NCLEX practice questions Flashcards
how long should a patient be NPO after surgery
until you hear bowel sounds (peristalsis returns)
when should patients preform a breast exam
1 week after menstruation begins
what is central diabetes insidious vs. nephrogenic
central: pituitary sucks
nephrogenic: kidneys don’t know what to do with ADH
what are som main assessment findings with diabetes insidious
polyuria, polydipsia, dehydration, decrease in urine specific gravity, inability to concentrate urine, fatigue, hypotension, tachycardia
what are the main interventions for DI
monitor for dehydration, monitor vitals and electrolytes, administer vasopressin and desmopressin (fake ADH)
what is SIADH
too much ADH so you literally never peewht
what can cause SIADH
trauma, stroke, meds, cancer/tumours, stress
what are the main findings in SIADH
weight gain without edema, increased BP and HR, anorexia, N/V, hyponatremia, decreased urinary output and concentrated urine.
what’s the main thing you monitor for SIADH
signs for increased ICP that may cause siezure
what are the treatments for SIADH
fluid restriction, IV fluids, loop diuretics (only if Na is above 125), possible vasopressin antagonists like tolvaptan
what is the vasopressin antagonists
tolvaptan (v for Vasopressin)
how do you treat Addisons
give prednisone
what is addisonian crisis
severe hypotension and shock
what are the interventions for DKA
restore circulating blood volume, monitor K, five short duration insulin (main thing), monitor ICp
what are the insulins you should give for DKA
insulin lispro or insulin R
