Mark Klimek NCLEX Review Questions with 100% correct answers

Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG. 85 Low calcium diet For client with nephrolithiasis the diet should be ___ ash Acid 00:00 If kidney stone is calcium phosphate the diet must be low in ___ too Phosphorus Primary diet tx for uric acid nephrolithiasis is __ ____ Low purine Client with uric acid nephrolithiasis should have a diet low in ____ Methionine What is methionine? Precursor of the amino acid cystine 2 foods high in methionine? Eggs, milk Clients with cystine nephrolithiasis should have an ____ ash diet Alkaline Inc. fluids over 3000 cc /day is more effective in treating renal calculi than ANY dietary modification, T/F? True. Want to flush tract than worry about diet What is the common name for Laryngotracheobronchitis - LTB Croup What is the typical temp elevation in croup? Low grade, usually below 102, but can go up to 104. Are ATBs helpful for croup? For epiglottits? For croup, no. Epiglottitis, yes Is croup viral or bacterial? Viral With which condition is croup most often confused? Epiglottitis Can croup be managed at home? Can epiglottitis be managed at home? Yes. No, epiglottitis is a 911 emergency Are sedatives used for kids with croup? No, bc this would mask the signs of respiratory distress What causes epiglottitis? A virus or bacteria? H. influenza BACTERIA What is the best tx for croup? Cool moist air What should never be done to a child with epiglottitis? Never put anything in the child's mouth, ie, a tongue blade can lead to obstruction What are the typical signs and symptoms of croup? Barking cough, inspiratory stridor, labored resp. pattern What 3 signs tell you that the child has epiglottitis instead of croup? Muffled voice, drooling, increased fever When is croup bad enough to be evaluated by a doc? When retractions, and high pitched stridor are present What lead level needs intervention? 50-60 micrograms/ dl