NCLEX NEXT GEN QUESTIONS AND 100% CORRECT ANSWERS

What condition is commonly associated with PICA? - Anemia is common with PICA T/F NSAIDS can worsen asthma symptoms - TRUE Fexofenadine - antihistamine Hodgkin's lymphoma What are typical signs and symptoms of this disease? - chronic malignant disease of the lymph nodes affects the lympathic system S/S include: Sweats Painless Enlarged lymph nodes Fever Fatigue How should a nurse provide care for a patient with schizophrenia and persecutory delusions? - Focus on reality and verbally reinforce it Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication) What are interventions to help reduce viscosity of mucus? - -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique What GI condition is associated with olive shaped mass? - Pyloric stenosis What is botulinum toxin type A What should you closely monitor while using this drug? - Botox - a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles. Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia What are some examples of SSRIs? What are they and what is a common adverse effect of there use? How long does it take for this medication to take effect? - Sertraline, Escitalopram (-etine, -opram) Selective Serotonin Re-uptake Inhibitors Used to treat Depression and Anxiety Side effect: Sexual dysfunction which is usually under reported WEIGHT GAIN (eat a health diet and regular exercise) It will take about 4-6 weeks to take effect Allopurinol (Zyloprim) What does this medication treat? What symptom of the medication can lead to higher complication? What is the complication? - Gout, Anti-gout medication Used to decrease/prevent levels of Uric Acid Takes with full glass of water to prevents complications with kidneys and nausea. COMPLICATION: Rash - which can indicate a hypersensitivity and develop to Stevens Johnsons Syndrome Dabigatran (Pradaxa) What condition is this used for? Why? Where should you keep these pills? - Anticoagulant, Direct Thrombin Inhibitor Commonly used for patients with A-Fib and Flutter Do not crush or open pills. KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER/BOX. What is Trazadone? What is this used for? What are the common adverse effects of this medication? - A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION What is priapism? Is it painful? - A prolonged and painful erection What is tissue plasminogen activator (tPA) When should it be administered within? (hours) What is it contraindicated with - Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) How are thyroid medications best absorbed? What time of the day should they be taken? Are they safe to take during pregnancy? - On an empty stomach Best taken in the morning because they increase metabolism and energy Safe during pregnancy Steven Johnson Syndrome (SJS) How does it appear on the skin? - Severe blistering of the skin, with mucous membrane involvement and fever Can be FATAL Begins with flu like symptoms, painful and purple/red rash. Resembles 3rd degree burns. Cyclosporine What is it used for to prevent? - Immunosuppressant Suppresses the immune system to prevent WBC from getting rid of a organ transplant Tetracycline/Doxycycline // Sulfa Drugs What are common complications with these type of drugs - Sulfa Drugs: Tetracyclines Antibiotics Complication: Sun Burn What insulin is the ONLY insulin administered IV Push? - Regular Insulin What is the correct administration route for NPH insulin? - Subcutaneous Digoxin (Lanoxin) What should be monitored while on this medication? What the symptoms of Digoxin toxicity - cardiac glycoside