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Print NCLEX Study - Mark Klimek Blue Book
Print NCLEX Study - Mark Klimek Blue Book
An aneurysm will most affect which of the the pulse (many times the aneurysm will
following, the blood pressure or the pusle? rupture and much blood will be lost before
the blood pressure starts to change.
Can AIDS patients leave the Yes, unless WBC's are very low
floor?
Do people recover from AGN? Yes, the vast majority of all clients
recover completely from it
How can AGN be prevented? By having all sore throats cultured for
strep and treating any strep infections
How do you assess fluid excess Daily weight
in the child with AGN?
How many minutes should lapse 5 minutes - take one nitro tab every 5
between the nitro pills you take? minutes 3 times, if no relief, call MD
How often should you measure the vital Q5-15 minutes for bleeding and maternal
signs, vaginal bleeding, fetal heart rate VS, continuous fetal monitoring, deliver at
during Abruptio Placenta>? earliest sign of fetal distress
If after a right BKA, the client c/o pain in phantom limb sensation (which
his right tow, he is experiencing
_____________. is normal)
If you are the nurse starting the IV on the 18 (in preparation to give blood
client with Abruptia Placenta, what guage
needle should you use? if necessary)
If you care for a client who is post-op for a repair check the distal extremity (far from center)
of a femoral popliteal resection what assessment for color, temperature, pain and PULSE,
must you make every hour for the first 24 hours? also document
Is there anything that can be done for the Yes, if available you can get them into
client with a ruptured aneurysm before antishock trousers but not if this causes a
they get to the operating room? delay in getting them to the operating room
Name the 5 criteria that are Cardiac status, respiratory effort, muscle
tone, neuromuscular irritability, and color
recorded on an apgar scale
The diagnosis is made when there is a 15 (weigh < 85% of normal body weight),
weight loss of _______% or more of body hospitalize if 30% weight loss
weight.
The post op thoracic aneurysm is most Chest tube, because the chest
likely to have which type of tube?
was opened
The pulse rate of anorexics is Bradycardic
tachycardic or bradycardic?
What activity order is the client with an Bedrest. do not get these people
aneurysm supposed to have?
up
What does the physician hope to achieve A delayed onset of AIDS for as long as
with NRTI's and PI's for HIV? possible (usually can delay onset for 10-15
years)
What drug treates angina Nitroglycerine
pectoris?
What is the most challenging aspect of The number of pills that must be taken in 24 hours
combination of drug therapy for HIV can be overwhelming. The frequency also makes it
disease? hard to remember-an alarm wristwatch is used.
What is the top priority in the care of the intake of enough food to keep
client with anorexia nervosa?
them alive, have them gain weight
What precaution must the nurse take wear gloves, nurse may get a
when administering topical nitro paste?
dose of the med
What will prevent hip flexion Lying prone several times a day
contracture after AKA?
When a stump is wrapped, the bandage distally (far from the center),
should be tightest _____________ and
loosest _____________.
proximally (neareast to the point)
When do you need a mask with Not usually unless they have an
AIDS? infection caused by an airborne bug
When the AIDS patient has a low bleeding precautions; No IM's, no rectal
platelet count, what is indicated? temperatures, other bleeding precautions
When will phantom limb in a few months
sensation subside?
Which vital signs are most important to The pulse and blood pressure
measure in clients with aneurysm?