LATEST 2024 UPDATE WITH 1900+
HIGHLY PREDICTED QUESTIONS
WHICH ARE CORRECTLY
ANSWERED AND ALREADY
GRADED A+ |99.9% SUCCESS
GUARANTEED|
MARK KLIMEK NCLEX EXAM
Primary dietary prescription for calcium nephrolithiasis
(kidney stones) ? PG. 85 ANS: ✔- Low calcium diet
For client with nephrolithiasis the diet should be ___ ash ANS:
✔- Acid
If kidney stone is calcium phosphate the diet must be low in ___
too ANS: ✔- Phosphorus
Primary diet tx for uric acid nephrolithiasis is __ ____ ANS: ✔-
Low purine
Client with uric acid nephrolithiasis should have a diet low in ____
ANS: ✔- Methionine
,What is methionine? ANS: ✔- Precursor of the amino acid
cystine
2 foods high in methionine? ANS: ✔- Eggs, milk
Clients with cystine nephrolithiasis should have an ____ ash diet
ANS: ✔- Alkaline
Inc. fluids over 3000 cc /day is more effective in treating renal
calculi than ANY dietary modification, T/F? ANS: ✔- True.
Want to flush tract than worry about diet
What is the common name for Laryngotracheobronchitis - LTB
ANS: ✔- Croup
What is the typical temp elevation in croup? ANS: ✔- Low
grade, usually below 102, but can go up to 104.
Are ATBs helpful for croup? For epiglottits? ANS: ✔- For croup,
no. Epiglottitis, yes
Is croup viral or bacterial? ANS: ✔- Viral
With which condition is croup most often confused? ANS: ✔-
Epiglottitis
Can croup be managed at home? Can epiglottitis be managed at
home? ANS: ✔- Yes. No, epiglottitis is a 911 emergency
Are sedatives used for kids with croup? ANS: ✔- No, bc this
would mask the signs of respiratory distress
,What causes epiglottitis? A virus or bacteria? ANS: ✔- H.
influenza BACTERIA
What is the best tx for croup? ANS: ✔- Cool moist air
What should never be done to a child with epiglottitis? ANS:
✔- 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? ANS: ✔-
Barking cough, inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead of
croup? ANS: ✔- Muffled voice, drooling, increased fever
When is croup bad enough to be evaluated by a doc? ANS:
✔- When retractions, and high pitched stridor are present
What lead level needs intervention? ANS: ✔- 50-60
micrograms/ dl
With which class of drugs will a child with lead poisoning be
treated? ANS: ✔- Chelating agents
What do chelating drugs do? ANS: ✔- They increase the
excretion of heavy metals
The most freq. cause of lead poisoning is... ANS: ✔- Ingestion
of lead-based paint chips
, Name 3 common chelating agents for lead poisoning ANS: ✔-
EDTA, desferal, BAL in oil
S&S of lead poisoning ANS: ✔- Drowsiness, clumsiness,
ataxia, seizures, coma, resp. arrest
Sx of lead poisoning show up in the ____ system ANS: ✔-
Neuro
Leukemia is cancer of the ___ forming tissues ANS: ✔- Blood
The type of cell that is most common and problematic in leukemia
is ____ ANS: ✔- Immature WBC
In leukemia the RBC count is ... ANS: ✔- 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 ... ANS: ✔- 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 ___ ANS: ✔-
Pallor and fatigue
Bc of the immature WBCs, the pt is at risk for ___ ANS: ✔-
Infection
Bc of low platelets, the pt is at risk for ___, ___, and ___ ANS:
✔- Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland enlargement in leukemia? ANS: ✔-