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NCLEX-PN > More Random from quizzes > Flashcards

More Random from quizzes Flashcards

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1
Q

Pillow placement while supine

A

NEVER under knees. Compromises blood flow

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2
Q

Risk factors for developing breast cancer

A

Increased exposure to estrogen due to:

  • Early menarche before age 12
  • Late menopause after 50
  • Nulliparity - no pregnancies
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3
Q

Food option for confused client who is suspicious of others

A

Packaged so they can see the person open it!

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4
Q

Best food for manic patients

A

Finger foods

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5
Q

Addisons disease

A 
Adrenal insufficiency
- Too little cortisol and aldosterone
Nursing interventions:
- Increased sodium 
- Administer fludrocortisone - steroid
- Monitor I's and O's
- Daily weight
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6
Q

Glucocorticoids important to remember

A

These are steroids!

Do not stop suddenly! Taper dose

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7
Q

Sign of pre-eclampsia

A 
Puffy face
Proteinurea
Severe headaches
Changes in vision
N/V
Decreased UO
SOB
Increased wt
Edema
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8
Q

Lacto-ovo vegetarian diet

A

No meat

Yes eggs and dairy

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9
Q

S/S of multiple sclerosis

A

Fatigue, blurry vision, leg weakness, electric shock sensations when bending neck forward

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10
Q

Lyme disease
Toxoplasmosis
Histoplasmosis

A

Lyme disease: Ticks - target shaped rash
Toxoplasmosis: Cat litter
Histoplasmosis: Bird manure

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11
Q

Anaphylactic response S/S

A 
Swelling in throat, face, mouth
Scratchy throat
Wheezes and stridor in breath sounds
Increased, weak/thready pulse
Decreased BP (leading to shock)
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12
Q

PT in cast: S/S of INFECTION

A

Hot spots

Cold toes would be S/S of neuromuscular or cardiovascular issue

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13
Q

ECT (electroconvulsive therapy)

A

Done under general anesthesia that causes small seizures

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14
Q

Food with purines

A

Meats: Liver, bacon, veal and venison
Seafood: Sardines, muscles, codfish, scallops, trout, haddock

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15
Q

Dissociative amnesia

A

Caused by trauma or stress
Unable to recall personal information
DO NOT remind of forgotten past. Just happy memories and likes/dislikes

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16
Q

Toddler with bowel issues

A

Take to bathroom after every meal. Peristalsis occurs after eating.

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17
Q

Retinal detachment

A

Eye floaters or sudden flashes of light

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18
Q

Glaucoma

A

Tunnel vision

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19
Q

Macular degeneration

A

Central vision loss

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20
Q

Meningococcal meningitis precuations

A

Droplet precautions!

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21
Q

PT and PTT

A

Measure clotting times

Get checked before biopsy or surgery

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22
Q

Guillan-Barre syndrome

A

Eventual paresis (partial paralysis) and paralysis. Monitor respiratory status!

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23
Q

Nephrotic syndrome diet

A

Low sodium and increased proteins

Kidney disorder where you pass too much protein in your urine

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24
Q

Normal INR

Warfarin INR

A

Normal: 0.8-1.1
Warfarin: 2.0-3.0

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25
Q

Paresthesia

A

Numbness and tingling

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26
Q

Best position for gastric reflux

A

Reverse trandelenburg

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27
Q

Luncheon meats

A

Linked to gastric cancer because they contain preservatives such as nitrates

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28
Q

Chelating agents

A

Used to treat the client with poison from lead or iron

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29
Q

Activated charcoal and gastric lavage

A

Remove noncorrosive poisons

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30
Q

What kind of restraints would you use for a child getting a cleft palate repair

A

Elbow restraints…. least restrictive!!!

31
Q

Betablockers (LOL) side effect in patients with COPD

A

Can cause bronchospasms

32
Q

End-stage renal failure side effect

A

Causes itching because of uric acid crystals on skin

33
Q

Meniere’s disease diet

A

LOW SODIUM! High salt diet worsen’s disease

Vertigo - inner ear

34
Q

Neuroleptic Malignant Syndrome

S/S

A

Adverse reaction to antipsychotic drugs

S/S: Fever, altered mental status, muscle rigidity, autonomic dysfunction

35
Q

Chlorpromazine

A

Antipsychotic

36
Q

Hemophilia

A

Condition where blood does not clot normally

Do not take NSAIDS… cause prolonged bleeding time

37
Q

After a seizure how is condition of patient

A

Drowsy

BP elevated

38
Q

Hirschsprung’s disease

A

Affects large intestine and makes it difficult to pass stool. Congenital disease

39
Q

What drugs do you give to clients withdrawing from alcohol

A

Clonazepam and lorazepam

Both benzodiazepines!

40
Q

Methadone

A

Given to client withdrawing from opiates

41
Q

Regular insulin

A

Onset is 30 minutes

42
Q

Zantac (Ranitidine)

A

Antacid - treats GERD and stomach ulcers

43
Q

Tetracycline contraindication

A

INFANTS

44
Q

Major complication of lupus

A

Nephritis

45
Q

Prevent curvature of spine due to parkinson’s

A

Lie prone periodically without pillow

46
Q

Pancreatitis diet

A

Increase calories and protein, decrease fat

47
Q

Pernicious anemia

A

Vit B12 deficient

48
Q

Nontropical sprue

A

Celiac disease other name

49
Q

How do you know if digoxin is working?

A

Urine output has increased

50
Q

Common complaint of patient with abdominal aortic aneurysm

A

Frequently complain of pulsations in periumbilical area or “feeling heart beat” in abdomen

51
Q

Acute adrenal crisis

A

Show symptoms of hypovolemia and shock

Adrenal glands produce cortisol!

52
Q

Baby with jaundice

A

“push” fluids between feedings to flush excess biliruben

53
Q

NG suction is effective when?

A

When abdomen is soft and nondistended

54
Q

Tremulousness

A

Vibrating slightly, quivering, trembling

Sign of hypoglycemia

55
Q

Multiple Sclerosis symptoms

A

DOUBLE VISION! (Diplopia)

56
Q

Diplopia

A

Double vision

57
Q

Renal calculi

A

Kidney stone
Can be related to gout
Both are a result of increased amounts of uric acid

58
Q

Cimetidine

A

Prevents development of ulcers

59
Q

Prednisone

A

Common side effect is gastric ulcers

60
Q

Romazicon

A

Treats benzodiazepine overdose

61
Q

Blood test for H. Pylori

A

No special prep is needed

62
Q

Oral potassium

A

Give with juice or other drink to prevent gastric upset and disguise taste

63
Q

Sulfamylon cream

A

Used for burn patients. Very painful to administer pain meds 30 min before!

64
Q

Autonomic Dysreflexia

A

Dangerous syndrome that develops in pt’s with spinal chord injuries. It is a sudden onset of HTN
MEDICAL EMERGENCY
STimulus can be bowel, bladder distention or irritation, or any painful, irritating or strong stimulus including environmental changes or a draft.
Check for pressure sores with high blood pressure

65
Q

Hydralazine

A

Treats HTN

66
Q

Pt on suicide watch

A

Don’t be predictable! Visit them often, like every 15 min, but don’t be on a scheduled routine.

67
Q

Saturated fats

A

Should be less than 10% of calories

68
Q

Pernicious anemia

A

With no B12, body produces abnormally large RBC’s

69
Q

Where is b12 found?

A

Meat, fish, eggs, milk

70
Q

Sign of disturbed body image

A

Being a perfectionist! School, sports, hobbies, etc

71
Q

Decontamination

A

First remove clothes
Warm shower
Spend minute or so using soap from head to toe then rinse after
Takes about 5-6 minutes (not 15!)

72
Q

Hyponatremia

A

At risk for seizures!!

73
Q

Co-dependant people

A

People pleasers!!

NCLEX-PN (5 decks)

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