Archer NCLEX Review Notes
a patient with CHF should not be prescribed what kind of medication and why? - ANS-CCBs
because of their negative inotropic effects (causing the heart to beat with less force),
worsening heart failure
abdominal obesity - ANS->40 in in men, >35 in in women
About ____% of home fire deaths occur in a home without a smoke detector - ANS-60
Acamprosate is used to treat what disorder? - ANS-alcohol use disorder
Acetazolamide - ANS-Diamox
carbonic anhydrase inhibitor, commonly prescribed to prevent or treat AMS (acute mountain
sickness)
acts by causing a bicarbonate diuresis, which rids the body of excess fluid and induces
metabolic acidosis. The acidotic state increases the respiratory rate and decreases the
occurrence of periodic respiration during sleep at night. in this way, it helps clients acclimate
faster to a high altitude. By increasing the client's respiratory rate, the client can perfuse
more oxygen. It is preferred that this mediation be taken over 24 hrs prior to the ascent
Adequate oral hygiene is beneficial to the client in what ways? - ANS-promoting a client's
sense of well-being and preventing deterioration of the oral cavity
Diligent oral hygiene care can also improve oral health and limit the growth of pathogens in
oropharyngeal secretions, decreasing the incidence of both aspiration pneumonia and
ventilator associated pneumonia (VAP)
Allopurinol - ANS-prescribed to patients with gout or kidney stones
works by reducing the amount of uric acid produced by the body
Encourage patients taking this medication to drink at least 3,000 milliliters of water per day.
Apriprazole - ANS-an atypical (2nd gen) antipsychotic indicated in treating schizophrenia
and certain mood disorders such as bipolar disorder. if the client reports no hallucinations or
delusions, this medication would be deemed therapeutic as these positive symptoms are
associated with schizo
Are pregnant woman able to receive the flu vaccine? - ANS-yes
Aspiration precuations - ANS-collaborating with the dietician/speech therapist to determine
what all would be appropriate
supervised mealtimes, having the HOB elevated during the meal, thickening the liquids as
directed, and coaching the client through swallowing
if feeding a client on aspiration precautions, the foods consistencies should not be mixed
and always have oral suction available
At what point in an infant's life should plugs be covered? - ANS-after 7 months, when they
start crawling around and reaching out to touch unfamiliar things
ANS-pneumonia could be caused by bacteria in the lungs brought on by a near-drowning
experience. Can people on mild antibiotics still receive vaccines? - ANS-yes, they can
receive any immunization
Corticosteroid inhaler notes - ANS--breathing in slowly and deeply while using an inhaled
medication is the proper method of medication administration
, Spacers are recommended because they keep the medication from building up in the back
of the throat. -After taking this medication, the patient should rinse their mouth to prevent
candida infections. -inhaling quickly is not the best way to take this medication
Cullen's sign - ANS-a sign of pancreatitis
discoloration of the abdomen and periumbilical area
What is it that doxycycline can cause? ANS-skin rashes, which include photosensitivity. Be
affecting the normal bacteria flora, it can also increase the risk of oral and vaginal
candidiasis in some individuals
a high blood pressure of ANS->130/85 Flumazenil - ANS-antidote for benzodiazepines
Fondapurinux - ANS-selective inhibitor of factor Xa, which is indicated for prophylaxis or
treatment of DVT or PE
formula for stroke volume - ANS-Hr x SV
What do ketorolac, vancomycin, and fumemide all share in common? ANS—they are all
harmful to the kidneys. Gentamicin is what that is toxic to what? How should this be
administered due to this? - ANS-an aminoglycoside, that is nephrotoxic. should be
administered slowly by intermittent infusion. the recommended infusion is 30-60 min
Hemophillia A - ANS-Factor 8 deficiency, bleeding disorder
high fasting glucose - ANS->100 mg/dl
high triglycerides - ANS->150 mg/dl
How is mannitol administered and why? - ANS-it is always administered IV through Iv tubing
with a filter because when exposed to cold temps, it may crystallize
How is vomiting initiated? - ANS-by a nucleus of cells located in the medulla called the
vomiting center. This center coordinates series of events involving pharyngeal,
gastrointestinal, and abdominal wall contractions that lead to the expulsion of gastric
contents
how long does the VZIG vaccine provide immunity? - ANS-up to 3 weeks
How often should epi be given? - ANS-every 3-5 min until the bradycardia is resolved
how should a nurse test eye accommodation - ANS-by darkening the room and asking the
client to gaze at a distant object (the far wall) and then at a test object (finger or pencil) held
approximately 4 inches from the bridge of the clients nose
How should oxytocin be administered? - ANS-always as an IV piggyback infusion. IV
infusion is the only acceptable method of parenteral administration of oxytocin for the
induction or stimulation of labor. An infusion pump is the best tool for accurately controlling
the infusion rate, which is a crucial function. The current FDA recommendation is to
piggyback the Pitocin (ocytocin) infusion on a physiologic electrolyte solution, permitting the
Pitocin infusion to be stopped abruptly without interrupting the electrolyte infusion
hydralazine will cause what? - ANS-vasodilation and will cause decreased afterload
because the heart will have less pressure to pump against
hypercholestermia level - ANS->200 mg/dl
Hyperpathia - ANS-extremely exaggerated response to pain
Hyperpathia is synonymous with what? - ANS-hyperalgesia, an increased sensitivity to pain
How do nonsteroidal anti-inflammatory drugs (NSAIDs) affect coagulation? Jehovah's
Witnesses believe what in regards to a blood transfusion? - ANS-they do not believe in it and
often refuse them. the nurse should verify this information in the chart and with the patient
ketorolac - ANS-Toradol/NSAID, used to treat pain and fevers
labor dystocia - ANS-a broad term indicating difficult labor that is not progressing
Lisinopril is what kind of med? what is it used to treat and what needs to be monitored while
being treated? - ANS-an ACE inhibitor used to manage HF and HTN. This med may be
a patient with CHF should not be prescribed what kind of medication and why? - ANS-CCBs
because of their negative inotropic effects (causing the heart to beat with less force),
worsening heart failure
abdominal obesity - ANS->40 in in men, >35 in in women
About ____% of home fire deaths occur in a home without a smoke detector - ANS-60
Acamprosate is used to treat what disorder? - ANS-alcohol use disorder
Acetazolamide - ANS-Diamox
carbonic anhydrase inhibitor, commonly prescribed to prevent or treat AMS (acute mountain
sickness)
acts by causing a bicarbonate diuresis, which rids the body of excess fluid and induces
metabolic acidosis. The acidotic state increases the respiratory rate and decreases the
occurrence of periodic respiration during sleep at night. in this way, it helps clients acclimate
faster to a high altitude. By increasing the client's respiratory rate, the client can perfuse
more oxygen. It is preferred that this mediation be taken over 24 hrs prior to the ascent
Adequate oral hygiene is beneficial to the client in what ways? - ANS-promoting a client's
sense of well-being and preventing deterioration of the oral cavity
Diligent oral hygiene care can also improve oral health and limit the growth of pathogens in
oropharyngeal secretions, decreasing the incidence of both aspiration pneumonia and
ventilator associated pneumonia (VAP)
Allopurinol - ANS-prescribed to patients with gout or kidney stones
works by reducing the amount of uric acid produced by the body
Encourage patients taking this medication to drink at least 3,000 milliliters of water per day.
Apriprazole - ANS-an atypical (2nd gen) antipsychotic indicated in treating schizophrenia
and certain mood disorders such as bipolar disorder. if the client reports no hallucinations or
delusions, this medication would be deemed therapeutic as these positive symptoms are
associated with schizo
Are pregnant woman able to receive the flu vaccine? - ANS-yes
Aspiration precuations - ANS-collaborating with the dietician/speech therapist to determine
what all would be appropriate
supervised mealtimes, having the HOB elevated during the meal, thickening the liquids as
directed, and coaching the client through swallowing
if feeding a client on aspiration precautions, the foods consistencies should not be mixed
and always have oral suction available
At what point in an infant's life should plugs be covered? - ANS-after 7 months, when they
start crawling around and reaching out to touch unfamiliar things
ANS-pneumonia could be caused by bacteria in the lungs brought on by a near-drowning
experience. Can people on mild antibiotics still receive vaccines? - ANS-yes, they can
receive any immunization
Corticosteroid inhaler notes - ANS--breathing in slowly and deeply while using an inhaled
medication is the proper method of medication administration
, Spacers are recommended because they keep the medication from building up in the back
of the throat. -After taking this medication, the patient should rinse their mouth to prevent
candida infections. -inhaling quickly is not the best way to take this medication
Cullen's sign - ANS-a sign of pancreatitis
discoloration of the abdomen and periumbilical area
What is it that doxycycline can cause? ANS-skin rashes, which include photosensitivity. Be
affecting the normal bacteria flora, it can also increase the risk of oral and vaginal
candidiasis in some individuals
a high blood pressure of ANS->130/85 Flumazenil - ANS-antidote for benzodiazepines
Fondapurinux - ANS-selective inhibitor of factor Xa, which is indicated for prophylaxis or
treatment of DVT or PE
formula for stroke volume - ANS-Hr x SV
What do ketorolac, vancomycin, and fumemide all share in common? ANS—they are all
harmful to the kidneys. Gentamicin is what that is toxic to what? How should this be
administered due to this? - ANS-an aminoglycoside, that is nephrotoxic. should be
administered slowly by intermittent infusion. the recommended infusion is 30-60 min
Hemophillia A - ANS-Factor 8 deficiency, bleeding disorder
high fasting glucose - ANS->100 mg/dl
high triglycerides - ANS->150 mg/dl
How is mannitol administered and why? - ANS-it is always administered IV through Iv tubing
with a filter because when exposed to cold temps, it may crystallize
How is vomiting initiated? - ANS-by a nucleus of cells located in the medulla called the
vomiting center. This center coordinates series of events involving pharyngeal,
gastrointestinal, and abdominal wall contractions that lead to the expulsion of gastric
contents
how long does the VZIG vaccine provide immunity? - ANS-up to 3 weeks
How often should epi be given? - ANS-every 3-5 min until the bradycardia is resolved
how should a nurse test eye accommodation - ANS-by darkening the room and asking the
client to gaze at a distant object (the far wall) and then at a test object (finger or pencil) held
approximately 4 inches from the bridge of the clients nose
How should oxytocin be administered? - ANS-always as an IV piggyback infusion. IV
infusion is the only acceptable method of parenteral administration of oxytocin for the
induction or stimulation of labor. An infusion pump is the best tool for accurately controlling
the infusion rate, which is a crucial function. The current FDA recommendation is to
piggyback the Pitocin (ocytocin) infusion on a physiologic electrolyte solution, permitting the
Pitocin infusion to be stopped abruptly without interrupting the electrolyte infusion
hydralazine will cause what? - ANS-vasodilation and will cause decreased afterload
because the heart will have less pressure to pump against
hypercholestermia level - ANS->200 mg/dl
Hyperpathia - ANS-extremely exaggerated response to pain
Hyperpathia is synonymous with what? - ANS-hyperalgesia, an increased sensitivity to pain
How do nonsteroidal anti-inflammatory drugs (NSAIDs) affect coagulation? Jehovah's
Witnesses believe what in regards to a blood transfusion? - ANS-they do not believe in it and
often refuse them. the nurse should verify this information in the chart and with the patient
ketorolac - ANS-Toradol/NSAID, used to treat pain and fevers
labor dystocia - ANS-a broad term indicating difficult labor that is not progressing
Lisinopril is what kind of med? what is it used to treat and what needs to be monitored while
being treated? - ANS-an ACE inhibitor used to manage HF and HTN. This med may be
