NCLEXRN STUDY GUIDE WITH 100 ACCURATE

NCLEX/RN STUDY GUIDE WITH 100% ACCURATE

SOLUTIONS BEST A+ RATED.

◉Prescribed for portosystemic encephalopathy. Broad-spectrum antibiotic destroys normal bacteria found in bowel, decreasing protein breakdown & ammonia production. Answer: Oral neomycin

◉Prescribed hepatic encephalopathy reduce bacterial breakdown protein in bowel. Desired effect is two or three soft stools per day with an acid fecal pH. Creates acid environment in bowel & causes ammonia leave bloodstream & enter colon. Ammonia becomes trapped in bowel. Lactulose has laxative effect allows elimination of ammonia. Diarrhea may indicate

excessive administration of medication. Answer: Lactulose (Chronulac)

◉Tachypnea & dyspnea first clinical manifestations. Blood-tinged frothy sputum would present later sign, after development pulmonary edema. Breath sounds in early stages ARDS usually are

clear. Answer: Acute respiratory distress syndrome (ARDS)

◉Hematuria & flank or lumbar pain; colicky in nature or dull & aching. Proteinuria, calculi, uremia, palpable kidney masses & Hypertension other common findings. Answer: Polycystic kidney disease

◉Risk low cardiac output owing to loss of atrial kick. Assesse for palpitations, chest pain or discomfort, hypotension, pulse deficit, fatigue, weakness, dizziness, syncope, shortness of breath, & distended neck veins. Answer: Uncontrolled atrial fibrillation with ventricular rate greater than 100 beats/min

◉Encouraged drink large amounts water 24-48 hours to facilitate urinary excretion

radioisotope. Answer: Bone scan

◉Assess for allergy egg yolks. Answer: Fat emulsion (Intralipids)

◉Represents time takes cardiac impulse spread from atria to ventricles. Normal range PR

interval 0.12 to 0.20 second. Answer: PR interval

◉Intermediate-acting insulin onset action 3-4 hours, peak action 4-12 hours, & duration action of 16-20 hours. Hypoglycemic reaction most likely to occur at peak time. Answer: Humulin N insulin 1 / 4

◉Rapid-acting insulin. Onset of action 15 minutes; peaks in 1-3 hours, & its duration of action 3-

• hours. Hypoglycemic reactions are most likely to occur during peak time. Answer: Aspart

insulin (NovoLog)

◉Heat loss occurs when infant is on cold surface, such as a table. Answer: Conduction

◉Heat from body surface radiates to surrounding environment. Answer: Radiation

◉Air moving across infant's skin transfers heat to air. Answer: Convection

◉Moisture from wet body surface dissipates heat along with moisture. Answer: Evaporation

◉Monitor results liver function studies & ammonia level determinations. Answer: Divalproex sodium (Depakote)

◉Tidaling stops when lung reexpanded or chest drainage tubes are kinked or obstructed.Answer: Closed chest drainage system fluctuation (tidaling) in water-seal compartment has stopped

◉One-side facial paralysis cause; compression facial nerve. Signs; facial droop from paralysis facial muscles; increased lacrimation; painful sensations eye, face, or behind ear; speech or chewing difficulties. Facial drooping associated with Bell's palsy makes it difficult to close eyelid on affected side. Widening of palpebral fissure (opening between eyelids) & asymmetrical smile

are seen. Answer: Bell's palsy

◉Complete fracture across shaft bone, with splintering bone into fragments. Answer: Comminuted fracture

◉Fracture of bone across entire shaft with some possible displacement, but without breaking

skin. Answer: Simple fracture

◉Incomplete fracture, which occurs through part cross-section of bone-one side bone fractured,

& other side bent. Answer: Greenstick fracture

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◉Also called open or complex fracture, is one in which skin or mucous membrane; broken &

resulting wound extends to depth of fractured bone. Answer: Compound fracture

◉Abnormal lateral curvature in any area spine. Region most commonly affected is right thoracic

area, where it results in rib prominence. Answer: Scoliosis

◉Right arm is equal to 9%. Leg is equal to 18%. Anterior thorax equal to 18% Posterior thorax is equal to 18%. Head equal to 9% & perineum is equal to 1%. Answer: Rule of nines

◉Surgical procedure will allow fluid to drain from middle ear & may be necessary to treat acute

otitis media. Answer: Myringotomy

◉(Stye); application warm compresses 15 mins four times day & instillation ophthalmic antibiotic ointment for causative infectious organism & prevent spread infection surrounding lid glands. Warm compresses promote comfort & aid bringing purulent contents to head,

causing rupture with drainage. Answer: Hordeolum

◉Provide activities involv use of hands & gross motor movements; volleyball, finger-painting, drawing, & working with clay. Provide way to discharge motor tension. Answer: Bipolar disorder experiencing psychomotor agitation

◉Does not occur suddenly. In few days or hours preceding thrombotic stroke, experience transient loss of speech, hemiparesis, or paresthesias on one side of body. Signs; include dizziness, cognitive changes, or seizures. Answer: Cerebral thrombosis (thrombotic stroke)

◉Spasms pain, start suddenly, last seconds to minutes. Pain described stabbing, similar electric shock. Accompanied by spasm facial muscles that cause twitching of parts of face or mouth, closure of eye. Symptoms; triggered by pressure; washing face, brushing teeth, shaving, eating, drinking & draft or cold air. Needs eat or drink lukewarm, nutritious foods , soft & easy to chew.Extremes temperature will cause trigeminal nerve pain. Answer: Trigeminal neuralgia (tic douloureux)

◉Sunken eyes; hollow cheeks; & exhausted, defeated expression. Answer: Cachexia

◉Soft tissue injuries; sprains treated with RICE (rest, ice, compression, & elevation) first 24-48 hours after injury. Iceapplied intermittently for 20- 30 minutes at time. Rest & not walk around,

foot should be elevated. Answer: Sprained ankle

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◉Bed rest; limb elevation; relief of discomfort warm, moist heat; & analgesics as needed. pain

normally relieved acetaminophen (Tylenol). Answer: Deep vein thrombosis (DVT)

◉Obtain informed consent. Void before procedure. Remove dentures, contact lenses before.Aspiration safeguarded against by withhold food & fluids for 6 hours before treatment. Several conditions present risks in client scheduled for ECT; recent myocardial infarction, brain attack (stroke), & cerebrovascular malformation or an intracranial lesion. Answer: Electroconvulsive therapy (ECT)

◉Prevent & treat symptoms dizziness, vertigo, nausea, & vomiting that accompany motion

sickness. Answer: Dimenhydrinate (Dramamine)

◉Explain procedure. Clamp tubing drainage bag. Aspirate sample from port on drainage bag.Wiping port with alcohol swab before inserting syringe. Answer: Obtain urinalysis specimen from a indwelling urinary catheter

◉Slows progression acquired immunodeficiency syndrome (AIDS) improving CD4+ cell count.Adverse effects agranulocytopenia & anemia. Monitor CBC. Answer: Zidovudine (Retrovir)

◉Locally acting antitussive decreases intensity & frequency cough without eliminating cough

reflex. Answer: Benzonatate (Tessalon)

◉Restlessness or urge to keep moving. constant generalized movement. Answer: Akathisia

◉Uncontrolled rhythmic movements mouth, face, extremities. Can include lip smacking or puckering, puffing of cheeks, uncontrolled chewing, & presence rapid or undulating (wormlike)

movements of tongue. Answer: Tardive dyskinesia

◉Single dose at bedtime, because of side effects. Avoid alcohol or other CNS depressants during therapy. Effects may not be noticed 2 weeks. Dose missed, take as soon as possible unless

almost time for another dose. Answer: Imipramine (Tofranil)

◉Antipsychotic medication targets both positive & negative symptoms of schizophrenia.

Answer: Olanzapine (Zyprexa)

◉Take bedtime & with full glass water. For faster onset of sleep, not take medication with food or immediately after meal. Antacids affect absorption of medication. Answer: Zolpidem (Ambien)

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