Nclex Flashcards
Hyperglycemia
High blood glucose
Hyperkalemia
High potassium level in blood
Diarrhea, paresthesias & weakness
Hypernatremia
High sodium in blood
Poor skin turgor, high temp, tachycardia
Hypercalcemia
High calcium level in blood
Parenthesia
Sensation of tingling or pricking (pins and needles)
Polydipsia
Excessive thirst
Oliguria
Abnormal small amounts of urine
Polyuria
Abnormal large amounts of urine
Loop diuretics
Meds to manage and treat of fluid overload
Ex heart failure, nephrotic syndrome
Aspartate aminotransferase
(AST)
Enzyme found in liver
AST is a laboratory test indicates liver function
Orthostatic hypotension
Low b/p and lightheaded upon standing
Hypovolemia
Body looses fluid, like blood or water
Atelectasis
Collapse or part of all a lung
Hyperactive reflexes
Increase or overactive reflex response
Ex; ALS
Hypovolemic Shock
Emergency which severe blood or fluid loss makes heart unable to pump
Pulmonary edema
Too much fluid in the lungs
Hypoxemia
Low levels of oxygen in blood
Hematoma
A contained collection of clotted blood outside the artery
Dysthymia
Improper beating of the heart, whether irregular, too fast, or too slow
Cystogram
Fluoroscopic procedure used to examine the urinary bladder
Acrocyanosis
Peripheral artery disease
Caused by spasm of the small blood vessels with in the skin
Hypercapnia
Increase in particular pressure of carbon dioxide
HA, SOB, seizures, tiredness, mental state
Hypoxemia
Low levels of oxygen in blood
Leukopenia
Reduction of WBC (glanulocytes)
Thrombocytopenia
Low platelet count too low
IV flow rate formula
Total volume X. Drop factor
————————————-
Time in minutes
Emphysema
A gradual damage to lung tissue
Ex COPD
Pre-eclampsia
High blood pressure in pregnancy
Hyperemesis Gravidarum
Early pregnancy complication which is severe nausea, vomiting and weight loss
Placenta Abruption
Placenta separates from inner wall of the uterus before birth
Sudden abdominal/pack pain
Placenta Accreta
Placenta (after birth) grows into the uterine wall during pregnancy
It remains attached
Placenta previa
Placenta lies very low in the uterus and covers all or part of cervical opening
Pernicious anemia
Low vitamin B12
Causes megaloblast anemia
(Large RBC in the bone marrow)
Addison’s Disease
Body does not make enough certain hormones
Adrenal gland makes too little cortisol and aldosterone
Low B/P, fatigue, nausea
Moon face, fluid retention, obesity
Leykopenia
Abnormal reduction of WBC specially the granulocytes
Pancytopenia
Decrease in all three blood cell lines
Cancer
Anemia
Blood produces a lower than normal amount of healthy RBC
Dumping syndrome
Group of symptoms such as diarrhea, nausea, light headed and tired after a meal
Antrectomy (Gastrectomy)
Removal of the stomach antrum and stomach is reduced
Mas low’s Hierarchy
- self actualización
- steem
- love and belonging
- safety needs
- physiological needs
Myasthenia gravis
Antibodies destroy communication between nerves and muscle
(Droopy eyelid and mouth)
Erickson Stages
Infancy
HOPE
Infancy 0-1 year
- Trust and mistrust
Erikson stage
Early childhood
WILL
Early childhood
1-3 years
Autonomy vs. shame/ doubt
Erikson stage
Play age
PURPOSE
Play age
3-6 years
Initiative vs. guilt
Erikson stage
School age
COMPETENCE
School age
7-11 years
Industry vs. inferiority
Erikson stage
Adolescence
FIDELITY
Adolescence
12-18 years
Identity vs. confusion
Erikson stage
Early adulthood
LOVE
Early adulthood
19-29 years
Intimacy vs. isolation
Erikson stage
Middle age
CARE
Middle age
30-64 years
Generativity vs. stagnation
Erikson stage
Old age
WISDOM
Old age
65 onward
Integrity vs. despair
Phenylketonuria
Rare inherited disorder that causes amino acid phenylalanine to build up
Lead to brain damage
Diet limits protein intake
LOA
Left occiput anterior
LOP
Left occiput posterior
ROA
Right Occiput anterior
ROP
Right occiput posterior
LOT
Left occiput Transverse
ROT
Right occiput Transverse
Diuretic meds
Help increase urine, excretion water through kidneys
Called water tablet
Diuretic meds types
Chlorothiazide
Chlortgalidone
Hydrochlorithiazide
Indapamide
Loop diuretic
Potassium-sparing diuretic
Thiazide
Metolazone
Anti hypertensive meds
Used to treat hypertension
Ex: ACE inhibitors, ARBs, beta blockers, calcium channel blockers &methyldopa
Opioid meds
Pain reducing meds
Ex; oxycodone, hydrocodone, morphine
Hypovolemic shock
Severe blood or other fluids loss makes the heart unable to pump enough blood to the body
Neurogenic shock
Devastating consequence of spinal cord injury
- hypotension, bradyarrhythmia and temp disregulation.
Septic shock
A widespread infection causing organ failure & low blood pressure
Anégale rule
Add 7 days to last menstrual day,
Minus 3 months
Dystonic reaction
Involuntary contractions of muscles (throat, tongue, neck,eyes, mouth,abdomen, pelvis)
Subjective data
Client’s perception
Objective data
Perceptive to the senses
(Sight, hearing, touch, smell, taste or measurable data)
Mottling
Red and purple spots appear on toes, feet and fingers
Common symptoms near the end of life
Dyspnea
Difficult breathing
Thrombolytic therapy
AKA fivrinolytic therapy
Use of meds to destroy blood clots or prevent new clots from forming
Dyspraxia
Disorder that affects movement and coordination
Dysphasia
Impairment of speech
Aphasia
Full loss of language
Inability to express and understand written or spoken language
Orthopnea
Difficult breathing while in supine position
Hepatomegaly
Enlargement of the liver
Peripheral edema
Leg swelling caused by fluid retention
Left side heart failure
Dyspnea
Orthopnea
Frothy sputum
Crackles
Right side heart failure
Edema
Jugular vein distention
Hepatomegaly
Ascites
Decreased bowel sounds
Ascites
Pathological accumulation fluid within the peritoneal cavity
Abdomen
Digoxin elixir
For heart failure
Lanolin elixir
For heart to beat stronger and more regular rhythm
Enteropathy
Small intestine disease
Irritation, swelling
Thorazine
To treat mental health
Schizophrenia and bipolar
Dilantin (phenytoin)
For seizures
Will require more dental visits
Lovenox (Enoxaparin)
Injection, blood thinner
Anticoagulant
Treat deep vein thrombosis and pulmonary embolism
Hydrochlorothiazide
Diuretic
Treat high B/P & edema
Dyspepsia
Indigestion
Abdominal discomfort, bloating or gassiness
Sulfamylon cream
Treat & prevent wound infection patients with severe burns
Chelating agents
To reduce blood and tissue levels of injuries with heavy metals
To reduce concentration
Timoptic
To treat high pressure inside the eye
Ex; glaucoma
Ménière’s disease
Fluids in the inner ear
Vertigo, nausea, vomiting, loss of hearing, HA, sweating
Tetralogy of fallot
Combination of 4 heart defects
Hemophilia
Blood does not clot normally
Can take Tylenol
Varicella
Highly contagious viral infection
Chicken pox
Apply a paste of baking soda & water
Hypospadias with chordee
Urinary meat is is on the dorsum of the penus
(Underside)
Multiple sclerosis
Immune system eats away at the nerves
Brain & body communication disrupted
Pre-eclampsia
High B/P during pregnancy
Pay attention to facial swelling
Hypertension
High blood pressure
Nitroglycerin ointment
Treat chest pain by relaxing blood vessels
Apply on hairless area
Remove previous ointment
Oxalate renal calculi
Kidney stones
Avoid eating rhubarb/spinach/wheat bran
Legg-calve perthes disease
Disorder of hip joint - temp femoral head loses blood supply, becomes inflated and irritated
Prevent weight bearing of affected leg
Hirschsprung’s disease
Disease where some nerve cells are missing in large intestine
Can’t move stool
Methergine med
Treat severe bleeding from uterus after childbirth
Calcium gluconate
Iv
Treat low blood calcium,
High blood potassium
Magnesium toxicity
Aquamephyton
IV, IM, and subcutaneous
To counteract the effects of sodium sulfate
Sodium sulfate
A combination Use to cleanse the colon before a colonoscopy
Subcutaneous
45 degree angle pass the skin
Congnitive disorder
Any disorder that impairs normal functions in society if possible w/o treatment
Ex; Alzheimer’s
Recommend client to take part in a reality orientation group
Exstrophy of the bladder
The bladder develops outside the fetus
Vesicoureteral reflux
Urine from bladder flows back into the kidneys
Epispadias
Uretha does not develop into a full tube and urine exits the body from abdomen
Oxycodone
To treat pain
Schedule II narcotic
Cannabis methaqualone
AKA marijuana
Central nervous system depressant that acts as sedative and hypnotic
Angina pain
Chest pain, usually 5 minutes
Caused by reduced blood to the heart
Is relieved by nitroglycerin
Naltrexone
Hinders pt from feeling pleasure when drinking alcohol or drug abuse
Do not crave
Kawasaki disease
Causes inflammation in the walls of some blood vessels
Most common in infants and young children
Strawberry tongue
Equinus-fixed plantar flexion
Club foot
Iron supplement
Take with vitamin C
Ex: tomato juice
Dementia
Inability to make appropriate decisions or judgments
Memory loss
Ativan (Lorazepam)
Use to lessen alcohol withdrawal
Produces sedation and hypnosis
Methadone (Dolophine)
Use to withdrawal from opioids
Narcan (Naloxone)
Treat narcotic overdose in an emergency situation
Antabuse (disulfiram)
Treat alcohol abuse by producing unpleasant side effects and sensitivity to alcohol
Mankoski pain scale
Numerical scale from 1-10
Tetracycline
Treat infections including acne
Data collection & validation
- Assessment
- Planning
- Implementation
CHF
Congestive heart failure
Weakened heart condition that causes fluid buildup in the feet, arms, lungs and other organs
Case management
Spending time with individual and families to assess social and economic needs
Collaboration
Cross disciplinary activity in medicine- communication for health needs of pt.
Trendelenburg position
Supine Head down posture 15-30 degrees
To reduce hypotension
Fowler’s position
Sitting position 45-60 degrees
Supine position
Flat on back
Prone position
Laying on stomach
Sim’s position
Lying face down leg bend
Dorsal recumbent position
Lies on back, lower extremities flexed and rotated outward
Chlordiazepoxide (Librium)
Treat anxiety, alcohol withdrawal symptoms and tremors
Lithotomy
Surgical removal of a calculus (stone) from the bladder, kidney or urinary tract
Coronary artery disease
CAD
Build up of plaque. Arteries narrow, limiting blood flow to the heart
Botulism
Caused by a toxin that attacks the body nerves
Difficulty breathing, muscle paralysis and even death
Methamphetamines
Can treat ADHD
Can help obese pt lose wt.
Causes seizures, high temp, hallucinations, tachycardia
Benzodiazepines
Depressant drug
Treat anxiety, insomnia and seizures
Barbiturates
Depressant drug
Treat seizures, neonatal withdrawal, insomnia, pre operative anxiety
Assessing patient
- Inspection
- Auscultation- listening
- Percussing - tapping finger
- Palpitations - touching
Warfarin
Oral anticoagulant
Treat and prevent blood clots
Do not consume with vit K
Acetaminophen
Treat minor aches and pains and reduces fever.
Tylenol
Too much can cause liver damage
Ondasetron
It can prevent N&V caused by cancer chemotherapy, radiation and surgery
Naloxone
Opioid antagonist- binds to opioid receptors to block other opioids such as heroine
Treat narcotics overdose
Furosemide
Treat fluid retention and swelling caused by congestive heart failure, liver/ kidney disease
Ferrous sulfate
Iron
Treat chronic anemia
Greenstick fracture
Cortex and periosteum are interrupted on one side of bone but remain okay on the other side
Positive chvostek’s
Indícates that calcium levels are low
Positive trousseau’s
Carpopedal spams of hand and wrist
Test: blood pressure cuff left for 3 minutes
Positive- hand draws in but fingers extend
Gout
Urate crystals accumulate in joint causing inflammation
Form of arthritis, severe pain, redness and tenderness in joints
Ileostomy
Opening on the belly (right side)
Colostomy
Artificial opening in the abdomen to bypass damaged part of colon. ( left side)
External fixation device
Use to keep fractured bones stabilized and in alignment
Outside
Jackson Pratt drain
Soft plastic bulb w/stopper
Used after surgery to remove oozing and shedding of fluids
Respiratory acidosis
Ph down and pco2 goes up
Retention of co2 by lungs
1 kilogram
1000 grams
1 gram
1000 milligrams
1 milligram
1000 micro milligrams
1 liter
1000 milliliters
1 milliliter
1 cubic centimeter
1 meter
1000 millimeters
Or
100 centimeters
1 teaspoon
5 milliliters
1 tablespoon
15 milliliters
1 ounce
30 milliliters
1 cup
240 milliliters
1 inch
2.5 centimeters
1 pint
16 oz
2 pints
1 quart or 32 oz
1 gallon
4 quarts
1 ounce
30 milliliters
1 pint
16 oz or 500 milliliters
1 liter
1000 milliliters or
1 quart or
32 oz
1 grain
60 to 65 milligrams
15 grains
1 gram
1 kilogram
1000 grams
Or
2.2 pounds
Fahrenheit to Celsius
Subtract 32
Divide by 1.8
Celsius to Fahrenheit
Multiple by 1.8
Add 32
Hemochromatosis
Too much iron in the blood
Esophagoscopy
Check gag reflex
Procedure where endoscopy is inserted
Epiglottitis
Upper airway infection
Sore throat, drooling, muffled phonation, temp 102
Primary ciliary dyskinesia
Rare lung disease, caused by defect cilia
Excessive mucus, chronic wheezing, cough and nasal congestion
Subglottic hemangioma
Large masses in airway
Croup like cough, difficult breathing, stridor
Sinusitis
Sinuses inflammation
Postnasal drip, runny nose, pain, nasal congestion
Anorexia nervosa
Unwanted fear of being overweight
Broncodilators side effects
Tremors, nausea, dry mouth, increase heart rate
Meds that relax airway muscles
Bacterial meningitis
Inflammation of brain & spinal cord
Assess tenderness of anterior fontanel
Negative scarf
Preterm infant
Test baby elbow to the shoulder and if is in pain
Positive Babinski reflex
examiner squeezes the patient’s calf muscle tightly, while monitoring the toes.[1] Response: A normal (negative) response is no reaction at the toes. An abnormal (positive) response is an ipsilateral extensor plantar reflex - extension of the hallux with fanning of the other toes.
Periorbital edema
Swelling around eyes
Hypoglycemia signs
Tremulousness
Fast heartbeat.
Shaking.
Sweating.
Nervousness or anxiety.
Irritability or confusion.
Dizziness.
Hunger.
Hyperglycemia signs
increased thirst and a dry mouth.
needing to pee frequently.
tiredness.
blurred vision.
unintentional weight loss.
recurrent infections, such as thrush, bladder infections (cystitis) and skin infections.
Multiple sclerosis
nerve damage disrupts communication between the brain and the body
Double vision ( diplopia )
fatigue.
numbness and tingling.
loss of balance and dizziness.
stiffness or spasms.
tremor.
pain.
bladder problems.
bowel trouble.
Renal calculus
Kidney stones
Gout (increased uric acid)
Cimetidine
Use to prevent side effects of prednisone ( which produces gastric ulcers)
Vastus lateralis muscle
Recommended injection site for infant
Cytoxan ( cyclophosphamide)
Med for nephrotic syndrome patient
To prevent hemorrhagic cystitis (urinary bladder lining becomes inflamed and bleeds)
Pt need extra fluids
hemorrhagic cystitis
urinary bladder lining becomes inflamed and bleeds
Antabuse ( disulfiram)
To maintain sobriety
By producing uncomfortable side effects when combined with alcohol
Romazicon ( flumazenil )
Treat benzodiazepine overdose
Dolophine ( methadone )
Treat of opiate withdrawal
Librium ( chlordiazepoxide)
Is a benzodiazepine is to treat withdrawal symptoms from alcohol
Blocks and decrease brain activity to produce relaxation
Cytomegalovirus
CMV can cause mononucleosis or hepatitis (liver problem).
symptoms affecting the eyes, lungs, liver, esophagus, stomach, and intestines. Babies born with CMV can have brain, liver, spleen, lung, and growth problems
Dilantin ( Phenytoin )
For seizures
Side effect is gingival hyperplasia
Zofran ( ondansetron )
Prevents nausea (antiemetic)
Drugs to prevent anemia
Ferrous sulfate, folic acid and erythropoietin
Drugs to promote relaxation
Diazepam, alprazolam and chlordiazepoxide
Drugs to increase neutrophil
Allopurinol, epinephrine, heparin, and corticosteroids
Chlorpromazine ( Thorazine )
For schizophrenia
Can cause infections- sore throat
Oxygen standing orders
6L per minute with oxygen via mask
Normally is 30-40% of oxygen at 5-10L/min
Acute aspirin toxicity
Tinnitus
Chronic aspirin overdose
Confusion, lactic acidosis and hypoxia
Hypoxia
Low levels of oxygen
Exstrophy of the bladder
Position new born on either side
It helps urine to drain
Hutchinson- Gilford syndrome
Causes quick aging to children = Progeria
Life expectancy 13 years
Urine specific gravity
1.005 - 1.030
Demerol ( meperidine )
For pancreatitis pain med
Non opiate analgesic
Magnesium overdose
Side effect is diarrhea
Antacids - calcium and aluminum
Can cause constipation