Mark Klimek NCLEX Prep Exam Questions and Answers 2024;full solution pack
As the pH goes, - so goes my patient, EXCEPT for potassium (Mac) Kussmaul's is only seen in... - Metabolic Acidosis In respiratory, if the patient is OVERventilating, - Respiratory Alkalosis In respiratory, if the patient is UNDERventilating, - Respiratory Acidosis The only cause for metabolic alkalosis is... - prolonged vomiting or suctioning A HIGH pressure alarm is due to... - obstructions (kinks in tubing, mucus secretions) A LOW pressure alarm is due to... - disconnections (disconnected main tubing or O2 sensor tubing) BEFORE choosing to suction a patient, you should... - Change their position (turn, cough, deep breathe) What are the stages of grief? - DABDA (Denial, Anger, Bargaining, Depression, Acceptance) The number one problem in abusive situations is _______. How do you treat it? - Denial Treat by CONFRONTING IT! The number two problem in abusers is... - Dependency/Codependency If what a codependent person is being asked to do is harmful/dangerous, this is called _________. How do you treat it? - ManipulationTreat by setting limits + enforcing it. SAY NO! What is Wernicke-Korsakoff syndrome? - Psychosis-induced by vitamin B1 (thiamine) deficiency Amnesia with confabulation (pt making up stories + believes it) It is IRREVERSIBLE How do you prevent Wernicke-Korsakoff syndrome? - Take vitamin B1 What is Disulfiram (Antabuse)? How long does it take to be effective? - Aversion therapy for alcoholism 2 weeks to be effective What does Naltrexone (Revia) do? - Reduces alcohol cravings What should you teach patients to avoid when taking Disulfiram? - Mouthwash, aftershaves, perfume/cologne, insect repellent, any OTC that ends in "elixir", alcohol-based hand sanitizer, uncooked icings (no bake), red wine vinaigrette What are the 5 uppers? - Caffeine Cocaine PCP/LSD Methamphetamines Adderall *Everything else is a downer... What is an overdose? What are the sxs like? - Too much of an upper/downer Upper overdose sxs make you GO UP Downer overdose sxs make you GO DOWNWhat is a withdrawal? What are the sxs like? - Too little upper/downer Upper withdrawal sxs make you go DOWN Downer withdrawal sxs make you go UP In what two situations would respiratory arrest be your priority? - Downer overdose + Upper withdrawal In what two situations would seizures be your priority? - Upper overdose + Downer withdrawal In drug addiction in newborns, always assume _______________ at birth/first 24 hours. After 24 hours, assume the baby is ________________. - Intoxication at birth/first 24 hours After 24 hours, baby is in withdrawal 24 hours after an alcoholic stops drinking, they go through _______________________. - Alcohol withdrawal syndrome Only a minority of alcoholics go through _____________________________ 72 hours after they stop drinking. - Delirium tremens
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