MARK KLIMEK NCLEX EXAM Q&A
pH goes up - Answer-so does the patient
pH goes down - Answer-so does the patient
if pH and bicarb are both in the same direction - Answer-its metabolic
bicarb - Answer-22-26
co2 - Answer-35-45
overventilating - Answer-alkalosis
underventilating - Answer-acidosis
prolonged gastric vomiting or suction - Answer-Metabolic Alkalosis
#1 psychological problem in abuse - Answer-Denial
Dependency - Answer-when the abuser gets the significant other to do things for them
or make decisions for them
Codependency - Answer-when the significant other derives positive self esteem from
doing other things for or making decision for the abuser
Wernicke-Korsakoff syndrome - Answer-psychosis induced by vitamin B1 (thiamine)
deficiency.
Wernicke-Korsakoff syndrome symptom - Answer-amnesia with confabulation
Confabulation - Answer-making up stories to fill in memory loss
Antabuse (disulfiram) - Answer-a drug used in the detoxification of individuals with
alcohol dependency. aversion therapy
Aversion therapy - Answer-
While taking antabuse avoid - Answer-ALL alcohol
Stimulants - Answer-Drugs (such as caffeine, nicotine, and the more powerful
amphetamines, cocaine, and Ecstasy) that excite neural activity and speed up body
functions.
, Depressants - Answer-drugs (such as alcohol, barbiturates, and opiates) that reduce
neural activity and slow body functions
overdose of stimlant - Answer-body is stimulated
overdose of depressants - Answer-body is depressed
withdrawal with stimulant - Answer-body is depressed
withdrawal with depressant - Answer-body is stimulated
uppers aka stimulants - Answer-caffeine, cocaine, PCP/LSD, meth, adderall
respiratory arrest would be a concern - Answer-downer overdose or upper withdrawal
seizure would be the biggest risk - Answer-upper overdose or downer withdrawal
drug addiction in the newborn - Answer-always assume intoxication at birth first 24
hours then withdrawal
alcohol withdrawal - Answer-24 hrs
Delirium Termens - Answer-72 hrs
aws - Answer-regular diet, semi private room, up ad lib, no restraints
DTs (delirium tremens) - Answer-NPO or clear liquid, private room near nurses, bedrest,
restraints,
Aminoglycosides - Answer-used to treat severe, life threatening, resistant infections
Toxic effect of aminoglycosides - Answer-ototoxicity and nephrotoxicity
creatine - Answer-best indicator of kidney function
oral bowel sterilizers - Answer-neomycin and canomycin
CCB - Answer-end in dipine, always measure bp bc risk for hypotension,
CCB se - Answer-hypotension, headache
CCB treat - Answer-antihypertensives, antianginal, anti atrial arrhythmias
catergory a (most serious) - Answer-small pox, tularemia, anthrax, plague, hemorrhagic
fever (ebola), botolism
pH goes up - Answer-so does the patient
pH goes down - Answer-so does the patient
if pH and bicarb are both in the same direction - Answer-its metabolic
bicarb - Answer-22-26
co2 - Answer-35-45
overventilating - Answer-alkalosis
underventilating - Answer-acidosis
prolonged gastric vomiting or suction - Answer-Metabolic Alkalosis
#1 psychological problem in abuse - Answer-Denial
Dependency - Answer-when the abuser gets the significant other to do things for them
or make decisions for them
Codependency - Answer-when the significant other derives positive self esteem from
doing other things for or making decision for the abuser
Wernicke-Korsakoff syndrome - Answer-psychosis induced by vitamin B1 (thiamine)
deficiency.
Wernicke-Korsakoff syndrome symptom - Answer-amnesia with confabulation
Confabulation - Answer-making up stories to fill in memory loss
Antabuse (disulfiram) - Answer-a drug used in the detoxification of individuals with
alcohol dependency. aversion therapy
Aversion therapy - Answer-
While taking antabuse avoid - Answer-ALL alcohol
Stimulants - Answer-Drugs (such as caffeine, nicotine, and the more powerful
amphetamines, cocaine, and Ecstasy) that excite neural activity and speed up body
functions.
, Depressants - Answer-drugs (such as alcohol, barbiturates, and opiates) that reduce
neural activity and slow body functions
overdose of stimlant - Answer-body is stimulated
overdose of depressants - Answer-body is depressed
withdrawal with stimulant - Answer-body is depressed
withdrawal with depressant - Answer-body is stimulated
uppers aka stimulants - Answer-caffeine, cocaine, PCP/LSD, meth, adderall
respiratory arrest would be a concern - Answer-downer overdose or upper withdrawal
seizure would be the biggest risk - Answer-upper overdose or downer withdrawal
drug addiction in the newborn - Answer-always assume intoxication at birth first 24
hours then withdrawal
alcohol withdrawal - Answer-24 hrs
Delirium Termens - Answer-72 hrs
aws - Answer-regular diet, semi private room, up ad lib, no restraints
DTs (delirium tremens) - Answer-NPO or clear liquid, private room near nurses, bedrest,
restraints,
Aminoglycosides - Answer-used to treat severe, life threatening, resistant infections
Toxic effect of aminoglycosides - Answer-ototoxicity and nephrotoxicity
creatine - Answer-best indicator of kidney function
oral bowel sterilizers - Answer-neomycin and canomycin
CCB - Answer-end in dipine, always measure bp bc risk for hypotension,
CCB se - Answer-hypotension, headache
CCB treat - Answer-antihypertensives, antianginal, anti atrial arrhythmias
catergory a (most serious) - Answer-small pox, tularemia, anthrax, plague, hemorrhagic
fever (ebola), botolism