NCLEX Random Flashcards
______ is used in myesthenia gravis to confirm the diagnosis.
Tensilon
Myesthenia gravis is caused by a d/o in the transmission of impulses from _____ to _____
nerve to muscle
ALS is a condition in which there is a degeneration of»_space;»>
Neurons in both the upper & lower motor neuron system
Esophagus doesn’t fully develop (surgically emergency)
transesophageal fistula
The 3 C’s of TEF.
1)
2)
3)
cough
choking
cyanosis
The MMR vaccine is given?
SQ
Mass-casulty
Red- unstable, occluded airway, actively bleeding, see first
Yellow- stable, can wait up to an hour for tx , ie burn see second
Green- stable, can wait even longer to be seen, “walking wounded”
Black-unstable clients that will probably not make it, need comfort measures
DOA-dead on arrival
They put an amulet or any other use of protective charms around their baby’s neck to avoid “evil eye” or envy of others.
greek heritage
Cannot interpret TIME. Need to explain time in relationship to a known COMMON event (Mom will be back after supper)
4 year olds
Name a contrainindication for Hep B vaccine.
Anaphylactic reaction to baker’s yeast.
Do you have an allergy to ___? (before flu shot)
eggs
Do you have an allergy to ____ or ____ before MMR?
eggs
neomycin
When on nitroprusside, monitor ______. Normal value should be __, over is heading towards toxicity.
thiocynate (cyanide)
Can you still give immunization if your child has a cold?
YES
SARS is ____ +____ , just like ?
airborne & contact … varicella
HEP A is _____
contact precaution
Tetanus, Hep B, HIV _____ _____
standard precautions
Williams position ?
semi fowler’s with knees flexed to relieve lower back pain.
External rotation, shortening, adduction !
signs of a fractured hip
Fat Embolism : ____ tinged sputum, (r/t inflammation), increase ___, ABGs?, HYPO_____, increased serum lipids, “snow storm” effect on chest x-ray
blood
serum lipids
respiratory alkalosis
HYPOcalcemia
Complications of mechanical ventilators
pneumothorax, ulcers
Allupurinal = NO ______
vitamin C
A localized disorder of bone remodeling that typically begins with excessive bone resorption followed by an increase in bone formation.
Paget’s disease
Name 3 s/s of Paget’s disease
tinnitus, bone pain, enlargement of bone, thick bones
An X-ray test that provides pictures of the kidneys, the bladder, the ureters, and the urethra.
Intravenous Pyelogram (IVP)
IVP requires ___ ___ so they can visualize the bladder better.
bowel prep
Acid Ash diet
cheese, corn, cranberries, plums, prunes, meat, poultry, pastry, bread
Alk Ash diet
milk, veggies, rhubarb, salmon
Orange Tag is psych ?
non emergent
Greenstick fractures, usually seen in ___ bone breaks on one side and ___ on the other
kid
bend
___ is a side effect of thyroid hormones. Increased metabolism, your body is too busy to sleep as opposed to the folks with hypothyroidism who may report ____ (dec met rate, body is slow and sleepy)
Insomnia
Somoneolence
____ for strabisms. Patch the ___ eyes so that the weaker eye can get stronger.
botox
good
Tidal volume=
COPD patients : __LNC or less (hypoxic not hypercapnic drive), PaO2 of ___ and SaO2 of ___ is normal for them b/c they are chronic retainers
7-10 ml/kg
2, 60%, 90%
What to use to reverse the effects of pancuronium bromide ( a nondepolarizing muscle relaxant approved to induce skeletal muscle relaxation during anesthesia and to facilitate the management of patients undergoing mechanical ventilation)
atropine and neostigmine( a parasympathomimetic ,treats MG)
Amphotericin b will cause.. ____ (amongst many other things, gotta pre-medicate patient before giving). Most likely will get a ?
hypocalcemia
fever
Amphotericin B- antifungal
Test for ___ before the administration of ASPARAGINASE
sensitivity
a cancer drug that treats leukemia
Take Vermox with ? (increases absorption)
high fat diet
Vermox is used to treat infections caused by worms such as whipworm, pinworm, roundworm, and hookworm
Kidney Glucose threshold?
180
Amphogel and Renegal take with
meals
Stranger anxiety is greatest at which age?
Separation anxiety peaks in ______.
MMR is a ___ shot?
7-9
toddler
SQ
Lymes is mostly found in ?
Asthma and Arthritis (sport?)
Conneticut
swimming
Irreversible, involuntary movements of the tongue , face & extremities, may happen after…
Tardive Dyskinesia
may happen after prolonged use of antipsychotics
Motor restlessness , need to keep going, tx with antiparkinson’s meds, can be mistaken for agitation
akathisia
When drawing ABGs put blood in a ____ tube, make sure there are no ____, put on ___ immediately after drawing, with a label indicating if the patient was on….
heparinized
bubble
label
room air, how many L of O2
What test should you do before ABG to check for significant blood flow?
Allen’s test
Before going to the PFT , a pts_____withheld and they are not allowed to….
bronchodilator
smoke for 4 hours prior
For a lung biopsy , position patient…. have patient breath in mid-expiration, chest x-ray done immediately afterwards to check for complications of pneumothorax, ___ dressing applied
lying on the side of the bed or with the arms raised up on the pillows over the bedside table
sterile
For a lumbar puncture, pt is position in _______, keep pt FLAT for ___ hours afterwards, sterile dressing, frequent ___ assessments
lateral recumbent fetal position
2-3 hours
neuro
EEG hold med for _____ prior, no caffine or cigarettes for __ hours prior , PT CAN EAT, pt must stay awake night before exam, pt. may be asked to ____ and watch a bright flashing light, after EEG, assess pt for ____ because the will be at an increased risk
24-48
24
hyperventilate
seizures
A test that detects electrical activity in your brain using small, flat metal discs (electrodes) attached to your scalp.
An electroencephalogram (EEG)
Diamox used for ____ can cause _____
glaucoma, hypokalemia
Dexedrine used for ___ may alter ___ needs, avoid taking with ____, take in the ____. What is a possible side effect
ADHD insulin MAOis morning insomnia
Cytovene used for ____ caused by cytomegalovirus, pt will need regular eye exams. REPORT (3 things immediately!)
retinitis
dizziness
confusion
seizures
INH used to treat and prevent ____, do not give with ____, can cause ____ toxicity, monitor LFT’s, give with ___, what will occcur initially and then resolve?
TB Dilantin phenytonin B6 hypotension
What for TB dues bodily fluids orange
Rifampin
If mixing antipsychotics (Haldol, Throazine, Prolixin) with fluids, med is incompatible with two liquids?
Apple Juice and caffine
Preferred antipsychotic in the elderly? But high risk for ________ monitor for early sign of reaction and give with ?
Haldol
extrapyramidal S.E: (dystonia, TD, tightening of jaw, stiff neck, swollen tongue, later on swollen airway)
Benadryl IM
First line anti-psych drug for children? Doses over 6 MG can cause?
risperdal
TD
Lavodopa for ______ , contraindicated in patients with ____, avoid ___
Parkinsons
Glaucoma
B6
Sinemet for _____ , contraindicated with ?
MAOIs
Hydroxurea for ____, report ____symptoms immediately could be signs of toxicity
sickle-cell
GI
Zocor for _____, take on _____ to enhance absorption, report any unexplained ….. especially if there is a ?
hyperlipidemia
empty stomach
muscle pain
fever
Decorticate is toward the __ and Decerbrit is the other way (out)
CORD!
BOTOX (Botulin toxin) can be used with ____ also to ____ in spasmodic dysphonia
strabismus
relax vocal cord
A psychiatric d/o that causes an individual to self-inflict injury or illness or to fabricate symptoms, of physical or mental illness, in order to receive medical care or hospitilization.
Munchausen syndrome
An individual typically a mother, intentionally causes or fabricates illness in a child or other person under her care.
Muchausen by proxy
A chronic, progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord
Motor:
Sensory:
Cerebral:
MS
Motor: limb weakness, paralysis, slow speech
Sensory: numbness, tingling tinnitus
Cerebral: nystagmus, ataxia, dysphagia, dysarthia
Chorea: 50% genetic, autosomal dominant d/o
s/s: ___,___, movements of the face, limb, body. __ deteriorates to …..
No cure! Just palliative care
writhering, twisting
gait, no ambulation
WBC shift to the ____ with pyelonephritis (neutrophils kick in to fight infections)
left
Definitive dx for AAA->
CT scan
Uremic fetor->
smell urine on the breath; a urine-like odor on the breath of persons with uremia.The odor occurs from the smell of ammonia, which is created in the saliva as a breakdown product of urea
Don’t use Kayexalate if ?
hypoactive bowel sounds
Bile is lower obstruction , no bile is upper obstruction, ribbon-like stool
Hirschsprung’s
Pancreatic enzymes are…
taken with each meal, not before or after
A person should not have ___ & ___ before an occult blood test?
cantaloupe and fish, cantaloupe is high in Vit C which causes a false + for occult blood
Hypospadius: Abnormality where the ____ ___ is located on the ___ surface of the penis from the corona to the perineum.
urethral meatus , ventral back , remember hypo(low)- for the lower side or the underside
Opening of the urethra on the dorsal front surface of the penis
Epispadias
Painful erection lasting longer than 6 hours.
Priapism
Anticholinergic effects: assessment
- Four cant’s !
can’t spit- dry mouth
cant’s piss- urinary retention
can’t shit- constipation
can’t see- blurred vision
When you see coffee Brown emesis think?
Anytime you see fluid retention think?
An answer that delays tx is ALWAYS wrong
peptic ulcer
haert problems