NCLEX-RN : mark kilmek 2025
13 studiers today Leave the first rating Students also studied Terms in this set (385) Science Medicine Save PEARSON NCLEX-RN Questions & R...199 terms Candice_Haygood Preview NCLEX RN Test 1 2024-2025 Teacher 312 terms TutorDkPreview NCLEX-RN Practice Questions For 2...Teacher 33 terms TutorDkPreview NCLEX 110 term kan Isotonic IV fluids NS And lactated Ringers Are used as fluid replacement for fluid volume deficit Serum phenytoin10-20 mcg/ml Normal glucose Infant 40-60mg/dl Normal resp for infant30-60 Normal temp for infant97.7-99.7 What is the antidote for norepinephrine?Phentolamine (Regitine) What is autonomic dysreflexia?Life-threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia?Severe hypotension, throbbing headache,diaphoresis,bradycardia,flushing and piloerection.Magnesium1.5-2.5 mEq What is the therapeutic magnesium level to prevent seizures in a preeclamptic client?4-7 mEq Absent or decreased deep-tendon reflexesEarliest sign of magnesium toxicity Calcium gluconate (antidote)Magnesium toxicity
Magnesium sulfate IV antidote?Calcium gluconate IV AcetaminophenN-acetylcysteine Most effective if given w/in 8hrs of ingesting acetaminophen AnticholinergicsPhysostigmine
ArsenicChelation therapy:
1.dimercarpol 2.penincillamine 3.calcium disodium edetate
- Succimer
BenzodiazepinesFlumazenil Beta blockers(High dose) glucagon Calcium channel blockersGlucagon, calcium chloride, calcium gluconate CholinergicsAtropine,pralidoxime CyanideAmyl nitrate Sodium thiosulfate Hyperbaric oxygen chamber
Digitalis/digoxinDigoxin antibodies: digoxin immune fab, digifab,digibind
DnoxaparinProtamine sulfate Ethylene glycolEthanol Fomepizole Pyridoxine hydrochloride(vitamin b6) HeparinProtamine sulfate Hypoglycemic agentsGlucagon Octreotide IronDeferoxamine mesylate LeadChelation therapy
- Dimercarpol
- Penincillamine
- Succimer
MercuryChelation therapy MethanolFolic acid and then folic acid fomepizole
Mushrooms,muscarinicAtropine sulfate Nerve gas( sarin, soman and VX)Atropine sulfate Pralidoxime chloride Opiods(codeine,morphine)Naloxone, nalmefene Snakes( rattle snakes,copperheads, cottonmouth) Antivenin(crotalidae) polyvalent(equine origin) crotalidae polyvalent immune fab(ovine) Spiders(black widow)Antivenin( latrodectus Mactans) equine Tricyclic antidepressantsSodium bicarbonate Vasopressor infiltration and extravasationPhentolamine mesylate WarfarinPhytonadione( vitamin k) Normal neonate HR110-160 <60>
BUN6-20
Hematocrit39-50% Hemoglobin13.2 -17.3 Therapeutic INR Client with mechanical heart valve
2.5-3.5
Normal INR0.75-1.25 Therapeutic INR to treat A-FIB2-3 Normal CVP2-8 Elevated CVP can indicate?Right ventricular failure aka fluid volume over load
S/S fluid overload:Peripheral edema
Increase urine output that is dilute Rapid weight gain S3 heart soundin adults Tachypnea,dyspnea,crackle in lungs Boundig peripheral pulses What is refeeding syndrome?A potential lethal complication of nutritional replenishment in malnourished pt
Key signs of refeeding syndrome?Rapid decline in phosphorus, potassium, and/or magnesium What is a potential complication of acute pericarditis? Cardiac tamponade S/S of tamponadeJVD, distant heart sounds, and decreased bp
- stages of griefdenial, anger,bargain,depression,acceptance
- weeks
what is wernickes (kortakoff's) syndrome?Psychosis induced by Vitamin B1(thiamine) deficiency Primary symptoms of wernickes (kortakoof's) syndrome? amnesia with confabulation (making up stories) what is aversion therapy?when you try and make the patient hate something antabus/Revia onset and duration used for aversion therapy?
pt. teaching on antaeus /Revia:avoid all forms of alcohol to avoid nausea, vomiting, death the difference between alcohol withdrawals and delirium tremens?alcohol withdrawals is NOT life threating delirious tremens CAN kill you how to remember aminoglycoslides?think " A MEAN OLD MACIN" when are aminoglycolides given?used to treat serious, life threatening and resilienant infection what most you remember about aminoglycolides? all aminoglycolides end in MYCIN but not all drugs that end in MYCIN are aminoglycolides examples of wanna be mycin's?azythromycin, clarithromycin, arthromycin toxic effect of aminoglycolides?ototoxicity: monitor hearing, balance, and tints
neprotoxocoty: monitor creatine (kidney)
frequency of aminoglycolides adminstration?every 8 hrs when do you only give amnioglycolides PO?hepatic encepalopathy ( r/t high ammonia levels) pre op bowel prep who can sterilize your bowels?"Neo-Kan" when do you ALWAYS draw the through?30 minutes before next dose when do you draw the peak levels of sublingual medications?5-10 min after drug dissolved when do you draw the peak level IV medications? 15-30 min after medication is finished
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