NCLEX MARK KLIMEK 2024 questions with correct answers, Exams of Nursing

Download NCLEX MARK KLIMEK 2024 questions with correct answers and more Exams Nursing in PDF only on Docsity! NCLEX MARK KLIMEK 2024 questions with correct answers What is the #1 physcologial problem when treating pts. with alcholoism? - ANSWERS✔✔ DENIAL How should you treat/ respond to pts. who are in denial? - ANSWERS✔✔ CONFRONT PT. by poinitng out what they do vs. what they say What is Wernicke (Korsakoff) Syndrome? - ANSWERS✔✔ They are two seperate conditions; Wernicke is a type of encephalopathy; Korsakoff is a psychosis Causes of Wernicke and Korsakoff - ANSWERS✔✔ The pt. enters a state of psychosis due to a VITAMIN B1 Deficiency; the pt. looses touch with reality due to VITAMIN B1 DEFICIENCY S/Sx of Wernicke and Korsakoff - ANSWERS✔✔ Confabulation( pt. making up stories); amnesia(pt. has memory loss) What is the nursing intervention to redirect a pt. with Wernicke and Korsakoff who is confabulating - ANSWERS✔✔ REDIRECT PT. to do something pt. can do Characteristics of WERNICKE and KORSAKOFF SYNDROME - ANSWERS✔✔ 1. Preventable: pt. takes VITAMIN B12. Arrestable (stop it from getting worse) : pt. takes VITAMIN B13. Irreversible (70%) : SYNDROME Will Kill PT. 'S Brain Cells Medications to treat Alcoholism - ANSWERS✔✔ Antabuse- alcohol deterrentRevia- the antidote to Antabuse Aversion Onset and duration of Antabuse - ANSWERS✔✔ The onset and duration of Antabuse is 2 WEEKS PT. Teaching For Antabuse - ANSWERS✔✔ Teach pt. to avoid all forms of alcohol; not avoiding all alchohol can lead to N/V; EVEN DEATHTeach the pt. to avoid the following items that contain alcohol: MOUTHWASH, COLOGNE , PERFUME, AFTERSHAVE, ELIXIR, MANY OTCLIQUID MEDICATIONS, INSECT REPELLENT, HAND SANITIZER, VANILLA EXTRACT ( CAN'T HAVE CUPCAKE WITH UNBAKED ICING); DONT PICK RED WINE VINAGRETTE- VINAGRETTE CONTAINS NO ALCOHOL OVERDOSE - ANSWERS✔✔ IT CAN BE AN UPPER OR DOWNER UPPERS - ANSWERS✔✔ CaffineCocainePCP/LSD(HALLUCINOGENICS/ PSYCHEDELLICS)METHAMPHETAMINESADDERALL S/Sx of UPPERS - ANSWERS✔✔ S/Sx go UPEUPHORIA, SEIZURES, RESTLESSNESS, IRRITABILITY, HYPERREFLEXIA(3+, 4+), BORBORYGMI, DIARRHEA Downers - ANSWERS✔✔ Downers have 135 drugsIf it is not an UPPER, it is a Downer StreptomycinCleomycinTobramycin Medications that have THRO - ANSWERS✔✔ THROW THOSE MEDICATIONS AWAY TOXIC EFFECTS OF MYCIN - ANSWERS✔✔ THINK MOUSEOTOTOXICITYNEPHROTOXICITYMONITOR PT. FOR TINITUS BALANCEMONITOR CREATININE What is serum Creatinine? - ANSWERS✔✔ The best indicator to determine kidney function What is 24 hour Creatinine? - ANSWERS✔✔ A better indicator to determine kidney function When do you administer Mycin drugs? - ANSWERS✔✔ Administer the medication Q8H Do you give Mycin PO? - ANSWERS✔✔ NO; THEY ARE NOT ABSORBED AND WOULD HAVE SYSTEMIC EFECTS THE 2 CASES WHERE MEAN OLD MYCIN MEDICATIONS ARE GIVEN PO -ANSWERS✔✔ HEPATIC ENCEPHALOPATHY; HEPATIC COMABOWEL PREP PRE-OP; TO STERELIZIE THE BOWEL BEFORE SURGERY WHO CAN STERLIZIE MY BOWEL? - ANSWERS✔✔ KANAMYCINNEOMYCIN HOW ARE MEAN OLD MYCIN MEDICATIONS ADMINISTERED? - ANSWERS✔✔ IMIVIT IS EXCRETED IN THE FECESNOT ABSORBED IN THE GI TRACT What is a medication's trough? - ANSWERS✔✔ When the medication is at the lowest concentrations in the pt.'s blood What is a medication's peak? - ANSWERS✔✔ When the medication is at the highest concentration in the pt.'s blood When to draw a trough and peak? - ANSWERS✔✔ Peak SubL= 5-10 mintuesafter drug is dissolved PEAK IV - ANSWERS✔✔ 15-30 minutes after drug is finished (bag empty) PEAK IM - ANSWERS✔✔ 30-60 MINUTES PEAK SUBQ - ANSWERS✔✔ DEPENDS ON THE INSULIN PEAK PO - ANSWERS✔✔ DOES NOT NEED TO BE TESTED; NOT NECESSARY