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NCLEX RN EXAM WITH COMPLETE SOLUTION
when fusing packed red blood cells, which solution is hung with the Y tubing? - answer0.9% sodium in water (NS) Severe Preeclampsia, what are expected findings? - answerproteinuria, facial edema, blurred vision DM and glucose monitoring, what will increase blood flow and decrease risk of infection, before taking the sample? - answerwashing clients hands with soap and warm water What is an expecting finding of Hyperthyroidism? - answerTremors What is an expected finding of Hypothyroidism? - answerPeriorbital Edema Coping Strategies - answer Verapamil - answerCCB, treats hypertension, angina, arrhythmia. Do not take with Grapefruit (may cause hypotension).what should be administered for a Benzodiazepine overdose? - answerFlumazenil Which side does a cane go on? Weak side or Strong side? - answerStrong side Na+ - answerElectrolytes, Sodium 136-145 K+ - answerElectrolytes, Potassium 3.5-5 1 / 4
Ca++ - answerElectrolytes, Calcium 9-10.5 pH - answerABG, 7.35-7.45 PaCO2 - answerABG, 35-45 HCO3 - answerABG, bicarbonate, 21-28 PaO2 - answerABG, oxygen, 80-100 SaO2 - answerABG, Oxygen Saturation, 95%-100% Hgb - answerCBC, Hemoglobin, 12-16 (F) 14-18 (M) Hct - answerCBC, Hematocrit, 42-52% (M) 37-47% (F) RBC - answer4.7 (M) 6.1 (F) WBC - answerCBC, White Blood Cell, 5000-10,000 ESR - answererythrocyte sedimentation rate, < 20 mm/hr Cholesterol, Total - answer< 200 (risk for cardiac or stroke > 150) Platelets - answer150,000-400,000
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PT - answer11-12.5 seconds therapeutic range is 1.5 - 2 times the normal aPTT - answerpartial thromboplastin time, 30-40 seconds therapeutic range is 1.5 - 2 times the normal INR - answer0.7-1.8 (unless on drug, therapeutic range 2-3) Glucose, Fasting - answerEndocrine, 70-105 HbA1c, glycosylated hemoglobin - answerEndocrine, Hemoglobin A1c, 4-6% under 6% for normal under 7% for Diabetes Control BUN - answerGU, 10-20 Creatinine - answerGU, 0.6-1.2 (M) 0.5-1.1 (F) Creatinine Clearance Test - answer90 - 139 (M) 80 -125 (F) calculation of GFR best indicator of overall renal function
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What type of solution is TPN? - answerhypertonic How can TPN be given and when is it prepared? - answerThrough a PICC line or tunneled catheter and prepared daily Which lab value is checked and how often, when TPN is initiated? - answerblood glucose, every 4-6 hours Every 24 hours a new TPN bag is hung with a new filter. True or False? - answerTrue
Non-Pharmocological Interventions: HOT - answeron for 15min, off
for 20min acts as an analgesia (pain relief) increase blood flow relaxes muscles diminishes muscles spasms eases muscles & joint stiffness
Non-Pharmacological Interventions: COLD - answeron for 15min,
off for 20min acts as an analgesia (pain relief) decreases/prevents swelling diminishes muscles spasms Diseases that need Private rooms? - answervaricella (chicken pox) herpes zoster (shingles) rubeola virus (measles)
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