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NCLEX Review Deck > M.K. Part II > Flashcards

M.K. Part II Flashcards

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1
Q

INR above ____ is a C

A

4

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2
Q

Potassium nml = _______
Low or high K+ is ABCD?

A

3.5 - 5.3

Low or high = C
If 6+ = D

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3
Q

Any pH in the _____s = D

A

6s

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4
Q

Hgb nml = _______

If its below a _____ it is a C and you should asses for bleeding / prep to give blood / call HCP

A

12-18

8

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5
Q

Co2 nml = ______

______ = a C

_______ = D

A

35- 45

46-59

60+

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6
Q

Your pts CO2 is 47, what should you instruct them to do?

A

Pursed lip breathing

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7
Q

HCT nml _______

what should you asses for if it is high?

A

36-54 (3x hgb)

Dehydration

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8
Q

PO2 nml _______

O2 nml _____-

A

79 - 100

93 - 100

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9
Q

A BNP should be less than ______

If its greater than ____ you should look for s/s of ____

A

100

100+ look for CHF

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10
Q

PLTs below _____ is a C

Below ______ is a D

A

90,000

40,000

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11
Q

WBC therapeutic range

A

5,000-11,000

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12
Q

SIADH s/s

A

low urine output
oliguria
not thirsty
High specific gravity
Fluid volume excess

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13
Q

Regular insulin taken ____ meals
NPH ____ meals
Lispro/Aspart ____ meals

A

Before
After
With

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14
Q

Every time you open an insulin bottle, it expires ____ days after that.

Once a bottle is opened can be be not refridgerated?

A

30

Yes (if unopened, keep in fridge)

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15
Q

Insulin is mixed _____ to ____

A

clear to cloudy (regular to NPH)

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16
Q

Hyperglycemia in a T1DM = _______ risk

A

DKA

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17
Q

What are some causes of DKA in a T1DM pt?

A

Acute viral upper resp. infection within last 2 weeks

Too much food

Not enough meds / exercise

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18
Q

s/s of DKA

A

Dehydration (hot flushed, dry skin)

Ketones in blood

Kussmauls

Hyper K +

Acidosis

Acetone breath (fruity)

Anorexia d/t nausea

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19
Q

Tx DKA

A

IV fluids FAST
Regular IV insulin

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20
Q

HyperG in T2DM can lead to _______

A

HHNK

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21
Q

What are the causes of HHNK? What is the Tx?

A

Dehydration

IV Fluids

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22
Q

Phenothiazines: what type of drug?

A

1st Gen / Typical Antipsychotics

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23
Q

ADR of 1st gen antipsychotics (6)

A

Anticholinergic

Drowsiness

EPS

Blurred vision

Photosensitivity

Agranulocytosis (WBC low, immunocompromised)

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24
Q

ADRs Benzos (4)

A

Anticholinergic

Blurred vision

Constipation

Drowsy

25
Q

MAOI names

A

Partite

Nardil

Marplan

(Par, Nar, Mar)

26
Q

Foods you can’t eat with MAOI

A

 Salad BAR
 Bananas
 Avocados
 Raisins (dried fruit)
 Organ/preserved/hot dogs/lunch meats (smoked, dried, cured, pickled, etc.)
 No dairy EXCEPT for mozzarella and cottage cheese
 No yogurt
 No alcohol
 No chocolate
 Don’t take OTC meds while on MAOi’s

27
Q

Lithium decreased _____, not _______

Does it effect neurotransmitters?

A

mania
depression

No

28
Q

3 major side effects of lithium?

A

Peeing
Pooping
Paresthesia

29
Q

Toxic side effects of Lithium?

A

tremors

metallic taste

severe diarrhea

30
Q

1 intervention for a pt on Lithium

Monitor for …..

A

Increase fluids

 If they’re sweating don’t give water. Give Gatorade/PowerAde (electrolytes)

 Monitor for dehydration & sodium levels

31
Q

Low sodium = makes lithium _______

High sodium = lithium________

A

Toxic

won’t work

32
Q

Haldol overdose is ______

A

Neuroleptic Malignant Syndrome (NMS)

33
Q

NMS is potentially fatal ______

A

hyperpyrexia

34
Q

What type of drug is Clozapine?

A

2nd gen atypical antisychotic

35
Q

What is the BIG ADR to watch for with Clozapine?

A

Agranulocytosis

36
Q

Ziprasidone is what type of drug? What is the major ADR? And which type of pt should NOT be given this med?

A

2nd gen antipsychotic

Prolonged QT –> sudden cardiac arrect

NOT for heat condition pts

37
Q

Serotonin syndrome s/s

A

Sweating

Apprehension / impending doom

Dizziness

Headaches

38
Q

When is the fundus at the umbilicus?

A

20 - 22 weeks

39
Q

What weeks can you HEAR a FHR?

A

8-12

40
Q

When is quickening?

A

16-20 w

41
Q

What is Chadwicks sign? Type of sign?

A

Cervical color change to cyanosis

Probable

42
Q

Goodell’s sign + type of sign?

A

Cervical softening

Probable

43
Q

Hegars sign + type of sign?

A

Uterine softening

Probable

44
Q

How freq to see OB in the first 2 trimesters?

A

once a month

45
Q

Most important assessment for pre-op thoracic laminectomy? (2)

A
  1. Cough mechanism
  2. Bowel function
46
Q

Most important pre-op info for lumbar laminectomy?

A

Bladder retention

Leg function

47
Q

Post op complication to watch for with a cervical laminectomy?

A

PNA

48
Q

Post op complication to watch for with a thoracic laminectomy?

A

Aspirational PNA

49
Q

Post op complication to watch for with a lumbar laminectomy?

A

Urinary retention

50
Q

Piaget: preoperational ages and characteristics

A

3-6 yrs

Fantasy oriented

Illogical

No rules

51
Q

Concrete operational piaget age and characteristics

A

7-11 yrs

Rule oriented
Cannot abstract
Only 1 way to do things

52
Q

Formal operations piaget age and characteristics

A

12-15 yrs

Able to think abstractly

Understand cause-effect

53
Q

Which works right away: Heparin or Warfarin?

Which can be given in pregnancy?

A

Heparin

Heparin

54
Q

How is Warfarin administered?

A

PO

55
Q

What is the correct answer for the pre-interaction therapeutic phase?

A

The nurse will explore his/her feelings about…

56
Q

When does the introductory therapeutic phase start and end?

A

Start: first meet pateint

Ends: when mutually agreed upon care plan is in place

57
Q

“When does the termination phase
begin?”

A

On admission

58
Q

Phenothiazines ADRs (8)

A

Side Effects: (remember ABCDEFG…)

i. Anticholinergic Effects
ii. Blurred vision and Bladder retention
iii. Constipation
iv. Drowsiness
v. Extra Pyramidal Syndrome (EPS)
vi. FPhotosensitivity
vii. AGranulocytosis (low WBC count-immunosuppression)
viii. Teach p

59
Q

Tricyclic antidepressants ADRs (5)

A

i. Anticholinergic Effects
ii. Blurred vision and Bladder retention
iii. Constipation
iv. Drowsiness
v. Euphoria

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