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Nclex Flashcards

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1
Q

C.A.U.T.I.O.N.

Cancer

A

C: Change in bowel or bladder habits

A: A sore that does not heal

U: Unusual bleeding or discharge

T: Thickening or lump in the breast or elsewhere

I: Indigestion or difficulty in swallowing

O: Obvious change in a wart or mole

N: Nagging cough or hoarseness

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2
Q

NPO

A

General
Upper or Lower CT & Xray
Upper & Lower (scope)

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3
Q

OLOL

A

Lowers Heart Rate

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4
Q

ACE

A

PRIL
HyperKalemia
Tachy

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5
Q

STATIN

A

Cholestrol

Rhabdomyolysis

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6
Q

Nurse managed medication

A

Heparin

Insulin (sliding scale)

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7
Q

Cohort

A

Post-op = CLEAN

no infection or at risk for infection pt.

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8
Q

Acute Pericarditis

A

ST elevation is expected

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9
Q

Incentive Spirometer

A

Post operative

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10
Q

Lung Sounds

Crackles

A

Fine - Pulmonary Edema

Coarse- Pneumonia

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11
Q

Lung Sounds

Wheezing

A

Asthma

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12
Q

Lung Sounds

Stridor

A

high pitched

obstruction- airway risk

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13
Q

Lung Sounds

Friction rubs

A

Pneumonia

Pleuritis

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14
Q

TPN

A

50% dextrose
Hyperglycemia
Infections

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15
Q

Blood administration

Hypersensitivity

A

Rash - Slow down rate and obtain order for antihistamine or diphenhydramine = Hypersensitivity 1

Rash, Wheezing, Dyspnea- Stop the flow, Run NS and Call HCP= Hypersensitivity 1

Fever & Flank pain STOP! = Hypersensitivity type 2: Cytotoxic

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16
Q

S.I.C.K.

A

Sugars
Insulin
Carbohydrates
Ketones

*need to keep eating
check sugars more
check urine DKA?

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17
Q

B.G. level of someone sick

A

140-180

Energy to fight

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18
Q

Water Intoxication

A 
Low levels of Na
Risk for seizures, stop breathing, death
Brain can swell or shrink
-Pad side rails
Na: 120 = risk
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19
Q

Hives

A

Urticaria

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20
Q

Medication

take on an empty stomach

A

Antacid
Iron
Tetracycline
Levothyroxine

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21
Q

Sucralfate

A

take before food

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22
Q

IV insitu

A

72hrs

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23
Q

Photosensitivity

A

Lupus & Tetracycline

24
Q

Contraindication to breastfeeding

A

HIV

25
Q

Sickle Cell

A

Circulatory is priority

26
Q

Testicular torsion

A

twisting of the testicles
MED EMERGENCY

Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles
Swelling of the scrotum
Abdominal pain
Nausea and vomiting
A testicle that’s positioned higher than normal or at an unusual angle
Painful urination
Fever

27
Q

Glomerulonephritis signs

A

HTN, Edema, Proteinuria

inflammation of the tiny filters in your kidneys

28
Q

Dangle vs Elevate

A

dAngle= Arteries

eleVate=Veins

29
Q

ADPIE

A

ASSESS first
Ask why? not just fix it
Be sure the answer will work

30
Q

Petechiae

A

Pinpoint red

Early sign of bleeding

31
Q

Purpura

A

Large purple spots

Early sign of bleeding

32
Q

Diabetes Insipidus

A

Patient urinates a lot
Bad urine tricks specific gravity that you are hydrated
**low specific gravity

33
Q

Simple Sugars

A

Honey, Orange Juice

34
Q

Dysphagia

A
  • No OTC medications because codeine can suppress the sensation of the back of the throat
  • Downward motion of the head to swallow
  • A straw will not allow the patient to feel the food
35
Q

Cold and Clammy

A

Shock

36
Q

RACE & PASS

A

Rescue
Alarm
Contain
Extinguish

Pull
Aim
Squeeze
Sweep

37
Q

The 5 W’s of Post-Op Fever / Infection

A

Wind

  • 2 - 4 days
  • Pneumonia
  • Deep breathing and IS (prevent atelectasis)
  • VAP
  • HOB 30 degrees
  • Frequent oral care q4hr
  • Pantoprazole (PPI)
Water
-3 - 5 days
-UTI
CAUTI
-Frequent perineal care
-Pull it out ASAP 
-Rotate it 72 hours

Walking

  • 3 - 5 days
  • DVT / Thrombophlebitis

Wound

Wonder Drugs

38
Q

4 Hyperthermic Medical Emergencies / Muscle Rigidity

A

Neuroleptic Malignant Syndrome
Malignant Hyperthermia
Autonomic Dysreflexia
Serotonin Syndrome

39
Q

ABGs

A

Metabolic Acidosis
Respiratory compensation
DKA
Kussmaul Breathing (deep and fast)

Respiratory Problem
Metabolic COmpensation

Regulate pH
Respiratory
Metabolic

Metabolic Acidosis - decrease in HCO3
Metabolic Alkalosis - increase in HCO3

Respiratory Acidosis - increase in CO2
Compensate by increasing the HCO3
Respiratory Alkalosis - decrease in CO2
Compensatory by decreasing the HCO3

40
Q

Braden Scale for Pressure Ulcer Risk

A

Mobility
Sensation
Activity
Nutrition

41
Q

Continuous medication

A

CANNOT stop

Dopamine, Dobutamine, Epinephrine, Norepinephrine, Phenylephrine

42
Q

Types of Pacing

A

Magnets - big no no, shuts off the pacemaker

No blunt trauma

Transcutaneous Pacing
Symptomatic Bradycardia
2nd and 3rd HB
Sedate the patient
Setting on the defibrillator machine (Zoll)
Transfemoral Pacing	
Feed an electrode through the femoral artery and up to the right atrium
Little shocks
Permanent Pacing
Defibrillation
V. TACH or V. FIB
Synchronized Cardioversion
SVT 
Pacing
43
Q

Mg

A

Chronic alcohol abuser - hypomagnesemia
Loss of electrolytes

Hypomagnesemia
The other direction (increased reactivity)
Hypermagnesemia
Loss of deep tendon reflexes

44
Q

Anaphylaxis

A 
Airway closure
Vasodilate the vasculature → BP tanks
Secondary allergic symptoms
Hives (urticaria)
Pruritis (itching)
45
Q

Vitamin B3 (niacin)

A

Antihyperlipidemic

Used in conjunction w a statin / fenofibrate

46
Q

Vitamin B6 (pyridoxine)

A

Used for deficiencies, due to pt. On isoniazid therapy for TB

47
Q

Vitamin B12 (cobalamin)

A

Pernicious anemia

48
Q

Vitamin C (ascorbic acid)

A

Immune

49
Q

Vitamin K

A

Stops bleeding

Injection in newborns

50
Q

Vitamin D

A

Help calcium and bone growth

Sun

51
Q

Black Cohosh

A

relieve menopause symptoms such as hot flashes

52
Q

St. Johns Wart

A

Depression

Interacts with everything

53
Q

Saw Palmetto

A

BPH in men

54
Q

Ginseng

A

Memory / Cognition

55
Q

Licorice

A

digestive system complaints

56
Q

Licorice

A

digestive system complaints

57
Q

first dressing change Post-Op

A

first assessment is always performed by the surgical team

* how exactly do you propose visualizing and assessing the incision, if you cannot even see it?*

Assess the dressing for drainage.

Within 24 hours. - they will assess it.

Patient is post-op 36 hours, you can ASSUME the surgical team has looked it.

Nclex (3 decks)

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