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Nclex Info Flashcards

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
IBS foods to avoid
Whole grains Legumes Nuts Skin of veggies Prune juice Fatty meats
26
Renal transplant clients food to avoid
``` Eggs Fried food Salt Dried foods Fruits Salt substitutes ```
27
Immunization schedule
Hep b- birth Hdbdb
28
Alkalosis /acidosis
Ends
29
Math
Snobs
30
Go over remediation
She’s
31
Torchs syndrome in neonate
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.
32
Treatment for maternal hypotension after epidural anesthesia
STOP Stop infusion Turn client to left side Oxygen via face mask Push IV fluids for hypotension
33
Bleeding time with an anticoagulant should be how many times the control The control is what?
1.5-2 times Premedication bleeding time (the time they bled before meds)
34
Burns on body percentage ? (Rule of nines ) Head Arms Back (posterior torso) Chest and stomach (anterior torso) Legs Genitalia
Head- 9% Arms- 18% - 9% each Back- 18% Chest and abdomen - 18% Legs - 36% (18% each) Genitalia - 1%
35
Tort
Suffering of harm or wrong doing
36
Treatment for spider bites / bleeding
Rice Rest ice compression elevation
37
Treatment for sickle cell vasoocclusive crisis
HHOP Heat , hydration , oxygen , pain meds
38
Five 5 Ps of compartment syndrome
Pain Pallor Pulselessness Parasthesia (pricking /tingling) Polar (cold)
39
Hip fractures commonly do what? Femur fractures are at risk for what?
Hemorrhage Fat embolus
40
Signs of gallbladder disease
``` Fair Fat Forty Five pregnancies Flatulent ``` (Can occur all ages and sexes)
41
Over production or underproduction of cortisol In the endocrine system
Addison’s and cushings disease
42
Treatment for Addison’s
Increase sodium and cortisone
43
Treatment for cushings
Decrease sodium and observe for signs of infection
44
Who can initiate seclusion ?
RN or doctor
45
LPN can do what
Monitor IV therapy , insert feeding tubes and cathedars , apply restraints , discontinue IVs, drains , and sutures, wounds, meds minus IV, focused assessments
46
Do not assign post operative client with whom?
Pt who are : Vomiting Diarrhea Open wounds Chest tube drainage
47
Hospital Triage care first? Disaster triage ?
Life threatening illness first Car for clients who can be saved with least amount of resources
48
Triage tags Black Red Yellow Green
Black-Dead or too late Red- help ASAP Yellow- bad but can wait Green- minor injury can treat on own
49
Bethamethasone used for ?
Speed up lungs of premature infant
50
Stages of labor
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
Prostglandin Oxytocin Magnesium sulfate Methergine
Soften cervix Stimulates labor - reduces bleeding Controls contractions/preterm delivery Contract uterus after delivery
52
Do not give pain meds after how long?
Two hours before delivery
53
Day of the last menstrual period Subtract three months and add seven days
Delivery date of baby Nageles rule
54
How many kicks in two hours is good
Ten in two hours
55
Antidote for magnesium sulfate
Calcium gluconate
56
Middle eastern cultures
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
Asain American
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
Native American
They sustain eye contact, what an organ donation is generally refused, refuse circumcision, might prefer care from tribal shaman rather than Western medicine
59
Latino
Avoid direct eye contact with authorities, refuse organ donation, very emotional during bereavement, believe in the hot cold theory of illness
60
Jehovah witness Hindu Jewish
No blood products should be used No beef or items with geletin Special delivery restrictions, kosher foods (no meat and dairy together)
61
Diet for renal
High calorie, curbs, low protein, low potassium, low-sodium, fluid restriction 500ml in 24 hours
62
Diet for gout
Low purine Cold chicken Zyloprim
63
Heart healthy diet
``` Low fat (less than 30% calories) Low sodium ```
64
ROME Ph- 7.30 CO2-47 HCO3-28 - respiratory acidosis (actually sob) Resp alkalosis - hyperventilating
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
Sign of compartment syndrome with a cast?
Pain 3 days after applied - notify doctor
66
What protects the nurse from Radium implants
The patients body acts as a shield
67
Cystitis
Uti
68
Hydatidiform mole
Nom canercous mole
69
If patient aspirates before tube feeding?
Replace aspirant and begin tube feeding
70
Avoid what with MAOIs? Zine (Thorazine) (treats psychotic disorders)
Avoid aged cheese Do this: Carry hard candy for dry mouth Report sore throat asap Wear protective clothing outside
71
What type of cultures are to be kept on ice
Viral cultures such as herpes
72
Lantus is what type of insulin
Long acting - usually at bedtime
73
Undoing Projection Displacement
Making up for loss Projecting feelings into others Transference if emotions onto another
74
Huntington’s disease
Genetic disorder of the death of brain cells 50% chance a child of family hx will get it
75
Mydriatic
Dilate pupils
76
Organ that can not reconstruct
Kidney
77
Side effects of dilantin? (Phenytoin)
Gingival hypertrohy Insomnia Slurred speech
78
Common Side effect of bronchodilator Toxicity of it?
Tachycardia Hypotension
79
Meds that cause tinnitus?
Cancer meds (ine) Antibiotics Diuretics Aspirin
80
Lesions with reddish purple discoloration
Kaposi sarcoma
81
Lasix complication
Increased heart rate Hypotension
82
Dis alignment in what type of fracture is common
Hip
83
Hyphema
Elevate hob and apply ice to eye
84
Hypothalamus regulates what
Temperature
85
Meningitis in an infant can result in what ?
Cerebral palsy
86
Bulls eye rash indicates what
Lyme disease (ticks)
87
Side effect of bronchodilators for asthma (line)
Increase pulse
88
How to help drain colostomy irrigating solution
Change positions , gently massage stomach, ambulation, hot liquids
89
What to do if client develops red man syndrome after receiving IV
Slow infusion and monitor the blood pressure
90
Cataract dc teaching
Wear eye shield at night
91
What to asses with cardiac catherization and a patient
Iodine / shellfish allergy
92
Trimesters if pregnancy First Second Third
First- 0-13 weeks Second-14-26 Third-27-40 (3 ish months each)
93
What lab to monitor for Coumadin
PT
94
Lab to monitor for heparin/lovenox/dalteparin
PTT
95
Therapeutic bleeding time with anticoagulant therapy What is the control
Slightly prolonged bleeding time - 1.5- 2 x the control. | The control is the premedication bleeding time
96
Antidote for heparin
Protamine sulfate
97
Delegation - choose the most critical to RN Such as
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
LPNs can do what type of things
``` Monitor IV therapy Urinary Catheterization Feeding tube inserts Apply restraints D/c IVs Drains and sutures ```
99
What is slander?
?
100
Room assignments: Do not coassign the post operative client with clients who have vomiting, diarrhea, open wounds, or chest tube drainage
True
101
Hospital triage versus disaster triage
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
Order of ppe application
Goes up the body then to hands Gown Mask Goggles/shield Gloves
103
Order of PPE removal
In alphabetical order Gloves Goggles/shield Gown Mask

Nclex (5 decks)

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