff syndrome - answer-psychosis due to low vit. B1 (thiamine)

*amnesia and confabulation (making up stories)

Disulferam - answer-aversion therapy - makes you sick to drink

, Takes 2 weeks to start, and 2 weeks to wean off

Symptoms of overdose on uppers

-caffine, cocaine, lsd, meth, adhd - answer-up symptoms

-tachy

Symptoms of overdose on downers - answer-down symptoms

-brady

Withdrawl from upper - answer-too little upper = all symptoms are brady

Withdrawl from downer - answer-too little downer = all symptoms up

Drug addiction newborn assumption - answer-always assume nb are intoxicated during
first 24 hours of life

After that assume withdrawal

Delerium tremens interventions - answer-private room near nurses station
Npo
Bedrest / restraints

Alcohol withdrawal syndrome interventions - answer-semi private
Regular diet
Up ad lib

Aminoglycosides are to treat....

Toxic effects - answer-mean old infections!

Ototoxic
Nephrotoxic (monitor creat .6-1.2 )
Cn 8

Give im or iv
-po = sterilize bowel

Thromycins - answer-throw them off the list- they are not mycins

Peak and trough times - answer-all trough levels are 30min before next dose

Peak levels
Sl: 5-10min after

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