Ncsbn nclex rn 2022 study guide with
complete solution
Tetracycline - Taken on empty stomach, not given to children < 8yo bcoz it can stain
teeth, not known to cause hearing loss
Propranolol - Can help control essential tremors
Potassium iodide - Used preoperatively to reduce size & vascularity of thyroid gland
Clozapine (Clozaril) - Common s/e is extreme salivation (sialorrhea), may increase risk
of hyperglycemia
Serum albumin - Most sensitive measure of nutritional status
Normal: 3.4-5.4 g/dl
Normal BUN - 7-20 mg/dl
High risk for CT scan with contrast reaction - - (+) pregnancy test
- hx of asthma
- past rxns to contrast
- hx of ❤️, kidney & thyroid dse.
- taking beta blockers & metformin
- poor renal fxn
Earliest s/s of poor oxygenation - Increased pulse
Late signs of poor oxygenation - Abnormal breath sounds & cyanosis
Pulsus paradoxus - Fall in systolic BP with inspiration > 10mmHg
Dressler's syndrome - Also called post MI syndrome
Digoxin - Take pulse for 1 full minute, withhold if < 60
Has had valve surgery? - Monitor for arrhythmias & hypotension, long term
anticoagulation therapy
Tx for pulmonary edema - M - Morphine
D - Diuretics (furosemide)
O - Oxygen
complete solution
Tetracycline - Taken on empty stomach, not given to children < 8yo bcoz it can stain
teeth, not known to cause hearing loss
Propranolol - Can help control essential tremors
Potassium iodide - Used preoperatively to reduce size & vascularity of thyroid gland
Clozapine (Clozaril) - Common s/e is extreme salivation (sialorrhea), may increase risk
of hyperglycemia
Serum albumin - Most sensitive measure of nutritional status
Normal: 3.4-5.4 g/dl
Normal BUN - 7-20 mg/dl
High risk for CT scan with contrast reaction - - (+) pregnancy test
- hx of asthma
- past rxns to contrast
- hx of ❤️, kidney & thyroid dse.
- taking beta blockers & metformin
- poor renal fxn
Earliest s/s of poor oxygenation - Increased pulse
Late signs of poor oxygenation - Abnormal breath sounds & cyanosis
Pulsus paradoxus - Fall in systolic BP with inspiration > 10mmHg
Dressler's syndrome - Also called post MI syndrome
Digoxin - Take pulse for 1 full minute, withhold if < 60
Has had valve surgery? - Monitor for arrhythmias & hypotension, long term
anticoagulation therapy
Tx for pulmonary edema - M - Morphine
D - Diuretics (furosemide)
O - Oxygen
