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2025 NCLEX PN review bootcamp.com ScienceMedicineNursing afun93 Save NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX-PN Test prep questions. For ...Teacher 113 terms TutorDkPreview NCLEX Teacher Tut Nurse reviews diagnostic results for a client who became unresponsive & has no palpable pulse. Nurse observes client has gasping respirations.What should nurse do?Initiate chest compressions.Client just had coronary angiography via femoral artery approach. What type of emergency warrants this type of surgery?Acute coronary syndrome- placing a stint where blood is blocked from heart.1- Monitor puncture site for swelling/b leeding.2-Cardiac monitoring.3-Stay FLAT (do not have patient up to chair.) 4-Palpate client's bilateral pedal pulses q15 for 1st hour.Nurse has taught a client who is scheduled for a total laryngectomy. What is best statement by client would require follow-up?

A: I will have to practice using a mirror to care for my stoma.

B: When I am discharged from hospital, I won't need feeding tube.

C: My husband has bought me some scarves to wear loosely over the stoma.

D: After surgery, my voice will be hoarse but will eventually return to normal.

Answer is D: post-surgery, voice will not ever return to normal.

Type of patient that has this surgery typically has cancer.COPD can be a result of chronic bronchitis (inflammation/excess mucus) or emphysema (alveolar damage). What would be important for immediate follow up?Follow Up FIRST on: Paradoxical respirations is warning sign for respiratory distress. When patient breaths in, instead of chest wall expanding, the chest wall sucks in (retracts). When breathing out, the chest wall goes out (instead of in).

Chronic Venous Insufficiency: issues with venous valve dysfunction/venous blockages.Arterial venous insufficiency/compartment syndrome: look for the 6 P's-Pain, Pallor, Paresthesia, Paralysis, Pulselessness, and Poikilothermia; What is biggest sign of a CVI?Brownish discoloration to lower extremities.Patient had craniotomy and question is to pick the best assessment for an intracranial pressure risk?Level of CONSCIOUSNESS is going to be the most sensitive response for ICP risk.Pupil size & reactivity is a late sign of problem.Babinski reflex is when you stroke the foot & watch which way the toes go- spinal cord injury- not ICP risk.

• top findings require immediate follow-up for 57 year old having SOB & cough q2 days. Sleeping on 2 pillows, coughing, fatigues & spends

most of day in chair. Client is anxious & has hx of HTN, hyperlipidemia, chronic stable angina, & DM2.. Crackles in all lung fields, pitting edema 1+.

Prioritize any ABC-airway, breathing, circulation options:

Respirations at 25 per minute.Crackles in all lung fields.Pulse oximetry.Shortness of breath.Prepare for a CT.After we decide most important, tjem Health care provider dx client with heart failure. Which of the following orders should the nurse prioritize?Furosemide first- it will help to remove the fluids.Analapril: ace inhibitor would lower blood pressure. He would not need the analapril first.It's best if I take my furosemide first thing in the morning when I wake up. TRUE

LASIX: last 6, meaning take first thing in morning.

I should avoid eating pre-packaged food & over seasoning my food w/salt. TRUE I should contact my healthcare provider if I gain more than 3-5 lbs. in a week. TRUE Weigh daily for patient on furosemide (Lasix- a diuretic) and analapril.Certain over the counter medications have and antacids contain high amounts of sodium. TRUE Heart Failure patient would have low sodium level because it's dilutional- too much fluid.Fluoroquinolones are bactericidal & affect bacterial DNA synthesis by inhibiting both DNA gyrase & topoisomerase IV. What else?Antibiotics whose therapeutic applications have expanded in recent years to treat many gram-positive & gram-negative infections.Ciprofloxacin (Cipro) Fluoroquinolone Antibiotic

Levofloxacin (Levaquin) approved in 1996 & is prescribed for UTI, acute pyelonephritis, chronic bacterial prostatitis, hospital-acquired & community acquired pneumonia, acute bacterial sinusitis, skin infections & bacterial conjunctivitis. Available PO, IV, & ophthalmic. Long half-life.The most common adverse effects are nausea, headache, diarrhea, insomnia, constipation, and dizziness. Adverse effects of ophthalmic levofloxacin include transient blurred vision, foreign body sensation, headache, burning, pharyngitis, and photophobia.Pt's w/certain dysrhythmias should be cautious.Adverse effects & contraindications of Levofloxacin for the oral and IV forms (including the black box warning) are the same as those of

ciprofloxacin, which are:

:

*Tendinitis/tendon rupture esp >60 & kidney/heart/lung transplant recipients & concurrent corticosteroid therapy.*Extreme muscle weakness in patients with myasthenia gravis.*Increased fetal mortality at high doses.Spontaneous abortions/congenital malformations.Breastfeeding is not recommended More contraindications of Levofloxacin include: hypersensitive to fluoroquinolones and in pregnant patients. Drug therapy must be monitored carefully in patients with suspected CNS disorders because this drug can be neurotoxic at high doses and can cause seizures when given by rapid IV infusion.Although prescribed for patients with UTIs, the drug should be used with caution in patients with serious chronic kidney disease because this drug is excreted by this route and may accumulate to toxic levels.Nursing considerations for levofloxacin include teaching the patient to avoid milk products or antacids (disrupts absorption in GI tract) & caffeine, to watch for a QT prolongation, administer by a slow IV infusion that is diluted & given over a period of 60 minutes. This will minimize patient discomfort & reduce the risk of venous irritation.Do not use in children <18 If there is any achilles tendon pain, soreness, inflammation, it should be reported immediately.Side effects include GI distress, photosensitivity & achilles tendon rupture.Fluoroquinolones during pregnancy could possible cause impairment of growing cartilage in the fetus & newborns. Terms (16) Hide definitions