{"id":109798,"date":"2023-07-24T21:33:53","date_gmt":"2023-07-24T21:33:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=109798"},"modified":"2023-07-24T21:33:56","modified_gmt":"2023-07-24T21:33:56","slug":"nclex-next-gen-2-0","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/24\/nclex-next-gen-2-0\/","title":{"rendered":"NCLEX NEXT GEN 2.0"},"content":{"rendered":"\n<p>What condition is commonly associated with PICA?<br>Anemia is common with PICA<\/p>\n\n\n\n<p>T\/F<br>NSAIDS can worsen asthma symptoms<br>TRUE<\/p>\n\n\n\n<p>Fexofenadine<br>antihistamine<\/p>\n\n\n\n<p>Hodgkin&#8217;s lymphoma<\/p>\n\n\n\n<p>What are typical signs and symptoms of this disease?<br>chronic malignant disease of the lymph nodes<br>affects the lympathic system<\/p>\n\n\n\n<p>S\/S include:<br>Sweats<br>Painless Enlarged lymph nodes<br>Fever<br>Fatigue<\/p>\n\n\n\n<p>How should a nurse provide care for a patient with schizophrenia and persecutory delusions?<br>Focus on reality and verbally reinforce it<\/p>\n\n\n\n<p>Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication)<\/p>\n\n\n\n<p>What are interventions to help reduce viscosity of mucus?<br>-Increase fluids<br>-Cool mist humidifier<br>-Guaifensein (expectorant)<br>-Huff coughing &#8211; abdominal breathing with a huff, and expiratory cough technique<\/p>\n\n\n\n<p>What GI condition is associated with olive shaped mass?<br>Pyloric stenosis<\/p>\n\n\n\n<p>What is botulinum toxin type A<\/p>\n\n\n\n<p>What should you closely monitor while using this drug?<br>Botox &#8211; a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles.<\/p>\n\n\n\n<p>Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia<\/p>\n\n\n\n<p>What are some examples of SSRIs?<\/p>\n\n\n\n<p>What are they and what is a common adverse effect of there use?<\/p>\n\n\n\n<p>How long does it take for this medication to take effect?<br>Sertraline, Escitalopram<br>(-etine, -opram)<\/p>\n\n\n\n<p>Selective Serotonin Re-uptake Inhibitors<\/p>\n\n\n\n<p>Used to treat Depression and Anxiety<\/p>\n\n\n\n<p>Side effect:<br>Sexual dysfunction which is usually under reported<br>WEIGHT GAIN (eat a health diet and regular exercise)<\/p>\n\n\n\n<p>It will take about 4-6 weeks to take effect<\/p>\n\n\n\n<p>Allopurinol (Zyloprim)<\/p>\n\n\n\n<p>What does this medication treat?<\/p>\n\n\n\n<p>What symptom of the medication can lead to higher complication? What is the complication?<br>Gout, Anti-gout medication<\/p>\n\n\n\n<p>Used to decrease\/prevent levels of Uric Acid<\/p>\n\n\n\n<p>Takes with full glass of water to prevents complications with kidneys and nausea.<\/p>\n\n\n\n<p>COMPLICATION:<br>Rash &#8211; which can indicate a hypersensitivity and develop to Stevens Johnsons Syndrome<\/p>\n\n\n\n<p>Dabigatran (Pradaxa)<\/p>\n\n\n\n<p>What condition is this used for? Why?<\/p>\n\n\n\n<p>Where should you keep these pills?<br>Anticoagulant, Direct Thrombin Inhibitor<\/p>\n\n\n\n<p>Commonly used for patients with A-Fib and Flutter<\/p>\n\n\n\n<p>Do not crush or open pills.<\/p>\n\n\n\n<p>KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER\/BOX.<\/p>\n\n\n\n<p>What is Trazadone?<\/p>\n\n\n\n<p>What is this used for?<\/p>\n\n\n\n<p>What are the common adverse effects of this medication?<br>A serotonin modulator<\/p>\n\n\n\n<p>Used to treat Major depressive Disorders<\/p>\n\n\n\n<p>Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION<\/p>\n\n\n\n<p>What is priapism?<\/p>\n\n\n\n<p>Is it painful?<br>A prolonged and painful erection<\/p>\n\n\n\n<p>What is tissue plasminogen activator (tPA)<\/p>\n\n\n\n<p>When should it be administered within? (hours)<\/p>\n\n\n\n<p>What is it contraindicated with<br>Dissolve clots and restore perfusion<\/p>\n\n\n\n<p>ADMINISTER within 3 to 4 hours<\/p>\n\n\n\n<p>Contraindicated in patients with recent surgeries (2 weeks)<\/p>\n\n\n\n<p>How are thyroid medications best absorbed?<\/p>\n\n\n\n<p>What time of the day should they be taken?<\/p>\n\n\n\n<p>Are they safe to take during pregnancy?<br>On an empty stomach<\/p>\n\n\n\n<p>Best taken in the morning because they increase metabolism and energy<\/p>\n\n\n\n<p>Safe during pregnancy<\/p>\n\n\n\n<p>Steven Johnson Syndrome (SJS)<\/p>\n\n\n\n<p>How does it appear on the skin?<br>Severe blistering of the skin, with mucous membrane involvement and fever<\/p>\n\n\n\n<p>Can be FATAL<\/p>\n\n\n\n<p>Begins with flu like symptoms, painful and purple\/red rash.<br>Resembles 3rd degree burns.<\/p>\n\n\n\n<p>Cyclosporine<\/p>\n\n\n\n<p>What is it used for to prevent?<br>Immunosuppressant<\/p>\n\n\n\n<p>Suppresses the immune system to prevent WBC from getting rid of a organ transplant<\/p>\n\n\n\n<p>Tetracycline\/Doxycycline \/\/ Sulfa Drugs<\/p>\n\n\n\n<p>What are common complications with these type of drugs<br>Sulfa Drugs:<br>Tetracyclines<\/p>\n\n\n\n<p>Antibiotics<\/p>\n\n\n\n<p>Complication:<br>Sun Burn<\/p>\n\n\n\n<p>What insulin is the ONLY insulin administered IV Push?<br>Regular Insulin<\/p>\n\n\n\n<p>What is the correct administration route for NPH insulin?<br>Subcutaneous<\/p>\n\n\n\n<p>Digoxin (Lanoxin)<\/p>\n\n\n\n<p>What should be monitored while on this medication?<\/p>\n\n\n\n<p>What the symptoms of Digoxin toxicity<br>cardiac glycoside<\/p>\n\n\n\n<p>Be sure to monitor patients HR<\/p>\n\n\n\n<p>Toxicity:<br>Visual symptoms<br>Gastrointestinal (N\/V)<br>Neurologic manifestions<\/p>\n\n\n\n<p>Positive Inotropic Effects (increase Cardiac Output)<br>and<br>Negative Chronotropic Effects (Decrease Heart Rate)<\/p>\n\n\n\n<p>What can colorless nasal drainage indicate?<br>CSF<br>A complication<\/p>\n\n\n\n<p>T\/F<br>Any drug order-dose takes priority<br>TRUE<\/p>\n\n\n\n<p>What can a new painful skin rash indicate?<br>Steven Johnsons Syndrome<br>Can be FATAL<\/p>\n\n\n\n<p>What is the action of Sucralfate?<\/p>\n\n\n\n<p>how should it be taken?<br>An oral medication that forms a protective layer in the gastrointestinal mucosa that provides a physical barrier against stomach acids and enzymes<\/p>\n\n\n\n<p>TAKE ON A EMPTY STOMACH w water<\/p>\n\n\n\n<p>Other meds should be taken 1 or 2 hours before or after this med!<\/p>\n\n\n\n<p>Glyburide<\/p>\n\n\n\n<p>What is this medication used for?<\/p>\n\n\n\n<p>What common symptom is associated with his medication?<br>Diabeta<\/p>\n\n\n\n<p>Used to treat diabetes mellitus.<\/p>\n\n\n\n<p>Can cause severe hypoglycemia especially in children<\/p>\n\n\n\n<p>How should patients be roomed together?<br>Patients with the same organism should be roomed together<\/p>\n\n\n\n<p>Life before limb<br>prioritize interventions for a client in shock over interventions for a client who has a localized limb injury<\/p>\n\n\n\n<p>Pulsatile Mass<br>Strong pulse of midline abdomen, possible aortic aneurysm<\/p>\n\n\n\n<p>Phenytoin<\/p>\n\n\n\n<p>What is this med used for?<\/p>\n\n\n\n<p>What is the therapeutic range for this medication?<\/p>\n\n\n\n<p>What are symptoms of toxicity?<br>Dilantin\/Anticonvulsant<\/p>\n\n\n\n<p>Used to treat tonic-clonic seizures<\/p>\n\n\n\n<p>Range: 10 -20<\/p>\n\n\n\n<p>Toxicity:<br>Horizontal Nystagmus<br>Gait unsteadiness<\/p>\n\n\n\n<p>Hyperosmolar Hyperglycemic Syndrome (HHS)<br>a serious complication usually associated with type 2 diabetes<\/p>\n\n\n\n<p>What does green amniotic fluid indicate?<br>fetus has passed meconium in utero<\/p>\n\n\n\n<p>characteristic of DKA<br>Type 1 diabetes<br>Younger age<\/p>\n\n\n\n<p>More rapid onset o hyperglycemia<br>Hyperventilation<br>Abdominal pain<\/p>\n\n\n\n<p>Glucose 250-500<br>Bicarb &lt;18<br>Elevated anion gap<br>KETONES<br>serum osm &lt;320<\/p>\n\n\n\n<p>characteristic of hyperosmolar hyperglycemia<br>Type 2 diabetes<br>Older age<\/p>\n\n\n\n<p>Altered mental status<br>Gradual onset of hyperglycemia<br>Hyperventilation<\/p>\n\n\n\n<p>glucose &gt;600<\/p>\n\n\n\n<p>BECAUSE people with type 2 can develop some insulin, the symptoms occur gradually<\/p>\n\n\n\n<p>Metronidazole (Flagyl)<\/p>\n\n\n\n<p>What condition is this medication usually used for?<br>antibiotic<\/p>\n\n\n\n<p>Used for C.diff<\/p>\n\n\n\n<p>What are nonselective beta blockers?<\/p>\n\n\n\n<p>What can these medications effect?<br>Propranolol<br>Nadolol<br>Timolol<\/p>\n\n\n\n<p>This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction<\/p>\n\n\n\n<p>After how many hours can a nurse consider a patient stabilized enough to eat after having a stroke?<br>48 hours<\/p>\n\n\n\n<p>Addison&#8217;s disease &#8211; what does this effect<\/p>\n\n\n\n<p>What are the treatments for this disease?<br>occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone<\/p>\n\n\n\n<p>Treatment includes:<\/p>\n\n\n\n<p>Life long hormone replacement<br>Increase salt intake<br>Monitoring ortho BP<\/p>\n\n\n\n<p>What is a sentinel event?<br>What is a near miss event?<br>Sentinel<br>Unanticipated, preventable errors that cause significant harm or death<\/p>\n\n\n\n<p>Near-miss<br>Medical errors that are identified before reaching the clients and does not cause harm<\/p>\n\n\n\n<p>What are 4 interventions that are important to monitor with HELLP?<br>Preparing the client for birth<br>Magnesium sulfate<br>Deep tendon reflexes<br>Monitoring clotting factors<\/p>\n\n\n\n<p>What is DIC?<\/p>\n\n\n\n<p>How would this be treated?<br>disseminated intravascular coagulation<\/p>\n\n\n\n<p>A BLOOD CLOTTING disease that can turn into uncontrolled bleeding<\/p>\n\n\n\n<p>this results from abnormal activation of clotting cascade followed by consumption of clotting factors and platlets<\/p>\n\n\n\n<p>Treatment:<br>replacement of clotting factors<br>blood<br>platlets<\/p>\n\n\n\n<p>Parovirus B19, what is another name for this condition<\/p>\n\n\n\n<p>What kind of precautions are needed for this disease<\/p>\n\n\n\n<p>Is this disease fatal to pregnant women?<br>fifth disease; erythema infectious<br>TORCH<\/p>\n\n\n\n<p>Transmitted from person to person contact, RESPIRATORY secretions<br>Droplet precautions<\/p>\n\n\n\n<p>Parovirus is infectious to the fetus, can cause abnormalities<\/p>\n\n\n\n<p>What is postpartum psychosis?<\/p>\n\n\n\n<p>How long after birth, can this condition occur?<br>syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and\/or delusions<\/p>\n\n\n\n<p>Begins usually after 2 weeks of birth<\/p>\n\n\n\n<p>Who\/what role is legally appointment to be the primary decision maker for a patient?<\/p>\n\n\n\n<p>What is the role of a <strong><em>__<\/em><\/strong>?<br>Health care proxy<\/p>\n\n\n\n<p>the role is to make decisions for a client who is unable to do so.<br>They should have good understanding of the the clients wishes and be emotionally capable of fulfilling the role<\/p>\n\n\n\n<p>What task are delegated to an RA?<br>Clinical assessment<br>Initial client education<br>Discharge education<br>Clinical judgment<br>Initiating blood transfusion<\/p>\n\n\n\n<p>What task are delegated to an LPN?<br>Monitoring RN findings<br>Reinforcing education<br>Routine procedures<br>Most medication admin<br>Ostomy care<br>Tube patency and enteral feedng<br>Specific assessments<\/p>\n\n\n\n<p>What task are delegated to a UAP?<br>Activities of daily living<br>Hygiene<br>Linene changes<br>Routine, stable vital signs<br>Documenting I&amp;O<br>Positioning<\/p>\n\n\n\n<p>ROM<br>Apply protective ointment<\/p>\n\n\n\n<p>Occupational therapy<\/p>\n\n\n\n<p>v.<\/p>\n\n\n\n<p>Physical therapy<br>Above the waist<\/p>\n\n\n\n<p>v<\/p>\n\n\n\n<p>Below the waist<\/p>\n\n\n\n<p>T\/F &#8211; Food decreases the absorption of iron supplements<br>TRUE<\/p>\n\n\n\n<p>gullian-barre syndrome<br>ascending symmetric muscle paralysis and areflexia (no reflexes), watch for respiratory problems.<\/p>\n\n\n\n<p>Usually occurs after a respiratory or GI infections that triggers this immune response<\/p>\n\n\n\n<p>testicular torsion<\/p>\n\n\n\n<p>How is this condition usually treated?<br>twisting of the spermatic cord<br>AND<br>testicular ischemia and necrosis from inadequate blood supply<\/p>\n\n\n\n<p>Treatment:<br>Surgery<br>Removal of the testes<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What condition is commonly associated with PICA?Anemia is common with PICA T\/FNSAIDS can worsen asthma symptomsTRUE Fexofenadineantihistamine Hodgkin&#8217;s lymphoma What are typical signs and symptoms of this disease?chronic malignant disease of the lymph nodesaffects the lympathic system S\/S include:SweatsPainless Enlarged lymph nodesFeverFatigue How should a nurse provide care for a patient with schizophrenia and persecutory [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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