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NCLEX > misc. > Flashcards

misc. Flashcards

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1
Q

addisons=

cushings=

A 
addisons= down, down down up down
cushings= up up up down up
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2
Q

addisons=

cushings=

A 
addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia
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3
Q

No Pee, no K

A

(do not give potassium without adequate urine output)

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4
Q

EleVate Veins; dAngle Arteries for better perfusion

A

.

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5
Q 
A= .
P= .
G= .
A= .
R= .
A 
A= appearance (color all pink, pink and blue, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
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6
Q 
TRANSMISSION-BASED PRECAUTIONS:
AIRBORNE
My - .
Chicken - .
Hez - .
TB
A

.My - Measles
Chicken - Chicken Pox/Varicella
Hez - Herpez Zoster/Shingles
TB

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7
Q

DROPLET
think of SPIDERMAN!
.

A 
-S - sepsis
S - scarlet fever
S - streptococcal pharyngitis
P - parvovirus B19
P - pneumonia
P - pertussis
I - influenza
D - diptheria (pharyngeal)
E - epiglottitis
R - rubella
M - mumps
M - meningitis
M - mycoplasma or meningeal pneumonia
An - Adenovirus
 Private Room or cohort
 Mask
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8
Q

CONTACT PRECAUTION

MRS.WEE

A 
M - multidrug resistant organism
R - respiratory infection
S - skin infections *
W - wound infxn
E - enteric infxn - clostridium difficile
E - eye infxn - conjunctivitis
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9
Q

SKIN INFECTIONS

VCHIPS

A 
V - varicella zoster
C - cutaneous diphtheria
H - herpez simplex
I - impetigo
P - pediculosis
S - scabies
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10
Q

Air/Pulmonary Embolism

A

(S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic,
sense of impending doom) –> turn pt to left side and lower the head of the bed.

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11
Q

Woman in Labor w/ Un-reassuring FHR

A

(late decels, decreased variability, fetal

bradycardia, etc) –> turn on left side (and give O2, stop Pitocin, increase IV fluids)

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12
Q

Tube Feeding w/ Decreased LOC

A

position pt on right side (promotes emptying of the

stomach) with the HOB elevated (to prevent aspiration)

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13
Q

During Epidural Puncture

A

side-lying

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14
Q

After Lumbar Puncture

A

(and also oil-based Myelogram)–> pt lies in flat supine (to prevent
headache and leaking of CSF)

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15
Q

Pt w/ Heat Stroke

A

lie flat w/ legs elevated

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16
Q

During Continuous Bladder Irrigation

A

catheter is taped to thigh so leg should be

kept straight. No other positioning restrictions.

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17
Q

After Myringotomy

A

position on side of affected ear after surgery (allows drainage of
secretions)

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18
Q

After Cataract Surgery

A

pt will sleep on unaffected side with a night shield for 1-4

weeks.

19
Q

After Thyroidectomy

A

low or semi-Fowler’s, support head, neck and shoulders.

20
Q

Buck’s Traction (skin traction)

A

elevate foot of bed for counter-traction

21
Q

After Total Hip Replacement

A

don’t sleep on operated side, don’t flex hip more than 45-
60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating
thighs with pillows.

22
Q

Prolapsed Cord

A

knee-chest position or Trendelenburg

23
Q

Infant w/ Cleft Lip

A

position on back or in infant seat to prevent trauma to suture line.
While feeding, hold in upright position.

24
Q

To Prevent Dumping Syndrome

A

(post-operative ulcer/stomach surgeries) –> eat in
reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low
CHO and fiber diet, small frequent meals)

25
Q

Above Knee Amputation

A

elevate for first 24 hours on pillow, position prone daily to
provide for hip extension.

26
Q

Detached Retina

A

area of detachment should be in the dependent position

27
Q

Administration of Enema

A

position pt in left side-lying (Sim’s) with knee flexed

28
Q

After Infratentorial Surgery (incision at nape of neck)

A

position pt flat and lateral on

either side

29
Q

During Internal Radiation

A

on bedrest while implant in place

30
Q

Autonomic Dysreflexia/Hyperreflexia

A

(S&S: pounding headache, profuse sweating, nasal
congestion, goose flesh, bradycardia, hypertension) –> place client in sitting position (elevate
HOB) first before any other implementation.

31
Q

Shock

A

bedrest with extremities elevated 20 degrees, knees straight, head slightly
elevated (modified Trendelenburg)

32
Q

Head Injury

A

elevate HOB 30 degrees to decrease intracranial pressure

33
Q

Peritoneal Dialysis when Outflow is Inadequate

A

turn pt from side to side BEFORE

checking for kinks in tubing (according to Kaplan)

34
Q

Lumbar puncture => AFTER the procedure

A

placed in the supine

position for 4 to 12 hrs as prescribed.

35
Q

Demorol for pancreatitis, NOT .

A

-morphine sulfate

36
Q

Myasthenia Gravis: worsens with ?

A

exercise and improves with rest.

37
Q

Myasthenia Crisis:

A

a positive reaction to Tensilon–will improve symptoms

38
Q

Cholinergic Crisis:

A

caused by excessive medication-stop med-giving Tensilon will make it worse

39
Q

Head injury medication:

A

Mannitol (osmotic diuretic)-crystallizes at room temp so ALWAYS use
filter needle

40
Q

Prior to a liver biospy its important to be aware of?

A

the lab result for prothrombin time

41
Q

From the a** (diarrhea)=

A

metabolic acidosis

42
Q

From the mouth (vomitus)=

A

metabolic alkalosis

43
Q

Myxedema/hypothyroidism:

A

slowed physical and mental function, sensitivity to cold, dry skin
and hair

44
Q

Graves’ disease/hyperthyroidism:

A

accelerated physical and mental function; sensitivity to

heat, fine/soft hair

NCLEX (4 decks)

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