NCLEX Prep 2022 Questions with Complete Verified Solutions Updated 2024
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Course
NCLEX
Institution
NCLEX
NCLEX Prep 2022 Questions with Complete Verified Solutions Updated 2024
metabolic acidosis
low pH, low HCO3
metabolic alkalosis
high pH, high HCO3
respiratory acidosis
low pH, high CO2
respiratory alkalosis
high pH, low CO2
As the pH goes so goes my patient except for?
Potassium
High pre...
High pressure alarms are triggered by increased resistance to air flow and can be caused
by obstructions of three types:
1. kinked tubes = unkink it
2. Water in the tube = drain it
3. Mucus plugging tube = turn, cough, and deep breath
actions listed from least invasive to most. Must turn, cough, and deep breath BEFORE suctioning the
patient
Low pressure ventilator alarm
Low pressure alarms are triggered by decreased resistance to air flow and can be caused by
disconnections of the tube.
1. check for disconnection of the tubing
action depends on where* the tube lands:
a. tubing lands on floor: bag the patient, call respiratory
b. tubing on patient chest: clean tube and reconnect
If a patient has an order to disconnect the ventilator and their ABG reveals respiratory acidosis, what
should you do?
Call the MD and hold order; the patient needs the ventilator and the settings are too low
what is the number one problem in all abuse situations?
denial
,How do you treat denial?
1. Confront it by pointing out to the person the difference between what they say and what they do.
2. In contrast, support the denial of loss and
grief (b/c the use of denial is serving a functioning person)
abuser gets significant other to do things for them; the abuser is dependent on others
codependency in alcoholism 2 patients
significant other derives positive self-esteem from making decisions for or doing things for the abuser
"Aren't I such a great wife for calling in for you?"
manipulation
An indirect, dishonest way to control or influence others
Wernicke-Korsakoff syndrome
psychosis induced by vitamin B1/thiamine deficiency
lose touch with reality
psychotic people
*primary symptom: amnesia with confabulation
memory loss
what can you take to prevent wernicke-korsakoff
take vitamin B1 to prevent and stop it from getting worse
Disulfiram
Antabuse
-aversion therapy
-onset: 2 weeks
-takes 2 weeks to exit body
Disulfiram patient teaching
avoid ALL alcohol
-mouthwash
-shaving cream
, -perfumes
-insect repellent
-any OTC that ends in -elixir
-hand sanitizers
-uncooked icings
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