NCLEX PN 2023 Questions and Answers with Certified Solutions

NCLEX PN 2023 Questions and Answers with Certified Solutions Some names of tumor necrosis factor (TNF) inhibitors (Infliximab, adalimumab, etanercept) Tumor necrosis factors (TNF) Suppresses the inflammatory response in autoimmune diseases such as RA, Chron disease, and psoriasis. Due to the immunosuppressive action of these drugs clients are at increased risk of infection. What type of clients should not take TNF's? Clients with current, recent, or chronic infections. How far should you insert enema tube into rectum? 3-4in Adverse affect of Erythropoietin? (Used to treat anemia) Hypertension Antiplatelet agents Substance that interferes with the action of platelets. Prolongs bleeding time. Used to prevent heart attacks and strokes. ANTIPLATELET AGENTS NAMES Clopidogrel, Ticagrelor, Prasugrel, Aspirin. Antiplatelet agents should not be taken by? Clients with bleeding peptic ulcers, active bleeding, or intracranial hemorrhage. Normal platelet range 150,000-400,000 Normal HR 60-100 bpm Foods you should avoid excess amounts/ inconsistent intake of with warfarin therapy. Vitamin K rich foods (leafy green vegetables - broccoli, kale, asparagus, & spinach) Drinks to avoid while on warfarin therapy. Green tea, grapefruit juice, and cranberry juice. Which immediate acting meds to give for an acute asthma attack? Albuterol and Ipratropium Adverse affects of INH (Isoniazid) • Hepatotoxicity (skin jaundice, vomiting, dark urine) • Peripheral neuropathy (numbness, tingling.) DO NOT DRINK WITH ALCOHOL TREATS TB!!! Risk factors for MRSA • Recent or prolonged hospitalization • Residence in a long term care facility • Invasive lines (Hemodialysis catheter) • Sharing needles, razors, or sports equipment • Advanced age • Antibiotic use Therapeutic response of Levothyroxine • Increase energy levels • HR WNL • Factors that increase risk of falls • Positive orthostatic vital signs • Carbidopa/Levodopa (Parkinson's meds) • > 65yr old • Using assistive devices • Osteoarthritis of knees meds that might cause orthostatic hypotension Antihypertensive, diuretics, antipsychotics, antidepressants, and narcotics. Major side effects of Metformin decreased in vitamin b12 levels lactic acidosis (other non-major N/V, diarrhea, epigastric pain) Major adverse effects of statin medications (Atorvastatin) • Muscle cramps • Liver injuries Proper cane length calls for the cane to be level with the user's greater trochanter and for the user's elbow to be bent at a: 20-30degree angle + hold the cane 6-10in in front of them. Which side should you hold the cane on? stronger side Therapeutic Lithium level 0.6-1.2