NCLEX UWORLD REVIEW CORRECT AND VERIFIED ANSWERS GRADED A+

NCLEX U WORLD REVIEW CORRECT AND VERIFIED ANSW ERS GRADED A+ 1.What medications are used once adverse effects occur with ACE inhibitor use? ARBs (sartans) 2.What are the adverse effects of ACE inhibitors? symptomatic hypotension intractable cough hyperkalemia angioedema temporary increase in creatinine 3.What is dextromethorphan used for? cough suppressant 4.what causes phenylketonuria in newborns? genetic problem lacking phenylalanine hydroxylase 5.What is the tx for phenylketonuria? low phenlylalanine diet for life monitor serum phenylalanine levels use synthetic special formulas encourage consumption of fruit & veggies avoid eggs, meats, milk & replace w/ protein substitutes 6.can LPN assess the quality of pt problems? No 7.should you remove ADHD child from room to sit in time out? no, puntitive & not therapeutic (move away from source of anger) 8.What is the best action for child with ADHD in situation where child had difficulty controlling anger? requesting child to relax & take deep breaths (will distract client & calm them) when is methylphenidate administered? 2-3 divided doses or sustained release 30 -45 mins before meals 9.what has most likely happened if pt's PTT is control value? pt is not getting the ordered heparin (check IV tubing, IV patency, etc.) 10.How long is heparin effective? 2-6h 11.can pts develop tolerance to heparin? No 12.does vitamin k effect heparin? No 13.low platelets while pt is receiving heparin places them at risk for? heparin -induced thrombocytopenia (results in clot formation, not bleeding & has NO EFFECT on PTT) 14.What is the priority tx for client with hemophilia A & suspected head injury? IV factor VIII then head CT teaching about injury prevention 15.s/sx of intracranial bleed are? Lethargy HA irritability vomiting 16.Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head trauma? can't perform surgery to fix head bleed without the factor & head bleed cannot clot w/o factor . 17.can you give blood through a 20g needle? Yes 18.can you run blood as IV piggyback through infusion pump? NO! (blood must be on it's own line w/ filtered tubing) 19.what should you do before administering blood if client had anything going through IV other than saline? flush IV catheter first 20.What medications do elderly most commonly have a negative effect with? benzos diuretics opioids antihistamines antihypertensives antipsychotics antichollinergics insulin (DOBI's 4A's) 21.what is the recommended glucose range for pt. receiving parenteral/enteral support? 140-180