I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study :rckn:group. If you think you have any question you can thread and pple will respond with answer. Just thread in question with no answer to see what you have learn so far.
Absence of bubbling in the water seal compartment indicate what?:thnkg:
Specializes in Case Mgmt, Anesthesia, ICU, ER, Dialysis.
I'm going to reply to several off page 15 here:
Cranial nerves for the tongue are 5, 9, and 10, if my memory serves me correctly. Five for taste, 9 for all other sensations, and 10 hits the posterior 1/3, central for everything.
Most common problem of subclavian central line insertion is pneumothorax. The apex of the lung extends ~2 inches above the top border of the clavicle and if you aim too deep, you'll drop the lung.
(Side note: occasional problem with left SC lines is a chylothorax, where the left thoracic duct is punctured. If severe enough, it can necessitate a chest tube and TPN for months on end while the lymphatic duct heals. You can tell if you're aspirating milky white fluid from the line or see it in the JP drain.)
Lidocaine toxicity is hallmarked by confusion/altered LOC, RINGING IN THE EARS (big sign!) and CV instability.
Irreversible sign with ETOH withdrawals: Are you sure they're not talking about Wernicke's Encephalopahy? B-6 deficiency? The whole reason we give "banana bags?" But you're right, DT's are nothing to play with.
Question for y'all: Which benzodiazepene is the treatment of choice for DT's and why?
(Lorazepam, because it is metabolized by plasma cholinesterases, not cytochrome P450 enzymes from the liver, which are already auto-induced to a higher level by the chronic alcohol abuse. Both diazepam and midazolam are metabolized by that means, and they will chew straight through anything you give them, QUICK! Lorazepam is a much better option.)
This is a great review. Keep 'em coming - I take anesthesia boards in a year, but all these are bringing it back - and I need every bit of info to try and integrate for the right answer. :)
when a nurse is inserting ngt for an unconscious pt for feeding,the nurse must avoid
1- measure the amt of tube need to be inserted
2- check for tube placement
3- lubricating the tube
4- positioning the pt head backward:yeah:
what is used to diagnose a pt with uti experiencing burning urination and urgency
1- craatinine clearance
2- cytoscopy
3- random urine test
4- clean catch urine:yeah:
what position should a nurse place a pt with pneumothorax after surgery
1- right side:up: airway takes priority
2- left side
3- back:nono:
4- either right or left side
what is the immediate post op intervention for a pt with laryngectomy ___airway:yeah:
ph 7.43, pco2 31mmhg and hco3 21meq indicate __compensated metabolic alkalosis because the ph and hco3 are normal and pco2 is abnormal ___
what precaution is hiv___blood borne:nono: universal precaution _______
tamoxifen is used to treat _anti fungal_ breast cancer_________
what medication is used to treat status epilepticus for a child with seizure during emergency
1- congentin
2- tergretol
3- dilantin
4- valium:yeah:
what iv fluid is preferred if a pt is having small bowel resection with ngt suction _isotonic___iv fluid preferred is lactated ringer solution because it contain glucose and electrolyte which is need to replace fluid loss from the gi, while isotonic solution contain no glucose
you did a great job, but you miss 2 or 3 question:yeah::yeah:
what indication best describe if a pt has ineffective airway clearance and need suctioning?
1- respiratory rate:nono:
2- breath sound
3- capillary refill
4- lack of mucous secretion- a pt with ineffective airway clearance is unable to clear his/her throat due to mucous plug. so the reason for suctioning is to clear the pt mucous secretion and hydrate the pt in other to clear the pt lungs
a pt who had just had a hemodialysis returned to the nursing unit. what assessmenet will you check to determine if the procedure has desirable effect
1- weight and bun
2- weight and blood pressure:up:
3- weight and creatinine clearance
4- weight and potassium
a pt is place on prevacid, what symptoms indicate that the pt is having relief
1- diarrhea
2- constipation
3- heartburn:up:
4- difficult swallowing
zofran is administered to treat pt with __nausea_ (antiemetics)_
a nurse notice that a pt with high potassium level is
1- cushing syndrome:down: pt with cushing syndrome have hypokalemia
2- diabetes insipidus
3- copd
4- burn trauma:up: hyperkalemia with burn injury have hyperkalemia
what symptoms indicate that a pt has a sign of hyper calcemia
1- increase urine output:up: hypercalcemia
2- increase bowel sounds -hypocalcemia
3- parathesias -hypocalcemia
4- decrease deep tendon reflexes :down:hypocalcemia
what is the normal value for pt with icp__10-20mm hg:up:_______
what is the purpose of amniocentesis _genetic testing___________
what is antidote for heparin__?_promate sulphate_ and coumadin __vit k______________
what differentiate placenta previa from abruptio placentae __painless bleeding:up:_
how can a pt prevent gerd _no laying down after meals, smaller meals, no asa or nsaids, and avoid spicy foods ____________
If you have a pt with a heart valve disease who is placed on coumadin and the INR is 3.5 and as a nurse you report the result to the physician. what will the nurse do if the physician order for another dose of warfarin sodium
1- hold the next dose of the warfarin sodium
2- administer the next dose of warfarin sodium
3- question the next dose of warfarin sodium
4- administer the next dose with heaprin
A pt with head trauma is monitored for sign of ICP.what is an early sign that indicate the pt is experiencing ICP
1- increase blood pressure
2- decrease pulse rate
3- decrease LOC
4- shallow slow breathing
what position will you place a pt with hip dislocation
1- adduction
2- abduction
3- opposition
4- sims
A pt with meniere disease is admitted to the hospital. which comment made by the pt need further teaching
if you have a pt with a heart valve disease who is placed on coumadin and the inr is 3.5 and as a nurse you report the result to the physician. what will the nurse do if the physician order for another dose of warfarin sodium
1- hold the next dose of the warfarin sodium
2- administer the next dose of warfarin sodium
3- question the next dose of warfarin sodium -
4- administer the next dose with heaprin
a pt with head trauma is monitored for sign of icp.what is an early sign that indicate the pt is experiencing icp
1- increase blood pressure
2- decrease pulse rate
3- decrease loc
4- shallow slow breathing
what position will you place a pt with hip dislocation
1- adduction
2- abduction
3- opposition
4- sims
a pt with meniere disease is admitted to the hospital. which comment made by the pt need further teaching
1- change position quickly
2- increase intake of cheese product
3- use diuretic as ordered
4- avoid dizziness
match the following
moon face___________ cushing disease
buffallo hump ________ myxedema
cretinism__________ primary aldosteronism
hypertention ____________
hypothyriodism ___________addision disease
weight loss_____________hyperthyroidism
which food is the lowest in sodium
1- meat
2- canned vege
3- milk
4- fresh fruit
attempting off the top of my head! sorry for the irrelevant post before, it was an answer to a previous question!
]If you have a pt with a heart valve disease who is placed on coumadin and the INR is 3.5 and as a nurse you report the result to the physician. what will the nurse do if the physician order for another dose of warfarin sodium
1- hold the next dose of the warfarin sodium
A pt with head trauma is monitored for sign of ICP.what is an early sign that indicate the pt is experiencing ICP
3- decrease LOC
what position will you place a pt with hip dislocation
2- abduction
A pt with meniere disease is admitted to the hospital. which comment made by the pt need further teaching
if you have a pt with a heart valve disease who is placed on coumadin and the inr is 3.5 and as a nurse you report the result to the physician. what will the nurse do if the physician order for another dose of warfarin sodium
1- hold the next dose of the warfarin sodium
2- administer the next dose of warfarin sodium:up:the normal inr for most pt is 2-3, so pt with heart valve 3.5 is normal so the next dose of warfarin sodium can be administer.
3- question the next dose of warfarin sodium -
4- administer the next dose with heaprin
a pt with head trauma is monitored for sign of icp.what is an early sign that indicate the pt is experiencing icp
1- increase blood pressure
2- decrease pulse rate
3- decrease loc:up:
4- shallow slow breathing
what position will you place a pt with hip dislocation
1- adduction:nono:
2- abduction:up:
3- opposition
4- sims
a pt with meniere disease is admitted to the hospital. which comment made by the pt need further teaching
1- change position quickly
[color=sandybrown]2- increase intake of cheese product:up: sodium restriction
3- use diuretic as ordered
4- avoid dizziness
match the following
moon face___________ [color=sandybrown]cushing disease:up: due to excessive production of cortisol
buffallo hump ________ myxedema:down: cushing due to excessive production of cortisol.
NurseKitten, MSN, RN
364 Posts
I'm going to reply to several off page 15 here:
Cranial nerves for the tongue are 5, 9, and 10, if my memory serves me correctly. Five for taste, 9 for all other sensations, and 10 hits the posterior 1/3, central for everything.
Most common problem of subclavian central line insertion is pneumothorax. The apex of the lung extends ~2 inches above the top border of the clavicle and if you aim too deep, you'll drop the lung.
(Side note: occasional problem with left SC lines is a chylothorax, where the left thoracic duct is punctured. If severe enough, it can necessitate a chest tube and TPN for months on end while the lymphatic duct heals. You can tell if you're aspirating milky white fluid from the line or see it in the JP drain.)
Lidocaine toxicity is hallmarked by confusion/altered LOC, RINGING IN THE EARS (big sign!) and CV instability.
Irreversible sign with ETOH withdrawals: Are you sure they're not talking about Wernicke's Encephalopahy? B-6 deficiency? The whole reason we give "banana bags?" But you're right, DT's are nothing to play with.
Question for y'all: Which benzodiazepene is the treatment of choice for DT's and why?
(Lorazepam, because it is metabolized by plasma cholinesterases, not cytochrome P450 enzymes from the liver, which are already auto-induced to a higher level by the chronic alcohol abuse. Both diazepam and midazolam are metabolized by that means, and they will chew straight through anything you give them, QUICK! Lorazepam is a much better option.)
This is a great review. Keep 'em coming - I take anesthesia boards in a year, but all these are bringing it back - and I need every bit of info to try and integrate for the right answer. :)