Guaranteed Success with Real Exam

Guaranteed Success with Real Exam

⫸ What is duration of long acting insulin? Answer: 24 hours.

⫸ What method for giving iron parenterally? Answer: Z track method

⫸ Large doses of folic acid may mask what? Answer: a vitamin b12 deficancy

⫸ How long does it take for an improvement in blood cell counts and problems with

anemia take when blood is given? Answer: immediately

⫸ If a gastrectomy has happened how often would b12 be given to a pt? Answer:

monthly

⫸ Can a pt with a gastrectomy use a nasal spray everyday? Answer: yes

⫸ What deformity is caused by anemia? Answer: spoon-shaped fingernails

⫸ Where is decreased skin integrity found? (what type of pt?). Answer: in dehydrated pt's, excessively moist patients, immobile patients

⫸ How often should someone taking erthypoietin get hgb and hct monitored? Answer: twice weekly

⫸ What is a common side effect of giving IV antibiotics in high dosages? Answer: hepatoxicity

⫸ What are two signs of hepatoxicity. Answer: lethargy and jaundice

⫸ How should antibiotics like doxycycline be taken? (when with meals). Answer: with meals

⫸ If penicillin is given in the same IV as aminoglycosides what happens? Answer: it inactivates aminoglycocides

⫸ What is a common side effect of administering aminoglycides? Answer: ototoxicity

⫸ What can diarrhea indicate with tetracyclines? Answer: a suprainfection

⫸ What drink should be avoided with tetracyclines? Answer: milk 1 / 3

⫸ When should you take a tetracycline? (what time of day). Answer: in the morning to prevent lessen the risk of ulceration

⫸ When should a blood sample of gentamicin be taken? Answer: 30 minutes after after dosage is completely given

⫸ What could be adverse effect of streptomycin? Answer: paresthesia (numbness and tingling/Pins and needles)

⫸ What antibiotic is used in surgeries for the normal flora of the intestines? Answer: neomycin

⫸ Do respirations increase or decrease with hypovolemia? Answer: increase

⫸ What o2 mask delivers the highest amount of O2? Answer: nonrebreather

⫸ Should you use a nonrebreather with a pt with high risks of aspirations or airway

obstructions? Answer: no

⫸ What kind of symptom comes with oxygen toxicity? Answer: nonproductive cough

⫸ If a pt gets oxygen toxicity, do they hyper or hypo ventilate? Answer: hypoventilate

⫸ What is expected refrence range for PaO2? Answer: 80-100

⫸ What may be prescribed to help with oxygen induced toxicity (2)? Answer: CPAP or BiPaP PEEP (Something that has positive pressure)

⫸ What does low pressure alarms indicated? Answer: disconnection or cuff leak

⫸ What is high pressure alarms indicated? Answer: excess secretions

⫸ What disorder to set off high pressure alarm? Answer: pneumothorax or

bronchospasm

⫸ What does positive pressure do? Answer: allows preset pressure to deliver during spontaneous ventilation to help decrease the work of breathing for the patient

⫸ What is an early sign of hypoxemia? Answer: pale skin

⫸ What is late signs of hypoxemia? Answer: bradycardia and hypotension

⫸ How often should the nurse assess breath sounds on a vented pt? Answer: q1 to 2

⫸ What type of mask to deliver precise amount of O2? Answer: venturi mask 2 / 3

⫸ If a pt has diabetes type 1, what is impaired(2)? Answer: circulation and immune system

⫸ If organs become exposed when tissue protrudes through the skin, what should you

put on them? Answer: sterile dressing soaked with sterile normal saline

⫸ What position is best for abdominal incision complication? Answer: supine and hips and knees bent

⫸ Should a nurse massage a bony prominence and why or why not? Answer: no

because it can traumatize deep tissue

⫸ With a burns do they become hypothermic or hyperthermic? Answer: hypothermic

⫸ What type of burn is sunburn? Answer: superficial thickness burn

⫸ What can be a cause of superficial partial thickness burns? Answer: a flame

⫸ What can a deep partial thickness burn result from? Answer: hot grease

⫸ What can a full thickness burn result from? Answer: hot tar

⫸ Does HCT increase or decrease with burn? Answer: there is an initial increase due to hemo-concentration

⫸ Why would hyperkalemia occur with a burn victim? Answer: leakage of fluid from intracellular space

⫸ Why would hyponatremia happen in a burn victim? Answer: sodium resides in

interstial spaces

⫸ Why shouldn't a nurse use subq for burn victims? Answer: because it might not absorb well because of skin isn't intact

⫸ What is best route for admin meds to burn pt? Answer: IV

⫸ Why would you increase protein for a burn? Answer: it promotes wound healing

⫸ Should calories increase or decrease after burn? (if so by how much). Answer: increase calories by double or triple

⫸ If a pt is taking epinephrine what med class should they avoid? Answer: MAOIs

⫸ Would you want the pt to vomit during drug toxcitiy? Answer: no- it increases the risk for aspiration

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