Mark Klimek NCLEX Review Questions And Answers With Verified Study Solutions

Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG. 85 - Answer-Low calcium diet For client with nephrolithiasis the diet should be ___ ash - Answer-Acid If kidney stone is calcium phosphate the diet must be low in ___ too - Answer-Phosphorus Primary diet tx for uric acid nephrolithiasis is __ ____ - Answer-Low purine Client with uric acid nephrolithiasis should have a diet low in ____ - Answer-Methionine What is methionine? - Answer-Precursor of the amino acid cystine 2 foods high in methionine? - Answer-Eggs, milk Clients with cystine nephrolithiasis should have an ____ ash diet - Answer-Alkaline Inc. fluids over 3000 cc /day is more effective in treating renal calculi than ANY dietary modification, T/F? - Answer-True. Want to flush tract than worry about diet What is the common name for Laryngotracheobronchitis - LTB - Answer-Croup What is the typical temp elevation in croup? - Answer-Low grade, usually below 102, but can go up to 104. Are ATBs helpful for croup? For epiglottits? - Answer-For croup, no. Epiglottitis, yes Is croup viral or bacterial? - Answer-ViralWith which condition is croup most often confused? - Answer-Epiglottitis Can croup be managed at home? Can epiglottitis be managed at home? - Answer-Yes. No, epiglottitis is a 911 emergency Are sedatives used for kids with croup? - Answer-No, bc this would mask the signs of respiratory distress What causes epiglottitis? A virus or bacteria? - Answer-H. influenza BACTERIA What is the best tx for croup? - Answer-Cool moist air What should never be done to a child with epiglottitis? - Answer-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? - Answer-Barking cough, inspiratory stridor, labored resp. pattern What 3 signs tell you that the child has epiglottitis instead of croup? - Answer-Muffled voice, drooling, increased fever When is croup bad enough to be evaluated by a doc? - Answer-When retractions, and high pitched stridor are present What lead level needs intervention? - Answer-50-60 micrograms/ dl With which class of drugs will a child with lead poisoning be treated? - Answer-Chelating agents What do chelating drugs do? - Answer-They increase the excretion of heavy metalsThe most freq. cause of lead poisoning is... - Answer-Ingestion of lead-based paint chips Name 3 common chelating agents for lead poisoning - Answer-EDTA, desferal, BAL in oil S&S of lead poisoning - Answer-Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest Sx of lead poisoning show up in the ____ system - Answer-Neuro Leukemia is cancer of the ___ forming tissues - Answer-Blood The type of cell that is most common and problematic in leukemia is ____ - Answer-Immature WBC In leukemia the RBC count is ... - Answer-Low, bc the bone marrow is going "wild" producing all those immature WBC - no energy or nutrients to make platelets In leukemia, the platelet count is ... - Answer-Low, bc the bone marrow is going "wild" producing all those immature WBC - no energy or nutrients to make platelets Bc the RBCs are low, the pt will exhibit ___ and ___ - Answer-Pallor and fatigue Bc of the immature WBCs, the pt is at risk for ___ - Answer-Infection