(Test Bank) Nclex Review Prep | 3000+ Questions With 100% Correct Answers | Updated | Download To Score A+ | 235 Pages | Updated 2023

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Test Bank for Nclex Review Prep | 3000+ Questions With 100% Correct Answers | Updated | Download To Score A+ | 235 Pages | Updated 2023, The downloadable file consists of 562 pages, and the total size of the file is 2.0 MB. Purchase now only for highly discounted price.

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Nclex Review Prep Question Answer IF THE PH AND THE BICARB ARE BOTH IN THE SAME DIRECTION THEN IT IS? METABOLIC EX. pH 7.30 AND HCO3 IS 20 THIS IS METABOLIC ACIDOSIS BECAUSE THEY ARE BOW GOIN DOWN. ITS ACIDOSIS WHEN WHEN THE pH IS LOW AND ALKALOSIS WHEN THE pH IS HIGH. WHAT ARE THE SIGNS AND SYMPTOMS OF ACID -BASE IMBALANCE? RULE IS: AS THE pH GOES, SO DOE S MY PATIENT EXCEPT FOR POTASSIUM. EX. IF THE pH IS UP THE PATIENT IS UP EXCEPT FOR POTASSIUM IS MAC KUSSMAULS METABOLIC OR RESPIRATORY AND IS IT ALKALOSIS OR ACIDOSIS? IT IS METABOLIC ACIDOSIS CAUSES OF ACID - BASE UNDERVENTILATING --PICK RESPIRATORY IMBALANCE..IF IT IS LUNG AS YOURSELF ARE THEY OVER OR UNDERVENTILATIN G? iF OVER VENTILATING IT IS? IF THEY ARE OVER VENTILATING IT IS? ACIDOSIS(PNEUMONIA -PCA PUMP TO MUCH) OVERVENTILATING -PICK RESPIRATORY ALKALOSIS(ANXIETY) GO WITH THE O2 SAT ON THIS... CAUSE OF ACID - BASE IMBALANCE..IF IT IS NOT LUNG THEN IT IS? IF THE PATIENT HAS PROLONGED GASTRIC SUCTION OR VOMITING PICK? FOR EVERYTHING ELSE PICK? METABOLIC ---METABOLIC ALKALOSIS(LOOSING ACID) METABOLIC ACIDOSIS --- WHENEVER YOU HAVE NO CLUE PICK METABOLIC ACIDOSIS THE # 1 PROBLEM IN ABUSE IS? DENIAL WHAT IS DEPENDENCY? WHEN THE ABUSER GETS THE SIGNIFICANT OTHER TO DO THINGS FOR THEM OR MAKE DECISIONS FOR THEM WHAT IS CODEPENDENCY? WHEN THE SIGNIFICANT OTHER DERIVES POSITIVE SELF -ESTEEM FROM DOIN THINGS FOR OR MAKING DECISIONS FOR THE ABUSER HOW DO U TREAT DEPENDENCY / CODEPENDENCY? 1. SET LIMITS AND ENFORCE THEM. AGREE IN ADVANCE ON WHAT REQUESTS ARE ALLOWED, THEN ENFORCE THE AGREEMENT. 2. WORK ON THE SELF -ESTEEM ON THE CODEPENDENT PERSON. 3. MANIPULATI ON WHAT IS WERNICKE'S (KORSAKOFF'S) SYNDROME? PSYCHOSIS INDUCED BY VITAMIN B1 (THIAMINE) DEFICIENCY. WHAT IS THE PRIMARY SYMPTOM OF WERNICKE'S (KORSAKOFF'S) SYNDROME? AMNESIA WITH CONFABULATION (MEMORY LOSS AND MAKING UP STORIES BECAUSE THEY CANT REMEMBE R) WHAT ARE THE CHARACTERISITICS OF WERNICKE'S SYNDROME? A. PREVENTABLE TAKE B1 VITAMIN B. ARRESTABLE STOP IT FROM GETTING WORSE BY TAKING B1 3. IRREVERSIBLE BRAIN CELLS ARE DEAD WHAT DO THEY GIVE IN WERNICKE'S SYNDROME? ANTABUSE / REVIA WHAT IS THE ONSET AND DURATION OF ANTABUSE / REVIA? 2 WEEKS WHAT IS THE PATIENT TEACHING FOR ANTABUSE / REVIA? AVOID ALL FORMS OF ALCOHOL TO AVOID NAUSEA, VOMITING, AND POSSIBLE DEATH. EX MOUTHWASH, PERFUMES, COLOGNES, AFTERSHAVES, ANY OTC THAT SAYS ELIXI R, INSECT REPELLANTS, VANILLA EXTRACT, VINIGERETTES, ALCOHOL BASED HAND SANITIZERS WHAT ARE THE SIGNS AND SYMPTOMS OF UPPERS? EVERYTHING GOES UP. EX HR, RR, CONDUCTIVITY, GI MOTILITY, REFLEXES (+4), MUSCLE SPASTIC, EYES DILATE, INCREASED BOWEL SOUNDS WHA T ARE THE SIGNS AND SYMPTOMS OF DOWNERS? EVERYTHING GOES DOWN...EX. HR, RR, LOC, FLACIDITY, 1 -0 REFLEXES ( 2 IS NORMAL) IN OVERDOSE / INTOXIFICATION "I HAVE TO MUCH..." SO TO MUCH UPPER MAKES EVERYTHING GO? AND TOO MUCH DOWNER MAKES EVERYTHING GO? TOO MUC H UPPER EVERYTHING IS UP TO MUCH DOWNER EVERYTHING IS DOWN (DEPRESSED STATE) IN WITHDRAWAL..." I DONT HAVE ENOUGH..." SO TOO LITTLE UPPER EVERYTHING IS? TOO LITTLE DOWNER EVERYTHING IS? TOO LITTLE UPPER EVERYTHING IS DOWN TOO LITTLE DOWNER EVERYTHING IS U P WHAT DO U ALWAYS ASSUME WITH DRUG ADDICTION IN THE NEWBORN? INTOXICATION ( NOT WITHDRAW) AT BIRTH UNTIL 24 HRS AFTER 24 HRS IT IS WITHDRAWAL WHAT IS THE DIFFERENCE BETWEEN ALCOHOL WITHDRAWAL SYNDROME VS DELIRIUM TREMENS? EVERY ALCOHOLIC GOES THRU AWS W ITHIN 24 HRS, ONLY A MINORITY GET DELIRIUM TREMENS. AWS IS NOT LIFE -THREATENING. DTS CAN KILL U. PATIENTS WITH AWS ARE NOT DANGER TO THEMSELVES OR OTHERS. PATIENTS WITH DT'S ARE DANGEROUS TO SELF AND OTHERS WHAT DO U THINK WHEN U HEAR AMINOGLYCOSIDE S? A MEAN OLD MYCIN WHAT IS AMINOGLYCOSIDE S? ITS AN ANTIBIOTIC USED TO TREAT SERIOUS INFECTIONS, LIFE - THREATENING INFECTIONS, GRAM ( -) INFECTIONS, AND RESISTANT INFECTIONS WHAT DO ALL AMINOGLYCOSIDE S END IN? -MYCIN IF IT ENDS IN WHAT THROW IT OFF THE MYCIN LIST? -THROMYCIN WHAT ARE THE TOXIC EFFECTS OF AMINOGLYCOSIDE S? OTOTOXICITY AND NEPHROTOXICITY * MYCIN = MICE = EARS WHAT SHOULD U MONITOR WITH AMINOGLYCOSIDE S? HEARING, BALANCE, TINITUS AND CREATININE LEVELS(KIDNEY FUNCTION) WHAT CRANIAL NERVE IS AMIN OGLYCOSIDE S TOXIC TO? THE 8TH CRANIAL NERVE *THE NUMBER 8 DRAWN INSIDE THE EAR REMINDS U OF THE 8TH NERVE HOW OFTEN AND WAT ROUTE OF ADMINISTRATION DO U GIVE AMINOGLYCOSIDE S? Q8 HRS OR LESS IM OR IV DO NOT GIVE PO IN WHAT TWO CASES WOULD U HEPATIC ENCEPHALOPATHY AND GIVE AMINOGLYC OSIDE S PO? PRE-OP BOWEL SURGERY WHO CAN STEROLIZE MY BOWEL? NEOKAN NEOMYCIN AND KANAMYCIN WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDE S GIVEN SUBLINGUAL? TROUGH ---30 MIN BEFORE NEXT DOSE PEAK ---5-10 MIN AFTER DISSOLVED WHAT IS THE TROUGH AND PEAK FOR AMINOGYLCOSIDE S GIVEN IV? TROUGH ---30 MIN BEFORE NEXT DOSE PEAK ---15-30 MIN AFTER THE DRUG IS FINISHED WHAT IS THE TROUGH AND PEAK FOR AMINOGLYCOSIDE S WHEN GIVEN IM? TROUGH ---30 MIN BEFORE NEXT DOSE PEAK ---30-50 MIN AFTER G IVING THE DRUG WHAT ARE CALCIUM CHANNEL BLOCKERS? THEY ARE VALIUM FOR UR HEART...THEY ARE A NEGATIVE INO, CHRONO, AND DROMO CCB'S ARE WAT IN INOTROPIC? THEY ARE WEAK CCB'S ARE WHAT IN CHRONOTROPIC? THEY ARE SLOW CCB'S ARE WHAT ION DROMOTROPIC? THEY ARE BLOCKS / SLOWS CONDUCTION WHAT DO CALCIUM CHANNEL BLOCKERS TREAT? A - ANTIHYPERTENSIVE (LOWERS BP) AA - ANTI ANGINAL (CALM DOWN TO BEAT SLOWER) AAA - ANTI ATRIAL ARRYTHMIAL WHAT ARE THE SIDE EFFECTS OF CALCIUM CHANNEL BLOCKERS? HEADACHE AND HYPOTENSION *MEASURE BP BEFORE GIVING HOLD IF SYSTOLIC IS UNDER 100 WHAT DO CALCIUM CHANNEL BLOCKERS END IN? -ZEM -DIPINE (DIPPING IN THE CALCIUM CHANNEL) VERAPAMIL ( THEE EXCEPTION) WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF LITHIUM (ANTIMA NIA)? THERAPEUTIC ---0.6-1.2 TOXIC ---GREATER THAN 2 WHAT IS THE THERAPEUTIC AND THERAPEUTIC ---1-2 TOXIC --- GREATER OR = TO 2 TOXIC LEVEL OF LANOXIN (DIGOXIN)? WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF AMINOPHYLLINE (ANTISPASMODIC)? THERAPEUTIC ---10-20 TOX IC---GREATER THAN OR = TO 20 WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF DILANTIN (SEIZURE MED)? THERAPEUTIC ---10-20 TOXIC ---GREATER THAN OR = TO 20 WHAT IS THE THERAPEUTIC AND TOXIC LEVEL OF BILIRUBIN? THERAPEUTIC --*NEONATES ELEVATED RANGE 10 -20 TOXIC --GREATER THAN OR = TO 20 * HARD TO BRING BACK USUALLY DIE 20 IS IRREVERSIBLE STAGE WHAT DOES HYPERKALEMIA DO TO THE BODY? IT DOES SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES UP EXCEPT FOR HR AND URINE OUTPUT. WHAT DOES HYPOKALEMIA DO TO THE BODY? IT DOES THE SAME AS THE PREFIX EXCEPT FOR HR AND URINE OUTPUT. SO EVERYTHING GOES DOWN EXCEPT HR AND URINE OUTPUT WHAT DOES HYPERCALCEMIA DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN WHAT DOES HYPOCALCEMIA DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP. WHAT DOES HYPERMAGNESEMI AS DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES DOWN. ** IN A TIE NEVER PICK MAGNESIUM. IF SYMPTOM INVOLVES NERVE OR SKELETAL MUSCLE PICK CALCIUM, FOR ANY OTHER SYMPTOM PICK KALEMIA(POTASSIUM) WHAT DOES HYPOMAGNESEMI AS DO TO THE BODY? IT DOES THE OPPOSITE OF THE PREFIX. SO EVERYTHING GOES UP. ** IN A TIE, NEVER PICK MAGNESIUM. iF SYMPTOM INVOLVES NERVE OR SKEL ETAL MUSCLE PICK CALCIUM FOR ANY OTHER SYMPTOM PICK KALEMIAS(POTASSIUM) WHAT DOES HYPERNATREMIA DO TO THE BODY? DEHYDRATION WHAT DOES HYPONATREMIA DO TO THE BODY? OVERLOAD WHAT IS THE EARLIEST SIGN OF ANY ELECTROLYTE DISORDER? NUMBNESS AND TINGLING (PAR ASTHESIA) WHAT IS THE UNIVERSAL SIGN/SYMPTOM OF ELECTROLYTE IMBALANCE? MUSCLE WEAKNESS (PARESIS) WHAT IS THE ELECTROLYTE TREATMENT? 1. NEVER PUSH POTASSIUM IV 2. NOT MORE THAN 40 mEq OF K+ PER LITER OF IV FLUID 3. GIVE D5 -D50 + REGULAR INSULIN TO DECREASE K+ (THE HIGHER THE # THE FASTER IT GOES) 4. KAYEXALATE: A DRUG THAT LITERALLY GETS THE POTASSIUM OUT WHAT IS HYPERTHYROIDIS M? HYPER -METABOLISM WHAT ARE THE SIGNS AND SYMPTOMS OF HYPERTHYROIDIS M? THIN, WEIGHT LOSS, IRRITABLE, AGGITATED, TACHYCARDIA, HYPERTENSION, HOT (COLD INTOLERANCE)(HEAT INTOLERANCE),EXOTHALM US (BULGING EYES)GASY BOWELS, DIARRHEA WHAT DISEASE IS HYPERTHYROIDIS M? GRAVES DISEASE *REMEMBER RUN YOURSELF INTO THE GRAVE WHAT ARE THE TREATMENT OPTIONS FOR HYPERTHYROIDIS M? A. I 131 - RADIOACTIVE IODINE (MUST FLUSH 2 -3 TIMES AFTER URINATING -- CALL HAZMAT IF URINE HITS THE FLOOR B. PTU(PROPYLTHIOURACIL) C. SURGICAL REMOVAL = THYROIDECTOMY WHAT IS A TOTAL THYROIDECTOMY AND WHAT IS THE PATIENT AT RISK FOR? REMOVAL OF THE COMPLETE THYROID NEED LIFELONG HORMONE REPLACEMENT --AT RISK FOR MAINTAINING CALCIUM LEVELS - HYPOCALCEMIA WHAT IS SUBTOTAL THYROIDECTOMY AND WHAT IS THE PATIEN T AT RISK FOR? REMOVAL OF PART OF THE THYROID ---AT RISK FOR THRYOID STORM WHAT ARE THE SIGNS AND SYMPTOMS OF A THYROID STORM? SUPER GRAVES DISEASE (ON STEROIDS) -- EXTREMELY HIGH FEVER 104^, EXAGGERATED VITAL SIGNS --200HR,PSYCOTIC DELIRIUM, ACTING CRAZY TEM PORARILY WHAT IS THE TREATMENT FOR A THYROID STORM? GET THE TEMP DOWN, GIVE HIGH FLOW RATES OF OXYGEN, ICE PACKS THEN COOLING BLANKETS --- NEED 5 ICE PACKS -- ARMPITS, GROIN AND BACK OF NECK --STAY WITH UR PATIENT!!!! WHAT ARE THE POST -OP RISKS FOR A THYROIDECTOMY? FIRST 12 HOURS --AIRWAY AND HEMORRAGE 12 -48 HOURS FOR TOTAL -- TETANY(LOW CALCIUM) 12 - 48 HOURS FOR SUB -TOTAL STORM WHAT IS HYPOTHYROIDISM? HYPO -METABOLISM WHAT ARE THE SIGNS AND SYMPTOMS OF HYPOTHYROIDISM? WEI GHT GAIN, TIRED, LOW BP, LOW PULSE RATE, ORTHOSTATIC HYPOTENSION, FAINTING, ALWAYS COLD, TOLERATE HEAT WHAT IS THE TREATMENT FOR HYPOTHYROIDISM? HORMONE REPLACEMENT WHAT IS THE NAME OF THE DISEASE WITH HYPOTHYROIDISM? MYEXEDEMA WHAT IS THE CAUTION WITH HYPOTHYROIDISM? DO NOT SEDATE THEY ARE ALREADY THERE