MARK KLIMEK NCLEX PRACTICE EXAM
Q&A
Abg interpretation - answer-if ph and bicarb are both in same direction = metabolic
Normal ph value - answer-7.35-7.45
Normal bicarb - answer-22-26
Normal pao2 - answer-80-100
Normal paco2 - answer-35-45
"when the ph goes so does the patient" - answer-**except for potassium (compensation)
Ph ^ = pt ^
Ph\/ = pt \/
Causes of resp. Acid-base imbalance - answer-is it lung? Yes = respiratory
Overventilating = alkalosis
Underventilating = acidosis
Only things that count as metabolic alkalosis - answer-suctioning and vomiting
Ventilator high pressure alarms - answer-working too hard to push air in cause by
obstruction
*tube kinked
*water in tubing
*mucus in airway
Ventilator low pressure alarm - answer-working too little to push air in caused by
disconnections
Denial rules to follow - answer-confront abuse - tell them the difference of what they say
/ are doing
Support loss - support denial of loss because its serving a purpose
Wernicke's korsakoff syndrome - answer-psychosis due to low vit. B1 (thiamine)
*amnesia and confabulation (making up stories)
Disulferam - answer-aversion therapy - makes you sick to drink
, Takes 2 weeks to start, and 2 weeks to wean off
Symptoms of overdose on uppers
-caffine, cocaine, lsd, meth, adhd - answer-up symptoms
-tachy
Symptoms of overdose on downers - answer-down symptoms
-brady
Withdrawl from upper - answer-too little upper = all symptoms are brady
Withdrawl from downer - answer-too little downer = all symptoms up
Drug addiction newborn assumption - answer-always assume nb are intoxicated during
first 24 hours of life
After that assume withdrawal
Delerium tremens interventions - answer-private room near nurses station
Npo
Bedrest / restraints
Alcohol withdrawal syndrome interventions - answer-semi private
Regular diet
Up ad lib
Aminoglycosides are to treat....
Toxic effects - answer-mean old infections!
Ototoxic
Nephrotoxic (monitor creat .6-1.2 )
Cn 8
Give im or iv
-po = sterilize bowel
Thromycins - answer-throw them off the list- they are not mycins
Peak and trough times - answer-all trough levels are 30min before next dose
Peak levels
Sl: 5-10min after
Q&A
Abg interpretation - answer-if ph and bicarb are both in same direction = metabolic
Normal ph value - answer-7.35-7.45
Normal bicarb - answer-22-26
Normal pao2 - answer-80-100
Normal paco2 - answer-35-45
"when the ph goes so does the patient" - answer-**except for potassium (compensation)
Ph ^ = pt ^
Ph\/ = pt \/
Causes of resp. Acid-base imbalance - answer-is it lung? Yes = respiratory
Overventilating = alkalosis
Underventilating = acidosis
Only things that count as metabolic alkalosis - answer-suctioning and vomiting
Ventilator high pressure alarms - answer-working too hard to push air in cause by
obstruction
*tube kinked
*water in tubing
*mucus in airway
Ventilator low pressure alarm - answer-working too little to push air in caused by
disconnections
Denial rules to follow - answer-confront abuse - tell them the difference of what they say
/ are doing
Support loss - support denial of loss because its serving a purpose
Wernicke's korsakoff syndrome - answer-psychosis due to low vit. B1 (thiamine)
*amnesia and confabulation (making up stories)
Disulferam - answer-aversion therapy - makes you sick to drink
, Takes 2 weeks to start, and 2 weeks to wean off
Symptoms of overdose on uppers
-caffine, cocaine, lsd, meth, adhd - answer-up symptoms
-tachy
Symptoms of overdose on downers - answer-down symptoms
-brady
Withdrawl from upper - answer-too little upper = all symptoms are brady
Withdrawl from downer - answer-too little downer = all symptoms up
Drug addiction newborn assumption - answer-always assume nb are intoxicated during
first 24 hours of life
After that assume withdrawal
Delerium tremens interventions - answer-private room near nurses station
Npo
Bedrest / restraints
Alcohol withdrawal syndrome interventions - answer-semi private
Regular diet
Up ad lib
Aminoglycosides are to treat....
Toxic effects - answer-mean old infections!
Ototoxic
Nephrotoxic (monitor creat .6-1.2 )
Cn 8
Give im or iv
-po = sterilize bowel
Thromycins - answer-throw them off the list- they are not mycins
Peak and trough times - answer-all trough levels are 30min before next dose
Peak levels
Sl: 5-10min after
