NCLEX

For a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor which laboratory test value? A. Sodium B. Glucose C. Calcium D. Chloride - ANSWER B. Glucose Correct Thiazide and thiazide-like diuretics are associated with adverse metabolic effects of hyperglycemia; therefore, close monitoring of blood glucose levels are needed. Other metabolic disturbances include hyperlipidemia and hyperuricemia. The nurse is providing education to a patient prescribed spi...

Sodium (NA) - ANSWER 135-145 meq Potassium (K) - ANSWER 3.5-5 meq Calcium (Ca) - ANSWER 9.0-10 mg/dl Magnesium (Mg) - ANSWER 1.3-2.1 mg/dl Phosphorus (PO) - ANSWER 3.0-4.5 Glucose (fasting) - ANSWER 70-105 pH - ANSWER 7.35-7.45, over 90 years 7.25-7.45 Pa CO2 - ANSWER 35-45 mmHg Pa O2 - ANSWER >80-100mm Hg HCO3 (bicarb) - ANSWER 21-26 meq Cl (chloride) - ANSWER 98-106 meq RBC's males - ANSWER 4.7-6.1 million RBC's females - ANSWER 4.2-5.4 million HGB - ANSWER males: 14-18 fem...

Which of the following are most likely to be early signs of cardiac problems in older persons? (Select all that apply.) Mental status changes Agitation Frequent falls Sudden changes in GI function - ANSWER Mental status changes Agitation Frequent falls Rationale: Many cardiovascular functions are complicated in that they involve many other systems. Mental status changes, agitation, and falls can be early signs of cardiac problems in the older person. Changes in function in the GI syste...

1. A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? (SATA) A. Ask the dietitian to assist with meal planning B. Contact the client's support system C. Assess for age-related cognitive awareness D. Encourage the use of a daily medication dispenser E. Provide educationa...

What is the parkland formula? correct answer: 4 ml of LR x wt(kg) x % of body burned What is the primary symptom of GERD? correct answer: Heartburn (pyrosis) What tests confirms GERD? correct answer: Barium Swallow fluoroscopy What malfunction allows reflux in GERD? correct answer: lower esophageal sphincter what is the client teaching for GERD? correct answer: Low fat high protein diet, take antacids, avoid lying flat after meals What is the virus that causes AIDS? correct a...

Hegar's sign correct answer: softening of the uterus Goodell's sign correct answer: softening of the cervix Chadwick sign correct answer: bluish discoloration of the vagina and cervix Positive signs of pregnancy correct answer: -doctor notes fetal heart sounds -doctor/tech visualizes fetus through ultrasound -provider feels movement outside of stomach up to 28 weeks correct answer: Mother is seen monthly 16 weeks gestation correct answer: Lanugo is formed (tiny baby hair...

pH - 7.35-7.45 RBC - 4.2-6.2 million WBC - 5,000-10000 Hemoglobin - 12-16gm/dl Hematocrit - 35-45% Platelets - 150,000-400,000/ml PT - 9.5-12 sec PTT - 20-45 sec. Albumin - 3.5-5.5 LDL - <130 HDL - 30-70 Triglycerides - <200

The distribution of nurses to areas of "most need" in the time of a nursing shortage is an example of: A. Utilitarianism theory B. Deontological theory C. Justice D. Beneficence CORRECT ANSWERS: C Justice is defined as the fairness of distribution of resources. However, guidelines for a hierarchy of needs have been established, such as with organ transplantation. Nurses are moved to areas of greatest need when shortages occur on the floors. No floor is left without staff, and another fl...