NGN NCLEX /NCLEX NGN RN (2024/2025) ACTUAL EXAM TEST BANK 300+ QUESTIONS AND CORRECT DETAILED ANSWERS || ALREADY GRADED A+ LATEST VERSION

NGN NCLEX /NCLEX NGN RN (2024/2025) ACTUAL EXAM TEST BANK 300+ QUESTIONS AND CORRECT DETAILED ANSWERS || ALREADY GRADED A+ LATEST VERSION Single dose at bedtime, because of side effects. Avoid alcohol or other CNS depressants during therapy. Effects may not be noticed 2 weeks. Dose missed, take as soon as possible unless almost time for another dose. - ANSWER Imipramine (Tofranil) Antipsychotic medication targets both positive & negative symptoms of schizophrenia - ANSWER Olanzapine (Zyprexa) Take bedtime & with full glass water. For faster onset of sleep, not take medication with food or immediately after meal. Antacids affect absorption of medication. - ANSWER Zolpidem (Ambien) Potassium-losing diuretic monitored for electrolyte imbalances that occur; Hypokalemia, hypercalcemia, hyponatremia, hypophosphatemia, & hypomagnesemia. - ANSWER Chlorothiazide (HydroDIURIL) Potassium-retaining diuretic treat edema or hypertension. Taken in morning avoid nocturia, & medication with food to increase bioavailability. Sodium restricted or limited as prescribed. - ANSWER Amiloride (Midamor) Sedative hypnotic; anticonvulsant & skeletal muscle relaxant properties. Institute safety measures before leaving room prevent injury as result medication side effects: dizziness, drowsiness, lethargy. Recommended rate of infusion of diazepam is to give each 5 mg of medication over at least 1 minute. - ANSWER Diazepam (Valium) Normal diet, salt & fluid intake ( mL per day) maintained,lithium decreases sodium reabsorption renal tubules, leading to sodium depletion. Low sodium intake causes relative increase lithium retention & could lead to toxicity. Lithium irritating to gastric mucosa, taken with meals. Therapeutic & toxic dosage ranges narrow, lithium blood level monitored closely. More frequently when begins medication & once every several months after levels stabilize. Stop taking med, call HCP if excessive diarrhea, vomiting, diaphoresis occur. - ANSWER Lithium carbonate (Lithobid) Antipsychotic. Toxic effects include drowsiness & lethargy, excessive salivation, fixed stare, akathisia, acute dystonia, & tardive dyskinesia. Nausea, hypotension, & blurred vision occasional side effects. - ANSWER Haloperidol (Haldol) what is the post op risk for TOTAL/SUBTOTAL/ PARTIAL THYROIDECTOMY? - ANSWER in first 12 hrs for both types of surgery is airway and bleeding what is the post op risk for TOTAL thyroidectomy - ANSWER 12 - 48 hrs after surgery tetany-due to low calcium tetany- closes airway in a spasm what is the post op risk for subtotal/partial thyroidectomy? - ANSWER 12-48 hrs after surgery is thyroid storm what is the big risk after 48 hrs? - ANSWER Infection BUT NEVER PICK INFECTION IN THE FIRST 72 HRS ONLY AFTER 72 HRS What is hypothyroidism? - ANSWER slow metabolism S/S of hypothryoidism - ANSWER gain weight, slow HR, sluggish, cold into renace, constipation, lethargic, low Bp what is hypothyroidism also know as? - ANSWER Myxedema what is the reason for hypothyroidism? - ANSWER not enough hormones therefore give them some such as levothrine what are the 3 reasons you check blood sugars? - ANSWER steroids, TPN, diabetes TX for hypothyroidism? - ANSWER thyroid replacement what precautions most you take with patients with hypothyroidism? - ANSWER DO NOT SEDATE. DO NOT HOLD thyroid med if pt is NPO for surgery what is addisons Disease? - ANSWER under secreation of the adrenal cortex S/S of Addisons Disease - ANSWER hyperpigmented (dark tone) and do not adapt to stress well most wear medical ID bracelet what happens if pt with Addisons Disease are under stress? - ANSWER blood pressure and glucose decreases how to remember steroids? - ANSWER they all end in sone what do you to TX addisons Disease? - ANSWER ADD-A-SONE What is Cushings Syndrome? - ANSWER oversecreation of the adrenal cortex S/S of Cushing's Syndrome - ANSWER it the same as side effects of steroid medications moon face, hirsutism(lots of hair),gynecomastia(breast in men) buffalo hump, central/trunk obesity, hyperglycemia, easy bruising, immunosuppresed what are the 3 principles when selecting toys for kids? - ANSWER is it safe, is it age appropriate, is it feasible( can you do it) what are some safety considerations when it comes to kids toys? - ANSWER size of toys- no small toys (parts) for kid under 4 yrs no metal toys if oxygen in use- why? can cause spark beware of fomites( non living object that harbors microorganisms what are the worst fomites toys? - ANSWER stuffed or flushed toys what are the best fomites toys? - ANSWER hard plastic that can be disinfected what are the best toys for infant 0-6 months? - ANSWER musical mobile because at this age you are trying to teach the child about their sensorimotor skills. if no musical mobile select a toy large but soft what is the best toy for a 6-9 month old baby? - ANSWER at this stage teaching child object permanence - object is still there even though you cannot see it. cover/uncover toys: ex. jack in the box, pop up pals, books with windows what is the second best toy for a 6-9 month baby? - ANSWER something firm but large( wood/plstic) worst toy - musical mobile at risk for choking what is the best toys for 9 - 12 month old? - ANSWER verbal toys. because they are learning vocalization- learning to speak ex. talkin elmo, talkin books what is the purpose of activity in 9-12 month old? - ANSWER they most have purpose activity with the object always avoid answers with the following words for children under 9 months old - ANSWER build, sort, stack, make, construct what is the best toys for toddlers (1-3 yr olds) - ANSWER push/ pull toys such as pushing wagons, lawn mower