NCLEX UWORLD RN EXAM WITH 100% CORRECT ANSWERS 2024

NCLEX UWORLD RN EXAM WITH 100% CORRECT ANSWERS 2024 A client undergoing endotracheal intubation received IV sedation and succinylcholine. Shortly after respiratory status has been stabilized, the client flushed and profusely diaphoretic and has a rigid jaw. Which medication should the nurse prepare to administer? Click the exhibit button for more information. Exhibit: Vital signs Temperature 105 F Blood pressure 140/90 mm Hg Heart rate 150/min Respirations 28/min O2 saturation 98% - IM epinephrine - IV atropine - IV dantrolene - IV glucagon - answerIV dantrolene - Malignant hyperthermia is a rare and life-threatening condition precipitated by certain medications used for anesthesia, including inhaled anesthetics and succinylcholine. - Skeletal muscles become unable to control calcium levels, leading to a hypermetabolic state manifested by contracture and increased temperature. - Early sings of MH include tachypnea, tachycardia, and a rigid jaw or generalized rigidity. - As the condition progresses, the client develops a high fever - Muscle tissue is broken down, leading to hyperkalemia, cardiac dysrhythmias, and myoglobinuria. MH requires emergent treatment with IV dantrolene to reverse the process by slowing metabolism. - Succinylcholine should be discontinued. - Other interventions include applying cooling blankets to reduce temperature and treating high potassium levels. Inhaled anethetics - answer- desflurane - Isoflurane - halothane Succinylcholine - answerA paralytic used adjunctively for intubation and general anesthesia. IM epinephrine - answerAdministered for cardiac arrest, anaphylactic reactions, or severe asthma attacks IV atropine - answerAn anticholinergic agent, used to treat bradycardia. IV glucagon - answerGiven IM, subq, or IV for severe hypoglycemia. - IV glucose is preferred due to its immediate effect, however, if it is unavailable, glucagon can be given to stimulate glycogenolysis in the liver The nurse is managing the care of a client diagnosed with chronic anxiety. Which behavior demonstrates to the nurse that the client possesses resilience? 1. Avoids anxiety-producing situations. 2. Is able to identify anxiety-inducing triggers 3. Practices stress reduction techniques daily 4. Relies on anxiolytic medication to manage symptoms - answerPractices stress reduction techniques daily. - Resilient people readily deal with the stress they face by using interventions such as deep breathing, meditation, thought interruption, and muscle relaxation. The nurse reviews the laboratory results for 4 assigned clients. Which result is most important for the nurse to report to the primary health care provider? - Client with atrial fibrillation receiving warfarin for 7 days with an International Normalized Ratio (INR) of 1.3 - Client with chronic bronchitis who has a hematocrit of 56& and hemoglobin of 19 g/dL - Client with Clostridium difficile infections who has a white blood cell count of 15.000/mm3 - Client with sepsis receiving gentamycin who has a creatinine of 0.6 mg/dL - answerClient with atrial fibrillation receiving warfarin fo