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NCLEX Prep study > NCLEX REVIEW > Flashcards

NCLEX REVIEW Flashcards

1
Q

Ventricular Fibrillation Priority Intervention

A

Defibrillation

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2
Q

What rhythm is this?

A

Ventrcular Fibrillation

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3
Q

Transcutaneous electrical nerve stimulation unit teaching

A

Adjust it until the client feels a pins and needles sensation

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4
Q

Tyroid storm is a complication of what disease ?

A

Hyperthyroidism

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5
Q

With hyperthyroidism everything goes what way :

A

UP , everything goes high

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6
Q

Thyroid Storm treatment

A

Dexamethasone : To inhibit conversion of T4 into T3

Propranolol : to reduce HR/BP

Propylthiouracil

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7
Q

Acyclovir Indication

A

Herpes infection

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8
Q

Phenytoin contraindication

A

Warfarin

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9
Q

Wernecke’s encephalopathy treatment

A

Thiamine (Vitamin B )

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10
Q

Brochonvesicular lungs sounds may be ausculted where ?

A

Between the scapula

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11
Q

Where can you auscultate the aortic valve ?

A

Right second intercostal space

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12
Q

Where can you obtain apical pulse and any adventitious sounds S3 , S4 ?

A

Midclavicular line 5th intercostal space

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13
Q

Where can you ausculate bronchial breath sound ?

A

Over the trachea

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14
Q

Cilostazol indication

A

To treat peripheral arterial disease

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15
Q

Cilostazol mechanism of action

A

Decrease platelet aggregation
Promotes vasodilation
Ambulate without pain

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16
Q

Hypothyroidism signs symptoms

A

Perioorbital edema
Weight gain
Constipation
Anemia
Increased TSH and decreased T3/T4

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17
Q

Hyperthyroidism signs symptoms

A

Tachycardia
Weight loss
Heat intolerance

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18
Q

Hypothyroidism meds

A

Levothyroxine

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19
Q

Asystole rhythm intervention

A

CPR then Epinephrine

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20
Q

V Fib and Atrial dysthymia meds

A

Amiodarone

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21
Q

Sodium carbonate in cardiac arrest

A

Only use if acidosis is suspected

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22
Q

Early deceleration is caused by

A

Fetal head compression

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23
Q

Variable deceleration is caused by

A

Cord compression

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24
Q

Late deceleration is caused by

A

Reduced blood floor to the placenta

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25
Q

Fat embolism symptoms

A

Petechiae (red-purple spots)

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26
Q

Fat embolism occurence timeline

A

Is a severe complication that occur 48 hours following a fracture

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27
Q

Catanonia treatment

A

Lorazepam

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28
Q

Pulmonary embolism diagnostics test

A

D-Dimer
CT Scan

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29
Q

Fiberglass cast dries takes how long to dry ?

A

30 minutes

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30
Q

Variant Angina occur when :

A

At the same time every day , usually at rest

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31
Q

Stable angina occurs when

A

After activity

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32
Q

Variant angina treatment

A

Calcium channel blockers (ine)

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33
Q

Stable angina treatment

A

Nitroglycerin

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34
Q

Isoniazid (INH) indication

A

First-line therapy treatment for pulmonary tuberculosis

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35
Q

Major adverse effect of INH

A

Peripheral neuropathy

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36
Q

Peripheral neuropathy treatment

A

B complex vitamins

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37
Q

What is narcolepsy ?

A

Client falling asleep in the middle of normal daily activities

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38
Q

Narcolepsy treatment

A

Modafinil

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39
Q

Fluoxetine indication

A

Anxiety and depressive disorders

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40
Q

Engrossment

A

Intense emotional bonding and attachment that occurs between a parent and a newborn shortly after birth

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41
Q

Binding-in

A

Is a standard psychosocial process where the mother links the newborn facial features to other family members

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42
Q

Entrainment

A

Refers to the rhythmic synchronization process where the mother links the newborn facial features to other family members

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43
Q

Detachment

A

When the bonding process fails and either the infant or parent has no bond with the other

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44
Q

Etanercept teaching

A

-Etanercept increase the risk for infection

-Before the first dose the client should have a negative purified protein

-After administered, the nurse should perform an assessment of the injection site

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45
Q

Iron teaching

A

-Take with orange juice

-Drink with with straw to avoid staining teeth

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46
Q

Bell palsy meds

A

Predsisone
Acyclovir

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47
Q

Sumatriptan indication

A

To treat migraines headaches

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48
Q

1 ounce = ML

A

30 ML

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49
Q

Guanfacine indication

A

To treat ADHD

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50
Q

Rapid acting insulin when should it be administered?

A

5-10 min before meal or while the client actively eating

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51
Q

Insulin good for how many days after opening ?

A

28 days at room temperature

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52
Q

Insulin storage

A

Store insulin in a cool dry place

Protect insulin from direct heat and light

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53
Q

Short acting insulin when to administer?

A

Administered 20-30 minutes before meals

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54
Q

Rooting reflex

A

Newborn turn their head to the side on which the cheek is stroked

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55
Q

Babinski reflex

A

Newborn big toe moves upward toward the top surface of the foot , and the other toes fans out

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56
Q

Grasp reflex

A

Newborn wrap fingers around examiner when placed in the newborn palms

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57
Q

Moro reflex

A

Newborn places index fingers and thumbs into a C shape

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58
Q

Fundus is soft and boggy what do you do ?

A

Massage it until it firm

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59
Q

Enoxaparin adverse effects

A

Thrombocytopenia

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60
Q

Medication to avoid with polycystic kidney disease?

A

NSAID

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61
Q

What happen when you take a blood pressure in the leg?

A

Systolic blood pressure increase by up to 10 to 40 mm Hg

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62
Q

Lochia color in first stage ?

A

Rubra : red

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63
Q

Lochia color in second stage ?

A

Serosa : Pink

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64
Q

Lochia color in third stage

A

Alba : white

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65
Q

Cefoperazone indication

A

Pseudomonas aeruginosa

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66
Q

Tolvaptan indication

A

Treat SIADH

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67
Q

Myringotomy procedure purpose

A

To facilitate drainage from the eardrum

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68
Q

What is preeclampsia ?

A

Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage of damage to another organ system , most of the liver and kidney.

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69
Q

Preeclampsia manifestations :

A

Hyperreflexia , headache , epigastric pain

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70
Q

Serotonin syndrome is caused by what type of medication overdose ?

A

MAOI , SSRI , like paroxetine , citolapram, tramadol , venlafaxine

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71
Q

Common side effects of the DTAP vaccine

A

Fever

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72
Q

Urticaria type of precautions?

A

Standard

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73
Q

If patient got placenta previa the nurse should not do what ?

A

The cervix should not be assessed for dilation

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74
Q

Live attenuated vaccine example ?

A

Rotavirus , MMR , Varicella

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75
Q

Kosher diet is in what culture?

A

Orthodox Jewish Faith

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76
Q

Orthodox Jewish practice example:

A

Unwrap the eating utensils

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77
Q

Furosemide teaching administration time :

A

Take furosemide early in the day to avoid nocturia

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78
Q

ECT electroconvulsive side effects

A

Memory Loss

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79
Q

Metoclopramide adverse effects

A

Dystonic movements of the face
Involuntary movement of the jaw

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80
Q

NIPPV non-invasive positive pressure ventilation , BIPAP, CPAP purpose

A

To support ventilation, decrease respiratory muscle, improve overall respiratory function.

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81
Q

Misoprostol mechanism of action

A

Protect the gastric mucosa, decreasing gastric acid secretion, lining the stomach for protection.

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82
Q

Prednisone indictation

A

RA

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83
Q

Most accessible pulse in an infant

A

Brachial

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84
Q

Average weight during pregnancy

A

25-35 LB

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85
Q

Desmopressin indication

A

Diabetes insipidus / Noctural enuresis

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86
Q

Nasal Cannula delivery amount

A

1-6 L

24-44%

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87
Q

Venturi Mask delivery amount

A

4-10 L

24-55 %

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88
Q

Simple Face Mask

A

5-8 L

40-60%

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89
Q

Simple Face Mask

A

5-8 L

40-60%

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90
Q

Non-rebreather Mask

A

100%, and is the only device to provide 100% , and is used for CO poisoning

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91
Q

Visual disturbances is expected is what part of the brain mess up.

A

Occipital lobe

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92
Q

Magnesium sulfate indication in labor

A

Prevent seizure activity associated with preeclampsia and eclampsia,

Delay labor progress to prevent preterm labor

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93
Q

In a client with cystic fibrosis how the stool look ?

A

Bulky, foul-smelling, oily stools

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94
Q

Irregular , and P-Waves is what rhythm ?

A

Atrial fibrillation

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95
Q

P-Waves and regular what rhytm ?

A

Sinus Tachycardia

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96
Q

Spirolactone and sodium?

A

Retain sodium does not lower it

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97
Q

Prednisone decrease what electrolytes?

A

Potassium

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98
Q

1 cup equal to ?

A

8 ounces

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99
Q

Simethicone Indication

A

To treat Excessive flatulence and it’s discomfort

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100
Q

Medications that may cause a prolonged QT :

A

Azithromycin , haloperidol , Ziprasidone , Ondosetron

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101
Q

Oxybutynin Indication

A

To treat urinary bladder urgency and incontinence

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102
Q

Sumatriptan adverse effects

A

Angina

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103
Q

What is cheiloplasty?

A

Is a procedure to repair a cleft lip

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104
Q

What do the nurse need to have the bed after a patient cheiloplasty ?

A

Bulb syringe , suction equipment

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105
Q

Earliest sign of digoxin toxicity

A

Vomiting

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106
Q

Deficiency in client with Chronic Alcoholism?

A

Vitamin B9

Thiamine

Magnesium

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107
Q

What test is needed before starting Isotretinoin ?

A

Pregnancy test

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108
Q

Beta blocker mechanism of action

A

Decrease blood pressure by causing vasodilation of the vessels.

Block catecholamines from the beta receptors sites found in the heart and lungs

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109
Q

What medication may cause Stevens-Johnson syndrome?

A

Lamotrigine

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110
Q

Trans esophageal echocardiogram indication

A

To derermine if patient have any blood clots in the heart

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111
Q

What meds do we use for dytonic reactions?

A

Diphenhydramine

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112
Q

Lamotrigine indication

A

To treat bipolar disorder

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113
Q

NG tube is correctly placed if PH is ?

A

Under 5.5

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114
Q

Risperidone adverse effects

A

Gynecomastia

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115
Q

Guided Imagery

A

Involves the client creating an image in mind , concentrating on the image and gradually becoming less aware of the offending stimulus.

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116
Q

Bradykinesia

A

Slow movement , develops by patient with slow movement.

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117
Q

Akinesia

A

Freezing or no movement, develops with client parkinson disease

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118
Q

Digoxin indication

A

Used to manage and treat heart failure,

To control ventricular rates in some clients with Atrial fibrillation

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119
Q

Early signs of digoxin toxicity

A

Anorexia , nausea, vomiting

Neurological abnormalities can also occur early : Fatigue , headache, weakness, depression, drowsiness, nightmares.

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120
Q

Late signs of digoxin toxicity

A

Facial pain, personality changes , ocular disturbances (photophobia, diplopia, light flashes, halos around bright objects , yellow or green color perception

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121
Q

What happen with hypermagnesemia ?

A

Neurological manifestations occurs when magnesium elevated : depression, drowsiness, sedation, lethargy, respiratory depression, muscle weakness, areflexia, bradycardia, hypertension

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122
Q

Epiglotttis

A

Is a serious obstructive inflammatory process that requires immediate intervention and that airway patency is a priority

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123
Q

Epiglottitis nursing intervention

A

Lateral neck and chest X-ray to determine degree of obstruction.

Sit upright to reduce respiratory distress

Place on oxygen saturation monitor

Tracheostomy or intubation may be necessary if respiratory distress is severe

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124
Q

Epiglottitis contraindications intervetions

A

Do not examine the throat with a tongue depressor or attempting to obtain a throat culture

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125
Q

Oral contraceptives contraindications

A

Thrombophlebitis
Thromboembolic disorder
Cardiovascular disease
Cerebrovascular disease
Breast cancer
Estrogen dependent-cancer
Malignant or benign tumor
Impaired liver function
Hypertension
Diabetes mellitus with vascular involvement

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126
Q

What cardiac rhythm is this one ?

A

Ventricular fibrillation

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127
Q

Ventricular Fibrillation intervention

A

Defibrillate immediately

If defibrillator is not available, do CPR until defibrillator arrives.

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128
Q

Position to administer an enema ?

A

Left lateral side lying position with the right knee flexed

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129
Q

Position to administer an enema ?

A

Left lateral side lying position with the right knee flexed

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130
Q

Words that indicate the need to prioritize

A
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131
Q

Words that reflects assessment

A
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132
Q

Additional Strategic words

A
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133
Q

Normal temperature value

A

97.8- 99.5

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134
Q

Hypovolemia earliest sign

A

Restlessness, followed by increase heart rate and decreased blood pressure

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135
Q

Digoxin teaching

A

If pulse rate drops less than 60 notify your cardiologist…….

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136
Q

Maslow hierarchy

A

Physiological
Safety and security needs
Love and belonging
Self-esteem
Self-actualization

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137
Q

Contact precaution equipment

A

Gown and Gloves

Face shield if splashing is anticipated

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138
Q

Beta blocker end with what prefix

A

Lol

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139
Q

Angiotensin-converting enzyme inhibitors (ACE) end with what prefix , and what their indication

A

‘’Pril’’

Use for Hypertension

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140
Q

Pharmocology rules

A

-Do not take antacid with medication because the antacid will affect the absorption of the medication.

-Do not crush enteric-coated or sustained release tablets, also capsules should not be opened

-Never adjust or change a medication dose or abruptly stop taking the medication

-Avoid taking OTC or herbal supplements unless prescribed by provider

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141
Q

TURP (Transurethral resection of the prostate) expected symptoms :

A

Pink urine (normal assessment)

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142
Q

Legal Criteria for involuntary admission

A

-Individual is unable to adequately meet basic needs (food,clothing,shelter,medical care, personal safety)

-Individual appears to be imminent danger to self or others

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143
Q

Veracity

A

Tell the truth and avoid dishonesty

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144
Q

Scope of UAP

A

-Activities of daily living
-Hygiene
-Linen change
-Routine, Stable vital signs
-Documenting intake & output
-Positioning

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145
Q

Signs of intracranial pressure in Children

A

-Bulging fontanelles
-Increased head circumference
-Sunset eyes, sclera visible above the iris, setting-sun sign

-Prominent scalp veins

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146
Q

Normal diaper rate change in children

A

6-10 diaper / day

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147
Q

Babinki reflex

A

Toes fan out and big toes dorsiflexes when plantar surface is stroked

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148
Q

Morphine assessment time following

A

30 minutes after administration

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149
Q

Gastric bypass surgery intervention

A

-Should be treated with antiemetic if Postoperative nausea, vomiting , dry heaving occur to avoid wound dehiscence , and evisceration

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150
Q

Ventricular Septal defect what is it ?

A

Opening between the ventricles that results in shunting of oxygenated blood from left to right ventricle

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151
Q

Ventricular Septal defect may lead to :

A

Heart failure

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152
Q

Grunting during feeding in patient with ventricular septal defect indicate :

A

Heart failure

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153
Q

Patent Ductus arteriosus PDA is :

A

When the ductus arteriousus remains open causing blood to shunt from the aorta to the pulmonary artery.

Loud, machine,like murmur is expected

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154
Q

Coartation of the aorta

A

Narrowing of the descending aorta, which results in increased blood flow to the upper extremities (bounding radial pulses ) , and decreased blood flow to the lower extremities.

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155
Q

LPN scope of practice

A

-Monitoring RN findings

-Reinforcing education

-Routines procedures

-Most medication administration m

-Ostomy care

-Tube patency and enteral feeding

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156
Q

Limited assessment than an LPN can do :

A

Lungs sounds

Bowel sounds

Neurovascular checks

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157
Q

ICP (Intrahepatic cholestasis of pregnancy ) is a :

A

Liver disorder exclusive to pregnancy that typically occurs during the third trimester and causes generalized pruritus that is worse on the hand and feet , however no rash is present

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158
Q

Signs of cardiac tamponade

A

Tachycardia

Muffled heart sounds

Jugular veins distentions

Decreased BP

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159
Q

Vaginal delivery may be contraindicated if client got

A

Genital herpes , taking antiviral like acyclovir

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160
Q

Nonmaleficience

A

Do no harm

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161
Q

Paternalism

A

Client being treated as children

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162
Q

Oxygen level that would be concerning on Nclex

A

Below 93%

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163
Q

Blood glucose range within first 24 hours after birth

A

40-60 mg/dl

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164
Q

Criteria to call provider in middle of the night

A

-Falls
-Deteriorates significantly or dies
-Has critical laboratory results
-Needs prescription that requires clarification
-Leaves against AMA
-Refuses key treatment in a relevant period

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165
Q

Glascow coma scale <7 means

A

Client in a coma

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166
Q

APTT normal value

A

46-70 seconds

1.5 - 2 times normal

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167
Q

Peak flow emergency value

A

<50%

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168
Q

Hydrocephalus is an :

A

Increase in an intracranial pressure that results from obstruction of cerebrospinal fluid.

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169
Q

Intracranial pressure can lead to:

A

Death , brain damage

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170
Q

Signs of intracranial pressure in children

A

-Bulging fontanelles

-Increased head circumference

-Sunset eyes (sclera visible above the iris )

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171
Q

PVC (Premature ventricular contraction) rhythm

A
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172
Q

Intrahepatic cholestasis of pregnancy (ICP) is a :

A

Is a liver disorder exclusive to pregnancy that typically occurs during the 3rd trimester and causes generalized pruritus that is worse on the hands and feet , however no rash is present.

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173
Q

Intrahepatic cholestasis of pregnancy (ICP) is a :

A

Is a liver disorder exclusive to pregnancy that typically occurs during the 3rd trimester and causes generalized pruritus that is worse on the hands and feet , however no rash is present.

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174
Q

Signs and symptoms of cardiac tamponade

A

-Tachycardia

-Muffled heart sound

-Jugular vein distention

-Decrease in systolic blood pressure

-hypotension

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175
Q

Speech Therapy deal with :

A

-Communicating

-Swallowing

-Eating

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176
Q

Social worker deal with :

A

-Coping

-Connecting to resources

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177
Q

Genital herpes is caused by what virus ?

A

Herpes simplex virus (HSV)

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178
Q

Characteristic of HSV

A

Painful , vesicular lesions that form ulcers that cross over

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179
Q

Meds for HSV

A

Acyclovir (antiviral)

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180
Q

Pregnant Women with HSV need to have what delivery method

A

Cesarean birth

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181
Q

Patient with Alcoholic cirrhosis is at risk for :

A

Hemorrhage due to esophageal varices and coagulation disorders

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182
Q

Normal respiratory for infant

A

30-60 min

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183
Q

Normal temperature for infant

A

97.7-99.7

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184
Q

Pulses Spot

A
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185
Q

What’s an aura ?

A

Is a sensory warning that a complex or generalized seizure will occur

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186
Q

Tyroid Storm symptoms

A

Tachycardia , fever , hypotension, CHF, nausea, vomiting , diarrhea, altered mental status

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187
Q

Green amniotic fluid indicate what ?

A

Fetus has passed it first stool in utero

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188
Q

Infant botulism is a

A

Food poisoning that occurs after consuming clostridium botulinum, which is a bacteria in soil and animal

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189
Q

Infants botulism signs and symptoms

A

Constipation , decreased head control , diminished tendon reflexes

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190
Q

Botulism put on at risk for :

A

Respiratory failure and arrest

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191
Q

Postion for client with hypovolemic shock

A

-Maintaining head of bed <=30 to allow venous return , increase cardiac output, perfusion

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192
Q

Assault is an :

A

Act that threatens the client and cause the client to fear arm, but without the client being touched

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193
Q

Battery

A

Involve making physical contact with the client without permission

Is the intentional touching of a person that is legally defined or occurs without the person consent

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194
Q

Breast cancer appearance

A

Red, warm, peau d’orange breast tissue, breast mass

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195
Q

SABA (albuterol) adverse effects

A

Palpitation

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196
Q

Peak flow meter value and intervention

A

Green zone >=80% no intervention needed.

Yellow zone 50-79% SABA albuterol

Red zone <50% emergency medical care

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197
Q

Hypothyroidism signs and symptoms

A

Constipation , weakness , peripheral edema

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198
Q

Serotonine syndrome is cauused by what type of meds

A

SSRI ( Paroxetine )

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199
Q

Serotonin syndrome signs and symtoms

A

-Altered mental status (agitation,confusion, hallucinations)

-Neuromuscular excitement (Jitters, tremors, shivering)

-Automatic symptoms (high fever, diaphoresis, diarrhea)

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200
Q

Brain cancer risk factor

A

Early menarche

Late menaupause

Long use of menopausal therapy , estrogen, progestin pills

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201
Q

Do not administer live vaccine to :

A

Compromised immune system client

Immunosuppresed client

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202
Q

Live vaccine Example

A

MMR

Varicella zoster (chickenpox)

Rotavirus

Yellow fever

Polio

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203
Q

Client that fall in the category low immune system and to not administer live vaccine

A

Cancer

Chemo / radiation

Methotrexate

Immunoglobulins therapy

Pregnant client

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204
Q

JVD distention assessment angle

A

30-45 degree angle

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205
Q

True labor signs

A

Contraction

Pain in lower back, radiates to abdomen

Increase cervical dilation and effacement

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206
Q

Red meat increase risk for :

A

Cancer

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207
Q

Vaccine to not administer to pregnant women

A

HPV

MMR

Live attenuated vaccine

Varicella

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208
Q

Postmature , posterm newborn clinical finding

A

Deep plantar creases

Dry cracked and peeling skin

Abundant scalp hair and long fingernails

Minimal or absent vernix caseosa

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209
Q

Recurrent chlamydial infection and pelvic inflammatory disease may lead to :

A

Infertility

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210
Q

Total weight gain during pregnancy

A

25-35 LB

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211
Q

To prevent neural tube defects a pregnant client needs to take:

A

Folic acid ( cereals, breads, pastas, green leafy vegetables, brocolli asparagus

B-Complex vitamins

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212
Q

Daily folic acid for pregnant women

A

400 mcg supplement

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213
Q

Bishop score

A

Is a system for the assessment and rating of cervical favoribility and readiness for induction of labor

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214
Q

Normal Bishop score

A

Score of 6-8 in nulliparous women means successful induction and subsequent vaginal birth

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215
Q

Infant weight at 6-12 months

A

Double by age of 6 months

Triple by age of 12 months

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216
Q

Posterior fontanel fuses at

A

2 months

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217
Q

Anterior fontanel fuses at

A

18 months

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218
Q

Recommendations for constipation during pregnancy

A

Regular moderate intensity exercise

Increase intake of high fiber (raw fruit and vegetables)

Drink adequate fluid

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219
Q

Influenza Vaccine can be given to baby at what age ?

A

> =6 months

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220
Q

Molar pregnancy , hydatiform mole teaching

A

Avoid pregnancy during follow up care while the health care provider monitor human chorionic gonadotropin levels to ensure that gestational trophoblastic neoplasia does not develop

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221
Q

Fundal height is measured from

A

The symphisis pubis to the top of the uterine fundus

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222
Q

Fundal height is at the symphysis pubis at when:

A

12 weeks

Reaches the umbilicus at : 20-22 weeks

At the xiphoid : 36 weeeks

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223
Q

GTPAL

A

G=> Gravidity : number of times a person has been pregnant, regardless of pregnancy outcome.

T=> Term : number of birth at 37 weeks 0 gestation and beyond

P=> Preterm : Number of birth at 20 weeks 0 days to 36 weeks 6 days gestation

A=> Abortion : number of pregnancy ending before 20 weeks 0 days gestation.

L=> Living children

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224
Q

Normal mole finding measurements

A

<5 mm

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225
Q

In chidren less than <3 you should pull the pinna :

A

Down and back

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226
Q

Second trimester starts at. :

A

14 weeks 6 days gestation

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227
Q

Quickening starts at :

A

16-20 weeks

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228
Q

Screening for gestational diabetes for pregnant client starts

A

24-48 weeks

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229
Q

Weight gain in second trimester

A

1 lb per week

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230
Q

Risk factor for pelvic inflammatory disease

A

Multiple sexual partners

History of chlamydia and gonorrhea

Partner with STI

Age 15-25

Lack of consistent barrier contraception use

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231
Q

Lead poisoning occurs from :

A

Lead exposure , either via ingestion of lead-based paints, or water from lead pipes, or by inhalation of contaminated dust or soil around older homes

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232
Q

Lead poisoning teaching

A

Home environment should be inspected

Wash hand before eating

Return for follow up lead level

Use hot tap water

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233
Q

Cystic fibrosis facts

A

Both parents must be carrier of the abnormak genes for offspring to get the disorder

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234
Q

Right occiput position intervention

A

Apply counterpressure to the client sacrum during contraction

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235
Q

HPV can be transmitted through :

A

Skin to skin

Sexual contact vaginal anal or oral

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236
Q

HPV put you at risk for what type of cancer

A

Cervical cancer

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237
Q

Hpv vaccine age

A

9-26

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238
Q

Breast engorgement comforts measure

A

Application of ice pack and chilled

Fresh cabbage leaves

Analgesic

Firm breast support

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239
Q

Menaupause teaching

A

Have cholesterol level monitored

Engage in weight bearing exercise

Consume dietary calcium, green leafy vegetables, low fat diary products

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240
Q

Vacuum assisted vaginal birth caused damage to :

A

Brachial plexus nerve roots that connect neck and arms.

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241
Q

Asymmetric arm movement while testing the moro reflex on client with vaccum assisted vaginal birth may indicate :

A

Fracture or brachial plexus injury

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242
Q

Average newborn head circumference

A

13-14 in

33-35 cm

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243
Q

Infection that causes abnormalities during pregnancy

A

TORCH ( Toxoplasmosis, Rubella, Cytomegalovirus, Herpex simplex virus )

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244
Q

Pregnant woman who is allergic to penicilin should get

A

Penicilin desensitization

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245
Q

Nitrazine PH test help differentiate what :

A

Alkaline amniotic fluid and vaginal secretion or urine

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246
Q

Nitrazine PH color test meaning :

A

Yellow or Green : suggest that amniotic membrane are intact

Bluish color : probable rupture of membrane

Presence of blood or semen may result in false positive

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247
Q

Factors that causes peripheral artery disease

A

Smoking

Hypertension

Diabetes mellitus

Hyperlipidemia

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248
Q

Risk factor for hyperbilirubinemia

A

Preterm gestational age <37 weeks

Older sibling had it

Maternal blood group incompatibility

Exclusive breast feeding

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249
Q

Murmurs description sound

A

Loud blowing , musical or swooshing sounds

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250
Q

Anaphylactic treatment

A

Epinephrine

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251
Q

Indirect combs test screens for

A

RH sensitization in client who are RH negative

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252
Q

RH immune globulin is given at

A

28 weeks gestation, or within 72 hours postpartum

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253
Q

Fetal vertex position

A
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254
Q

Occipicut posterior

A

Back of the head is located posteriorly

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255
Q

Right occipicut

A

Back of the fetal head is facing neither anterior nor posterior

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256
Q

Right occipicut transverse

A

When the back of the fetal head is facing neither anterior or posterior and is facing the right side of the maternal pelvis

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257
Q

Breech position

A

Occurs when the fetal sacrum is the presenting part

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258
Q

Transition phase of labor dilation

A

8-10 cm

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259
Q

Hyperemesis gravidarum signs and symptoms

A

Ketonuria

Weight loss

Hypokalemia

Dehydration

Tachycardia

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260
Q

Pinprick test is a :

A

Test involve applying pressure to an area to assess client sensation

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261
Q

How to assess pulsus paradoxus

A

Is the difference between the pressure heard at the first korotkoff sound during expiration and the korotkoff sound heard throughout inspirations and expiration

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262
Q

Fetal alcohol syndrome signs and symptoms

A

Intellectual disability

Developmental delay

Distinct facial characteristics (indistinct philtrum,thin upper lip, epicanthal fold, flat midface , short palpebral fissures)

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263
Q

Pregnant women can breastfeed with hepatis B

True/False

A

True

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264
Q

Dyplasia of the hips manifestation

A

Presence of extra gluteal folds on the affected side of the

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265
Q

Examination of skin lesion

A

A : asymmetric

B : Border irregularity

C : Color change

D: Diameter ( size of a nickel)

E: Evolving appearance

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266
Q

B12 deficiency symptoms

A

Peripheral neuropathy

Neuromotor impairment

Memory loss

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267
Q

Varicella vaccine provide protection against :

A

Varicella zoster virus

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268
Q

Varicella vaccine side effects

A

Low grade fever

Swelling and erythema

Irritability

Rash

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269
Q

Aspirin in infant may cause :

A

Reye syndrome

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270
Q

Warning signs of cancer

A

C : change in bowels or bladder habits

A : A sore that does not heal

U : unusual bleeding or discharge from a body orifice

T: Thickening lump in the breast or elsewhere

I : Indigestion or difficulty swallowing

O : Obvious change in wart or mol

N : Nagging cough or hoarseness

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271
Q

Normal respiratory rate for newborn

A

30-60 min

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272
Q

Suicide risk factors

A

-Psychiatric disorders, prior suicide attempts

-Hopelessness

-Never married, divirced, separated

-Living alone

-Unemployed or unskilled

-Physical Illness

-Family history of suicide, family discord

-Access to firearms

-Substance abuse, impulsivity

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273
Q

Protective factors for suicide

A

Social support
Family connectedness
Parenthood
Religion and participation in religious activities

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274
Q

Assessment finding of child abuse should be documented in :

A

Body map, to provide written record of the injuries , include a detailed description of each

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275
Q

Aphasia

A

Impairments or loss of language comprehension

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276
Q

Anorexia nervosa clinical manifestation

A

Amenorrhea

Lanugo : fine, downy hair

Fluid and electrolyte imbalance

Fear of weight gain

Decreased metabolic rate : hypotension, bradycardia, cold intolerance, decreased body temperature

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277
Q

BMI weight loss in anorexia nervosa

A

<18.5 kg/m2

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278
Q

Neonatal abstinence syndrome or Opioid withdrawal ( same thing) clinical manifestations

A

CNS : irritability’s, restlessness, high pitched crying

Nasal congestion, sweating , sneezing

Poor feeding , diarrhea

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279
Q

Precipiting factors for delirium

A

Hypoxia

Acute infection

Fever

Electrolyte imbalance

Sleep deprivation

Dehydration and malnutrition

Metabolic disorders (hypoglycemia)

Opiods and benzodiazepines

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280
Q

Therapeutic communication

A

Show empathy or feelings

Sharing hope or humor

Providing information

Focusing or clarifying

Asking relevant information

Summarize or paraphrase

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281
Q

Delirium tremens manifestations

A

Fever, hypertension, tachycardia, hallucinations, diaphoresis

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282
Q

Parralel play age

A

1-3 years

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283
Q

Transference

A

Patient displaces feelings and behaviors from the patient past onto the nurse

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284
Q

Counter transference

A

Occurs when the nurse direct feelings about another person onto the client

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285
Q

Opioids withdrawal signs and symptoms

A

Anxiety, restlessness, nausea , vomiting , pupillary dilation, tachycardia

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286
Q

Displacement

A

Defense mechanism that involves redirecting uncomfortable thoughts or behaviors from their original source onto an object or individual.

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287
Q

Projection

A

Involves subconsciously assigning uncomfortable feelings to someone else of the appearance of others to cover up one’s own insecurities

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288
Q

Rationalization

A

Avoild guilt by using excuses to logically justify behavior

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289
Q

Reaction formation

A

Replacing an unpleasant impulse with its opposite impulse

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290
Q

Infant starts to roll at the age of :

A

4 months

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291
Q

Thiamine is given to alcohol abuse client to prevent

A

Wernicke encephalopathy

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292
Q

Paranoid personality disorder

A

Characterized by pervasive suspiciousness and distrust of others

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293
Q

Narcissistic personality disorder

A

Characterized by a recurrent pattern of grandiosity, need for admiration, or lack of empathy

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294
Q

Narcissistic personality disorder often have :

A

Fear of abandonment

Extreme fragile self esteem

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295
Q

Schizophrenia signs and symptoms

A

Hallucinations

Delusions

Apathy

Alogia

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296
Q

Lithium action

A

Help regulate mood and improve acute manic symptoms

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297
Q

Quetiapine

A

Decrease symptoms of schizophrenia

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298
Q

SSRI ( sertraline )

A

Elevated mood in client

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299
Q

Serotonin-norepinephrine reuptake inhibitor (duloxetine )

A

Elevated mood in client

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300
Q

Buprorion treat

A

Major Depressive disorder

ADHD

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301
Q

Cholinesterase inhibitors (donepezil)

A

Used to treat Alzheimer and improve cognitive function by increasing the amount of acetylcholine in the brain

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302
Q

Methylphenidate used to treat

A

ADHD

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303
Q

Alzheimer disease agitation intervention

A

Acknowledge the client emotions

Reassurance (kept the client from harm)

Distraction (to divert the client attention

Redirection to simple task

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304
Q

Agoraphobia

A

Is an intense fear and anxiety about being certain situations or spaces and unable to escape

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305
Q

Acrophobia

A

Fear of heights

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306
Q

ADHD manifestation

A

Hyperactivity, distractibility, impulsivity

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307
Q

ADHD intervention

A

Provide a structured, organized, and consistent environment with a daily schedule

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308
Q

Associative looseness

A

Is a form of disorganized thinking characterized by rapid , shifting ideas with little or no connection

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309
Q

Concrete thinking

A

Difficult with abstract thinking

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310
Q

Tangentiality

A

Involves transitioning from one topic to the next without getting to the point of the original idea or topic

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311
Q

Neologism

A

Are invented words that hold meaning for the client but are meaningless to others

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312
Q

Pursed lip breathing help with :

A

Reducing respiratory rate

Lessen dyspnea

Improve airflow by providing pressure that prolongs exhalation and expel trap air from the alveoli

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313
Q

Irritable bowel syndrome is :

A

A condition in children characterized by abdominal discomfort, diarrhea, constipation

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314
Q

Irritable bowel syndrome cure

A

No cure

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315
Q

How to improve irritable bowel syndrome

A

Adding probiotic supplement to the diet

Add moderate amount of fiber

Developing healthy coping skills

Exercise regularly

Avoid substance that may exacerbate IBS like high fat food , caffeinated, beverages

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316
Q

Myastenia gravis is

A

Autoimmune neuromuscular disease that involves the attack of acetylcholine receptors by autoantibodies at the neuromuscular junction

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317
Q

Lack of acetylcholine causes :

A

Fluctuating skeletal muscle weakness

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318
Q

Myastenia gravis clinical manifestations

A

Difficulty speaking, swallowing, chewing

Ptsosis ( eyelid drops

Diplopia (double vision)

Fatigue

Breathing difficulty

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319
Q

Meningis type of precaution?

A

Droplet

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320
Q

Meniere disease is :

A

Excess fluid accumulation in the inner ear

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321
Q

Meniere disease manifestations

A

Vertigo , tinnitus, hearing loss

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322
Q

Meniere disease self care

A

Low sodiun diet

Avoid stimuli (flickering light, tv)

Take antiemetic, antihistamine, sedative)

Vestibular rehabilitation

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323
Q

Ventricular tachycardia rhythm

A
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324
Q

Aphasia

A

Impairment verbal and written language comprehension

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325
Q

Pneumonia intervention

A

Chest physiotherapy

Huff coughing

Hydration

Position head of bed 45-60 degrees

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326
Q

Radiation contamination affect

A

Proliferating cell first such as oral mucosa, GI tract , bone marrow

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327
Q

Benign prostatic hyperplasia treatment

A

Transurethral resection of the prostate (TURP)

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328
Q

During continuous bladder irrigation (CBI) if urine output is less than CBI input this is an indicator for :

A

Obstruction and require immediate follow up

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329
Q

Position to put client in with air embolism

A

Left lateral trendelenburg

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330
Q

Genital herpes care

A

Use sitz bath and oatmeal bath to provides comfort and relief of itching and burning.

Avoid sex when lesion are present as the virus spread via contact

Always condoms during sex even the lesions are not present

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331
Q

Cranial nerve 9 and 10 injuries may cause :

A

Impair swallowing

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332
Q

Client with homonymous hemianopsia
Will not see

A

Object on the affected side

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333
Q

Primary adrenal insufficiency ( Addison disease ) manifestations

A

Bronze skin pigmentations

Hypovolemia

Hypertension

Hyponatremia

Hyperkalemia

Vitiligo

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334
Q

Appropriate intervention for asystole

A

Chest compression

Bag valve mask

Epinephrine

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335
Q

Anaphylactic shock management

A

Epinephrine

Elevale legs

Bronchodilator (albuterol)

Antihistamine

Corticosteroids

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336
Q

Ventilator associated pneumonia prevention

A

Elevating head of the bed

Provide oral care with antiseptic solution

Performing scheduled daily sedation vacation

Practicing strict hygiene

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337
Q

Measles type of precautions

A

Airborne precaution

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338
Q

Measle isolation precautions

A

Negative pressure room

N95

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339
Q

Post mastectomy position

A

Semi-fowler position to promote ease breathing

Arm and hand on the affected side should be placed on elevated pillow to promote drainage and prevent lymphatic pooling

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340
Q

Choking intervention for client <1

A

Back slaps and chest thrusts

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341
Q

Choking intervention for children > 1

A

Abdominal thrust

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342
Q

Intussusception manifestations

A

Abdominal pain

Current jelly stools

Sausage shaped abdominal mass

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343
Q

Intracranial pressure manifestation

A

Decreased level of consciousness, muscle flaccidity, projectile vomiting , cushing triad

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344
Q

Esophageal atresia / tracheoesophageal fistula is :

A

Esophagus and trachea do not properly develop

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345
Q

Hypothyroidism manifestation

A

Fatigue , weight gain , cold intolerance, decreased gastrointestinal motility, menstrual irregularities.

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346
Q

BNP protein function

A

Is a protein made by the ventricle in response to stretching caused by increased blood volume and extracellular fluid that accompany heart failure

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347
Q

BNP causes :

A

Natriuses : sodium elimation

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348
Q

Normal BNP

A

<100

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349
Q

People with heart failure have an :

A

Elevated BNP

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350
Q

Clinical manifestations of hypothyroidism in infants

A

Dry skin

Hoarse cry

Difficulty awakening

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351
Q

Bacterial meningitis manifestation in newborn

A

Seizures

High pitch cry

Poor feeding

Nuchal rigidity

Bulging fontanelles

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352
Q

SIADH manifestation

A

Decreased sodium level

Decreased urine output

Water retention result in weight gain

High urine specific gravity

Decrease serum osmolarity

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353
Q

Burn degree

A
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354
Q

Normal uterine contractions during first stage of labor

A
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355
Q

Brocca Aphasia is caused by damage to :

A

Frontal lobe

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356
Q

Tracheotomy suctioning techniques

A

Preoxygenate with 100% oxygen

Use strictly sterile techniques

Suction only while withdrawing the catheter from the tracheostomy tube

Limit suction to 10-15 seconds

357
Q

P Wave represents

A

Atrial depolarization

358
Q

QRS complex represents

A

Ventricular depolarization

359
Q

Atrial pacemaker should displayed

A

Pacemaker spike before the P wave

360
Q

Hip fracture manifestation

A

External rotation

Abduction

Muscle spasm

Shortening of the affected extremities

361
Q

Hypoalbuminemia lead to

A

Pitting edema

Ascites

362
Q

Purse lib breathing how do you do it ?

A

Sit upright and inhale deeply , before performing a quick forceful exhalation that creates an audible huff sounds

Pursed lips during exhalation should be performing during pursed lip breathing

363
Q

Rate of respiration is regulated by

A

Medulla Oblongata

364
Q

Speech is controlled by

A

Frontal lobe

365
Q

Touch , sensation is controlled by

A

Parietal lobe

366
Q

Vision is controlled by

A

Occipital lobe

367
Q

Ball palsy in an inflammation of what cranial nerve

A

Cranial nerve 7

368
Q

Tracheostomy care position

A

Semi fowler position

369
Q

Frosbite intervention

A

No massaging or rubbing

Provide warm water soak and analgesia

Elevated injury area

Apply loose , nonadherent , sterile dressing, monitoring for compartment syndrome

370
Q

Emergency treatment for autonomic dysreflexia

A

Check for bowel distention

Removing tight clothing

Raising head of the bed

371
Q

Ectopic pregnancy signs and symptoms

A

Hypotension, tachycardia, dizziness, shoulder pain

372
Q

Ptosis is an injury to what cranial nerve

A

Cranial nerve 3

373
Q

Retinoblastoma make pupils appears

A

White

374
Q

Anticoagulants are contraindicated in client with

A

Hemorrhagic stroke

375
Q

Bed position for hip replacement

A

<60

376
Q

Spirometer use indication

A

Sitting or high fowler position

Raise the piston to preset goal marker

Spirometer should be used 5-10 times every hours

Hold breath 2-6 seconds after inhalation

377
Q

Macular degeneration manifestations

A

Blurry spot in the middle

378
Q

Anemia is characterized by

A

Low hemoglobin level

379
Q

Neutropenia is characterized by

A

Low wbc count

380
Q

Thrombocytopenia is characterized by

A

Decreased platelets count

381
Q

Septic shock signs and symptoms

A

Fever

Hypothermia

Hypotension

Tachycardia

Leukocytosis

382
Q

Client with hemophilia should not take

A

NSAID

383
Q

Normal heart rate (1-12 month)

A

100-160 min

384
Q

Normal respiratory rate (1-12 month)

A

30-60 min

385
Q

Polycythemia vera is:

A

Too much RBC produced causing increased blood viscosity, venous stasis , and increased risk for thrombus formation

386
Q

Polycythemia vera management:

A

Therapeutic phlebotomy

Low dose of aspirin

Increase fluid intake

Elevating legs while sitting

Antihistamine cream

387
Q

Tuberculosis signs and symptoms

A

Low grade fever

Night sweats

Anorexia and weight loss

Fatigue

Cough

Purulent or blood tinged sputum

SOB

388
Q

Poorly controlled diabetes in pregnancy lead to

A

Polycythemia (elevated hematocrit)

389
Q

Pertussis type of precautions

A

Droplet precautions

390
Q

Green Vomit represents

A

Bile from instestine which indicate bowel obstruction

391
Q

Marfan syndrome causes

A

Sudden death in athletes due to cardiac abnormalities

392
Q

Wound irrigation process

A

Administer analgesics

Fill a 30-60 ml sterile irrigation

Attach 18-19 gauge needle and hold it 1 inch above the wound

Use continuous pressure to flush the wound , repeat until drainage is clear

Dry the surrounding wound area to prevent skin breakdown

Clean from the least contaminated area

393
Q

Diabetes insipidus treatment

A

Desmopressin

394
Q

Anaphylaxis symptoms

A

Respiratory compromise (oral and airway, swelling, stridor, wheezing, chest tightness,

Shock ( dizziness, loss of consciousness)

395
Q

Infants cardiac arrest intervention

A

Check the infant pulse no longer than 10 seconds

Provide 2 minutes of CPT till at rate of at least 100 compression

396
Q

Trachea deviated from midline is a sign of

A

Tension pneumothorax

397
Q

Pneumonia signs and symptoms

A

Crackles

Pleuritic chest pain

Bronchial breath sound

Unequal chest expansion

Dullness

398
Q

Myastenia gravis intervention

A

Vaccination

Eating soft food

Taking acetylcholine inhibitors (pyrisdostigminr) 45-60 min before meal

Planning for precipitating factors like pregnancy

399
Q

Epidural anesthesia may lead to

A

Hypotension

400
Q

Non pharmacological invertion for SVT

A

Vagal manoeuvers : place ice bag to the client face and instruct client to hold their breath while bearing down

401
Q

Hypoglycemia signs and symptoms

A

Diaphoresis

Pallor

Trembling

Palpitations

Anxiety

Restlessness

402
Q

Acute pancreatitis manifestation

A

Left upper quadrant pain radiating to the back

403
Q

Ronchi is heard in client with

A

Bronchitis

404
Q

Rules of 9

A
405
Q

Chest tube >100 ML /hr

A

Is sign of hemorrhage

406
Q

Magnesium toxicity antidote

A

Calcium gluconate

407
Q

Hemophilia treatment

A

Administer IV factor VIII

408
Q

Signs of ectopic pregnancy

A

Hypotension

Tachycardia

Shoulder pain

409
Q

Venous ulcer management

A

Elevate leg 20-30 // 3-4 times daily

Consume diet in high protein Vitamin C, Vitamin A, Zinc

Apply compression stocking

Apply fragrance free moisturizer

410
Q

Peritonitis manifestation

A

Fever

Abdominal rigidity

Guarding

Rebound tenderness

411
Q

Acute thyrotoxicosis ( thyroid storm )

A

Life threatening conditions that occur in response to stress

412
Q

Ulcerative colitis management

A

Take vitamin and oral supplements

Use a skin barrier cream for perianal irritation

Drinking at least 2000-3000 ml

Continuously taking sulfasalazine after symptoms resolve

413
Q

Duchenne Muscular dystrophy manifestation

A

Gower sign: placing hand on thigh to push up to stand

Enlarged calves

Walking on tiptoe

Frequent tripping or falling

414
Q

Acute closure glaucoma manifestation

A

Severe eyes pain

Reduced central vision

Blurred vision

Ocular redness

Halos around the light

415
Q

Blood transfusion intervention

A

Stop the transfusions

Initiate normal saline to maintain IV access and prevent hypotension and vascular collapse

416
Q

Signs of blood transfusions reaction

A

Chills

Fever

Low back pain

Itching

417
Q

Blood transfusions reaction intervention

A

Stop transfusion immediately and disconnect tubing

Maintain IV access with normal saline

Notify HCP

Monitor vital signs

Recheck labels, numbers , and client blood type

Treat client symptoms according to HCP prescriptions

Collect blood and urine specimen to evaluate for hemolysis

Return blood and tubing set to the blood bank for additional testing

Complete necessary facility paperwork to document the reaction

418
Q

Hyperkalemia treatment

A

May give calcium gluconate

419
Q

HHS Hyperosmolar hyperglycemic state manifestation

A

Neurological manifestations (blurry vision , lethargy, coma )

Severe hyperglycemia

420
Q

Herpes Zoster (shingles ) signs symptoms

A

Vesicular rash has a characteristic of linear dermatomal distribution and can present with severe pain

421
Q

Nonrebreather mask

A

Is used in emergency, delivers high concentrations of oxygen (up to 90-95 % ) requires a tight face seal.

422
Q

Simple face mask

A

Delivers a higher concentrations of oxygen 40-60%

423
Q

Venturi mask

A

Used to deliver a guaranteed oxygen concentration to client

424
Q

Head tilt-chin manoeuver is used to

A

Open airway

425
Q

Oropharyngeal airway

A

Is a temporary artificial airway used to prevent tongue displacement and tracheal obstruction in client who are sedated or unconscious

426
Q

Oropharyngeal airway teaching

A

Should never be taped in place because of the risk for choking and aspiration

427
Q

Right sided heart failure manifestions

A

Peripheral edema

Jugular vein distention

Increased abdominal girth

Ascites

428
Q

Aspirin in children lead to :

A

Reye syndrome

429
Q

Crackles at lung based indicate

A

Pulmonary edema

430
Q

Bronchial breath sound indicates

A

Pneumonia

431
Q

Stridor indicate

A

Laryngospasm or edema of the upper airway

432
Q

Pulmonary edema manifestation

A

Pink frothy sputum

Acute onset dyspnea

Cough productive

433
Q

Toxic epidermal necrolysis intervention

A

Provide cotton blankets

Administering lubricating eye drops

434
Q

Oral candiasis manifeststation

A

White patches on the oral mucosa, palate, and tongue

Difficulty sucking or feeding

435
Q

What rhythm is this one ?

A

Atrial fibrillation

436
Q

Burn fluid resuscitation

A

Lactated ringer

437
Q

SIADH manifestation

A

Dark Amber urine

438
Q

Diabetes insipidus manifestation

A

High serum osmolarity

Low urine specific gravity

Dehydration

Polydipsia

439
Q

Pheochrocytoma management

A

Prepare for surgical removal of the tumor

Administration of IV hypertension

Initiating 24 hr urine collection

440
Q

Pleural effusion manifestations

A

Dyspnea

Pain with respiratory

Diminished breath sounds with dullness to percussion over the area

441
Q

Symptoms of paralytic ileus

A

Abdominal discomfort , distention

Nausea, vomiting

442
Q

Lispro

A

Given within 15 minutes before eaten

Peak 30 min - 3hrs

443
Q

Client with peptic ulcer disease should avoid :

A

NSAIDS

Smoking

Excess use of alcohol or caffeine

444
Q

Wound evisceration position

A

Low fowler position with knees bent to reduce tension on the open wound

445
Q

Hirschsprung disease manifestation

A

Difficulty tolerating feeding

Bilious emesis

Distended abdomen

No passage of meconium for 48 hours

446
Q

First line of treatment for torsades de pointe

A

IV Magnesium

447
Q

Maslow hierarchy of needs

A
448
Q

Tripod position

A

Helps ease work of breathing in client with COPD

449
Q

Tradelenburg position

A

Helps to increase venous return in client with shock

450
Q

Right lateral position

A

Used in client with pneumonia

451
Q

SVT initial treatment

A

Vagal manoeuvers ( bearing down as if having a bowel movement

452
Q

Risk factors for oral candiasis

A

Immunosuppressant (HIV) antibiotic therapy

453
Q

Fat embolism manifestation

A

Respiratory issues

Petechiae

Neurologic impairment

454
Q

Preterm labor intervention

A

Administer glucocorticoids (bethamethasone , dexamethasone ) to stimulate lung maturity

Administration of antibiotics

Initiated magnesium sulfate

Give to tocolytics ( nifedipine , indomethacin ) to suppress uterine uterine activity

455
Q

Yellow zone on peak flow meter

A

Indicates symptoms are worsening, and the client need to take rescue meds

If level return to green , no changes are necessary to daily meds

456
Q

Angiotensin converting enzyme inhibitors ( pril) and angiotensin receptors blockers ( tan) are contraindicated

A

In pregnant women

457
Q

Position to put a baby with cleft lip palate

A

Upright supine position

458
Q

Left to right cardiac shunt ( patent ductus arteriosus, atrial septal defect, ventricular septal defect ) manifestation

A

Heart murmur

Poor weight gain

Diaphoresis

Signs of heart failure

459
Q

Peritonitis manifestation

A

Low grade fever

Tachycardia

Cloudy outflow

460
Q

Carpal spasm ( trousseau)

A

Signs of hypocalcemia

461
Q

How to use adult AED( adult external defibrillator) on kids

A

One pad is placed on the chest

The other pad is placed on the back

462
Q

Hepatis nursing intervention

A

Rest

Adequate nutrition ( adequate carbohydrates and protein intake, low fat small frequent meals)

463
Q

Diabetes insipidus clinical manifestations

A

Polyuria

Polydipsia

Hypernatremia

Increased serum osmolarity

Decreased urine specific gravity

464
Q

Hyperthyroidism nutrition

A

High protein

Carbohydrates

Vitamin

Minerals

465
Q

Cushing syndrome clinical manifestations

A

Weight gain

Truncal obesity

Moon face

Skin Atrophy

Muscle weakness

Hypertension

Hyperglycemia

466
Q

Pursed lip technique

A

Inhale 2 seconds through my nose , keeping my mouth close

Exhale 4 seconds through purse lips

467
Q

Otitis media manifestation

A

Purulent drainage

Red and bulging tympanic membrane

Restlessness and irritability

Pulling on the ear

Refusal to eat

468
Q

Phases of seizure

A

Prodromal phase: period with warning signs that precede the seizure

Aural phase : period before the seizure where client may experience visual or other sensory changes

Ictal phase : is the period of active seizure

Postical phase: recovery, client may experience confusion

469
Q

Adult AED should be used by the age of

A

8

470
Q

Sjogren syndrome teaching

A

Use artificial tears and saliva

471
Q

Pulseless client intervention

A

2 minutes of CpR in cycles of 30 high quality chest compression to 2 rescue breath ,

followed by activating the emergency response and obtaining an AED

472
Q

Poison Ivy intervention

A

Wash the area

473
Q

Transcuder placement for BP reading

A

4th intercostal space at the midaxillary line

474
Q

Malignant hyperthermia treatment

A

Dantrolene

475
Q

Mechanical ventilation intervention

A

Maintain head of bed 30-45%

Pause sedation to assess weaning

476
Q

With hyperkalemia on ECG the nurse should monitor

A

Tall, peaked T waves on the ECG

477
Q

Addison disease primary treatment

A

Costicosteroid (end in sone )

478
Q

Long term use of corticosteroids may mask signs of

A

Infection , so report sign of infection to HCP asap

Report signs of hyperglycemia

479
Q

Statins adverse effect

A

Myopathy ( generalized by muscle aches and weakness )

Muscle injury

Hepatic dysfunction

480
Q

Anticholinergic meds adverse effects

A

Urinary retention

481
Q

Vancomycin administration time

A

Over 60 minutes to prevent VIR

482
Q

Isotretinoin contraindications

A

Vitamin A

Tetracycline

483
Q

Clopidogrel should not be given in client with

A

Peptic ulcer disease

484
Q

Before administering beta blocker the nurse should monitor

A

Blood pressure

Heart rate

485
Q

Before administering ace inhibitors the nurse should monitor

A

Potassium

Blood pressure

486
Q

Aspirin requires monitoring

A

Platelets levels

Sign of bleeding

487
Q

Statins require monitoring

A

Muscle pain before administering

488
Q

Scopolamine patch is placed :

A

Behind the ear

489
Q

Antacids should not be administered with

A

Misoprotol

490
Q

What to monitor when child receiving methylphenidate

A

Height / Weight / Blood Pressure

491
Q

Phenytoin indication

A

Partial seizures

492
Q

Phenytoin toxicity signs and symptoms

A

Neurological manifestations

Ataxia

Nystagmus

Nausea

Vomiting

493
Q

Levetiracetam indication

A

Treat seizures

494
Q

Signs of hypokalemia

A

Muscle weakness, cramps

495
Q

Mannitol indication

A

Treat cerebral edema

Acute glaucoma

496
Q

Live attenuated influenza vaccine should not be given to :

A

Immunocompromised

Pregnant

Less than 2 years of age

497
Q

Metoclopramide puts patients at risk for :

A

Tardive dyskinesia (uncontrollable lip smacking , hand wringing, rocking

498
Q

Ace inhibitors adverse effects

A

Angioedema (swelling of the lips , tongue , throat, face , larynx)

499
Q

Erythropoietin alfa contraindications

A

Uncontrolled blood pressure

500
Q

Benzodiazepines (pam) antidote

A

Flumazenil

501
Q

Topical capsaicin teaching

A

Wait 30 minutes before washing the affected area

502
Q

Carbidopa/ levodopa teaching

A

Urine and saliva may turn reddish brown but this is not harmful

503
Q

Site of injection in newborn

A

Vastus lateralis

504
Q

TB induration positive if

A

Induration >=15

Immunocompromised >=5

505
Q

Long term used of Proton pump inhibitors (prazole)

A

Put patient at risk for clostridium difficile associated with diarrhea, decreased bone density, pneumonia, hypomagnesemia

506
Q

Statins drugs teaching

A

Report any muscle aches or weakness as these can lead to rhambolysis

507
Q

Methylphenidate teaching

A

Take in the morning

508
Q

Ferrous sulfate indication

A

Treat iron deficiency anemia

509
Q

Ferrous sulfate teaching

A

Administer 1 hr or 2 before or after meals

Antacids or calcium decrease absorption of iron if administered with or within 1hr of sulfate

510
Q

Proton Pump inhibitor put patient at risk for

A

Osteoporosis

Bones fractures from decreased calcium absorption

511
Q

IUD teaching

A

Mild discomfort ,cramping, spotting is associated with IUD insertion

Heavier bleeding

Check on IUD string at least every month

512
Q

Benzodiazepines withdrawal symptoms

A

Tremor

Seizures

Tachycardia

Nausea

Vomiting

513
Q

Medications that are contraindicated during pregnancy

A

Doxycycline

Ace inhibitors (pril)

Isotretinoin

514
Q

Levothyroxine teaching

A

Take on empty stomach preferably in the morning

515
Q

Hyperkalemia (ECG peaked T waves) treatment

A

Calcium gluconate to prevent life threatening dysrhythmias

After calcium gluconate meds to correct potassium level is administered

516
Q

Pain management during second stage of labor :

A

Epidural anesthesia

Nitrous oxide

Pudental nerve block

517
Q

Corticosteroids ( sone ) risk

A

Increase the risk for conversion of latent TB to active TB

518
Q

SSRI and MAOI contraindicated

A

Should never be taken together

519
Q

Enema administration

A

Put patient in left lateral position with knee flexed

Hang the enema no more than 12 inches (30 cm) above the rectum to avoid overly rapid administration

Lubricants the enema tubing tip and insert 3-4 inches (7.5-10 cm ) into the rectum

Insert the tubing tip directed toward the umbilicus

Encourage client to retain the enema (5-10 minutes )

Opening the roller clamp on the tubing to allow the solution to flow by gravity

Stop if report abdominal cramps

520
Q

Simvastatin teaching

A

Take in the evening at bedtime

521
Q

Digoxin teaching

A

Check pulse , Heart rate

Report GI ( anorexia , nausea, abdominal pain)

Report visual changes ( alterations in color vision, scotomas, blindness)

Neurological changes ( lethargy, fatigue, weakness, confusion, dizzy , lightheaded)

522
Q

Methylergonovine contraindication

A

Contraindicated for clients with hypertension due to the risk of seizures or stroke

523
Q

Recommended rate for infusion of potassium chloride

A

No greater than 10 mEq/hr (10 mmol/hr

524
Q

Low sodium diet can precipitate

A

Lithium toxicity

525
Q

Allopurinol teaching

A

Take medication with a full glass of water with each dose

Increase fluid intake

526
Q

Sulfasazaline indication

A

Rheumatoid arthritis

Inflammatory bowel disease

527
Q

Sulfasalazine adverse effects

A

Crytalluria

Yellow orange skin

Urine discoloration

Photosensitivity

528
Q

Duloxetine , pregabalin , amitryptyline indication

A

Pain relieving effects

Depression

529
Q

Potassium chloride teaching

A

Take it with a full glass of water and stay sitting upright

530
Q

Elevated TSH level interventions

A

Increase levothyroxine dose

531
Q

Dabigatran teaching

A

No routine lab check required

532
Q

Hold digoxin in children if

A

Heart rate <90-110 in infants and young children

Heart rate <70 in older children

533
Q

Misoprostol contraindications

A

Cesarean Birth

Abnormal fetal heart rate

Urine tachysystole

History of renal failure

534
Q

Insertion of central venous access device in femoral vein should be avoided due to

A

High risk for central line- associated bloodstream infection

535
Q

Sulfonylyrea (glyburide) adverse effects

A

Hypoglycemia, Weight gain

536
Q

Methotrexate teaching

A

Increase dietary intake of folic acid

537
Q

Isoniazid teaching

A

Take pyridoxine vitamin B6 to prevent neuropathy

Avoid aluminum containing antacids

Report hepatotoxicity jaundice dark urine

Report numbness

538
Q

Polystyrene sulfonate enema

Kayexalate retention enema

Indication

A

For client with high serum potassium levels

539
Q

Omeprazole indication

A

To prevent stress ulcers from developing during surgery or a major illness

540
Q

Anticholinergic (Benztropine , trihexyphenidyl) contraindicarion

A

Client with glaucoma , urinary retention or benign hyperplasia

541
Q

Methylphenidate teaching

A

Causes insomnia do not administer the last dose no later than 6pm to precent disruption

542
Q

Indimethacin teaching

A

Indomethacin increase the risk for bleeding when used concurrently with apixaban therapy

543
Q

Lithium toxicity intervention teaching

A

Drinking at least 8-12 cups of fluid

Receiving routine blood test

544
Q

IV iodine teaching

A

Metformin should be discontinued 24-48 hours before administration of iodined contrast

Avoid in client with renal impairment

545
Q

Ear drop teaching

A

Pull pinna up and back to straighten the ear canal in clients >4 years old and adults

Pull the pinna down and back <3 years old

546
Q

Signs of magnesium toxicity

A

Absent or diminished tendon reflexes

Decreased respiratory rate

Somnolence

547
Q

Sertraline may cause :

A

Sexual dysfunction

548
Q

TLS tumor lysis syndrome may cause

A

Severe electrolyte imbalance

549
Q

Desmopressin teaching

A

Desmopressin will lower urinary output and cause the specific gravity to increase

550
Q

Amoxicillin / clavulanate teaching

A

Take with food

Shake well before administering

551
Q

Medication that we don’t administer via NG tube

A

Enteric coated

Extended release

Sustained release

552
Q

Asthma exacerbation management

A

Short acting beta agonist (Albuterol , Ipratopium )

Corticosteroids ( methylprenisolone )

Oxygen saturation maintains >90%

553
Q

Nitroglycerin teaching

A

It should be stored in the original container at room temperature to protect from degradation

554
Q

Warfarin teaching

A

Warfarin must be taken same time every day to maintain therapeutic INR

Antibiotics can affect INR value

555
Q

Stimulant meds like Methylphenidate adverse effects

A

Weight loss

Hypertension

Exacerbation of vocal / motor tics

Excess brain stimulation

Abuse potential

556
Q

Suppository meds administration teaching

A

Suppository must be inserted past both the external and internal sphincter

557
Q

Tetracycline teaching

A

Take 1 hour before or 2 hr after meals with water

Take with dairy products or withing 2 hours of taking antacids

Use sunblock due to photosensitivity

558
Q

Acronym to assess stroke

A

FAST

F : facial dropping (numbness or droopiness on one side of the face)

A : Arm weakness ( weakness or drifting of one arm when raised shoulder level)

S : Speech difficulties (slurring speech , incomprehensible speech , inability to understand others

T: Notation of the time of symptoms onset, which is critical for guiding treatment

559
Q

Pavlik harness care :

A

Assess skin 2-3 times daily for redness , breakdown, under the straps

Dress child in a shirt and knee socks

Apply diapers underneath the straps

Leave harness on at all times

560
Q

Peripheral venous access device insertion site

A

Cephalic vein

561
Q

Elevated BNP is indicative of

A

Heart failure

562
Q

Neonate resting pulse

A

110-160

563
Q

Electroencephalogram teaching

A

Wash hair

Avoid caffeine beverages

ECG is painless

564
Q

Valsava manoeuver is contraindicated in clients

A

With intracranial pressure

Stroke

Head injury

Heart disease

Cataract surgery

565
Q

Positioning

A

Tradelenburg : for air embolism

Side lying with head, back, knees flexed : lumbar puncture

Arm raised above the head on the affected side : chest tube

566
Q

Descending stairs using a cane

A

1.Cane , 2.affected leg 3.unaffected leg

567
Q

Going up a stairs with cane

A

1.Step up with the stronger let

  1. Move cane next while bearing weight on the stronger leg
  2. Finally move the weaker leg up
568
Q

Stress incontinence

A

Involuntary leakage of small amounts of urine when intraabdominal pressure is increased

569
Q

Herpes Zoster precautions

A

Private room with negative airflow

Protective gown and gloves

Airborne precautions N95

570
Q

Parovirus B19 may cause

A

Fetal abnormalities

Stillbirth

571
Q

Romberg test teaching

A

Stand with feet together and hand at the sides of the body , then ask to close their eyes

Loss of balance indicates ataxia is sensory

572
Q

Normal glascow score

A

15

573
Q

Abdominal examination order

A

1.Inspections 2. Auscultation 3. Percussion 4.Palpitations

574
Q

Normal Pupils

A

3-5 mm

575
Q

Mnemonic for metabolic syndrome

A

We Better Think High Glucose

Waist circumference

Blood pressure

Triglycerides

HDL

Glucose

576
Q

Salem Pump intervention

A

Semi fowler position

Mouth care every 4 hours

Turn off suction briefly every 4 hours

Turn off suction briefly during auscultation

577
Q

Priority goal after mastectomy

A

Elevate the affected arm

578
Q

Boston Brace teaching

A

Proper skin care

Wear a cotton t-shirt under the brace

Adherence to wearing the brace

579
Q

Position to prevent aspiration pneumonia

A

Side lying position

580
Q

Polycythemia vera teaching

A

Elevate leg and feet while sitting

Wearing support stocking

Increase fluid intake during exercise and hot wearing

Report sign of DVT , swelling, tenderness

581
Q

Infant with bacterial meningitis may develop

A

Hydrocephalus

And ICP

So bulging fontanels and increasing head circumference are important indicators of bacterial meningitis may

582
Q

Uterine tachysystole occurs when

A

Contraction are too frequent >5 contraction in 10 min

583
Q

Osteoporosis may lead to

A

Kyphosis

584
Q

Having client to track object through 6 cardinal’s point if vision is testing what cranial nerve

A

3 , 4 , 6

585
Q

What lab values liver cirrhosis causes to be elevated

A

Bilirubin

Ammonia

Coagulation studies

Hyponatremia and hypoalbuminea are to be expected

586
Q

Lithium level

A

0.8-1.2

587
Q

Refeeding syndrome characterized by

A

Mnemonic : PPM

Decline serum phosphate , potassium, magnesium

588
Q

Mcg to ml

A

1ml =1000 mcg

589
Q

Peak intermediate insulin (Humulin)

A

6-14 hours

590
Q

Most common side effects of diabetes

A

GI disturbances

591
Q

Triage

A
592
Q

Airborne Precautions

A
593
Q

UAP , LPN RN scope of practice

A
594
Q

Maslow hierarchy

A
595
Q

Central venous Catheter (CVC) vein insertion

A

Central vein => subclavian , internal jugular vein , femoral vein

596
Q

Central venous catheter is used to :

A

Administer fluid

Administer meds

Parenteral nutrition

Hemodynamic

597
Q

Central venous catheter teaching

A

Proper hand hygiene

Non sterile gloves

Catheter hubs always be handled aseptically, always allow aseptic to dry before using the hub/port

CVC are used to administer incompatible drugs simultaneously

598
Q

Enteral nutrition is given through

A

A feeding tube , orally

599
Q

Syringe size to flush a CVC

A

10 ML

600
Q

Push pause method CVC

A

Slowly injecting normal saline into the cvc and stopping for any resistance, injecting against resistance may cause embolism, malfunction

601
Q

Most CVC require heparin flushing for what :

A

To maintain patency and prevent clotting when not in use

602
Q

Standard heparin dose to flush a CVC

A

Doses of 2-3 ml of 10 units/ml or 100 units/ml

Doses of 1000-10000 units are given in case of venous thromboembolism

603
Q

Distal port of cvc is used to monitor:

A

Central venous pressure (right atrium monitoring)

604
Q

Distal end of the CVC is located where :

A

In the superior vena cava vein , closest to the right atrium of the heart

605
Q

Catheter (CVC) occlusion intervention

A

Repositioning the client m

Assessing for IV tubing , clamps, kinks or precipitate

If occlusion remain contact HCP, for alteplase

606
Q

How to prevent infection when discontinuing a CVC

A

Supine position

Bear down or exhale

Air occlusive dressing

Pull the line cautiously

607
Q

Vein to insert a peripheral venous access device

A

Cephalic vein

608
Q

Central line dressing change technique

A

Sterile technique , wearing sterile gloves , mask

609
Q

Central line dressing change teaching

A

Tell client to turn head away from the picc line

Tell client to hold breath , or perform valsalva manoeuver to prevent air entering the line

610
Q

How to perform valsalva manoeuver

A

Hold the breath while bearing down and contracting muscle

611
Q

Valsalva manoeuver contraindications

A

Intracranial pressure

Stroke

Head injury

Heart disease

Cataract surgery

Liver cirrhosis

612
Q

What is thoracentesis

A

Needle inserted into the pleural space to remove fluid for diagnostic or therapeutic purposes

613
Q

Thoracentesis position

A

Upright sitting position on the side of the bed , leaning forward over the bedside table with arms supported on pillows

614
Q

Lumbar puncture position

A

Fetal position

615
Q

What to monitor after thoracentesis

A

Level of alertness

Lungs sounds

O2 saturation

Respiratory pattern

616
Q

PICC line should be changed every

A

7 days

617
Q

Thoracentesis needle insertion location

A

Intercostal space

618
Q

What is phototherapy

A

Used of fluorescent light to treat hyperbilirubinemia or jaundice in newborn clients.

Convert bilirubin into water soluble form that is excreted through urine and stools

619
Q

Phototherapy intervention

A

Fully exposed except for diaper and eye shields when placed under the phototherapy lights

No lotion or ointment

Monitor for skin breakdown and temperature changes

May removes clients for feeding and bonding

620
Q

Phototherapy immediate intervention

A

Meconium (sticky, thick , black/dark green stool) may worsen hyperbilirubinemia

621
Q

How to verify endotracheal tube placement

A

Capnography

622
Q

Type of feeding when a client is on mechanical ventilation

A

Continuous feeding , no bolus

623
Q

Ventilator associated pneumonia manifestation

A

Positive sputum culture

Leukocytosis

Elevated temperature

New or progressive infiltration on xray

624
Q

How to prevent aspiration in client with ventilator

A

Assess abdominal distention every 4hrs , assess for GI intolerance feeding

Keep head of bed at >=30 degreees

Keep endotracheal cuff inflated

Suction any secretion

Use caution when using sedation

Avoid bolus

625
Q

High positive end expiratory pressure may cause

A

Barotrauma

Hypotension

626
Q

Avoid suction before

A

ABG draw

627
Q

When should you suction patient with ICP ?

A

When O2 drops because of respiratory secretions

628
Q

Ventilator asssociated pneumonia intervention

A

Oral care chlorhexidine every 2 hous

Reposition side to side every 2 hours

629
Q

Long term complications with mechanical ventilator

A

Stress ulcers , so give H2 blockers or PPI

630
Q

Extubation intervention

A

Use warm humidifier oxygen via facemask

Oral care

NPO

High fowler position

631
Q

Wound dehiscence intervention

A

Stool softener (docusate) to prevent straining and constipation

Antimetics (ondosetron) to prevent straining with nausea

Abdominal binder to provide homeostasis, support the incision, and reduce mechanical stress on the wound

Monitor blood glucose

Splint the abdomen by holding a pillow or folded against the wound for support when coughing and moving

632
Q

How often do you empty the jackson pratt

A

Empty device 4-12 hours unless it is 1/2 to 2/3 full

633
Q

Normal expected serosanguineous drainage after 24 hours

A

80-120 ml in the firsr 24 hours , if more notify the provider

634
Q

Wound irrigation intervention

A

Administer analgesics 30-60 minutes before the procedure to decrease discomfort

Fill a 30-60 ml sterile irrigation syringe with the prescribed irrigation solution

Attach 18-19 gauge needle to the syringe and hold it 1 inch(2.5 cm ) qbove the wound

Use continuous pressure to flush the wound

Dry the surrounding area to prevent skin breakdown and irritation

635
Q

Venous leg ulcer management

A

Elevating the legs for 20-30 min 3-4 times days

Consume vitamin A and Zinc

Apply compression stocking

Fragance free moisturizer

636
Q

Identify the part of this chest tube A B C D

A

Section A : suction Control chamber

Section B : Part of water seal chamber

Section C : water seal chamber

Section D : collection chamber

637
Q

Presence of air leak is indicated by

A

Continuous bubbling of fluid at the base of the water seal chamber Section

638
Q

Continuous, gentle bubbling in suction chamber indicate

A

Drainage system is working properly

639
Q

Chest tubes drainage that should be reported to the provider

A

Drainage >3ml for 3 consecutive hours should be reported immediately to the provider

640
Q

Chest tube hemothorax value to he reported

A

Drainage of >100 ml or sudden changes in quality should be reported to the HCP

641
Q

Vein use for arteriovenus fistula

A

Cephalic or basilic vein

642
Q

Teaching for client with fistula

A

Avoid sleeping on the arm

Avoid lifting heavy object , however can use a squeezing soft ball or sponge

Check the function of vascular access by feeling for vibration (thrill) to assess AVF patency

Avoid rectrictive clothing

Monitor for signs of bleeding or infection after dialysis

643
Q

Signs of peritonitis due to peritoneal dialysis complications

A

Cloudy outflow

Low grade fever

Tachycardia

Abdominal pain

Rebound tenderness

644
Q

Peritoneal insufficient outflow intervention

A

Assess for abdominal distention and constipation

Examin the catheter for kink or obstruction

Place the client in side-lying position

645
Q

Expected color of stoma

A

Pink to red that is moist

646
Q

Abnormal stoma color

A

Dusky , pale, dark colored may indicate vascular compromise and should be reported to HCP

647
Q

Ascending colon care

A

Clarifying enteric-coated meds

Identify food that cause excess gas and odor => brocolli , cauliflower, dried beans

648
Q

Finding that indicate needs to suction

A

Adventitious breath sounds (rhonhi, wheezes, crackles)

Altered mental status ( irritability, lethargy)

Decreased O2

Increased respiratory rate

Increased work of breathing ( flared nostrils, use of accessory muscle )

Pallor, mottling , cyanosis of the skin

649
Q

Client with single chamber pacemaker will show

A

Pacemaker spike before the P wave

650
Q

What rhythm is this :

A

Ventricular pacing

651
Q

How to use spirometry

A

Sitting high fowler

Seal lips around mouthpiece before slowly inhaling

Hold breath 2-6 seconds

Coughing to promote expectoration

652
Q

Meds to avoid during pregnancy

A

NSAIDs =>. Remember NSAIK =>

N= Naproxen
S=Salicyclic acid
A= Aspirin
I=Ibuprofen, Indomethacin
K= Ketorolac
———————————————————
Ace and Arbs => pril , sartan
———————————————————
Doxycycline and tetracycline ( cycling dangerous during pregnancy
———————————————————
Carbamazepine => seizures

653
Q

Varicella vaccine teaching

A

Return for a second dose 4-8 weeks

Use contraception for 1 month to avoid pregnancy

654
Q

Normal weight to maintain during pregnancy

A

18.5 - 24.9 kg

655
Q

Diet and vitamin during pregnancy

A

Folic acid 400 mcg / day to prevent neural tube defects

Calcium 500 mg daily

Iron rich foods meat and dried fruit

Iron supplements ( ferrous sulfate) to prevent anemia

656
Q

Iron teaching

A

Take on empty stomach

Risk for constipation

Increase vitamin c to aid absorption

657
Q

Food rich with calcium , iron , B vitamins

A

Grilled chicken

Greens peanut butter

Juice

658
Q

Protein contains foods vegetarians client

A

Dried beans

Seeds

Peanut butter

Peas

659
Q

Sources of calcium

A

Dark green , leafy vegetables

660
Q

Sources of folic acid

A

Cereal , bread , pastas

661
Q

Gastric lavage is performed through what ?

A

Orogastric tube

662
Q

Gastric lavage purpose

A

To remove ingested toxins and irrigate the stomach

663
Q

Gastric lavage risk complications

A

Aspirations

Esophageal or gastric perforation

Dysrhythmia

664
Q

Gastric lavage indication :

A

When overdose is lethal or can be initiated within 1 hour of the overdose

665
Q

Standard treatment for overdose

A

Activated charcoal administration but it is ineffective in some drugs (lithium, iron, alcohol.

666
Q

Gastric lavage teaching

A

Intubation and suction supplies should always be available at bedside in case aspiration, or respiratory distress

667
Q

Pyelonephritis infection symptoms

A

Dull flank pain, extended towards the umbilicus

668
Q

Major depressive disorder meds

A

SSRI : fluoxetine , escitalopram

669
Q

Multiple sclerosis meds

A

Corticosteroids to reduce inflammation and accelerate neurological symptoms recovery

670
Q

NMS is a complication of what meds

A

Olanzapine

671
Q

Antipasmodic (tolterodine, oxybutynin) are used to :

A

Reduce the frequency of bladder spasms

672
Q

Rheumatoid arthritis meds

A

Methotrexate

673
Q

Communicable disease

A
674
Q

Snellen chart teaching

A

Child age of 6 and older should stand 10 feet away

675
Q

Electroconvulsive therapy facts

A

Client feel no pain , anesthesia and muscle relaxation are administered during ECT

676
Q

Furosemide adverse effects

A

Ototoxic

677
Q

Agoraphobia

A

Fear of leaving the house or being in public due to the anxiety and fear of having future attacks in situations that may be embarrassing or incapacitating

678
Q

Opioid withdrawal symptoms

A

Nausea, vomiting, diarrhea, abdominal cramping, myalgia

679
Q

Alcohol withdrawal meds

A

Benzodiazepine ( diazepam , lorazepam, chlordiazepoxide )

Vitamins ( thiamine, folic acid)

680
Q

Hold lithium if sodium

A

Is low , hyponatremia

681
Q

Lithium teaching

A

Consume adequate dietary sodium because low sodium diet precipitates sodium toxicity

Lithium take at least one for manic effects to subside and at least 2 weeks for the full therapeutic of the medication to be seen

Limit intake of soda, tea, coffee

Drink 2-3 liter of fluid each day to maintain normal sodium level

682
Q

Loop diuretic ( furosemide) adverse effects :

A

Ototoxic

683
Q

Furosemide teaching

A

Admister slowly to prevent Ototoxicity

684
Q

Dabigatran indication

A

To reduce the risk for thromboembolism and stroke in client with AFIb

685
Q

Dabigatran indication

A

To reduce the risk for thromboembolism and stroke in client with AFIb

686
Q

Dabigatran teaching

A

Implement measure to prevent bleeding

Dabigatran capsules should be swallowed not crushed, chewed , or opened

687
Q

Beta adrenergic blockers ( atenolol , metoprolol , propranolol ) indication

A

To reduce symptoms of thyrotoxicosis (thyroid storm?

Also treat symptoms like tachycardia, hypertension, irritability, tremors, nervousness in hyperthyroidism

688
Q

Antipsychotics (haloperidol ) meds adverse effects

A

Neuroleptic malignant syndrome that occurs 1-3 days after initiation of rapid dose

689
Q

If neuroleptic malignant syndrome is suspected the nurse should :

A

Hold the dose and notify the healthcare provider

690
Q

NMS signs and symptoms

A

Muscle rigidity

Autonomic dysfunction (tachycardia, fluctuations blood pressure , Diaphoresis)

Mental status changes

Hyperthermia

691
Q

Meds for older adults to avoids

A

Antidepressants (amitriptyline)

First generation antihistamines ( diphenhydramine )

Benzodiazepine ( diazepam

692
Q

Thrombolytics ( Tissue plasminogen indication)

A

To lyse thrombi

To restore perfusion for client having ischemic stroke

693
Q

Thrombolytics ( tissue plasminogen activator tpa) contraction :

A

Surgery

Stroke

Head trauma

694
Q

Sulfonamide antibiotic ( trimethoprim-sulfamethoxazole ) teaching

A

Should be assessed for for allergie to sulfonurea meds ( glyburide) due to potential cross sensitivity

695
Q

Common finding in dying client who is unresponsive and no longer able to manage secretions

A

Loud , wet respiratory

Intervention for this finding = > Anticholinergic ( sublingual atropine , scopolamine)

696
Q

Corticosteroids teaching

A

Monitor for infection , low grade fever

697
Q

Client receiving radioactive iodine should avoid :

A

Pregnant women and children

Use seperate toilet and disposable tableware

Sleep in separate bed

Isolate personal laundry

698
Q

Effective treatment of albumin indication

A

Blood pressure and heart rate within normal limits

699
Q

Albumin indication

A

Increase intravascular oncotic pressure

Increase fluid volume in client with ascites

700
Q

Codeine adverse effects prevention interventions

A

Increase fluid

Increase bulk diet

Increase laxative

Take meds with food

Changing positions slowly

701
Q

Acetylcysteine may worsen

A

Bronchospasm

702
Q

Bismuth subsalicylate contain

A

Aspirin / salicylates, and aspirin causes reye syndrome in children so , avoid administering in children

703
Q

Client taking enoxaparin with platelets less than ? Indicate ?

A

Less than <150000 indicate thrombocytopenia

704
Q

Ace inhibitor should be avoided in:

A

Pregnant client

705
Q

Adverse effects of nitroglycerin

A

Severe hypertension, like systolic blood pressure <90

706
Q

INR > 50 poses risk for

A

Bleeding

707
Q

NSAIDs (indomethacin, ibuprofen, naproxen ) causes

A

GI toxicity

Kidney injury

Exacerbation of fluid overload

Hypertension

Bleeding

708
Q

NSAIDs should be taken with

A

Food

709
Q

NSAIDs should be taken with

A

Food

710
Q

Albuterol adverse effects

A

Tachycardia

Palpitations

Insomnia

Mild tremor

Vomiting

711
Q

Carbidopa / levodopa indication

A

To treat bradykinesia in parkinson disease

To improve tremor and rigidity to some extent

712
Q

Carbidopa / levodopa teaching

A

Should never be stopped abruptly

713
Q

Before administering sodium polystyrene the nurse should assess

A

Bowel sounds

Review medical record of stools

714
Q

Lactulose is effective if :

A

Improve in mental status

715
Q

Lactulose indication

A

To decrease serum ammonia level

716
Q

Phenazopyridine (pyridium) turn

A

Urine orange red color

717
Q

Client experiencing anxiety may be given

A

Lavender , aromatherapy

718
Q

Clonazepam contraindications

A

Valerian root

Kava

Melatonin

Benzodiazepines

719
Q

Statins assessment prior administering

A

Assess dietary intake

Liver function test

Pregnancy status

720
Q

Meds that decrease heart rate

A

Beta blocker ( metoprolol , timolol )

Calcium channel blocker ( diltiazem , verapamil

721
Q

Dehydration and sodium loss may precipitate

A

Lithium toxicity

722
Q

Miconazile indication

A

To treat vaginal candidiasis

723
Q

Micinazole is best to administer

A

At bedtime

724
Q

Vaginal candidiasis teacing

A

Wear loose-fitting cotton underwear

Refrain from swxual intercourse

725
Q

Client receiving rapid acting insulin should eat :

A

Within 15 minutes of administration

726
Q

Rapid acting insulin example

A

Aspart

Lispro

Glulisine

727
Q

Isotretinoin teaching

A

Use 2 form of contraception consistently

728
Q

Opioid agonist-antagonist ( butorphanol) indication

A

Can safely administer in client in active labor who is likely to give birth at least in 2-4 hours after opioid administration

729
Q

Hypotonic dehydration signs and symptoms in client receiving furosemide

A

Decrease BP

Increase pulse rate

Output greater than intake

Hypernatremia

Low K

730
Q

Influenza age appropriate

A

2-49 , but do not give to immunocompromised or less than 2 years child

Do not give to immunocompromised

Do not give to pregnant client

731
Q

Sulfasalazine ( Azulfidine ) indication

A

For mild moderate chronic RA

For inflammatory disease

732
Q

Meds associated with orthostatic hypertension

A

Most hypertensive

Most antipsychotic, depressant

Volume depleting agent

733
Q

Levothyroxine ( synthroid ) therapeutic expectation

A

Elevated mood

Greater energy level

Heart rate within normal limit

734
Q

Isoniazid (INH) side effects

A

Hepatotoxicity (jaundice, vomiting , dark urine, fatigue )

Peripheral neuropathy ( numbness, tingling of extremities)

735
Q

Isoniazid teaching

A

Avoid alcohol

Avoid aluminum antacids

736
Q

Taximofen indication

A

To treat and prevent receptor-positive breast cancer

737
Q

Tamoxifen side effects

A

Deep vein (thromboembolic events)

Endometrial cancer

738
Q

Ethambutol teaching

A

Watch for vision changes

739
Q

Potassium supplement or salt substitute should not be given to client taking

A

Ace inhibitors

Angiotensin receptor blocker

740
Q

Sucralfate teaching

A

Must be given with meals

741
Q

Quinolone should not be given with

A

Antacids

742
Q

Thrombolytic therapy (alteplase ) contraindications

A

Active bleeding

Recent trauma

Surgery

Hemorrhagic stroke

Uncontrollable hypertension

743
Q

Alteplase are used for

A

Acute thrombolytic events

744
Q

Elevated liver enzymes in client receiving Isoniazid ( antetubercular) indicate

A

Development of drug induce hepatitis

745
Q

Client with infection should not take

A

Adalimumab ( tumor necrosis factor TNS )

746
Q

Kayexalate retention enema indication

A

For client with high serum potassium levels , to remove excess potassium in the body

747
Q

What to monitor when receiving glucocorticoid

A

Glucose level

748
Q

Nyastin teaching

A

Shake bottle before measuring the dose

Swish the suspension in the mouth before swallowing

Avoid eating at least 30 min after administration

Monitor oral mucus membranes for signs of irritation ( redness , swelling)

749
Q

Methotrexate adverse effects

A

Bone marrow suppression

Hepatotoxicity

GI irritation

750
Q

Lipsse inhibitor ( orlistat ) teaching :

A

Taken with or within 1 hour of meals that contain fat.

If a meal does not contain fat , then the dose may be skipped

751
Q

NSAIDs can cause

A

MI

Stroke

Exacerbation of heart failure

752
Q

NSAIDs can cause

A

MI

Stroke

Exacerbation of heart failure

753
Q

NSAIDs decrease the effectiveness of

A

Diuretics

Antihypertensive

754
Q

What client should avoid taking NSAIDs

A

Cardiovascular disease

Hypertension

755
Q

Levothyroxine starts to work after

A

3-4 weeks

756
Q

ARBS and. ACE are used to :

A

Treat hypertension, heart failure

But ARBS are prescribed to client who can’t tolerate the chronic cough caused by ace

757
Q

Clozapine indication

A

To treat schizophrenia in client who have not improved with other meds

758
Q

Clozapine teaching

A

Monitor for signs of infection

759
Q

Clozapine may cause

A

Agranulocytosis

760
Q

Epinephrine teaching

A

Injecting into the outer thigh at 90 angle at symptoms onset

Seeking immediate medical care after device use

Storing in a dark place at room temperature

Palpitations, tachycardia, dizziness may occur after injection

761
Q

Hypokalemia may lead to

A

Ventricular dysrhythmia

762
Q

Theophylline toxicoty most lethal

A

Seizure

Cardiac dysrythmia

763
Q

Phenytoin teaching

A

Hold entering feeding for 1-2 hours before and after administering phenytoin

764
Q

Ectopic pregnancy means

A

Fertilized eggs implants begin to grow outside of uterus often in the fallopian tubes

765
Q

Ectopic pregnancy results in

A

Hemorrhage, so it requires surgery

766
Q

Postpartum hemorrhage blood loss amount

A

Postpartum hemorrhage is a total blood loss >=1000 ml

Accompanied by hypovolemia that can be life threatening

767
Q

Postpartum hemorrhage risk factors

A

Uterine over distended

Oxytocin

Magnesium sulfate

Prolonged labor

Precipitous birth

768
Q

Hepatis B and hepatitis immoglobulin is administered at what age to newborn

A

Within 12 hours of birth

769
Q

Large gestional age(>90th percentile) newborn intervention

A

Assess for birth injuries

Monitor blood glucose

Encourages feeding every 2-3 hours

Report capillaries blood reading <40

770
Q

Cervical cerclage can prevent :

A

Preterm birth in clients with cervical insufficiency

771
Q

Preterm labor signs and symptoms

A

Low back pain

Discomfort

Regular contraction that intensify

Pelvic pressure

772
Q

Zika infection in pregnant women may cause

A

Birth defects and developmental dysfunction

So avoid travel to zika areas

773
Q

Newborn safety

A

Use of sleep sack

Supine sleep positioning

Proper car seat use : snuggly fitted harness, rear facing , back seat placement

774
Q

Posterm newborn clinical findings

A

Minimal to absent vernix caseosa

Dry cracked

Peeling skin

Deep plantar creases ,

Long fingernail

Scalp hair

775
Q

Fetal demise put client at risk for

A

DIC

776
Q

Shoulder dystocia what to document

A

Timing of the event

Verbalizing passing time

Perform McRobert manoeuver

Apply suprapubic pressure

777
Q

Absent moro reflex indicate :

A

Brain or spinal cord underdevelopment or damage

778
Q

Newborn of mothers with diabetes melitus commonly experienced

A

Polycythemia ( hematocrit >65 %

779
Q

Abnormal finding in newborn

A

Decreased muscle tone

Sacral dimple

Single artery

780
Q

What condition is this ? And what is the appropriate intervention?

A

Congenital dermal melanocytosis

So measure and document the size and location of the markings

781
Q

The only adequate treatment for syphilis during pregnancy is :

A

Penicillin, so if allergic penicillin desensitization is necessary

782
Q

Acrocyanosis is a :

A

Normal finding , bluish discoloration of the newborn hands and feet

783
Q

Acrocyanosis intervention

A

Placing newborn skin to skin with the parent

784
Q

Parents teaching for umbilical cord

A

Keep umbilical area dry

No antiseptic to the stump

Report signs of infection

785
Q

Priority action for placental accreta

A

Presence of at least two large bore iv

Available blood product

786
Q

Priority intervention for postpartum endometriosis

A

Administer antibiotics

787
Q

Oxytocin administration teaching

A

Require precise administration so administer via secondary IV line

Titrate oxytocin

788
Q

Postpartum thrombus intervention

A

Early ambulation

Perform leg exercises

Maintain sequential compression device

789
Q

Pica lab to monitor

A

Hemoglobin and hematocrit

790
Q

Palpation of the anterior fontanel on cervical examination indicates

A

Fetus is in cephalic presentation

791
Q

Miscarriage teaching

A

Avoid sexual intercourse and tub baths two weeks to prevent infection.

Use ibuprofen to alleviate cramping

Reports foul smelling vaginal discharge , bleeding, severe pain

792
Q

Spina bifida manifestations

A

Tuft of hair

Hemangioma

Nevus

Dimple along the base of the spine

793
Q

Neonatal abstinence syndrome manifestations

A

Minimize environmental stimuli

Provide comfort swaddling

Gently rocking newborn

794
Q

Gestational diabetes melitus complications

A

Fetal macrosomia

Shoulder dystocia

Polyhydramnios

795
Q

How to collect blood on heel stick on newborn

A

Warm the heel

Select location on the lateral or medial aspect of the heel puncture with an automatic lancet ( never use needle )

Cleanse area with alcohol pad

Wipe the first drop of blood to prevent false reading

796
Q

Myelomeningocele (spini bifida) complications

A

Dysplasia

Hydrocephalus

Neurogenic bladder

Infection

797
Q

Delirium tremens occurs when ?

A

After 48-96 hours following last drink

798
Q

Dash diet

A

Low sodium and fat

High calcium , potassium, fiber

799
Q

Lab hypo hyper manifestations

A
800
Q

Myopia is :

A

Reduced visual acuity when viewing objects at a distance

Clients with myopia need to hold objects near their face or sit near objects to see clearly

801
Q

Myopia may lead to :

A

Headache, dizziness, decreased school performance from eye strain

802
Q

Pinworm symptoms

A

Perineal itching

Restlessness

Disturbed sleep

Noctural enuresis

803
Q

Rotavirus spread how

A

Via fecal route by touching contaminated objects

804
Q

Rotavirus put you at risk for :

A

Dehydration

805
Q

Scarlet fever is a complication of

A

Streptococcal infection

806
Q

Scarlet fever is characterized by

A

Distinctive red rash

807
Q

Diagnostic procedure for scarlet fever

A

Throat culture

Rapid streptococcal antigen

808
Q

Varicella vaccine how many doses

A

2

809
Q

Varicella adverse reactions

A

Low grade fever

Swelling and erythema

Irritability

Rash up 1 month after injection

810
Q

Infants can eat solid food at what age

A

4-6 months

811
Q

Otitis media intervention

A

Ask for help restraining the client arm stabilizing the head

Pull down and back on the pinna

Insert speculum no further than the outer external auditory canal

Insoect tympanic membrane for infection

812
Q

First sign of puberty in male

A

Testicular enlargement

813
Q

Atrial septal defect expected findings

A

Heart murmur on auscultation

814
Q

MMR is administered at what age

A

12-15 months

815
Q

Scoliosis is

A

Deformity characterized by lateral curvature of the spine

816
Q

First dental visit of a child should occur

A

Within 6 months of the appearance of the first tooth

817
Q

Formula teaching for baby

A

Unused , prepared formula should be stored in the refrigerator, if unused discarded after 24 hours

818
Q

Allergic rhinitis prevention

A

Installing high-efficiency particulate air filter

Applying hypoallergenic pillow and mattress covers

Moping floors and damp-dusting furniture frequently

Keep windows closed

819
Q

Hemophilia teaching

A

Strategy to reduce risk of bleeding

Ensure medical bracelet wear at all times

Encourage participation in noncontact sports

820
Q

Hemophilia teaching

A

Strategy to reduce risk of bleeding

Ensure medical bracelet wear at all times

Encourage participation in noncontact sports

821
Q

Developmental dysplasia of the hip expected finding

A

Asymmetrical or extra gluteal fold on the affected side

822
Q

Cystic fibrosis intervention

A

Aerobic exercise

Chest physiotherapy

Increase fluid intake

High fat and calories

Social services

823
Q

Cleft palate repair intervention

A

Elevete head of bed

Implement pain reduction

Remove elbow restraints

824
Q

Hip fracture manifestation

A

External rotation

Abduction

Muscle spasm

Shortening of the affected extremities

825
Q

Continuous bladder irrigation pain may be caused by

A

Kinked blocked catheter

Bladder spasm

Postoperative pain

826
Q

Third degree AV heart block intervention

A

Temporay of permanent pacemaker

827
Q

Parkland formula

A

4 ml X body weight x % total body surface area

828
Q

Menaupause teaching

A

Have cholesterol level monitored

Consume calcium rich food

Weight bearing exercise

Seek support emotional

829
Q

Otic medication administration

A

Position the client side lying with the affected ear up

Pull pinna up and back

Instruct client remain side lying 2-3 minutes

Place cotton ball loosely in the outer ear for 15 minutes

830
Q

Intramuscular injection can be given where

A

Deltoid

Vastus lateralis

Ventrogluteal

831
Q

Ketorolac teaching

A

Used for pain relief but short term due to the risk of bleeding

Z-Track method is used

Use 1-10 1/2 inn needle

832
Q

Ketorolac teaching

A

Used for pain relief but short term due to the risk of bleeding

Z-Track method is used

Use 1-10 1/2 inn needle

833
Q

Client with varicella require what precautions

A

Airborne and contact : both

834
Q

Urinary carheter insertion teaching

A

Use non dominant hand to spread the labia majora and minora before cleansing the urinary meatus

835
Q

Low back pain intervention

A

Application of hot and cold compresses

Nsaid / acetaminophen

Sleeping in side lying position or supine

836
Q

Clonidine patch location

A

Dry , hairless area on the upper arm or chest

837
Q

Sputum collection teaching

A

Take in the morning

Rinse mouth with water

Site upright and inhale deeply , several times , and cough prior to expectoring

838
Q

Methicillin staphylococcus aureus intervention

A

Use package pre-moistened cloths containing chlorhexidine to bathe the client to reduce the spread of infection

839
Q

Administering enteral feeding intervention

A

Check gastric residual volume

Place client in high fowler position

Verify the gastric PH is <5, return aspirated GRV to the stomach

Flush tube before and after feeding

840
Q

Fentanyl patches are placed for how long ?

A

72 hours

841
Q

Palliative care focuses on

A

Quality of life and symptoms management

Palliative cate is provide by a multidisciplinary team

Palliative care provide relief symptoms associated with chronic illness

842
Q

Postmortem care

A

Maintain standard or isolation precautions in place at time of the death

Gently closed the client eyes

Removes tube and dressing

Straighten and wash the body

Pad under the perineum

Place pillow under the head

Remove equipment and soiled linen in the room

Give client belongings to a family member or send them with the body

843
Q

Steps to use fire extinguishers

A

P : pull the pin

A. : Aim the spray

S : squeze the handle

S. : sweep spray

844
Q

Hypovolic shock position

A

Elevating legs

Maintain head of bef =<30 degree

845
Q

INR therapeutic level

A

2-3

846
Q

Complication for infectious mononucleosis

A

Sudden onset of severe abdominal pain in the left upper quadrant

847
Q

Acceptable abbreviations include

A

Ac

Pc

Qid

Cm

848
Q

Phlebitis is

A

In a inflammation of a vein that occur as complication of IV therapy

849
Q

Signs of phlebitis

A

Pain

Warmth

Swelling

850
Q

Aortic dissection manifestations

A

Ripping back pain

851
Q

Rhabdomyolysis occurs when

A

Tissue is damaged and myoglobin is released into the blood

852
Q

Rhabdomyolysis manifestations

A

Dark colored urine

Elevated creatine kinase

853
Q

Normal range Mean arterial pressure (MAP)

A

70 - 105 mm Hg

854
Q

Anticholinerguc meds adverse effects

A

Dry mouth

855
Q

Urge incontinence management

A

Loss excess weight

Anticholinergic meds ( oxybutynin)

Avoidance of bladder irritants

Pelvic floor exercises

Bladder training

856
Q

Unilateral face paralysis teaching

A

Manually close the eyelid after applying artificial tears

Tape the eyelid shut to prevent excessive drying of the eye

Eat soft , high calorie food on the unaffected side to prevent choking

Use warm , moist compress for pain relief

857
Q

Diabetic ketoacidisis intervention

A

Administer 1L sodium chloride IV bolus

Initiate continuous iv insulin infusion

Obtain serum blood glucose

Initiate cardiac monitoring

858
Q

Adrenal crisis meds

A

Hydrocortisone

859
Q

Chronic venous insufficiency manifestation

A

Varicose vein

Edema and brown

Hardened skin on the lower extremities

860
Q

Head tilt-chin lift manoeuver is performed to :

A

Open airway

861
Q

Preventive care for client with HIV

A

Routine vaccination

Avoid raw/undercooked food

862
Q

Carpal tunnel syndrome teaching

A

Wear wrist immobilization splint

863
Q

Huff coughing how to perform

A

Sit upright and inhale deeply before forcefully exhaling

864
Q

Huff coughing how to perform

A

Sit upright and inhale deeply before forcefully exhaling

865
Q

Huff coughing is used to :

A

Loosen and clear secretions for clients with COPD

866
Q

Total hip arthroplasty teaching

A

Applying sequential compression device

Placing abductors pillow between the leg

Maintain head of bed <60

867
Q

Diverticulosis teaching

A

Prevent constipation ( high fiber , increase fluid intake , regular exercise)

Regular exercise

NPO

NG suction

Best rest

Antibiotics, analgesics

868
Q

Osteoarthritis manifestation

A

Pain by weight bearing

Morning stiffness subsiding within 30 minutes

Decreased joint mobility

Range of motion

Atrophy and supporting muscle

869
Q

Pericarditis manifestation

A

Pleuritic chest pain that is sharp aggravated during inspirations and coughing

870
Q

Herpes zoster can occur in client with

A

History of chickenpox

871
Q

Primary open glaucoma is characterized by

A

Intraocular pressure

Gradual loss of peripheral vision

872
Q

Management acute pancreatitis

A

Maintain NPO

Opioid analgesia for pain

IV fluid administration

873
Q

Management acute pancreatitis

A

Maintain NPO

Opioid analgesia for pain

IV fluid administration

874
Q

Cast care teaching

A

Report foul odors or hot area in cast

Prevent cast from getting wet

Elevate the extremity above heart level for the first 48 hours

Regularly exercising the affected extremity

Report symptoms of impair circulation (numbness, tingling, pallor , coolness)

Never insert object under the cast

875
Q

Aortic dissection intervention

A

Iz beta blocker to maintain normal pressure in aorta

876
Q

Influenza transmission period

A

Highest period transmission usually occur 1 day before symptoms begin and continue for at least 5-7 days after the illness stage begins

877
Q

Dopamine is used

A

To improve hemodynamic status in clients with shock and heart failure

878
Q

Dopamine increase

A

Heart rate

Blood pressure

Cardiac output

Urine output

879
Q

Torsade de point meds

A

Amiodarone

Amitriptyline

Ondansetron

880
Q

Torsade de pointes causes

A

Prolinged QT interval , causes by hypomagnesemia

881
Q

Sjogren syndrome manifestation

A

Dry eyes and mouth

So use artificial tears and saliva

882
Q

Overflow incontinence teaching

A

Implement fixed voiding schedule

Teach technique to emptying bladder (valsa manoeuver , Credé manoeuver, double voiding )

Monitor for perineal skin breakdown

Measure postvoid residual volume

883
Q

Pessary is used to prevent

A

Pelvic organ prolapse

884
Q

Cirrhosis causes what lab to elevated

A

Ammonia

Biliburin

Prothrombin time

885
Q

SVT intervention

A

Perform vagal manoeuver ( bear down if having bowel movement

886
Q

Cerebellum regulate

A

Posture and balance

887
Q

Expected serosanguineous in a jackson pratt

A

80-120 ml for first 24 hours

888
Q

Cardiac catheterization intervention

A

Bed rest with affected extremity straightening

Head of bed <=30

889
Q

Wound evisceration position

A

Low fowler position

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