ATI: NCLEX Review Questions with 100% Correct Answers Graded A+

bronchdilator - hyperglycemia, hypoK Nurse should administer lidocaine IV bolus for a client who has ventricular dysrhythmia - CPR For a patient that is pulseless or not breathing Nurse should perform synchronized cardio version for a client with supraventricular tacycardia - the nurse should defibrillate for ventricular tachycardia and ventricular fibrillation 1 unit of blood - 4 hrs, stay first 15 min carbidopa/levodopa - orthostatic hypotension Crede's maneuver - technique used to void urine from the bladder , press on pubis symphasis insulin - NV, hypoglycemia, hangry, shaky, cold, clammy methotrexate - RA, psoriasis gabapentin - somnolence, dizziness, edema, most effective 3x day peaks, 2 hrs nitro and cialis - unsafe drop in BP no nitro without - I V tocolytic - relaxed uterus Protonix- PPI - alters gastric acid secretion, diarrhea, osteoporosis, pneumonia Risperidone- Risperdal - weight gain, dyslipidemia, EPS rate Solumedrol - N, headaches, cushings Lasix and gent together - even more ototoxic Cycline - skin infection, staph Antifungal - azole ARB's use when - ACE doesn't work BB= - decreased HR Calcium channel blockers - dipine, Amlodipine norvasc Diltiazem Cardizem, Tiazac Verapamil (Calan, Verelan, Covera-HS) ED drugs afil - I feel you up, sildenafil CNS stimulant - phetamine Antidiuretic - pressin - increase BP Anemia - PRBC, hgb WDL 12-16 Thrombocytopenia - platelets, 150-400K Burns- - Plasma protein fraction, albumin, 3.5-5 Hemophilia - cryoprecipitate Factor VIII hemophilia tests - ptt 30-40 sec, therapeutic 45-80 sec, want increased clotting time 1.5-2 1 unit PRBC - Hgb and Hct both raise 1% per unit Central venous catheter - aspirate, IV brisk blood return, no resistance when flush with NS, confirm radiology report, should rest superior vena cava, dressing q2 days PICC - observe antecubital fossa for edema Triple lumen - 1 meds, 1 blood draw etc, complications- pneumothorax, air embolism triple lumen dwelling complications - occlusion, infection TPN - change tubing q 24 hrs, dc lipid infusion after 12 hrs, clean iv port before and after insulin given via IV - regular DI - ADH deficient, polyuria, can give desmopressin intranasally Lantus - glargine, lonely lantus doesn't play well with others another word for A1C - glycosylated hgb inject 10U reg then 20U NPH - roll nph, clean stoppers, inject 20U air into NPH, inject 10U air into regular, WD 10U reg, then 20U NPH lanoxin, digoxin - hypoK Ambien, zolpidem - caution in elderly, opposite effect MMR hold - allergy to gelatin or neomycin RH - mom - 28 wks, 72h rs after birth rogham, baby should be RH + methylergonovine (Methergin) - stop contraction, hemorrhage aqua mephton - vit K statin take - at night glucophage / metformin - increase lactic acid levels glucocorticoid - osteoporitis, cushings, puffy moon face addison's - high and dry, hypoglycemia, dehydration, bronze skin budesonide formsterol - prevent asthma, COPD, GI upset, infection levothyroxine synthroid - take 30 min before breakfast flagyl and vancomycin - cdiffe give vanc and gent - over 1 hr fentanyl - duragesic, change 72 hrs, no heat over site lithium - 0.6-1.2, fine tremors are normal, increase salt, thirst s/s toxicity, lithium and salt compete for binding sites Clozapine- clozaril - 2nd gen antipsychotic, agranulocytosis- dangerously low WBC, constipation, othro Hypotn typical antispsychotic - SEATANS- sedation, EPS, antocholinergic, tradive dyskinesia, agranulocytosis, neuroleptic malignant syndrome, seizures atypical like clozaril - decrease risk of eps, weight gain, diabetes, dyslipidemia, agrnaulocytosis, ortho htn benzo od - romazicon flumazenil avoid tyramine with MAOI - phenelzine or Nardil tyramine food - bacon eggs liver, pepperoni, bologna, sausage, pickeld herring, anchovies, shrimp, caviar, yeast, chocolate, alcoholic drinks tyramine problems - hypertensive crisis, foods are pickled, aged, smoked, fermented, marinated new trach at bedside - bag valve, 20 set up, suction, two trach tubes weak legs - hypoK chron's - corticosteriods, cobblestone HHNS hyperglycemic hyperosmolar nonketonic syndrom - > 600 CBG, dehydration, low grade temp, confusion, headaches normal IOP - 10-21 Ulcerative colitis - starts @ rectum, increased risk cancer, more women than meb PVD - painless ulceration HyperK - peaked tented T- wave Cane COAL - cane opposite affected limb, cane stron side radiation - visitors 6 ft, 30 min day, sign on door, educate r/t isolation, save linens in room propofol milk of anesthesia - allergy to eggs contact pharm vaccines - don't give if egg allergy brudinskis sign - lay down, tilt neck chich to chest, makes knee/hip flex Kernigs sign - lay down bend knee AT 90 angle, can't straighten leg, hamstring tight, pain meningitis - headache, stiff neck, photophobia, seizure precautions, private room, dehydration test to see if amnio fluid or pee - fern or nitrizine test smallpox - contact, face to face, body fluids, aerosol, dever, red spot tongue, rash, most contagious sepsis - vascular changes, resp compromise, renal, CNS neonatal sepsis - low ax temp, lethargy, poor suck reflex nits - lindane no longer used, pretherin creme ED - can cause MI blood pools in penis external/internal hemmrhoid - streaks in stool 3rd degree heart block - p & QRS not related problem after prolonged vomiting - hypoK parkland formula - 4xkgxTBSA, 1st 1/2 in 8 hrs, rest remainint 16 hrs, deduct what previously given and look at time assess buttocks in traction - never side to side, lift buttocks AV fistula - use after several weeks, BP in opposite arm, feel thrill no heavy carrying metabolic imbalance - usually throwing up diarrhea abrupto placentia - rigid abdomen mastitis - keep feeding affected side serotonin antagonist- serotonin tron to the rescue - dolasetron, ondansetron Continuous bubbling in water seal chamber - means there is a leak