NCLEX study guide; Exam_2_Study_Aid Question and Answers 2022 latest Version 1 & 2

NCLEX study guide; Exam_2_Study_Aid Question and Answers 2022 latest Version 1 & 2 VERSION 1(1-45PAGE) Quiz: What is the classic sign of L sided heart failure? {{{Answer}}} (crackles or rhales) Quiz: HOLD? {{{Answer}}} (High pressure alarm: Obstruction (mucus, water, kinked) Low pressure alarm: Disconnected (call RT only if it falls on floor)) Quiz: Resp Acidosis means vent settings are too... {{{Answer}}} (low (under ventilating pt)) Quiz: Resp Alkalosis means vent settings are too... {{{Answer}}} (high (over ventilating pt)) Quiz: What is Maslow's (HIGH to LOW)? {{{Answer}}} (1. Physiological (anything med-surg/illness) 2. Safety (ie falls risk) 3. Comfort (pain) 4. Psychological (intrapersonal) 5. Social (interpersonal) 6. spiritual) Quiz: What are the 5 stages of grief? {{{Answer}}} (Denial Anger Bargaining Depression Acceptance (DABDA)) Quiz: #1 problem in all abuse is? {{{Answer}}} (denial) Quiz: When is denial supported? {{{Answer}}} (with grief and loss) Quiz: How do you tx denial? {{{Answer}}} (point out what they DO vs what they SAY... "you say you're not an alcoholic but you are drunk at 9am") Quiz: What characteristic do codependent people have? {{{Answer}}} (low self esteem; dependent person manipulates self esteem) Quiz: What makes manipulation bad? {{{Answer}}} (If it harmful and dangerous to codependent person (ie having minor buy drunk alcohol)) Quiz: What is the tx of Wernicke's (Korsakoff)? {{{Answer}}} (B1 (will not reverse damage; just prevent further damage) can be prevented with B1) Quiz: What are the S&S of Wernicke-Korsakoff Syndrome? {{{Answer}}} (- Poor memory (amnesia) - Confusion (confabulation)) Quiz: What med is given for alcohol aversion? {{{Answer}}} (Disulfram) Quiz: How long does disulfram take to work? {{{Answer}}} (2 weeks) Quiz: How long does disulfram work? {{{Answer}}} (2 weeks) Quiz: Do all alcoholics get AWS or DT? {{{Answer}}} (AWS. after 24 hours of not drinking; not fatal. just need to let them go through the motions) Quiz: Do all alcoholics get DT? {{{Answer}}} (no may occur after 72 hrs. dangerous: safety for pt and others is priority; often fatal) Quiz: What are the 6 uppers? {{{Answer}}} (Caffeine Coke PCP/LSD Meth ADHD meds everything goes up with OD; everything goes down with W/D) Quiz: What are the downers? {{{Answer}}} (everything else. everything goes down with OD; everything goes up with W/D) Quiz: How to determine if infant experiencing OD or W/D? {{{Answer}}} (within 24 hours of birth/admission: likely O/D after 24 hours of birth/admission: likely W/D (depends when mom last used so pay attention how long ago she was admitted)) Quiz: Which meds are used to tx DT and AWS? {{{Answer}}} (antihypertensives tranquilizers multivitamin with B1 (thiamine)) Quiz: What are the wannabe mycins? {{{Answer}}} ("thro" mycins Azi"thro"mycin Clari"thro"mycin Ery"thro"mycin) Quiz: What are mycins toxic to? {{{Answer}}} (ears and kidneys; CN 8; check creatinine) Quiz: Which route are mycins given? {{{Answer}}} (IM or IV PO: sterilize bowel: "neo" "kan") Quiz: What is the only time you can give mycin to liver pt? {{{Answer}}} (hepatic encephalopathy (oral; removes ammonia)) Quiz: When is trough drawn? {{{Answer}}} (30 min-immediately before next dose?) Quiz: When is peak drawn for sublingual meds? {{{Answer}}} (5-10 min after) Quiz: When is peak drawn for IV meds? {{{Answer}}} (15-30 min AFTER FINISHED) Quiz: When is peak drawn for IM meds? {{{Answer}}} (30-60 min after) Quiz: When is peak drawn for SQ? {{{Answer}}} (DEPENDS ON TYPE OF INSULIN. KNOW INSULIN PEAKS) Quiz: What meds are like valium for your heart? {{{Answer}}} (Ca channel blockers Beta Blockers) Quiz: What do Ca Channel blockers (and beta blockers) indications? {{{Answer}}} (Antihypertensive Anti Angina Anti Atrial Arrhythmic (includes SVT (supraventricular means atrial)) Quiz: What are the s/e of Ca Channel Blockers? {{{Answer}}} (Headache htn bradycardia) Quiz: What are the names of ca channel blockers? {{{Answer}}} ("I (sop) zem dipine in the Calcium channel" + mil Verapamil Diltiazem "dipine") Quiz: What are the names of the beta blockers? {{{Answer}}} ("lol") Quiz: When do you hold ca channel blockers? {{{Answer}}} (systolic 100. If IV dilt drip; titrate to slow and get BP up; don't stop) Quiz: What does QRS depolarization represent? {{{Answer}}} (ventricular) Quiz: What does P wave refer to? {{{Answer}}} (atrial) Quiz: What does "a lack of QRS depolarizations" mean? {{{Answer}}} (asystole) Quiz: What does atrial flutter look like? {{{Answer}}} (saw tooth) Quiz: What does a fib look like? {{{Answer}}} (chaotic P wave depolarizations) Quiz: What does v fib look like? {{{Answer}}} (Doesn't have discrete P waves; chaotic) Quiz: What does SVT look like? {{{Answer}}} () Quiz: What does v tach look like? {{{Answer}}} (BIZARRE. wide QRS) Quiz: How do you tx VENTRICULAR rhythms? {{{Answer}}} (amiodarone) Quiz: How do you tx atrial (supraventricular) rhythms? {{{Answer}}} (ABCD 1. Adenosine (8 sec push followed by asystole) 2. Beta blockers 3. Ca Channel 4. Dig) Quiz: If not ABCD for symptomatic SVT what might you do? {{{Answer}}} (cardioversion (make sure to synch)) Quiz: What are the lethal rhythms? {{{Answer}}} (asystole V-fib pulseless V tach brain dead in 8 min)