NCLEX

Is a process of learning a different culture to adapt to a new or changing environment. - ANSWER Acculturation. It is a subjective perspective of the person's heritage and a sense of belonging to a group - ANSWER Ethnic identity Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer). - ANSWER Low-risk therapies: Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & ...

The name selected by the original manufacturer based on the chemical structure of the drug is the: A) chemical name B) drug name C) generic name D) trade name - ANSWER C) generic nam The interaction of one drug increased by the presence of a second drug is known as: A) potentiation B) addictive effect C) antagonism D) synergism - ANSWER A) potentiation When two drugs given together have an effect equal to the sum of their respective effects, the interaction is known as: A) potentia...

The nurse checks the postoperative client for signs of infection. Which observations are indicative of a potential infection? Select all that apply. 1.Slight redness along the incision 2.The presence of purulent drainage 3.A temperature of 98.8° F (37.1° C) 4.The client states that he feels cold. 5.The client states that the incision itches. 6.Tender firmness palpable around the incision - ANS 2.The presence of purulent drainage 6.Tender firmness palpable around the incision Rationale...

The nurse checks the postoperative client for signs of infection. Which observations are indicative of a potential infection? Select all that apply. 1.Slight redness along the incision 2.The presence of purulent drainage 3.A temperature of 98.8° F (37.1° C) 4.The client states that he feels cold. 5.The client states that the incision itches. 6.Tender firmness palpable around the incision - ANS 2.The presence of purulent drainage 6.Tender firmness palpable around the incision Rationale...

Alteplase (t-PA) - ANSWER *class*: thrombolytics *Indication*: MI, acute ischemic stroke, occluded central lines *Action*: converts plasminogen to plasmin which degrades the fibrin found *Nursing Considerations*: - contraindicated in active bleeding -monitor for anaphylaxis - use caution with uncontrolled hypertension Atorvastatin (Lipitor) - ANSWER *class*: lipid-lowering agent *Indication*: management of high cholesterol (hypercholesterolemia), primary prevention of cardiovascular dis...

The health care provider prescribes ibuprofen (children's Motrin) 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place. - ANSWERS 143 A client with sickle cell anemia is being treated for sickle cell crisis. The health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nurse ...

For a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor which laboratory test value? A. Sodium B. Glucose C. Calcium D. Chloride - ANSWER B. Glucose Correct Thiazide and thiazide-like diuretics are associated with adverse metabolic effects of hyperglycemia; therefore, close monitoring of blood glucose levels are needed. Other metabolic disturbances include hyperlipidemia and hyperuricemia. The nurse is providing education to a patient prescribed spi...

Sodium (NA) - ANSWER 135-145 meq Potassium (K) - ANSWER 3.5-5 meq Calcium (Ca) - ANSWER 9.0-10 mg/dl Magnesium (Mg) - ANSWER 1.3-2.1 mg/dl Phosphorus (PO) - ANSWER 3.0-4.5 Glucose (fasting) - ANSWER 70-105 pH - ANSWER 7.35-7.45, over 90 years 7.25-7.45 Pa CO2 - ANSWER 35-45 mmHg Pa O2 - ANSWER >80-100mm Hg HCO3 (bicarb) - ANSWER 21-26 meq Cl (chloride) - ANSWER 98-106 meq RBC's males - ANSWER 4.7-6.1 million RBC's females - ANSWER 4.2-5.4 million HGB - ANSWER males: 14-18 fem...

The nurse is reinforcing home-care instructions to a client and family regarding care after cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions? - ANS I should not sleep on my right side The nurse is preparing to communicate with an older client who is hearing impaired. Which intervention should be implemented initially? - ANS Stand in front of the client Which intervention should be implemented for the older client with p...

The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard on auscultation of the lungs. Which additional signs/symptoms should the nurse expect to note in this client? - ANSWER 4. An increase in blood pressure The nurse is reviewing the health records of assigned clients. The nurse should plan care knowing that which client is at risk for a potassium deficit? - ANSWER 4. The client receiving nasogastric suction The nurse reviews a cl...