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Katy NCLEX > ** Know for NCLEX! > Flashcards

** Know for NCLEX! Flashcards

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1
Q

Normal BG for client receiving TPN

A

140-180

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2
Q

T2D A1C goal

A

<7%

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3
Q

Monitor what labs for Heparin/Enoxaparin (LMWH) Therapy

A

CBC (platelet counts!)
Monitor for hidden bleeding and thrombocytopenia

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4
Q

Monitor what labs for Coumadin/Warfarin therapy

A

INR

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5
Q

Normal INR

A

1-2

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6
Q

Goal INR for Coumadin/Warfarin therapy

A

2-3

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7
Q

Antidote for Warfarin/Coumadin

A

Vitamin K

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8
Q

Antidote for Heparin

A

Protamine Sulfate

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9
Q

Antidote for Magnesium

A

Calcium Gluconate

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10
Q

Monitor what labs for unfractionated heparin therapy

A

PTT

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11
Q

Can you mix insulin glargine with other insulin?

A

NO!

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12
Q

If child less than 7 months, intramuscular injections are given where?

A

Vastus lateralis! NOT ventro gluteal. Why? Bc butt muscle is not developed yet

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13
Q

Potassium max IV rate
When to transfer from Peripheral IV to CVC

A

40 mEq/hour
>10 mEq/hour = use CVC

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14
Q

GTT calculation

A

mL of solution / minutes * drip rate

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15
Q

Therapeutic level of Digoxin

A

0.5-2.0

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16
Q

TB/ Oz./ mL conversions

A
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17
Q

At what level is digoxin toxic?

A

> 2.0

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18
Q

Therapeutic level of lithium

A

???? 0.5-2.0

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19
Q

Meds to stop taking before surgery

A

-NSAIDs
-Antiplatelets/Anticoagulants

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20
Q

Daily limit of acetaminophen

A

No more than 4g per day

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21
Q

How many mL is 1oz?

A

30 mL

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22
Q

Examples of EPS?

A

-tardive dyskinesia
-facial grimacing
-facial movements
-ataxia/shuffling gait

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23
Q

Can you expose Nitroglycerin to light?

A

No, store it in a dark bottle!

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24
Q

Acute closed-angle glaucoma

A
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25
Q

Open-angle Glaucoma

A
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26
Q

How many oz is 1TB?

A

0.5 oz

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27
Q

How many mL is 1TB?

A

15mL

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28
Q

characteristics of Neuroleptic Malignant Syndrome

What causes NMS?

A

-Fever
-Rigidity
-mental status changes
-autonomic instability

Overdose on antispsychotics

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29
Q

What are examples of antipsychotic drugs?

What do they treat?

A

Clozapine
Risperidone
Quetiapine
Olanzapine

Schizophrenia and Bipolar disorder

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30
Q

Do ACE inhibitors raise or lower Potassium levels in the body?

A

Raise. They promote sodium excretion of the kidneys, thus raising K+.

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31
Q

Should clients at risk of thrombotic events (cardiovascular disease, CAD) receive NSAIDS?

Why/why not?

A

No.

Increases risk of thrombotic events and MI.

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32
Q

what type of drugs end in -dazole?

Give an example of one

A

Antibiotics

Metronidazole- Flagyl

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33
Q

Avoid _____ and _____ with tetracyclines (-cycline).

A

Antacids and dairy products

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34
Q

Protamine sulfate is the antidote for ____

A

Heparin

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35
Q

Vitamin K is the antidote for ____

A

Warfarin/Coumadin

Vitamin K reduces the effects of warfarin!

36
Q

0, +1, +2, +3, +4

Which is normal for pulses?

A

+2

37
Q

What is extravasation of an IV?

A

When the IV fluid gets into the surrounding tissue around the vein

38
Q

What is dexamethasone used for?

A

it is a corticosteroid

-Used to treat cerebral edema associated with brain injury (Increased ICP) or tumor by decreasing inflammation

39
Q

How often to check GRV for tube feeds?

A

q 4 h or before all bolus feeds
Hold if above 500mL
Add back to stomach, do not discard!

40
Q

What is a normal gastric pH

A

below 5

41
Q

What position to place someone in to receive an enema?

How high to hang enema bag

A

L. Lateral position (descending colon closer to bed!). a.k.a. the SIMS position

Less than 12 in above rectum to avoid too quick of admin

42
Q

Where to direct the tip of enema ?

A

Direct tip toward umbilicus

43
Q

Main symptoms of Pulmonary Embolism

A

SOB
Chest pain
Cough

44
Q

Potential side effect of CCBs

A

Peripheral edema bc they cause vasodilation!

Like a valium for your heart!

45
Q

Desired level of LDL cholesterol

A

< 100

46
Q

Desired level of HDL

A

> 60

47
Q

Normal MAP

A

70-100

48
Q

What is the minimum MAP to perfuse vital organs?

A

65

49
Q

What are the normal ABG values?

A

pH: 7.35-7.45
PaO2: 80-100
PaCO2: 35-45
HCO3: 22-26S
SaO2: 95-100

50
Q

Normal Ca2+ value:

A

9-10.5

51
Q

Normal aPTT value

A

????

52
Q

Normal total cholesterol value

A

<200

53
Q

Normal triglycerides

A

<150

54
Q

Normal Albumin level

A

3.5-5

55
Q

Normal WBC value

A

5-10k

56
Q

How long can you leave blood products at room temperature for?

A

No more than 30 mins

57
Q

Early signs of hemorrhage

A
58
Q

Peak vs trough levels

A
59
Q

What is the main side effect of CCBs?

A

Hypotension!

CCBs cause a DIP in BP!

60
Q

What to NOT eat with statins?

A

Grapefruit!

61
Q

When to take levothyroxine?

A

In the morning! B/c it increases metabolism. Would keep people awake if taken at night.

62
Q

Dehiscence vs Evisceration

A

Dehiscence: Adipose tissue and epidermis split open above wound
Evisceration: entire muscle and wound opens up and bowel sticks through wound.

63
Q

What electrolyte imbalance potentiated Digoxin toxicity?

A

Hypokalemia!

64
Q

S/s of thyroid storm
(thyrotoxicosis)

A

Anxiety
Very high temp 105+
Extreme HTN
Severe tachycardia
Psychosis and delirium

65
Q

Can heparin be given to pregnant women?

A

Yes

66
Q

Can warfarin/coumadin be given to pregnant women?

A

No

67
Q

Treatment with AWS and Delirium Tremens

A

-antihypertensives
-vitamin B1 (to preven Wernicke’s Korsakoff’s syndrome)

68
Q

What do Calcium Channel Blockers do?

What are the 3 therapeutic effects (uses)

A

Antihypertensive by decreasing the strength of heart beat and slowing heart down.

  1. antihypertensive (relaxes Blood vessels)
  2. antianginal (relaxes heart and reduces O2 demand)
  3. anti atrial arrhythmia
69
Q

What to check before giving CCBs?

If BP less than ____, hold CCB

A

Blood pressure!

Hold and notify HCP if SBP less than 100mmHg

70
Q

Main side effects of CCBS

A
  1. headache (dilates blood vessels)
  2. hypotension
  3. bradycardia
71
Q

What are the 4 defects of tetralogy of fallot?

A
  1. ventricular septal defect
  2. pulmonic stenosis
  3. overriding aorta
  4. right ventricular hypertrophy
72
Q

If someone is allergic to penicillin you (CAN/CANNOT) give them cephalosporins

A

CANNOT!
Do NOT give a patient cephalosporins if they are allergic to penicillin

73
Q

what is the antidote for Magnesium sulfate?

A

Calcium Gluconate

74
Q

what is adenosine used for?

A

Adenosine is a cardiac antidysrhythmic used to treat SVT

75
Q

Which vitals to check before administering Beta Blockers?

A

HR and BP. Check both!!!

76
Q

when to stop nitro drip?

A

if SBP falls below 90 mmHg

77
Q

when can a baby roll from back to abdomen?

A

6 months

78
Q

when can a baby roll from the abdomen to the back?

A

4 months

79
Q

when can a baby gain head/neck control when held?

A

4 months

80
Q

when can a baby hold up head when prone?

A

2 months

81
Q

Who is the universal donor?

A

O-

82
Q

Who is the universal recipient?

A

AB+

83
Q

what is the treatment for SVT?

A

adenosine
(also try a valsalva maneuver!)

84
Q

what is the treatment for stable vtach?

A

amiodarone

85
Q

Does an Rh- mother need RhoGam?

A

Yes!

86
Q

metformin and contrast media. Hold for how long?

A

48 hrs before and 48 hrs after CT

87
Q

is there a peak to insulin glargine?

A

NO!

Katy NCLEX (6 decks)

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