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NCLEX Review > Week 1 > Flashcards

Week 1 Flashcards

1
Q

Which fetal presentation is associated with “back labor”?

A

The occiput posterior position.

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2
Q

What is the priority intervention with rhabdo?

A

Aggressive fluid resuscitation

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3
Q

Should incident reports be documented in the medical record?

A

No.

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4
Q

If a pt experiences orthostatic s/sx during orthostatic blood pressures what should the nurse do?

A

Discontinue measurements, return the patient to the recumbent position, and notify HCP

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5
Q

What cleansers are appropriate for a SLE rash?

A

Mild soap and water. No harsh chemicals, ever.

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6
Q

What are the 2 common side effects of isoniazid?

A
  • Peripheral neuropathy (take B6 if necessary and report any s/sx)
  • Hepatotoxicity (avoid alcohol and report any s/xx)
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7
Q

How should urine samples be collected from a catheter?

A

Aseptically from the port in the catheter tubing.

Don’t get it from the collection bag!!

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8
Q

What is the priority assessment when a pt arrives in 2nd stage labor?

A

Assessing the perineum to see if birth is imminent (bulging or crowning of the fetal presenting part)

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9
Q

What type of stethoscopes are used for pts on contact precautions?

A

Single use ones. In fact all equipment should either be single use or left in the room only for that patient.

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10
Q

What is the major complication (and priority) for an inguinal hernia?

A

Strangulated bowel

possibly indicated by increased, severe pain and n/v

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11
Q

What 3 things should the nurse know before placing a fetal scalp electrode?

A
  • Cervical dilation
  • Membrane Status
  • History of bloodborne infections
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12
Q

What are the 2 major symptoms of an impending AAA?

A

-Abd/back pain
-a pulsatile mass
may also have a bruit

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13
Q

What is the normal magnesium lab range?

A

1.5-2.5 mEq/L

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14
Q

What is the therapeutic magnesium range in a pt w/ preeclampsia?

A

4-7 mEq/L

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15
Q

How often should a pt receiving continuous tube feedings be assessed for gastric tolerance?

A

Every 4 hrs.

Check for abd distention, gastric residual, etc.

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16
Q

What are the 4 things to look for when assessing sling fit?

A
  • Elbow flexed at 90 degrees
  • Hand is held slightly above elbow
  • Sling ends in the middle of the palm, fingers visible
  • Sling supports the wrist joint
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17
Q

Where and how should an Epipen be administered?

A

Into the mid-outer thigh area, even through clothing.

Be sure to hold for 10 seconds after injection.

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18
Q

When can FHR be detected by dopplar?

A

10-12 weeks gestation

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19
Q

Which type of infection is the greatest priority for isolation?

A

Airborne infections

This is because they can spread so quickly

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20
Q

What type of precautions are used for drug resistant organisms?

A

Contact precautions

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21
Q

What is the mnemonic for walking with a cane?

A

up with the good and down with the bad. The cane always moves before the weaker leg

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22
Q

Where are injections given in children <7months old?

A

In the vastus lateralis/anterolateral thigh

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23
Q

What is the normal WBC range?

A

4,000-11,000/mm3

[4.0-11.0×109/L]

24
Q

Where is the phelobostatic axis?

A

On the chest at the level of the atria (4th intercoastal space at the midaxillary line)

25
Q

What is the major adverse effect of hydroxychloroquine?

A

Retinopathy and visual disturbances. For this reason pts on this med should get an ophthalmologic exam every 6-12 months

26
Q

What is the therapeutic phenytoin level?

A

10-20 mcg/mL

27
Q

What are the 2 early s/sx of phenytoin toxicity?

A

Horizontal nystagmus and gait unsteadiness

28
Q

Codeine is contraindicated in pts with what disease processes?

A

Chronic respiratory disease like asthma and COPD. They suppress the cough reflex which can lead to a build up in respiratory secretions and respiratory distress.

29
Q

What 4 types of meds should be held before dialysis?

A
  • Antihypertensives
  • Antibiotics
  • Digoxin
  • Water Soluble Vitamins
30
Q

Should diapers be over or under a Pavlik harness?

A

Under the harness

31
Q

What should a child wear under a Pavlik harness?

A

A shirt and knee socks

32
Q

What are the key signs of refeeding syndrome? (PPM +2)

A 
Rapid declines in 
-Phosphorous
-Potassium
And/or
-Magnesium 
And 
Fluid overload, thiamine deficiency
33
Q

What is the normal range for phosphorous?

A

2.4-4.4 mg/dL

34
Q

What is the most common side effect of phenazopyridine hydrochloride?

A

All bodily fluids will turn a bright red-orange.

Beware of staining.

35
Q

What do the letters in APGAR score stand for?

A 
Appearance
Pulse 
Grimace 
Activity 
Respiratory Effort
36
Q

What route is used to vaccinate hemopheliacs?

A

The subQ route, whenever possible

37
Q

How is MAP calculated?

A

systolic bp+(diastolic bpx2)/3

38
Q

What is cyanocobalamin?

A

Vitamin B12

39
Q

What type of needle is used to draw up meds in a glass amp?

A

A fliter needle

40
Q

What is the normal creatinine lab range?

A

0.6-1.3 mg/dL

41
Q

What are the 2 main functions of the cerebellum?

A
  • Coordination of voluntary movements

- Maintenance of balance and posture

42
Q

How does primary open-angle glaucoma change the vision?

A

It decreases peripheral vision and causes “tunnel vision”

43
Q

Where is a diastolic murmur best heard?

A

At the apex of the heart/5th intercoastal space, midclavicular line
This can be produced by mitral valve stenosis

44
Q

What type of snack can help relieve morning sickness?

A

A high-protein snack on waking and/or at bedtime may help

45
Q

What is a small bowel follow through?

A

A diagnostic exam that visualizes the small bowel through a series of xrays
Pts drink barium for the exam and must be NPO for 8 hours beforehand

46
Q

What are the 3 characteristics of malignant hyperthermia?

A
  • Hypercapnia (earliest sign)
  • Generalized Muscle Rigidity
  • Hyperthermia
47
Q

What are 5 s/sx of bacterial meningitis in children under 2?

A
  • Nuchal rigidity
  • High-pitched cry
  • Poor Feeding
  • Frequent seizures
  • Bulging fontanelles
48
Q

How is ouput recorded using diapers?

A

Subtract the dry weight from the wet weight of the diaper.

1 gram of “wet weight” is equal to 1 mL of fluid

49
Q

What 2 antibiotics are frequently used to treat C. diff.

A
  • Oral vancomycin

- Metronidazole

50
Q

When can systemic analgesia be given to a laboring pt?

A

When they are in the active phase of stage 1 labor (4-5 cm effaced with well established contractions)

51
Q

When is it safe for a post MI or CABG pt to resume sexual activity?

A

When they can walk 1 block or climb 1 flight of stairs w/o symptoms

52
Q

What is a potential complication with long-term NSAID use in pts with cardiovascular disease?

A

It can increase the risk of thrombotic events (MI, CVA).

These pts should be cautioned against taking these meds

53
Q

What is placenta accreta?

A

Abnormal implantation of the placenta into the myometrium instead of the endometrium. When it attempts to separate, it causes life threatening hemorrhage

54
Q

What is paraphimosis?

A

Progressive swelling of the foreskin after it is left in a retracted position for a long period of time

55
Q

What 4 teaching points are critical for pts taking tetracyclines?

A
  1. Take on an empty stomach (1hr before meals)
  2. Avoid antacids or dairy products (affect absorption)
  3. Take with a full glass of water and remain upright afterwards
  4. Beware of photosensitivity and wear sunblock
56
Q

How long after eliminating gluten from the diet to celiac pts experience GI symptom relief?

A

Within a few days

barley, rye, oats, wheat

NCLEX Review (3 decks)

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