Ncsbn nclex rn questions and answers 2023

Ncsbn nclex rn questions and answers 2023Tetracycline Taken on empty stomach, not given to children < 8yo bcoz it can stain teeth, not known to cause hearing loss Propranolol Can help control essential tremors Potassium iodide Used preoperatively to reduce size & vascularity of thyroid gland Clozapine (Clozaril) Common s/e is extreme salivation (sialorrhea), may increase risk of hyperglycemia Serum albumin Most sensitive measure of nutritional status Normal: 3.4-5.4 g/dl Normal BUN 7-20 mg/dl High risk for CT scan with contrast reaction - (+) pregnancy test - hx of asthma - past rxns to contrast - hx of ️, kidney & thyroid dse. - taking beta blockers & metformin - poor renal fxn Earliest s/s of poor oxygenation Increased pulse Late signs of poor oxygenation Abnormal breath sounds & cyanosis Pulsus paradoxus Fall in systolic BP with inspiration > 10mmHg Dressler's syndrome Also called post MI syndrome Digoxin Take pulse for 1 full minute, withhold if < 60 Has had valve surgery? Monitor for arrhythmias & hypotension, long term anticoagulation therapy Tx for pulmonary edema M - Morphine D - Diuretics (furosemide) O - Oxygen G - Gases (blood gases) 3 classic findings of pulmonary stenosis & aortic stenosis Dyspnea, chest pain & syncope - 2nd most common congenital ️ defect Cardiac tamponade 3 classic triad of signs: Hypotension Muffled ️ sounds Marked jugular vein distention S-T elevation on ECG MI DIC Bleeding, blood clots, bruising and drop in blood pressure Heart failure Dyspnea, fatigue and weakness, edema in legs, ankles, feet Raynaud's phenomenon Sequence of color changes in skin in response to cold or stress Occlusive arterial disease Pain, pallor, paresthesia, pulselessness, paralysis, poikilothermia Sickle cell disease Anemia, episodes of pain, frequent infections A fib Fluttering or thumping sensation in the chest Cardiac tamponade Hypotension, tachycardia with muffled heart sounds and jugular vein distention Hemophilia Excessive bruising, swollen and painful joints, lengthy bleeding Cor pulmonale Cough, exertional dyspnea, fatigue, fainting, swelling of feet or ankles Emphysema Barrel chest, chronic cough, SOB , wheezing & weight loss Tension pneumothorax Chest pain, muffled ️ & lung sounds, mediastinal shift, respiratory distress