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NCLEX Prep study > NCLEX Review 2 > Flashcards

NCLEX Review 2 Flashcards

1
Q

Pressure ulcer intervention

A
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2
Q

Conductive hearing and Sensorineural hearing loss

A

Conductive hearing is caused by Obstruction

Sensorineural hearing is caused by impairment of the neeve fibers

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3
Q

Pheochromocytoma may cause

A

Hyperglycemia

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4
Q

Meds that treat hypercalcemia

A

Phosphorus

Calcitonin

IV Biphosphonates

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5
Q

Methotrexate teaching

A

May cause bleeding, bruising easily

Take with folic acid

Avoid large crowds and wash your hands

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6
Q

Alternative treatments for anxiety

A

ST John wort

Kava

Passion flower

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7
Q

A client in pain will have those symptoms

A

Nausea and vomiting

Diaphoresis

Increased pulse

Tachypnea

Increased blood pressure

Increased blood glucose

Dilated pupils (mydriasis)

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8
Q

NG tube irrigation process

A

Draw up to 30 ml of warm water in syringe

Place the tip of the syringe in the tube gently to instill warm water

After instilling water hold the end of the NG tube over an irrigation tray

Observe for return of NG drainage into an available container

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9
Q

What to monitor when client taking clozapine

A

Weight

CBC (depressed wbc neutropenia)

Fasting blood glucose ( hyperglycemia)

Total cholesterol ( hyperlipidemia )

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10
Q

Hpyonatremia may be caused by

A

Addison disease

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11
Q

Hypernatremia signs and symptoms

A
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12
Q

Anthrax is spread

A

Breathing in the infected spores ( bacillus anthracis )

Eating raw or contaminated meat

Cutaneous anthrax ( bacteria enter a cut or scratch in the skin)

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13
Q

Medication for cystic fibrosis

A

Multivitamin

Simvastatin

Salmeterol

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14
Q

Moro reflex is absent by what month

A

6 months

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15
Q

9 months baby expectation

A
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16
Q

Pediculosis treatment need to be

A

Repeated after 7 to 10 days

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17
Q

Panic disorder meds

A

Amitriptyline

Diazepam

Phenelzine

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18
Q

Calcium promote

A

Blood clotting

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19
Q

What landmark to use when measuring abdominal girth in client with ascites

A

Umbilicus

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20
Q

Fluoxetine teaching

A

Take in the morning due to insomnia

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21
Q

Laboratory value that indicate TPN is working

A

Albumin in normal range

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22
Q

Increased risk for geriatric client

A

Glaucoma

Cataract

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23
Q

Harsh , whooshing or blowing sound indicate what heart tones :

A

Heart murmur

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24
Q

Amphitericin B is prescribed for

A

Meningitis

Histoplasmosis

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25
Q

Preventive treatment for amphotericin B infusion

A

Diphenhydramine

Acetaminophen

0.9 saline bolus

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26
Q

Lightening ? Ballottement ? Ambivalence ?

A

Lightening: descent of the fetus toward the pelvic inlet before labor , happen 2-3 weeks before natural onset of labor.

Ballottement : is an examination technique where a sudden tap on the cervix during vaginal examination

Ambivalence : when mother feel conflicted about the pregnancy in first trimester

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27
Q

Lab to monitor in client with cystic fibrosis

A

Blood glucose , as CF causes damage to pancreas

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28
Q

Myxedema coma ( hypothyroidism) lower what

A

Blood glucose

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29
Q

Dicyclomine is used to treat ?

Therapeutic response of dicyclomine ?

A

To treat Irritable bowel Syndrome

Therapeutic effect : decreased abdominal cramping associated with IBS

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30
Q

Amish patient teaching

A

They use traditional and alternative health care

Funerals are conducted in the home

Many choose to live without health insurance

Health is believe to be a gift from god

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31
Q

Non stress test is used :

A

To measure fetal heart rate

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32
Q

Ultrasound teaching

A

Require a full bladder, so you may need to fill up your bladder

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33
Q

Amniocentesis is used to

A

Determine gender of the fetus

Lung maturity

Neural tube defects

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34
Q

Chorionic villus is used to

A

Determined any chromosomal abnormalities , it’s performed at 10 weeks before natural

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35
Q

Oral glucose tolerance is used to

A

Determined if client got gestational diabetes , and it’s performed at 24-48 weeks

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36
Q

Meds for acute anxiety attack

A

Midazolam ( 2-5 minutes rapid onset , short duration 3 to 8 hours

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37
Q

Causes of hypocalcemia

A
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38
Q

Diseases that causes phosphorus level to increase

A

Tumor lysis syndrome

Hypoparathyroidism

Renal failure

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39
Q

Presumptive / probable / positive signs of pregnancy

A
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40
Q

Permissive hypertension during ischemic cerebrovascular accident (CVA) allows blood pressure to up to :

A

185/110 , so continue to monitor if not over

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41
Q

Supraventricular tachycardia meds

A

Adenosine , follow by rapid push 0.9 % saline

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42
Q

Labs to monitor for regular insulin infusion

A

Hourly blood glucose

Potassium

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43
Q

Gastrectomy put client at risk for :

A

Pernicious anemia , so expect cyanocobalamin order

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44
Q

Infant with heart rate below than 60 , initial actuon would be

A

Call a code blue

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45
Q

Risk factor for prostate cancer

A

Diet high in animal fat

African american

Increased age, after. 40

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46
Q

Alendronate expected outcome

A

Inhibit bone resorption

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47
Q

Acute osteomyelitis manifestation

A

Localized bone pain

Fever

Swelling to the affected extremities

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48
Q

Positive end-expiratory pressure is used to :

A

Prevent closure of the small airways during expiration

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49
Q

Ropinirole is used to treat:

A

Parkison disease

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50
Q

Tetralogy of fallot defects

A

Ventricular septal defect

Overriding aorta

Pulmonary Artery stenosis

Concentric right ventricular hypertrophy

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51
Q

2 cup equal

A

8 ounces , 240 ml

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52
Q

Rubella may increase

A

Risk for developing congenital heart defect

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53
Q

Deficiency anemia expected finding

A

Tachycardia

Pica

Pallor

Fatigue

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54
Q

Botulism is caused by

A

Neurotoxin produced by clostridium botulinum bacteria

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55
Q

Botulism does what ?

A

Inhibit the release of acetylcholine at neuromuscular junctions

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56
Q

Citalopram is prescribed to client with

A

Depressive and anxiety disorder

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57
Q

Citalopram therapeutic action

A

Increase self esteem

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58
Q

Paget disease expected finding

A

Bone deformity

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59
Q

Levels of anxiety

A
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60
Q

Where to assess for jaundice in client with dark skin

A

Hard palate of the mouth

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61
Q

Hyponatremia signs and symptoms

A
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62
Q

Signs of atelectasis

A

Decreased tactile fremitus

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63
Q

Dulaglutide teaching

A

Has no peak

Administer once a week

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64
Q

Child with cleft lip is at risk for what complications

A

Ear infection

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65
Q

Acute graft rejection manifestations

A

Rising AST and ALT

Tachycardia , fever , RUQ, flank pain

Diminished or change in bile color

Increased jaundice

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66
Q

Hyperthyroidism ( Graves disease) teaching

A

Report blood pressure top number that exceeds 140, that’s a sign of thyroid storm

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67
Q

Moro reflex disappears at what age

A

3-6 months

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68
Q

Meds for Trichomonas Vaginalis

A

Metronidazole

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69
Q

Succinylcholine is intended to

A

Cause skeletal muscle paralysis……

It’s also given prior intubation

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70
Q

Infiltration

A

A non-vesicant drug enter the subcutaneous tissue

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71
Q

Heart failure manifestation

A

Tachypnea

Diaphoresis

Fatigue

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72
Q

Avolition is

A

The inability to sustain goal-directed activities, or lack of motivation

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73
Q

Hypothyroidism meds teaching

A

May cause insomnia , so take same time each day on empty stomach , 30 minutes before breakfast

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74
Q

Gastric analysis teaching

A

Be NPO 8-12 hours before the test

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75
Q

TPN teaching

A

Placing a mask on the client before changing the central line dressing

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76
Q

When giving digoxin to infant , the apical heart rate should be at least

A

90 beats per minute

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77
Q

MAOI is intended to treat

A

major depressive disorder

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78
Q

Clostridium difficile precautions type ?

A

Contact enteric precautions

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79
Q

CK-MB, creatine kinase myocardial peak ?

A

18 hours

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80
Q

Thick tenacious secretions that clear with coughing causes

A

Rhonchi

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81
Q

Lisinopril teaching

A

May cause Hyperkalemia

Limit intake of avocados, bananas , apricot , legumes

You may notice decrease in your ability to taste food

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82
Q

Lyme disease manifestations

A

Erythema migrans (bull’s eye rash)

Fever

Headache

Sore throat

Malaise

Lymphadenopathy

Fatigue

Arthralgia

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83
Q

Benefits of delayed cord clamping

A

Increased blood volume

Decreased brain hemorrhage

Increase iron stores

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84
Q

SBAR

A
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85
Q

CPR teaching

A

Compression depth of two inches on the center breastine

Rate compression should be 100-120

Utilize early defibrillator

Carotid pulse check no longer than 10 seconds

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86
Q

How to determine gestational age

A

Ultrasonography

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87
Q

Benzodiazepines ( alprazolam ) should be avoided in client with

A

Hepatic encephalopathy

88
Q

Bacterial pharyngitis is caused by :

A

Group A beta hemolytic streptococcus

89
Q

Lurasidone is used to treat

A

Bipolar disprder

90
Q

Beta blocker mechanism of action

A

Block catecholaminrs from binding to the beta receptor

Reduce myocardial oxygen demand

91
Q

Hydrochrolothiazide teaching

A

May cause photosensitivity, so avoid prolonged sun exposure

92
Q

Cullen sign is a

A

Discoloration of the abdomen , periumbilical area…

And it’s a sign of pancreatitis

93
Q

Carbon monoxide poisoning manifestations

94
Q

Atrial fibrillation meds

95
Q

Subinvolution postpartum signs

A

Boggy uterus

Increased bleeding

Persistent lochia discharge

96
Q

Most severe side effects of aspirin

A

Anaphylactic shock

97
Q

Sterile technique teaching

A

Open sterile package away from my body

One inch (2.5 cm) border around a sterile drape can be touched with clean fingers

Object placed below waste is considered contaminated

98
Q

RSV Respiratory synctial virus manifestations

A

Thin nasal secretions

Nasal flaring

Crackles in lungs

99
Q

Cluster breathing is associated with

A

Lesions of the medulla or lower pons

100
Q

Meds for akathisia

A

Propranolol

101
Q

Halo fixator teaching

A

Report any fever or drainage at pin sites

Always keep the wrench taped to the front of the vest

When getting out of bed roll the side and on the mattress

Wear a cotton t-shirt under the vest to absorb any moisture

102
Q

Complication of acute pericarditis

A

Cardiac tamponade

103
Q

Before chest physiotherapy the nurse should

A

Administer prescribed bronchodilator

104
Q

Meds for exacerbation of Rheumatoid Arthritis

A

Prednisone

105
Q

Valsartan mechanism of action

A

Antagonizes angiotensin II receptors

106
Q

Urography teaching

A

Take laxative the night before to clear my bowel

107
Q

Physiological changes during pregnancy

A

Increase heart size

Reduced renal threshold for glucose

Decreased esophageal sphincter tone

108
Q

Contraction stress test teaching

A

You may need to stimulate your nipple during this test

109
Q

Bupropion is contraindicated in client with

A

Bulimia nervosa

110
Q

Diabetic foot care

111
Q

Hyphema intervention

A

Shield the affected eye

112
Q

Adult vital signs

113
Q

Hypercyanotic tet spell meds

A

Morphine sulfate

114
Q

Mycardial infarction meds

A

Beta blocker (lol)

115
Q

Ferrous sulfate teaching

A

Dilute the medication in water or juice

116
Q

Amphotericin B adverse effects

A

Hypokalemia, so monitor potassium

117
Q

Early, late, variability decer

A

Early deceleration: when fetal heart rate decrease at the same time as a contraction.

Late deceleration: are a decrease in the fetal heart rate that occurs after a contraction

Variability : fluctuations from baseline

118
Q

Aripiprazole indication

A

Schizophrenia

119
Q

What part is being removed during wedge resection

A

A small, localized portion of the lung

120
Q

Cataract teaching

A

You may have to quit driving until it get treated

121
Q

Helicobacter pylori meds

A

Amoxicillin

122
Q

Meds for hypertension associated with nephroblastoma

123
Q

Position to prevent foot drop

A

Dorsifexion, where the foot is flexed upward , with toes pointing toward the ceiling

124
Q

Meds for management of opioid use disorder

A

Naltrexone, Methadone , Buprenorphine

125
Q

Treatment for adrenal crisis

A

Hydrocortisone

5% dextrose with 0.9 % normal saline

126
Q

Normal urine output in children

A

More than 1.5 mL/kg/hr

127
Q

Cholecystitis pain location

A

Right upper quadrant, radiating to the right shoulder and scapula

128
Q

How to treat dystonia associated with administration of fluphenazine

A

Diphenhydramine

129
Q

PET scan (Positron emission tomography) teaching

A

NPO

Blood glucose level below 150

130
Q

What religion practice cremation

131
Q

Cystic fibrosis signs and symptoms

A

Steatorrhea

Meconiun ileus

Salty sweat

Adventitious breath sounds

132
Q

Severe anxiety manifestations

A

Feeling of impeding doom

133
Q

U-Wave is caused by which electrolyte

A

Hypokalemia

134
Q

Peaked T-Wave is caused by which electrolyte

A

Hyperkalemia

135
Q

Acute mania treatment

A

Mood stabilizers ( valproic acid)

136
Q

Subtance intoxication signs and syndromes

137
Q

Beta adrenergic (formoterol) may cause

138
Q

Respiratory rate and depth that are irregular and alternate with period of apnea and hyperventilation is what type of rhythm

A

Cheyne-stokes

139
Q

Kussmaull respiration are characterized by

A

Respiratory that are abnormally deep , regular and increased in rate

140
Q

Agonal breathing is characterized by

A

Gasping for air

141
Q

Metformin teaching

A

May cause GI upset (bloating, loose stools)

142
Q

Kawasaki disease signs and symptoms

A

May cause systemic vasculitis

Cardiac abnormalities (aneurysm)

Fever

Red, cracked lips , strawberry tongue, cervical lymphadenopathy

143
Q

What to monitor during magnesium sulfate administration

A

Hyporeflexia

Areflexia

Respiratory depression

Cardiac arrest

144
Q

Dexa scan teaching

A

Remove all metallic objects

145
Q

ICP meds

146
Q

Trazodone adverse effects

147
Q

Hepatic encephalopathy meds

A

Neomycin

Lactulose

148
Q

Pelvic exam teaching

A

Avoid douching 24 hours before the examination

149
Q

Herpes zoster PPE

A

Gown

Gloves

N95

150
Q

Cardiac output formula

A

Heart rate X Stroke volume

151
Q

Meds that treat allergic reaction from blood transfusion

A

Epinephrine

Diphenhydramine

Hydrocortisone

152
Q

Poractant alfa indication

A

Used as pulmonary surfactant to treat and respiratory distress

153
Q

Strabismus signs

A

Asymmetrical pin-point lights on pupild

154
Q

Peritonitis client with need

A

Parenteral nutrition

155
Q

Delirium tremes meds

156
Q

Liver biopsy position

A

Right lateral

157
Q

Early manifestations of ICP

158
Q

Fluphenazine (antipsychotic) jndication

A

Schizophrenia

159
Q

Fever associated with antipsychotic (fluphenazine ) is a sign of

A

NMS , which is a life threatening condition

160
Q

Amniocentesis teaching

A

Need consent before procedure

Rh negative will receive prescribed rhogam

Report fever, leaking amniotic fluid , bleeding

May be completed at 14 weeks

May be completed on high risk pregnancy

161
Q

Signs and symptoms of dialysis disequilibrium

A

Headache and nausea

162
Q

Trousseau sign is associated with :

A

Low magnesiuim

Low calcium

163
Q

Aortic regurgitation teaching

A

Increase preload in the left ventricle

Causes decrease cardiac output

Increases left ventricle end diastolic pressure

164
Q

Prednisone teaching

A

Make you gain weight

Take in the morning with food

Experience mood changes while on this medicine

165
Q

Meds that may cause hyperthermia

A

Halothane

Succinylcholine

166
Q

Positive result of clonus example

A

Rapid , rhythmic muscle contraction

167
Q

Chest tube teaching

A

Ambulate client with the device below the insertion site

Palpate around the insertion site for any crackle or popping

168
Q

Rheumatic fever in pregnancy may cause

A

Valvular lesion , that may lead to cardiac stress during pregnancy

169
Q

Hepatis A signs and symptoms

A

Nausea, vomiting , abdominal pain, fever, anorexia , dark urine, scleral icterus, pale stools, jaundice, pruritus

170
Q

Position after kidney biopsy

A

Lay flat immediately after procedure

171
Q

Typical vs Atypical antipsychotic

172
Q

Agnosia

A

Inability to identify familiar objects or people

173
Q

Complex partial seizure

A

Is a seizure that altered awareness for 1-3 minutes

174
Q

Blood pressure in legs teaching

A

Systolic pressure usually higher by 10-40 mm Hg

175
Q

Left ear myringotomy position

A

Left lateral recumbent

176
Q

Meds for leg cramps during pregnancy

177
Q

Hydralazine indication

A

Hypertension

178
Q

Caffeine during pregnancy

A

Limit to less 200 mg/day

179
Q

Lab to monitor for lithium

A

Creatine

TSH

Sodium

180
Q

Client with leukemia is at risk for

A

Bleeding and recurrent infection

181
Q

New onset of fixed and dilated pupil following stroke is a sign of

A

ICP , so monitor blood pressure

182
Q

Factors that can influence cardiac output

A

Increased stroke volume

Increased blood volume

Increased sympathetic stimulation

Administration of positive inotropic drugs

183
Q

Laryngotracheobronchitis meds

A

Nebulized racemic epinephrine

184
Q

Primary prevention

Secondary prevention

Tertiary prevention

185
Q

Diabetic nephropathy meds

186
Q

Immunization for age 50 and older

A

Zoster vaccine

Seasonal inactivated influenza vaccine

187
Q

Phosphorus and calcium relationship

A

When one level , the other one decreases

188
Q

Treatment for hirschsprung disease

A

Pull-through procedure

189
Q

Levothyroxine adverse effects

A

Heat intolerance

Palpitations

Insomnia

190
Q

Intussusception sign and symptoms

A

Red , currant jelly like stool

191
Q

Hyphema position

A

Semi fowler

192
Q

Halo sign is an indication for :

A

Basilar skull fracture

193
Q

Ziprasidone indication

A

Decreased thought of persecution

194
Q

Acute morning sickness meds

A

Acetazolamide

195
Q

Myocardial infarction meds

A

Labetalol

Morphine sulfate

Nitroglycerin

196
Q

Sounds that may auscultate during heart failure

197
Q

Sounds that may be heard during auscultation when patient experiencing myocardial infarction

198
Q

Clear liquid diet example

199
Q

Nonstress test indicatiob

A

Assess fetal condition in third trimester

200
Q

Tremor in hand is a sign of

A

End stage renal disease

201
Q

Dexamethasone adverse effects

A

Infection

Peripheral edema

Insomnia

202
Q

Oxaprozin indication

A

Osteoarthritis

203
Q

Huntington disease signs and symptoms

A

Chorea

Hallucination

Weight loss

204
Q

Guillain Barré syndrome signs and symptoms

A

Paresthesia

205
Q

Lithium expected finding

A

Coarse hand tremor

206
Q

Earliest sign of lithium toxicity

A

Blurred vision

207
Q

Abnormal finding over adult lung tissue

A

Hyperresonance

208
Q

Colonoscopy teaching

A

Do not take anything by mouth 4-6 hours before the test

209
Q

NG tube teaching

210
Q

Gerd disease teaching

A

Wear loose fitting clothes

211
Q

Acute glomerulonephritis signs and symptoms

A

Proteinuria, hematuria, periorbital enema, weight gain , high blood pressure, decrease glomerular rate GFR

212
Q

Contraindications for beta blockers administration

A

Cardiogenic shock

213
Q

Bedpan teaching

A

Placing head of bed 30-60 degrees

214
Q

Diabetes insipidus teaching

A

Weight yourself everyday

Log fluid intake and urine output

May need additional dose if you keep urinating a lot

Call 911 if develop confusion

215
Q

Vitamin K to neonates teaching

216
Q

Celiac disease signs and symptoms

A

Steatorrhea

Malnutrition

Diarrhea

Dehydration

Electrolyte derangement

217
Q

Celiac disease intervention

A

Replace fluid and correct electrolytes imbalance

NCLEX Prep study (2 decks)

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