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NCLEX-RN > Set 1 > Flashcards

Set 1 Flashcards

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1
Q

Nursing Process

A 
ADPIE
Assessment
Diagnosis
Planning
Implement/Interventions
Evaluation
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2
Q

Establishing goals is part of which phase of the nursing process

A

Planning

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3
Q

Normal Calcium levels lab values

A

8-10

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4
Q

Normal Protein levels lab values

A

6.4-8.3

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5
Q

Foods with protein

A

Meat, eggs, milk, cheese

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6
Q

Bioavailability

A

How much drug is available in the body after absorption

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7
Q

Brand names and generic drugs

A

Bioequivalent, however they can have some different inert ingredients causing differing effects. Get approved from healthcare provider before using!

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8
Q

Feeding tube feed after surgery

A

Usually not initiated until BS are present which is around 24 hours after placement
May infuse water at a slow rate 2 hours after but only with order from HCP

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9
Q

Serosanguinous drainage

A

Pale, Red watery

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10
Q

Sanguinous drainage

A

Bright red. Indicates active bleeding

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11
Q

Purulent drainage

A

Thick, yellow, green, tan or brown

Almost always sign of infection

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12
Q

Serous drainage

A

Clear, watery, plasma

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13
Q

Oz to mL

A

1 oz = 30 mL

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14
Q

Correct order of assessment

A

Inspect, auscultate, percuss, palpate

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15
Q

Correct position to auscultate BS

Which quadrant do you begin with

A

Supine

RLQ

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16
Q

Normal bowel sounds

Hypoactive BS

A

5-35 sounds heard per minute

Heard after 3 min

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17
Q

Paralytic Ileus

A

Intestinal blockage… absence of BS

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18
Q

Upper GI series

A

Swallow Barium, Then X-rays are taken of esophagus, stomach and duodenum

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19
Q

Lower GI series

A

Barium inserted through the rectum, xrays are taken at different angles of the colon

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20
Q

Laxatives MOA

A

Soften the stool and stimulate rectal mucosa to produce soft or liquid stool

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21
Q

Rectal tube

A

Used to remove gas or liquified stool

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22
Q

Radiographic examination

A

Used to determine presence of fecal impaction

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23
Q

Vagal nerve stimulation

A

Can decrease pulse

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24
Q

Verbal orders

A

Verbal prescriptions must be signed within 24 hours

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25
Q

Good fiber sources

A

Whole grain, kidney beans

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26
Q

Lisinopril Teaching food

A

Avoid excessive intake of potassium

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27
Q

Milrinone

A

Vasodilator, used to treat HF and reduce BP.
Side effect: Hypotension
Can cause ventricular dysrhythmias… monitor EKG during administration

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28
Q

Side effects of Digoxin

Digoxin administration

A

Nausea and anorexia

Check apical pulse. Hold if <60

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29
Q

Ipratropium is contraindicated when

Ipratropium administration

A

In people with soybean or peanut allergies

Use at the same time each day

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30
Q

Albuteral

A

Rescue inhaler

Use 15-30 minutes before physical exercise

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31
Q

Elderly body changes that affect drugs

A

Decreased hepatic blood flow. This decreases drug metabolism

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32
Q

Protein level significance

A

Decrease in protein levels could mean an increase in free drug

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33
Q

Hep B and Hep A transmission

A

Hep A: spread through saliva

Hep B: Sharing needles or sex

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34
Q

Gastric contents PH levels

A

<4

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35
Q

Feeding tube and coughing

A

coughing could dislodge the feeding tube up the esophagus and is a risk for aspiration. If a patient has bouts of coughing, check the ph levels of contents to ensure correct placement.

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36
Q

Confusion in the elderly

A

Not an expected finding.

Often follows relocation to new surroundings

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37
Q

Myasthenia Gravis diet

A

High calorie but also semi solid foods. Things like graham crackers and apple slices are too difficult to chew and swallow. Chocolate pudding would be a good answer.

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38
Q

High cholesterol diet

A

Limit saturated fat from animal foot sources to 4 oz a week

Don’t need to completely restrict protein and red meats, but should restrict to lean cut red meats and small portions

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39
Q

Proper use of inhaler when to administer

A

During the inhalation

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40
Q

Trachea suctioning

A

Should not last for greater than 15 seconds at a time. Allow for re-oxygenation in between

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41
Q

Compartment syndrome

A

Occurs from a cast or internal pressure (such as subcutaneous infused pressure)… results in decreased blood flow to extremity.
Assess pulse and cap refill distal!

42
Q

Patient on bed rest…

A

Be careful of sheering. Gently lift pt when moving into desired position.

43
Q

Why do we start IV infusions in upper extremities more often

A

Risk for thrombosis in lower extremities

44
Q

NG tube medication administration

A

Flush with water before and after. Then clamp tubing for 20 minutes.
Mix each medication individually

45
Q

Who has greatest need for additional protein intake?

A

Lactating woman

46
Q

How to best measure total muscle mass of adolescent

A

Upper arm cirucmferance

47
Q

Battery

A

Unwanted touching

48
Q

Auscultating abnormal heart sounds

A

Use the bell of the stethoscope

49
Q

Closed ended questions when to use

A

Use when needing to obtain specific information such as s/s of a problem.

50
Q

Goniometer

A

The instrument that measures angles

51
Q

Frontal lobe of the brain controls what

A

Higher mental activities such as memory, intellect, language, emotions, and personality

52
Q

Hypothalamus controls what

A

Regulates body temp, appetite, maintains wakeful state

53
Q

Parietal lobe controls what

A

Location of sensory and motor function

54
Q

Huber-point needle

A

Used when accessing an implanted infusion port for pt on long term IV

55
Q

Normal cardiovascular age related findings

A

Heart murmurs and widening pulse pressures

56
Q

Common side effects of atorvastatin (Lipitor)

A

Diarrhea, headache

57
Q

Older adult male sexual function

A

Not a normal change in aging. Decreased sexual function may be due to some medications

58
Q

Manifestations of R sided HR

A

Jugular vein distention, pitting edema, ascites`

59
Q

Normal pulmonary function change in older adults

A

Reduced vital capacity

60
Q

Normal renal function change in older adults

A

Decreased GFR and decreased blood flow through kidneys

61
Q

Normal age findings related to taste

A

Often dull due to atrophy

62
Q

Glascow Coma Score includes what

A

Verbal response, motor response, eye opening

DOES NOT INCLUDE PUPILLARY REACTION

63
Q

Expected findings with COPD

A

Anemia
Respiratory acidosis due to CO2 that is retained
Barrel chest
O2 levels between 88-92%

64
Q

AV fistula for dialysis expected finding

A

Enlarged vein

65
Q

Feeling of urgency with catheter

A

Irrigate first to push blood clots to determine if that was cause. If urgency still there, report finding to provider.

66
Q

Addison’s disease expected findings

A

Hyperpigmentation.

When Adrenal glands don’t produce enough corticosteroid hormone

67
Q

Cushing’s disease expected findings

A

Moon face, acne

68
Q

Ethnic group of women with highest risk of osteoporosis in order

A

Caucasian, Asian, Hispanic, African American

69
Q

Symptoms for decreased arterial blood flow

A

Skin cool to touch, diminished hair on legs

70
Q

Speaking to client with hearing loss

A

REPHRASE question not REPEAT

71
Q

OTC decongestant

A

Can increase ocular pressure

Can increase BP and pulse

72
Q

Peptic ulcer disease expected findings

A

Hematemesis, gastric pain on empty stomach, intolerance of spicy food

73
Q

What is diverticulosis

A

It is caused when chronic constipation causes weakening of colon walls which result in out-pouching sacs

74
Q

Sarcoidosis most commonly occurs in what ethnic group

A

African American

75
Q

Haloperidol side effect

A

Dystonia (Involuntary muscle control when a persons muscles contract or twist)

76
Q

MAOI food interactions

A

No alcohol or tyramine containing foods. Interaction causes hypertensive crisis

77
Q

Incomplete fracture

A

Occurs through part of the thickness of the bone.

78
Q

Paroxysmal nocturnal dyspnea

A

Characteristic of HF secondary to fluid overload.

Sudden awakening in the middle of the night with SOB

79
Q

Amylase lab value

A

Associated with acute pancreatitis

80
Q

Pursed lip breathing

A

Promotes CO2 elimination

81
Q

Liver biopsy

A

Potential for bleeding. Take vitals every 10-20 min. Position pt on R side and maintain bedrest for several hours after

82
Q

Bedridden client early sign of complication related to immobility

A

Stiff joints

83
Q

Irritable bowel syndrome

A

irregular bowel movements with constipation

84
Q

Ulcerative colitis S/S

A

Tenesmus

85
Q

Early stages of shock

A

Lethargy and other changes in LOC

86
Q

Oral glucose tolerance test

A

Used to screen for Diabetes

87
Q

Feeds rich in Vit B12

A

Cheese, Eggs, fish

88
Q

Foods with zinc

A

Meats and shellfish

89
Q

Kosher diet

A

Cannot mix meat and dairy in the same meal
No pork or shellfish
No blood in meat

90
Q

Foods enriched with calcium and Vit D

A

Fortified Soy Products

91
Q

Dumping syndrome

A

diarrhea, nausea, feeling lightheaded after eating due to food moving too quickly to your duodenum.
To mitigate, don’t drink more than 8 oz of water during meals

92
Q

Pernicious anemia vitamin deficiency

A

B12

93
Q

Clostridium botulinum

A

Occurs with inappropriate preparation of canning foods

94
Q

Samonella typhi

A

Occurs with undercooked meats

95
Q

Lysteria

A

Common in unpasteurized dairy

96
Q

Jar of peanut butter

A

Can age and spoil creating toxins and mold that are carcinogenic to humans

97
Q

New mother breastfeeding tips

A

Increase caloric intake by 500
Drink fluids liberally between 2-3 liters
Avoid spicy foods

98
Q

What foods not to eat with PKU

A

Chicken, Fish, cows milk, products with artificial sweeteners, nuts, beans
Any protein or diary should be avoided

99
Q

Pregnant women protein needs

A

Estimate by taking PRE pregnancy weight and divide by two

100
Q

Magnesium

A

Need increases during pregnancy

Mg increases protein, nucleic acid, and fat synthesis

NCLEX-RN (6 decks)

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