Nclex review from test bank

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NCLEX EXAM PREVIEW

110 terms kandykat1012Preview NCLEX RN Test 1 2024-2025 Teacher 312 terms TutorDkPreview NCLEX Teacher Tuto Practice questions for this set Learn1 / 7Study using Learn administer bronchodilators before other meds IM medsquickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2, 22G, mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption deltoid muscleonly used for 1-2 ml of med b/c is smaller muscle quickest absorption#1 is abdomen, #2 is arm, #3 is buttock Choose an answer 1IM meds2NPH 3MDI4Regular insulin Don't know?

Insulindone sub-q into fatty tissue, measured in Units, draw up air prior and insert into vial Regular insulinonset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs., can mix with intermed.& short Humulogonset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with intermed., reg, short NPHonset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot mix!!Lantusonset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined Regular insulinonly insulin that can be given IV rotate injection sitesto slow formation of scar tissue most insulinsgiven right befor meals to control blood sugar when mixing insulinsput air into cloudy first, then clear NPHhas regular insulin in it already sliding scalealways given with short acting insulin such as reg/ humulog sub-q injections45-90 degree angle, 25G needle, 1/2-1" length, below dermis/above muscle heparin/lovanoxbruising will occur aroun inj. sites, apply pressure for at least 30 seconds, check for bleeding gums, stools, sheck V/S for internal bleeding with anticoagulants Intradermal injections10 degree angle, 25-27G needle, 5/8-1/2" needle, barely cover bevel under skin, do not do near a vein, do to the side, used for PPD&allergy testing TB testingread 48-72 hrs later, inject 0.1 ml, assess for induration(hard bump), measure in mm, greater than 5 mm is queestionable, 5-10 need CXR, redness indicates localized reaction not a concern, problem is induration bacteriacidalable to kill bacteria bacteriostaticretards bacteria growth broad spectrumatbs that are effective against many organisms catecholamineneurotransmitters that play important role in body's stress response catharticmeds used to treat constipation depressantslows down mental/physical processes

narrow spectrumatbs that are effective agaist a few mo's nephrotoxicitytoxicity due to blood and protien in the urine opiatepain relievers r/t opium ototoxicitytoxic effect r/t damage to 8th cranial nerve resulting in dizziness, tinnitus, gradual hearing loss septicemiageneralized infection throughout body vasoconstrictorconstrict blood vessels tetracyclineatb lanolindermatologic valiumsedative/hypnotic, a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles morphinenarcotic dexamethasonea corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation captoprila drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation sudafedvasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation dramamineantihistamine and antiemetic, used to treat motion sickness prilosecantacid (trade name Prilosec) that suppresses acid secretion in the stomach tamoxifenan antagonist for estrogen that is used in the treatment of breast cancer digitaliscardiotonic lasixcommonly used diuretic (trade name Lasix) used to treat hypertension and edema before surgery the pt. should stop usingaspirin meds used for antipyretic, inflamm, and analgesia salicylates, NSAIDs when on steriods watch forinfection morphinedecreases RR

• ml1cc
• L1000 ml
• kg1000 g

1000mg1 g

• teacup6 oz.
• T3 tsp
• tsp60 gtt
• lb16 oz.
• ft12 in.
• qt2 pt
• pt16 oz

larger to smallerright smaller to largerleft 2.2lbs.1 kg

• lb0.45 kg

120 gtts of water1 tsp

• pinch1/8 tsp

first sign of narcotic ODresp. depression what are NSAIDs mainly given forinflammation and pain side effects of barbituatesdrowsiness, mood change, depression infiltration r/t IVmost common problem: when fluid or med leaks out of vein into tissue, edema occurs, feels cool, fluid in tissue will reabsorb eithin 24 hrs.phlebitis r/t IVinflamm of the vessel: caused by irritaition of vessel by needle, cannula, meds. S/S are warnth, swelling, tenderness. IV must be dc'd, warm compress to decrease discomfort septicemiabloodstream infection: if becomes very bas pt may have a red line along arm