Thursday, January 29, 2009

NCLEX Practice Questions 1-10






NCLEX Practice Questions 1-10
1. A nurse is reviewing a patient’s medication during shift change. Which of the following medication
would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.
A: Coumadin
B: Finasteride
C: Celebrex
D: Catapress
E: Habitrol
F: Clofazimine
2. A nurse is reviewing a patient’s PMH. The history indicates photosensitive reactions to medications.
Which of the following drugs has not been associated with photosensitive reactions? Note: More than one
answer may be correct.
A: Cipro
B: Sulfonamide
C: Noroxin
D: Bactrim
E: Accutane
F: Nitrodur
3. A patient tells you that her urine is starting to look discolored. If you believe this change is due to
medication, which of the following patient’s medication does not cause urine discoloration?
A: Sulfasalazine
B: Levodopa
C: Phenolphthalein
D: Aspirin
4. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the
refrigerator it should be removed from the refrigerator’s contents?
A: Corgard
B: Humulin (injection)
C: Urokinase
D: Epogen (injection)
5. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently
discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide
protection to the fetus in the womb?
A: IgA
B: IgD
C: IgE
D: IgG
6. A second year nursing student has just suffered a needlestick while working with a patient that is
positive for AIDS. Which of the following is the most important action that nursing student should take?
A: Immediately see a social worker
B: Start prophylactic AZT treatment
C: Start prophylactic Pentamide treatment
D: Seek counseling
7. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to
urinate. Which of the following would you most likely suspect?
A: Atherosclerosis
B: Diabetic nephropathy
C: Autonomic neuropathy
D: Somatic neuropathy
8. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat,
induced vomiting and severe constipation. Which of the following would you most likely suspect?
A: Multiple sclerosis
B: Anorexia nervosa
C: Bulimia
D: Systemic sclerosis
9. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma
diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most
likely suspect?
A: Diverticulosis
B: Hypercalcaemia
C: Hypocalcaemia
D: Irritable bowel syndrome
10. Rho gam is most often used to treat____ mothers that have a ____ infant.
A: RH positive, RH positive
B: RH positive, RH negative
C: RH negative, RH positive
D: RH negative, RH negative
Answers Key 1 - 10
1.(A) and (B) are both contraindicated with pregnancy.
2. (F) All of the others have can cause photosensitivity reactions.
3. (D) All of the others can cause urine discoloration.
4. (A) Corgard could be removed from the refigerator.
5. (D) IgG is the only immunoglobulin that can cross the placental barrier.
6. (B) AZT treatment is the most critical innervention.
7. (C) Autonomic neuropathy can cause inability to urinate.
8. (B) All of the clinical signs and systems point to a condition of anorexia nervosa.
9. (B) Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.
10. (C) Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.
**These questions were reproduced from http://www.nclexinfo.com and placed here as a public service.
This body of work is not the property of this site. For any questions, please direct your attention to
www.nclexinfo.com

Saturday, January 24, 2009

Our first favorite Song....





Marcos Hernandez:The Way I Do


Your kiss, your smile, your mind
You're sunlight in my eyes
I miss your breath on my neck
When we whisper in the night

Didn't wanna want you
Didn't wanna need you so bad
Didn't wanna wake up
And find that I was falling so fast
Didn't wanna need you
Didn't wanna need anyone
Now look what you've done

Now I can't go on without you
I'm naked, I cant fake it.
I'm not that strong without you
Never thought I could love you the way I do.

Your touch, your skin, can't believe the way you let me in
Don't rush tonight, I need you like the ocean needs the tide.

Didn't wanna want you
Didn't wanna need you so bad
Didn't wanna wake up
And find that I was falling so fast
Didn't wanna need you
Didn't wanna need anyone
Now look what you've done

Now I can't go on without you
I'm naked, I cant fake it.
I'm not that strong without you
Never thought I could love you the way I do.

I always thought I would stand on my own
Climb a mountain top all alone
Relying, depending on no one
Now look at what you've done

Now I can't go on without you
I'm naked, I cant fake it.
I'm not that strong without you
Never thought I could love you the way I do.

Never thought I could love you
Never thought I could need you
Never thought I could want you
The way I do

Never thought I could love you
Never thought I could need you
Never thought I could want you
The way I do

I love you
I need you
I want you
..the way I do
(x2)

Thursday, January 15, 2009

Medical VS Surgical Asepsis

Medical VS Surgical Asepsis

Medical Asepsis or Clean Technique is based on maintaining cleanliness to prevent the spread of pathogenic microorganisms and to ensure that the environment is as free of microbes as possible. Medical asepsis involves confining microbes to specific areas and rendering objects as either clean or dirty.

Medical Asepsis – Basic Principles
The basic principles of Medical Asepsis include:

  1. Wash hands frequently, but especially before handling foods, before eating, after using a handkerchief, after going to the toilet, before and after each client contact, and after removing gloves
  2. Keep soiled items and equipment from touching the clothing
  3. Do not place soiled bed linen or any other items onto the floor
  4. Avoid having client's cough, sneeze, or breath directly on others
  5. Move equipment away from you when brushing, dusting, or scrubbing articles
  6. Avoid raising dust
  7. Clean the least soiled areas first then more soiled ones
  8. Dispose of soiled or used items directly into appropriate containers
  9. Pour liquids that are to be discarded directly into the drain so as to avoid splattering in the sink and onto you
  10. Avoid leaning against sinks, supplies or equipment
  11. Avoid touching your eyes, face, nose or mouth
  12. Use practices of personal grooming that help prevent spreading microorganisms
  13. Follow guidelines conscientiously for isolation or barrier techniques as prescribed by your agency

Surgical Asepsis – Basic Principles

Surgical Asepsis also known as Sterile Technique requires strict adherence to ordered and specific procedures which render an area free from all microorganisms including spores. An object or area is described as being sterile or not sterile. Basic principles of Surgical Asepsis include:

a. Only a sterile object can touch another sterile object

b. Open sterile packages so that the first edge of the wrapper is directed away from the worker to avoid the possibility of a sterile wrapper touching unsterile clothing

c. Avoiding spilling any solution on a cloth or paper used as a field for a sterile set-up

d. Hold sterile objects above the level of the waist

e. Avoid talking, coughing, sneezing, or reaching over a sterile field or object

f. Never walk away from or turn your back on a sterile field

g. All items brought into contact with broken skin or used to penetrate the skin in order to inject substances into the body, or to enter normally sterile body cavities, should be sterile

h. Use dry, sterile forceps when necessary

i. Consider the edge (outer 1 inch) of a sterile field to be contaminated

j. Consider an object contaminated if you have any doubt as to its sterility

Surgical Asepsis is used in the operating room, delivery room, during surgical procedures, catheterization, and during dressing changes.

Comparison between Medical and Surgical Asepsis

FACTOR

MEDICAL ASEPSIS

SURGICAL ASEPSIS

Patient

has infection, lowered resistance to other infx

potential host, lowered resistance makes more susceptible

Reservoir of infx

the patient

Other people and the environment

Objective of barriers

Confine organisms to the room, unit or locale

Prevent organism from reaching the patient or area

Equipment and supplies

Disinfect, sterilize, or dispose of after contact with patient; use clean materials

Disinfect or sterilize before contact with patient; use sterile materials

Nurse’s protection garb: gown, mask, gloves

Use clean garb to protect worker from organisms; discard after contact with patient

Sterile garb to protect patient; remedy if contaminated

Goal of nursing action

Confine organisms and prevent spread of organisms to others.

(Medical asepsis reduces the number of organisms or contains them to reduce risk of transmission)

Reduce number of organisms and prevent spread of infection to patient.

(Surgical asepsis keeps an area or objects free of all microorganism)