NCLEX PN ARCHER REVIEW

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NCLEX PN ARCHER REVIEW

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PN NCLEX ARCHER READINESS EX...

51 terms Walkbyfaith001 Preview Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX 327 term erv The nurse is caring for a client receiving Lorazepam. Which of the following reported herbal supplements would require follow-up? Select all that apply 1) Kava 2) Glucosamine 3) Valerian 4) Garlic 5) Saw palmetto

• and 3 are correct.

Lorazepam is a CNS depressant, and the client should avoid potentiating the effects of this medication. Herbal products such as Kava and Valerian are CNS depressant medications that should not be given concurrently while a client receives Lorazepam. Lorazepam and one of these medications may cause profound sedation.What is the correct order for a Metered Dose Inhaler (MDI) without a spacer?Remove the inhaler cap and shake the inhaler Open your mouth and place the mouthpiece 1 to 2 inches away from the mouth.Tilt your head back and breathe out fully Press down firmly on the canister and breathe deeply through the mouth Hold your breath for at least 10 seconds Wait at least 1 minute between puffs The nurse needs to obtain baseline ____ prior to administering atenolol because atenolol would be contraindicated if the client ____.The nurse needs to obtain baseline electrocardiogram prior to administering atenolol because atenolol would be contraindicated if the client had atrioventricular block.

The nurse understands that the prescribed fenofibrate is intended to ___.Reduce triglycerides Prior to administering the prescribed pitavastatin, the nurse needs to obtain baseline ____.liver function tests The nurse is caring for a client who sustained a fractured tibia and fibula and has a cast applied to the extremity. Which of the following findings would indicate the client has developed compartment syndrome?1) the development of petechiae over the chest 2) a new onset of dyspnea and chest pain 3) severe pain that is unrelieved by an opioid analgesic 4) localized bone pain with a fever C is correct.Early manifestations associated with compartment syndrome, including paresthesia of the affected extremity and pain unrelieved by a prescribed opioid analgesic.To promote home safety for a client with epilepsy, the nurse should recommend the following Remove scatter rugs and frayed carpet, cover rooms with wall-wall carpeting Edges of countertops are padded Medic-alert tag is worn by the client while at home Knives are removed, and meals should be chopped using a food processor Microwaving food is safer than using a stove showering in a bathroom that is unlocked is recommened shower chair with a wand should be used. The client should not take a bath because of the risk of drowning.seizure-safe pillows should be used to prevent asphyxiation When collecting data about a client's pain, the first step in pain assessment is for the nurse to: 1) Accept the client's report of pain 2) Get the discription of the location and intensity of the pain 3) Have the client identifying coping methods 4) determine the client's status of pain Accept the client's report of pain Assessment of pain is a vital part of any nursing assessment. In fact, pain is often called the "fifth vital sign". If a patient does not immedately report pain, it is still the nurse's responsibility to ask if he/she feels any pain. if the patient reports pain (under any circumstances), the nurse should validate the patient's concern by acknowledging he/she is feeling discomfort and then assess more thoroughly to find out the location and intensity, identifying coping mechanisms, and follow up with their pain status.

Which of the following is least likely to influence a client's potential to comply with lithium therapy after discharge?1) The impact of lithium on the client's energy level 2) The need for consistent blood level monitoring 3) The potential side effects of lithium 4) What the client's friends think of his need to take medication

• is correct.

Although a patient's social network may influence compliance, this influence is typically secondary compared to the other factors listed. Lithium is believed to alter neurons influencing their release, synthesis, and reuptake. Therapeutic actions are stablization of mood during periods of depression. It is neither antimanic not antidepressant in individuals without bipolar disorder.The nurse is collecting data on a client with acute cholecystitis. Which of the following manifestations would be expected?1) Stools that contain blood and mucus 2) Pain with urination 3) Episodic upper abdominal pain 4) Hypoactive bowel sounds.Episodic upper abdominal pain Episodic abdominal pain originating in the right upper quandrant or epigastric area is commonly associated with cholecystitis. The pain often refers to the client's right shoulder blade. The pain may be induced by a meal high in fat. Other manifestations associated with acute cholecystitis include nausea, vomiting, elevation in temperature, anorexia, and dyspepsia.The nurse is reinforcing teaching the parents of an infant how to manage a tracheostomy. Which of the following statements, if made by the parents, would require follow-up?1) I should suction the tracheostomy for 10 to 15 seconds.2) I will notify the PHCP if the secretions are green 3) If should apply new tracheostomy ties before removing the old ones 4) I should apply a pulse oximeter to my babye during the suctioning.

• is correct

Suctioning an infant's tracheostomy should not exceed 5 seconds. The 10 to 15 seconds threshold is applicable for adults, not infants. Infants do not have the oxygen reservoir as an adult; thus, suctioning times cannot be as long.The nurse documents the presence of a skin lesion as a "palpable solid mass measured at 1 cm". What types of skin lesions might this described?Select all that apply 1) Macule 2) Patch 3) Plaque 4) Nodule 5) Bulla 6) Pustule

• and 4 are correct.

Plaque and nodules are palpable, elevated, solid masses that may measure 1 cm.

A client with streptococcal pharyngitis (tonsillitis) has been placed on droplet precautions. Which of the following statements indicates the best understanding of this type of isolation?1) The client can be placed in a room with another client with measles (Rubeola) 2) a special mask (N95) should be worn when working with the client 3) must maintain a spatial distance of 3 feet 4) gloves should be worn only when giving direct care.

• is correct

A spatial distance of at least 3 feet is recommended. The most common forms of transmission of an organism in a client with tonsillitis are coughing, sneezing, and talking. Droplets can travel no more tha 3 ft, so precautions should be maintained when there is a possibility of entering this distance.When triaging clients who have existing infections, which of the following patients would be most appropriate to assign to the only private room available?1) a client with toxic shock syndrome and a temperature of 102.4 2) a client with diarrhea caused by C. Difficile 3) a client with a wound infected with VRE 4) A client with a cough suspicious of Koch disease.

• is correct

CLients with infections that require airborne precuations (i.e., tuberculosis) need to be in a private room.The nurse is caring for a client who was prescribed lurasidone. The nurse understands that this medication is intended to treat 1) attention deficit hyperactivity disorder 2) bipolar disorder 3) obsessive-compulsive disorder 4) antisocial personability disorder

• is correct

Lurasidone is an atypical antipsychotic indicated to treat bipolar disorder ( it provides mood stabilization) and schizophrenia. Lurasidone is a newer atypical antipyshotic and may cause fewer metabolic effects when compared to other atypical such as olanzapine, quetiapine, etc.The nurse reviews a client's medication record who takes prescribed sildenafil. Which medication should the nurse clarify with the PHCP?1) Lisinopril 2) Isosorbide 3) Atorvastatin 4) Losartan

• is correct.

Isosorbide is a nitrate medication and should not be taken concurrently with phosphodiesterase inhibitors such as sildenafil. The combination of the two may result in profound hypotension.