ADPIE NCLEX QUESTIONS

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ADPIE NCLEX QUESTIONS

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Peripheral neuropathy: give vitamin B6 for prophylaxis for this effect

Watch liver function tests Rifampin turns tears, urine, sweat orange Decreases effectiveness of birth control CoumadinCheck PT Antidote is vitamin K Choose an answer 1TB drug side effects2Coumadin 3arterial insufficiency4Chest tube vigorous bubbling Don't know?

Signs of increased ICP in infantsHigh pitched cry Irritability Lethargy Bulging Fontanelles

Delegation quick sheetNurse: unexpected outcomes, first assessments, teaching

Lpn: taking care of Med/surg

Aide: baths, blood sugar checks, recording I&Os

Von Willebrand DiseaseNo NSAIDs or aspirin Chest tube vigorous bubblingAir leak Chest tube pulls out of personOcclusive dressing taped on three sides Chest tube pulls off of containerPut ends in sterile water Suctioning guidelinesNo more than 10 seconds Nose before mouth Glasgow coma scaleeye opening, verbal response, motor response

Best score: 15

Worst score 3 <8 = coma Suicide questionsWatch for ambiguous "I may not be around" statements of where the patient is giving valuable/charished items away OR a sudden change in energy levels LithiumMake sure they have plenty of water and sodium in diet Proper level is 1-1.5 Blood clot main treatmentBedrest arterial insufficiencyCool food Thin, shiny, strophic skin, Pallorous toes Cyanotic nail bed Absent pulse Ucerations of heels and toes venous insufficiencyRubra Coarse thickened skin Varicose veins Brawny Pulse present Irregular ulcerations on bony prominences DigoxinCardiac Glycoside; Antiarrhythmic Norm levels are 1.0-2.0 Low potassium increases risk for toxicity Toxicity signs are nausea, vomiting, confusion, drowsiness and halos around lights

Asthma med orderGive the bronchodilator med and THEN the long term medixine Signs of fluid overloadCool skin, crackling, cyanosis, edema Blood transfusion reactionsHemolytic= destruction of red blood cels due to antibodies

Allergic: activates hitamones

Febrile: leukocyte incompatibility

Wound most likely to dehiscence?Abdominal wounds What to do for dehiscencePut on sterile gauze spake in saline and call doctor immediately signs of compartment syndromePulselessness, pallor, parsthesias, pain, presure Autonomic DysreflexiaImmediately raise HOB and decompress bladder, give anti HTNs AIDS precautionsStandard not contact Pt who keeps getting reinfected with STDsMake sure partner is being treated as well Late decelerations actionTurn mother on the left side Give oxygen Stop pitocin Fix cleft lip 2-3 months after birth, cleft palates 12-13 months after birth Calculating the Apgar score treatment of ventricular fibrillationImmediate defibrillation and CPR Treatment of cardioversionGive drugs Sedated patient Sync rhythm Controlled shock Where to look for jaundice in dark-skinned people In the gums Phototherapy for babiesTx for jaundice Put on eye protectio I Excessive chest tube output>100 /hr Initial antidepressant useWatch for sudden changes in mood Breast feeding breast careSupportive well fitting bras Don't wash with soap, only water Apply warm compress if breast feeding and have clogged duct Apply ice& avoid nipple stimulation if mother does not want to breast deed

Personality what lobeFrontal What abuse should be reported on suspicipnElder and child HypoglycemiaSweaty, cold, clammy, confused HyperglycemiaHot dry skin, confusion TB drug side effectsPeripheral neuropathy: give vitamin B6 for prophylaxis for this effect Watch liver function tests Rifampin turns tears, urine, sweat orange Decreases effectiveness of birth control Drawing an ABGperform Allen test first TractionShould never be removed , taken off the bed Never prop knee up Seizure precautionsMattress on the floor, no padded side rails