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Nclex Info Flashcards

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1
Q

Decelerations are abnormal or normal findings on the fetal monitoring strip

A

Abnormal

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2
Q

These decelerations begin before the peak of contraction and end by the end of contraction

They are caused by head compression.

Intervention ?

A

Early deceleration

No need if variability is at normal range

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3
Q

Decelerations that are V shaped on the monitoring strip.

Caused by cord compression

What to do?

A

Variable decelerations

Change mothers position

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4
Q

Decelerations that occur after the peak of contraction and mirror the contraction in length and intensity.

Caused by uteroplacental insufficiency

If pitocin is infusing ?

A

Late decelerations

Change moms position

Stop infusion, apply oxygen , then increase rate of IV fluids, contact dr. If problem continues

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5
Q

People with renal failure should eat a diet ?

A

Low in protien, potassium , and sodium

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6
Q

Lithium toxicity effect

Given for what

A

Ataxia (loss of full control of body movements)

Often given for bipolar disorder

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7
Q

Lead poisoning is treated with what

A

Cheating agents

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8
Q

Celiac patients can not eat what?

A

Gluten (oats, barley , rye) popcorn is ok

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9
Q

Complication of below he knee amputation

A

Knee contracture (abnormal angle of knee)

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10
Q

Common sign of multiple sclerosis

A

Diplopia (double vision)

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11
Q

Food high in magnesium

A

Spinach

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12
Q

Hyperglycemia signs

A

Bradycardia

Nausea

Flushed skin

Hot and dry sugar high

Blurry vision

Increased thirst

Wt loss

Frequent urination

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13
Q

Hypoglycemia symptoms

A

Tremors

Cold and clammy - need some candy

Sweaty

Heart palpitations

Excessive hunger

Fainting

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14
Q

Type of hyperthyroidism

A

Graves’ disease -SOB

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15
Q

Nb heart rate

Fetal hr

Toddler

Preschool

A

100-180

120-160

100-140

80-120

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16
Q

INR

A

2-3

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17
Q

Antidote for coumadin

A

Vitamin k

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18
Q

Standard precautions

A

Gloves , mask, eyewear

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19
Q

Airborne precautions

A

Tb

Measles (rubella )

Chickenpox

N95 mask

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20
Q

Droplet precautions

A

Wear a mask , door can be open

Resident with same disease can share room

Flu , mumps , pertussis , rubella , pneumonia, diphtheria , scarlet fever , strep , pharyngitis , meningitis

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21
Q

Contact precautions

A

MRSA , RSV, VRE

Wear gloves and gown

Private room or patient with same condition

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22
Q

Foods to avoid with bone marrow transplant

A

Foods from salad bars

Grown in ground

Uncooked and unpeeled veggies

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23
Q

Avoid with celiac

A

Malted milk

Fatty meats

Wheat

Salmon

Prunes

Barely

Rye

Soups with grains

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24
Q

CHF foods to avoid

A

Salt

Canned foods

Frozen meats

Fried foods

Cheese

Eggs

Alcohol

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25
Q

IBS foods to avoid

A

Whole grains

Legumes

Nuts

Skin of veggies

Prune juice

Fatty meats

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26
Q

Renal transplant clients food to avoid

A 
Eggs 
Fried food 
Salt
Dried foods 
Fruits 
Salt substitutes
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27
Q

Immunization schedule

A

Hep b- birth

Hdbdb

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28
Q

Alkalosis /acidosis

A

Ends

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29
Q

Math

A

Snobs

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30
Q

Go over remediation

A

She’s

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31
Q

Torchs syndrome in neonate

A

Combination of diseases that pregnant nurses should not care for

( toxoplasmosis, rubella , cytomegalovirus, heroes, syphallis )

Pregnant nurse should not care for clients with toxoplasmosis or cytomegalovirus.

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32
Q

Treatment for maternal hypotension after epidural anesthesia

A

STOP

Stop infusion

Turn client to left side

Oxygen via face mask

Push IV fluids for hypotension

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33
Q

Bleeding time with an anticoagulant should be how many times the control

The control is what?

A

1.5-2 times

Premedication bleeding time (the time they bled before meds)

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34
Q

Burns on body percentage ? (Rule of nines )

Head

Arms

Back (posterior torso)

Chest and stomach (anterior torso)

Legs

Genitalia

A

Head- 9%

Arms- 18% - 9% each

Back- 18%

Chest and abdomen - 18%

Legs - 36% (18% each)

Genitalia - 1%

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35
Q

Tort

A

Suffering of harm or wrong doing

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36
Q

Treatment for spider bites / bleeding

A

Rice

Rest ice compression elevation

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37
Q

Treatment for sickle cell vasoocclusive crisis

A

HHOP

Heat , hydration , oxygen , pain meds

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38
Q

Five 5 Ps of compartment syndrome

A

Pain

Pallor

Pulselessness

Parasthesia (pricking /tingling)

Polar (cold)

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39
Q

Hip fractures commonly do what?

Femur fractures are at risk for what?

A

Hemorrhage

Fat embolus

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40
Q

Signs of gallbladder disease

A 
Fair 
Fat
Forty 
Five pregnancies 
Flatulent

(Can occur all ages and sexes)

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41
Q

Over production or underproduction of cortisol In the endocrine system

A

Addison’s and cushings disease

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42
Q

Treatment for Addison’s

A

Increase sodium and cortisone

43
Q

Treatment for cushings

A

Decrease sodium and observe for signs of infection

44
Q

Who can initiate seclusion ?

A

RN or doctor

45
Q

LPN can do what

A

Monitor IV therapy , insert feeding tubes and cathedars , apply restraints , discontinue IVs, drains , and sutures, wounds, meds minus IV, focused assessments

46
Q

Do not assign post operative client with whom?

A

Pt who are :

Vomiting
Diarrhea
Open wounds
Chest tube drainage

47
Q

Hospital Triage care first?

Disaster triage ?

A

Life threatening illness first

Car for clients who can be saved with least amount of resources

48
Q

Triage tags

Black
Red
Yellow
Green

A

Black-Dead or too late

Red- help ASAP

Yellow- bad but can wait

Green- minor injury can treat on own

49
Q

Bethamethasone used for ?

A

Speed up lungs of premature infant

50
Q

Stages of labor

A

Latent - dialation -0-4cm

Active -5-7 cm contractions 5-7 min (epidural)

Transitional - 8-10 - contractions 2-3 min (angry)

Second - complete dilation and delivery

Third- delivery of placenta

Fourth- 1-4 hours after delivery

51
Q

Prostglandin

Oxytocin

Magnesium sulfate

Methergine

A

Soften cervix

Stimulates labor - reduces bleeding

Controls contractions/preterm delivery

Contract uterus after delivery

52
Q

Do not give pain meds after how long?

A

Two hours before delivery

53
Q

Day of the last menstrual period Subtract three months and add seven days

A

Delivery date of baby

Nageles rule

54
Q

How many kicks in two hours is good

A

Ten in two hours

55
Q

Antidote for magnesium sulfate

A

Calcium gluconate

56
Q

Middle eastern cultures

A

Females avoid eye contact with male
refuse organ donation,
no pork,
no icy drinks when sick or hot and cold drinks together,
colostrum is considered harmful to the newborn

57
Q

Asain American

A

They avoid direct contact, feet are considered dirty and should be touched last in assessment

Males make most of the decisions

Refuse organ donation

No cold drinks

Believe in the hot cold theory of illness

58
Q

Native American

A

They sustain eye contact, what an organ donation is generally refused, refuse circumcision, might prefer care from tribal shaman rather than Western medicine

59
Q

Latino

A

Avoid direct eye contact with authorities, refuse organ donation, very emotional during bereavement, believe in the hot cold theory of illness

60
Q

Jehovah witness

Hindu

Jewish

A

No blood products should be used

No beef or items with geletin

Special delivery restrictions, kosher foods (no meat and dairy together)

61
Q

Diet for renal

A

High calorie, curbs, low protein, low potassium, low-sodium, fluid restriction 500ml in 24 hours

62
Q

Diet for gout

A

Low purine

Cold chicken

Zyloprim

63
Q

Heart healthy diet

A 
Low fat (less than 30% calories)
Low sodium
64
Q

ROME

Ph- 7.30 CO2-47 HCO3-28 - respiratory acidosis (actually sob)

Resp alkalosis - hyperventilating

A

Respiratory opposite / metabolic equal

PH down CO2 up and HCO3 up= respiratory acidosis

PH down, CO2 down, and HCO3 down= metabolic acidosis

PH up, CO two down, HC03 down=respiratory alkalosis

PH up, CO2 up, HCO3 up = metabolism alkalosis

65
Q

Sign of compartment syndrome with a cast?

A

Pain 3 days after applied

  • notify doctor
66
Q

What protects the nurse from Radium implants

A

The patients body acts as a shield

67
Q

Cystitis

A

Uti

68
Q

Hydatidiform mole

A

Nom canercous mole

69
Q

If patient aspirates before tube feeding?

A

Replace aspirant and begin tube feeding

70
Q

Avoid what with MAOIs? Zine (Thorazine) (treats psychotic disorders)

A

Avoid aged cheese

Do this:

Carry hard candy for dry mouth
Report sore throat asap
Wear protective clothing outside

71
Q

What type of cultures are to be kept on ice

A

Viral cultures such as herpes

72
Q

Lantus is what type of insulin

A

Long acting - usually at bedtime

73
Q

Undoing

Projection

Displacement

A

Making up for loss

Projecting feelings into others

Transference if emotions onto another

74
Q

Huntington’s disease

A

Genetic disorder of the death of brain cells

50% chance a child of family hx will get it

75
Q

Mydriatic

A

Dilate pupils

76
Q

Organ that can not reconstruct

A

Kidney

77
Q

Side effects of dilantin? (Phenytoin)

A

Gingival hypertrohy

Insomnia

Slurred speech

78
Q

Common Side effect of bronchodilator

Toxicity of it?

A

Tachycardia

Hypotension

79
Q

Meds that cause tinnitus?

A

Cancer meds (ine)

Antibiotics

Diuretics

Aspirin

80
Q

Lesions with reddish purple discoloration

A

Kaposi sarcoma

81
Q

Lasix complication

A

Increased heart rate

Hypotension

82
Q

Dis alignment in what type of fracture is common

A

Hip

83
Q

Hyphema

A

Elevate hob and apply ice to eye

84
Q

Hypothalamus regulates what

A

Temperature

85
Q

Meningitis in an infant can result in what ?

A

Cerebral palsy

86
Q

Bulls eye rash indicates what

A

Lyme disease (ticks)

87
Q

Side effect of bronchodilators for asthma (line)

A

Increase pulse

88
Q

How to help drain colostomy irrigating solution

A

Change positions , gently massage stomach, ambulation, hot liquids

89
Q

What to do if client develops red man syndrome after receiving IV

A

Slow infusion and monitor the blood pressure

90
Q

Cataract dc teaching

A

Wear eye shield at night

91
Q

What to asses with cardiac catherization and a patient

A

Iodine / shellfish allergy

92
Q

Trimesters if pregnancy

First

Second

Third

A

First- 0-13 weeks

Second-14-26

Third-27-40

(3 ish months each)

93
Q

What lab to monitor for Coumadin

A

PT

94
Q

Lab to monitor for heparin/lovenox/dalteparin

A

PTT

95
Q

Therapeutic bleeding time with anticoagulant therapy

What is the control

A

Slightly prolonged bleeding time - 1.5- 2 x the control.

The control is the premedication bleeding time

96
Q

Antidote for heparin

A

Protamine sulfate

97
Q

Delegation - choose the most critical to RN

Such as

A

Pt who returned from chest surgery

Pt who will be discharged will need a final assessment done by the RN

RN and doctor institute seclusion protection

98
Q

LPNs can do what type of things

A 
Monitor IV therapy 
Urinary Catheterization 
Feeding tube inserts 
Apply restraints 
D/c IVs 
Drains and sutures
99
Q

What is slander?

A

?

100
Q

Room assignments:

Do not coassign the post operative client with clients who have vomiting, diarrhea, open wounds, or chest tube drainage

A

True

101
Q

Hospital triage versus disaster triage

A

Hospital triage -care for the client with a life threatening illness or injury first

Disaster triage- Choose to triage the first clients who can be be saved with the least use of resources

102
Q

Order of ppe application

A

Goes up the body then to hands

Gown

Mask

Goggles/shield

Gloves

103
Q

Order of PPE removal

A

In alphabetical order

Gloves

Goggles/shield

Gown

Mask

Nclex (5 decks)

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