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

M.K. Part II Flashcards

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
MAOI names
Partite Nardil Marplan (Par, Nar, Mar)
26
Foods you can't eat with MAOI
 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
Lithium decreased _____, not _______ Does it effect neurotransmitters?
mania depression No
28
3 major side effects of lithium?
Peeing Pooping Paresthesia
29
Toxic side effects of Lithium?
tremors metallic taste severe diarrhea
30
#1 intervention for a pt on Lithium Monitor for .....
Increase fluids  If they’re sweating don’t give water. Give Gatorade/PowerAde (electrolytes)  Monitor for dehydration & sodium levels
31
Low sodium = makes lithium _______ High sodium = lithium________
Toxic won't work
32
Haldol overdose is ______
Neuroleptic Malignant Syndrome (NMS)
33
NMS is potentially fatal ______
hyperpyrexia
34
What type of drug is Clozapine?
2nd gen atypical antisychotic
35
What is the BIG ADR to watch for with Clozapine?
Agranulocytosis
36
Ziprasidone is what type of drug? What is the major ADR? And which type of pt should NOT be given this med?
2nd gen antipsychotic Prolonged QT --> sudden cardiac arrect NOT for heat condition pts
37
Serotonin syndrome s/s
Sweating Apprehension / impending doom Dizziness Headaches
38
When is the fundus at the umbilicus?
20 - 22 weeks
39
What weeks can you HEAR a FHR?
8-12
40
When is quickening?
16-20 w
41
What is Chadwicks sign? Type of sign?
Cervical color change to cyanosis Probable
42
Goodell's sign + type of sign?
Cervical softening Probable
43
Hegars sign + type of sign?
Uterine softening Probable
44
How freq to see OB in the first 2 trimesters?
once a month
45
Most important assessment for pre-op thoracic laminectomy? (2)
1. Cough mechanism 2. Bowel function
46
Most important pre-op info for lumbar laminectomy?
Bladder retention Leg function
47
Post op complication to watch for with a cervical laminectomy?
PNA
48
Post op complication to watch for with a thoracic laminectomy?
Aspirational PNA
49
Post op complication to watch for with a lumbar laminectomy?
Urinary retention
50
Piaget: preoperational ages and characteristics
3-6 yrs Fantasy oriented Illogical No rules
51
Concrete operational piaget age and characteristics
7-11 yrs Rule oriented Cannot abstract Only 1 way to do things
52
Formal operations piaget age and characteristics
12-15 yrs Able to think abstractly Understand cause-effect
53
Which works right away: Heparin or Warfarin? Which can be given in pregnancy?
Heparin Heparin
54
How is Warfarin administered?
PO
55
What is the correct answer for the pre-interaction therapeutic phase?
The nurse will explore his/her feelings about...
56
When does the introductory therapeutic phase start and end?
Start: first meet pateint Ends: when mutually agreed upon care plan is in place
57
“When does the termination phase begin?"
On admission
58
Phenothiazines ADRs (8)
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
Tricyclic antidepressants ADRs (5)
i. Anticholinergic Effects ii. Blurred vision and Bladder retention iii. Constipation iv. Drowsiness v. Euphoria

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