NCLEX
Which insulin can be given IV?
ONLY regular
Leads to a decrease in the absorption of calcium in the gut, causing the secretion of _____ to increase. Calcium is then pulled from the?
PTH
-Starting blood transfusion
RN
Q: EKG changes: Hypokalemia (3)
ST depression, shallow/flat/inverted T waves, prominent U wave
A client diagnosed with a ST-segment elevation myocardial infarction (STEMI) is receiving an intravenous thrombolytic infusion. In evaluating the client's response to treatment, which assessment finding by the nurse is the best indicator that reperfusion has occurred?
ST segment returns to baseline
Hep B
0, 1 and 6 months
Digoxin therapeutic levels
0.5-2.0
Lab value: Creatinine
0.6-1.35
Lithium therapeutic levels
0.8-1.5
The health care provider prescribes intravenous fluid resuscitation for a client in hypovolemic shock. The nurse should anticipate the rapid infusion of which intravenous solution initially?
0.9% sodium chloride
5. severe pain w/ pressure on the tragus
1 2 and 3
When does the babinski reflex disappear in an infant?
1 year
Lab value: Specific Gravity
1.010-1.030
Lab value: Magnesium
1.6-2.6
Theophylline therapeutic levels
10-20
How many mL is measured in one saturated peripad in a post-delivery mother?
100
Rate of compressions during a code?
100-120/min
Lab value: LDH
100-190
3rd trimester
11
2nd/3rd trimester?
11-20lb
Lab value: Hemoglobin (male)
12-16
NPH is an intermediate-acting insulin with a duration of______?; it is generally prescribed how many times daily?
12-18 hours
When should you expect withdraw to occur in an infant born to a drug-using mother?
12-24 hr after birth
Lab value: Total Cholesterol
130-200
Lab value: Sodium
135-145
Lab value: Hemoglobin (female)
14-18
A pt is receiving oxytocin, the nurse should assess the uterine contractions every ____ during the 1st stage of labor and every ____ during the second stage?
15 min
MMR
15 months
2nd/3rd trimester?
15-25lb
When should aluminum hydroxide gel be taken?
1hr after meals
diphtheria, tetanus and pertussis
2, 4 and 6 months
inactive polio
2, 4, and 12-18 months
Posterior fontanelle closes at ____ months of age.
2-3
The therapeutic INR level for a client receiving warfarin (Coumadin) to treat atrial fibrillation is?
2-3
Lab value: CVP
2-8
If the child has a sibling with a history of stroke, screening for hyperlipidemia is recommended in children ages?
2-8 yo
Lab value: Phosphorus
2.5-4.5
At what rate should you put an IV infusion on to KEEP THE VEIN OPEN?
20 mL/hr
What size IV to use on an adult receiving blood?
20-24g
Normal pressure of an endotracheal tube?
20-30 mmHg
Lab value: Platelets
200K-400K
Meningococcal meningitis requires droplet precautions until?
24hr after start of effective tx
2nd/3rd trimester?
25-35lb
2nd/3rd trimester?
28-40lb
Lab value: Albumin
3.4-5.0
Lab value: Potassium
3.5-5.1
Lab value: Uric Acid
3.5-7.5
The nurse in the pediatric office observes the child in the waiting room. The child can walk up and down steps, has a steady gait, can stand on one foot momentarily, and jumps with both feet. Which does the nurse identify as the child's chronological age?
30 months
Newborns respiration rate?
30-60
Lab value: Hematocrit (male)
37-48%
Lab value: Triglycerides
40-50
Women who are planning on becoming pregnant should consume __________ mcg of folic acid daily.
400-800
When should you administer pyridostigmine to a pt with myasthenia gravis?
45 min before meals
Lab value: Hematocrit (female)
45-52%
Imitative behavior is commonly seen in _____ year olds
5
Lab value: WBC
5,000-10,000
1 week old infant should have how many wet diapers per day should they have?
6
Lab value: PAWP
6-12
How long is back up contraception needed when a pt starts oral birth control?
7 days
Lab value: BUN
7-22
Lab value: pH
7.35-7.45
Normal MAP
70-105
Lab value: Glucose
70-110
Peripheral IV sites should be changed no more frequently than every?
72-96 hours
Lab value: Calcium
8.5-10.9
Normal suction on trach?
80-120 mmHg
A pincher grasp appears at ____ months
9
Lab value: Chloride
98-107
Normal value for troponin T
<0.1
Normal value for troponin I
<0.5
Lab value: Bilirubin
<1.0
the 'nitro' group affects what vital?
BP but NOT HR
"BURP"
BP decrease
The 6-month-old infant has had all of the required immunizations for that age. The nurse knows this includes which immunizations?
DTaP
Q: What is the most common earliest sign of digoxin toxicity?
GI symptoms
What are the expected s/s after a ECT? (3)
HA
____________ is a congenital defect in which the urethral opening is on the underside of the penis
Hypospadias
The nurse is teaching a client diagnosed with end stage renal disease about hemodialysis. Which statement indicates that teaching has been effective?
I might have mm cramps after treatment
What is the tx for severe dehydration?
IV isotonic solution
-**assessments: lung sounds, bowel sounds, neurovascular checks
LPN
Prior to a brain surgery, the doctor most likely will prescribe what to prevent seizure development?
Levetiracetam
Carbamazepine is contradicted within 14 days of ________ administration
MAOI
In a pt with coronary artery disease, which type of commonly used pain medication can increase the risk of thrombolytic events?
NSAIDs
-Positioning
UAP
d. tell doc immediately
a
What is the life expectancy for a neonate with trisomy 18?
a few weeks
In a pregnant client, high serum alpha-fetoprotein values can indicate?
a neural tube defect
A pt with PVD with a sudden acute onset of abdominal pain that radiates to the lower back could indicate what?
abdominal aortic aneurysm
What is the earliest s/s of magnesium toxicity?
absent or decreased DTR
What is toxic hepatitis?
acetaminophen over dose
When are thrombolytic medications contradicted? (3)
active bleeding
A nurse on the antepartum unit is caring for a pregnant client at 30 weeks gestation who was admitted with reports of vaginal bleeding. A diagnosis of placenta previa was confirmed by ultrasound. What should the nurse tell the client to anticipate? (3)
additional ultrasound at 36wk
How to treat hyperglcemica?
adjust DM meds
What is neuroleptic malignant syndrome?
adverse reaction to anti-psychotic meds
Clozapine is associated with a risk for which blood disorder?
agranulocytosis
What type of isolation is used for TB?
airborne
What are first-level priority problems? (4)
airway
How does hyponatremia present? (2)
altered mental status
Which clinical manifestations would the nurse identify with severe anorexia nervosa? (4)
amenorrhea
For children younger than 7 months, where should shots been administered?
anterolateral thigh
Amantdaine is what type of drug?
antiparkinsons
When is the PKU test administered to an infant?
as soon as possible after birth, can be repeated 1-2 weeks after birth
A major side effect of angiotensin-converting enzyme (ACE) inhibitors is intractable cough. The nurse recognizes which ethnic group to be at highest risk for this side effect?
asians
Q: Steps of the nursing process (4)
assess, analysis, planning, implementation
When performing compression how deep should you go?
at least 2 in
What is myasthenia gravis?
autoimmune disease
Home diet care for a pt post op partial gastrectomy (3)
avoid fluid intake with meals
The nurse is providing teaching to the parents of a child with Marfan syndrome. Which topic is the priority for the nurse to address?
avoid participating in contact sports
How should NTG be stored?
away from light and heat sources
Cerebellar deficits affect?
balance and equilibrium
Why should femoral lines be changed the earliest?
because they can be contaminated by urine/feces
Do not give tetracyclines at?
bed time
what is normal during auscultation of the lungs in a new born (1 hour old)?
bilateral crackles
stages of labor: 3rd
birth of placenta
The nurse caring for a client with pulmonary edema responds to the mechanical ventilator high-pressure alarm. The nurse would assess for which conditions that can trigger the high-pressure alarm? (3)
biting endotracheal tube
What is Hemarthrosis?
bleeding into joint spaces
What is homonymous hemianopsia?
blindness in the same half of each visual fields
What is hemophilia?
blood disorder caused of a deficit in coagulation properties
The nurse cares for an older client scheduled for a colon resection this morning. The nurse notes the client had polyethylene glycol-electrolyte solution and a soapsuds enema the previous evening. This morning the client passes a medium amount of soft brown stool. Which conclusion by the nurse is most accurate?
bowel prep is not complete
When a pt has a Cerebral Arteriovenous Malformation, what is the most crucial thing to control?
bp
Propanolol is contradicted in pts with?
bronchial asthma
Adverse effects of propanolol? (2)
bronchial constriction
The nurse assessing a 2-year-old should expect the child to be able to perform which actions? (3)
build tower with blocks
Avoid grapefruits if taking these meds (4)
buspar
d. hops on one foot
c
How to help reduce engorged breasts when a mother bottle feeds only?
cabbage leaves
Leads to a decrease in the activation of Vitamin D, decreasing the gut absorption of?
calcium
Do not let pts who take tetracyclines lay down because?
can cause gastric reflux
Why can prendisone increase the change of digoxin toxicity?
can increase k levels which increases risk
A client is in suspected shock state from major trauma. Which parameters best indicate the adequacy of peripheral perfusion? (2)
cap refill
What type of nutrient should the pt w/ respiratory failure avoid?
carbs
Troponin T is a myocardial mm protein that is released into circulation following?
cardiac injury
Dopamine treats ____________ shock
cardiogenic
Medications commonly prescribed for a client with an open fracture include? (5)
cefazolin
The nurse cares for clients in a drug rehabilitation facility. Which complication of IV drug abuse is the nurse most likely to observe?
cellulitis
The labor and delivery nurse is performing a vaginal examination to assess for cervical dilation and effacement. While palpating the presenting fetal part, the nurse feels a diamond-shaped structure that feels soft in the middle. What position should the nurse document?
cephalic
What diseases are common among african american women? (3)
cervical cancer
stages of labor: 2nd
cervical dilation to birth
How to identify true labor?
cervix transitions into anterior postion
A client receiving total parenteral nutrition complains of nausea, abdominal pain, and excessive thirst. What is the best action for the nurse to take?
check BG
If a pt with cardio myopathy goes into v. tach, what is the initial action the nurse must preform?
check for a pulse
Highest priority when a mother give birth to a LGA baby?
check lochia
The nurse identifies a prolonged PR interval on the electrocardiogram of a client with acute kidney injury. The client reports fatigue and muscle weakness. Which action will the nurse take first?
check recent K levels
Which finding is the nurse most likely to observe?
choking and cyanosis during feeding
What is Sjögren's syndrome?
chronic autoimmune disorder in which moisture-producing exocrine glands of the body are attacked by white blood cells
Q: What causes hypotonic dehydration? (4)
chronic illness, excessive fluid replacement, kidney disease, chronic malnutrition
What is ordered during the evening before a IV pyelogram?
cleansing enemas
Normal appearance of CSF
clear and colorless
What is talipes equinovarus?
club foot
An increased CVP & PAWP can present as...?
coarse lung sounds
A newborn client at 32 weeks' gestation weighs 4 lb 10 oz (2.12 kg) and has mottling of the skin and acrocyanosis with irregular respirations of 60 breaths per minute. Which newborn problem does the nurse suspect this client is experiencing?
cold stress
Marfan syndrome is an autosomal dominant disorder affecting the?
connective tissues of the body
What are the two most common side effects of amitriptyline?
constipation
The cardinal sign of impaction of the stool is?
continous oozing of liquid stool with no normal stool
A nulliparous client asks about being in "real" labor. The nurse should teach that which signs are most indicative of true labor? (3)
contractions that increase in frequency
What is the process of the myelogram?
contrast medium is injected into spinal subarachnoid space through a spinal puncture
In a pt with acute glomerulonephritis, what is the most accurate indication of fluid loss or gain?
daily weights
What food combo is not appropriate for a pt that is jewish?
dairy and meet
Long term use of PPI's causes (2)
decrease bone density
Action of propanolol? (2)
decrease hr
Q: Isotonic dehydration results in? (2)
decrease in circulating blood and inadequate tissue perfusion
Why is bed rest needed for a pt with acute pancreatitis? (2)
decrease metabolic rate
Why does a pt need to valsalva during the removal of a chest tube?
decrease risk of pneumothorax
When giving loop diuretics, watch for?
decreased potassium
During pregnancy, the fetus stores large quantities of glycogen that are used during the transition to extrauterine life. How is the infants glucose levels effected in the first hour after birth?
decreased, stabilizes within 2-3 hours
How do pts with resilience cope with anxiety? (3)
deep breathing
Common causes of metabolic acidosis? (4)
diarrhea
The nurse is assessing a client with advanced amyotrophic lateral sclerosis. Which of the following assessment findings does the nurse expect? (3)
difficulty breathing
A nurse is teaching a parent of an infant about administration of an oral medication. What should be included in the teaching? (3)
direct med towards inside the cheek
The client is admitted with a tentative diagnosis of late stage AIDS dementia complex. The nursing assessment is most likely to reveal which finding?
disorientation to person, place, and time
what are the two most common s/s of cardiac tamponade?
distant heart sounds
s/s of Hirschsprung disease (4)
distended abdomen
Therapeutic guidelines for a pt with Alzheimer disease include? (5)
distraction
_____________ is given to alcoholics to curb impulsive drinking
disulfiram
In 6 months a baby's weight should? In 12 months?
double
The nurse is preparing to administer the fourth dose of vancomycin IVPB to a client with infective endocarditis. Which intervention does the nurse anticipate?
drawing a trough level prior to administration
Vancomycin and aminoglycosides (eg, gentamicin, amikacin, tobramycin) are strong antibiotics that can cause toxic reaction to?
ears
Which action is appropriate for the nurse to complete at the end of the assessment of an infant?
ears and mouth
S/S of graft leakage post-op repair of abdominal aortic aneurysm (6)
ecchymosis of groin
Q: Hypotonic dehydration occurs when?
electrolyte loss exceeds water loss
Which expected laboratory findings would help confirm the presence of a sickle cell crisis? (3)
elevated bilirubin
Pain associated with gastric ulcers becomes worse when? (2)
empty stomach
A nurse is reviewing the laboratory results of a client admitted for an asthma exacerbation. Elevation of which of these cells indicates that the client's asthma may have been triggered by an allergic response?
eosinophils
How often to rinse the bag and change the formula for a pt who is receiving continuous tube feeding?
every 4 hours
Meniere disease (endolymphatic hydrops) results from?
excess fluid accumulation inside the inner ear
What is polycythemia vera?
excessive amounts of rbcs, wbcs, and platelets
Risk factors of breast cancer (4)
exposure to radiation
Aphasia syndrome: Broca is _________ and Wernicke is _________
expressive
What is the phlebostatic axis?
external anatomical point on the chest at the level of the atria of the heart
s/s of B12 deficiency (4)
fatigue
Adverse effects of imipramine (5)
fever
A client diagnosed with chronic obstructive pulmonary disease (COPD) has chronic hypoxemia. Which finding does the nurse expect when assessing this client?
finger clubbing
How to position a pt after a cardiac catheterization?
flat
Initial s/s of steven johnson syndrome
flu like symptoms
Comprehension:
fluent but lacks meaning
To treat left sided heart failure you need to decrease? (2)
fluid volume
Diazepam antidote?
flumazenil
A client receives intermittent bolus enteral feedings through a nasogastric tube. Which are appropriate nursing actions prior to starting the feeding? (3)
flush before and after the feeding
Foods high in folic acid
fortified grain products
s/s of Duchenne muscular dystrophy (4)
frequent trips and falls
The client diagnosed with bipolar disorder is in a manic phase with combative behavior. Which is the initial priority nursing action?
gain control
2 most common causes of acute pancreatitis?
gallstone movement
Which herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? (3)
garlic
What are CN IX and CN X?
glossopharyngeal
Memory trick for pts ambulating with signal sided weaknees
good goes up
How to position a pt with pneumonia?
good lung down
The nurse cares for a client during an acute manic episode. The nurse identifies which client behaviors as most characteristic of mania? (3)
grandiose delusions
Can NAP suction nasotracheal tubes?
hell the fck no
When is recombinant human erythropoietin initiated as treatment in a pt with chronic kidney disease?
hemoglobin <10
Hemarthrosis is commonly caused by?
hemophilia
What type of diet is assigned to a pt with CF? (3)
high cal
When taking ramelton, what types of food should you avoid?
high fat
S/S of neuroleptic malignant syndrome (4)
high fever
If a pt is in hypovolemic shock, which position should you NOT put them in?
high fowler
Post-op appendectomy diet (3)
high protein
S/S of infant withdrawl syndrome (4)
high shrill cry
What is pheochromocytoma?
hormone secreting tumor that can occur in the adrenal glands
How are the infants reflexes effected by a heroine-using mother?
hyper
s/s of septic shock (5)
hyper or hypothermia
Early s/s of alcohol withdrawal (3)
hyperalterness
A client is admitted with severe acute pancreatitis. While obtaining the client's blood pressure, the nurse notices a carpal spasm. What laboratory result would the nurse assess in response to this symptom?
hypocalcemia
How does garlic effect glycemic levels and the actions of diabetic drugs?
hypoglycemia
What can alcohol cause in a pt with DM?
hypoglycemia
Q: Hyperinsulinism causes what electrolyte imbalance?
hypokalemia
_____________ can precipitate digoxin toxicity;
hypokalemia
When a pt is taking digoxin, side effects are more likely to occur if the pt is?
hypokalemic
The client receives a blood transfusion and experiences a hemolytic reaction. The nurse anticipates which assessment findings for this client? (3)
hypotension
When a pt is in v. tach, what are s/s of instability? (4)
hypotension
When ca-channel blockers are used with other anti-HTN meds what are the possible adverse effects? (2)
hypotension
_____________ is a major adverse effect of erythropoietin administration
hypotension
Which fluids do you NOT give to a pt with blood loss?
hypotonic
Q: Replacement of isotonic fluid loss with hypotonic fluids can cause?
hypotonic overhydration
When should a pt call 911 when taking sublingual nitro?
if chest pain is unrelieved 5min after the first tab
A client with myocardial infarction (MI) underwent successful revascularization with stent placement, is now chest pain free, and will be attending cardiac rehabilitation as an outpatient. The client is embarrassed to talk to the health care provider (HCP) about resuming sexual relations after an MI. What teaching should the nurse initiate with this client?
if the pt can walk 1 block or 2 flights of stairs, then sexual relations can be resumed
benztropine has what effect on the eyes?
increase intraocular pressure
The nurse is admitting a client with a diagnosis of right-sided heart failure resulting from pulmonary hypertension. What clinical manifestations are most likely to be assessed? (3)
increased abd girth
S/S of PTSD (3)
increased anxiety
What does an increased PAWP indicate?
increased left ventricular preload
The nurse obtains the client's temperature of 103° F (39.4° C). The nurse knows body compensatory mechanisms include which mechanism? (2)
increased rr
What does an increased CVP indicate? (2)
increased systemic circulation
S/S of metabolic syndrome (5)
increased waist circumference
A pt on a ventilator is attempting to speak, how does this effect the peak inspiratory pressure?
increases
When sodium decreases lithium ____________
increases
What is Hirschsprung disease?
infant born with nn cells missing from parts of the distal large intestines
What are the 3 major concerns in a teenage male client with CF?
infertility
What is Beurger's disease?
inflammation and thrombosis in blood vessels
What is orchitis?
inflammation of one or both testes
What is Ankylosing spondylitis?
inflammatory disease that effects the spine
(2)
inhale 2s through nose with mouth closed
What is priority when treating a pt experiencing an acute attack of Meniere disease (endolymphatic hydrops)?
initiate fall precautions
Dicyclomine (Bentyl) is an anticholinergic/antispasmodic drug prescribed to manage symptoms of ____________ in pts with irritable bowel syndrome?
intestinal hypermotility
A pt who is 24wks has a hemoglobin level of 9, what condition does this result suggest?
iron deficiency anemia
S/S of cold stress in an infant (3)
irritability
Which fluids do you give to a pt with blood loss?
isotonic
Q: Hypovolemia is also known as?
isotonic dehydration
Q: Hypervolemia is also known at?
isotonic overhydration
Never give potassium ________?
iv push
S/S of hypoglycemia in a new born (6)
jittery
Where would the fundus be at 12 weeks?
just above symphysis pubis
late decelleration
left side/lateral
What can this lead to?
legs
Administer __________ during alcohol withdrawal
librium
Common characteristics of Historinic personality disorder (3)
likes to be center of attention
3 foods high in vitamin A?
liver
Bumetanmide is what type of medication?
loop diuretic
What medications are used to decrease fluid volume and preload?
loop diuretics
A client with massive trauma and possible spinal cord injury is admitted to the emergency department following a dirt bike accident. Which clinical manifestation does the nurse assess to help best confirm a diagnosis of neurogenic shock?
low apical heart rate
A client has potential radiation contamination from a disaster. The nurse should monitor for which of the following related to this contamination? (3)
low blood cell counts
A nurse is caring for a client on a mechanical ventilator. The ventilator is sounding an alarm and displaying an alert about low tidal volumes. The nurse has checked all connections and the endotracheal tube, but the alarm persists and the client's oxygen saturation is dropping. What should the nurse do next?
manually ventilate the pt with a bag
"MY CHICKEN HAS TB" (4)
measles
The nurse notes muffled heart tones in a client with a pericardial effusion. How would the nurse assess for a pulsus paradoxus?
measure the difference btwn korotkoff sounds during expiration and resp cycle
Do not give _________ to a pt receiving procedures with contrast dye
metformin
S/S of fetal alcohol syndrome (5)
microencephaly
What is common among women with IBD?
mild to moderate anemia
The client is admitted to the hospital for a hemiglossectomy with lymph node dissection. The client's preoperative care includes frequent oral hygiene with normal saline. The nurse knows the purpose of this treatment includes which reason?
minimize bacterial count in mouth
How does hypokalemia present?
mm cramps
The nurse is caring for a client admitted with serotonin syndrome after taking citalopram and tramadol. Which assessment findings does the nurse expect to find? (3)
mm rigidity
What s/s are the early indicators of rhabdomyolysis?
mm weakness or aches
The nurse administers Rho(D) immune globulin to prevent complications in which type of client situation? (3)
mom is Rh negative
The nurse provides care for a client with a serum sodium level of 120 mEq/L. Which nursing action is a priority?
monitor for neuro changes
Admin diuretics in the ____________
morning
"MRS WEE" (6)
multi drug
A nurse is assessing a 1-month-old infant with an atrial septal defect (ASD). Which assessment finding does the nurse expect?
murmur
The nurse is performing a cardiac assessment on a client. The nurse auscultates a loud blowing sound at the second intercostal space, right sternal border. How should the nurse document this finding?
murmur heart at aortic area
What are the early s/s of methadone toxicity? (2)
n/v
Naloxone will cause signs and symptoms of opioid withdrawal (4)
nausea
What do plantar creases indicate in an infant?
neonatal age
Stopping the seizure activity is priority over?
neuro assessment
Dietary changes for a pt w/ cirrhosis (3)
no alcohol
A client with a newly casted lower leg reports to the nurse that the foot feels numb. Which action will the nurse take first?
notify doc
Ankylosing spondylitis treatment (4)
nsaids for pain
What is physiological anorexia?
occurs when the very high metabolic demands of infancy slow down to keep pace with the moderate growth of toddlerhood
Phototherapy used to prevent SAD should begin in? and last until?
october
stages of labor: 1st
onset of labor to full dilation
What is the tx for mild dehydration?
oral rehydration
What is the tx for moderate dehydration?
oral rehydration
Rifampin turns the urine __________
orange
What food has no vitamin K?
oranges
Swimmers ear is what type of ear infection?
otitis externa
Sodium bicarbonate is only given if
pH is 6.9 or lower
What should the interventions for a pt with incomplete rib fractures be based on? (2)
pain management
A client takes a beta 2 adrenergic agonist. Which finding indicates to the nurse that the client is experiencing an adverse reaction?
palpations
What are Epstein's pearls?
pearl like cysts on gum margins seen in an infant. disappear within a few weeks
Q: What causes hypertonic dehydration? (7)
perspiration, hyperventilating, ketoacidosis, prolonged fever, diarrhea, ESKD, DI
When using a gravity drip, how should you place the bags?
piggyback higher than primary infusion
Potassium is an erosive substance that can cause?
pill-induced esophagitis
stages of labor: 4th
placental delivery to stability
What vaccination is necessary for pts over 65yo?
pneumococcal
What is Torsades de pointes?
polymorphic v tach coupled with prolonged QT invertval
Leads to a decrease in GFR which decreases the secretion of? (2)
potassium
What is refeeding syndrome?
potentially fatal complication of nutritional rehab in a chronically malnourished pt
Warfarin in generally contradicted in which type of pts?
pregnant
Furosemide can decrease L/R sided...?
preload
Q: EKG changes: Hypermagnesemia (2)
prolonged PR interval, widened QRS complex
All macrolide antibiotics (eg, azithromycin, erythromycin, clarithromycin) can cause what irregularity on an EKG?
prolonged QT interval
Q: EKG changes: Hypocalcemia (2)
prolonged ST segment, prolonged QT interval
"PRE" eclampsia
proteinuria
The client has metastatic cancer, and a living will on record indicates that the client does not want cardiopulmonary or pharmacologic resuscitation. The client is brought to the emergency department with respirations of 4/min and a heart rate of 20/min. How should the nurse handle the situation at this time?
provide comfort measures
Which port is used when administering oxytocin?
proximal
What are the most common s/s of myasthenia gravis? (3)
ptosis
Which parameter is measured by the CVP?
r atrium
rifampin and rifapentine effect oral contraceptives how?
reduce the efficacy
The nurse learns that a client with heart failure has an ejection fraction of 28%. Which outcome will the nurse identify as being the most appropriate for this client?
reduced preload and afterload
What is the function of a Miller-Abbott tube?
removes fluid and gas from the small intestines
The nurse cares for a client with a diagnosis of Guillain-Barré syndrome. Which symptoms support this diagnosis? (3)
resp failure
What should a pt do post-op billroth II procedure regarding meals and fluids? (2)
rest after meals
Q: What is the earliest sign of hypovolemic shock?
restlessness
A serious complication associated with statin medication is?
rhabdomyolysis
How to position a pt after a percutaneous liver biopsy?
right side laying
Where can you auscultate aortic stenosis?
right sternal border, second intercostal space
5 rights of delegation
right task
A child is brought to the school nurse after having a permanent tooth knocked out during gym class. Which action by the nurse is appropriate?
rinse tooth with sterile saline and reinsert
What temp should insulin be given?
room temp
Which glands are most commonly affected in pts with Sjögren's syndrome? (2)
salivary
cooperative play occurs in which aged children?
school aged
The client is returned to the unit after surgery with a cuffed tracheostomy tube in place. The nurse knows the purpose of the cuff on the tracheostomy tube includes which reason?
seals trachea, prevents aspiration
What types of medications can exacerbate obstructive sleep apnea?
sedating meds
An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 µmol/L). Which clinical manifestation associated with theophylline toxicity should worry the nurse most?
seizure activity
Cerebral Arteriovenous Malformation can cause? (3)
seizures
What is Levetiracetam used to tx?
seizures
"SPIDERMAN" (7)
sepsis
The hospitalized client with anorexia nervosa is started on nutrition via enteral and parenteral routes. Which client assessment is the most important for the nurse to check during the first 24-48 hours of administration? (2)
serum potassium
The nurse is caring for a client who had a near-drowning accident in cold weather. The pt's toes are facing straight down, what does this indicate?
severe brain injury
What is Anencephaly?
severe neural tube defect resulting in little or no brain
What is the most common side effect of SSRIs?
sexual dysfunction
Q: EKG changes: Hypercalcemia (2)
shortened ST segment, widened T wave
The nurse provides care to a client who fell. Which assessment finding indicates to the nurse that the client fractured the hip as a result of the fall?
shortened and externally rotated leg
The nurse cares for the client who has just had a prosthetic hip implant. The nurse places the client in which position?
side lying w affected hip abducted
Feedings specifications for an infant with tetralogy of fallot? (2)
sit up
A client with a hip fracture is placed in Buck's traction. Which nursing intervention is most important when caring for this client?
skin assessment every 2-4 hours
Tamazepam adverse effects (3)
sleep driving
Where should the nurse preform compressions on a pt who is 32 weeks pregnant?
slightly higher on the sternum
Excretion of lithium depends on normal __________ levels
sodium
Q: Hypertonic overhydration occurs when there is an excessive of _______ ingestion
sodium
The health care provider prescribes lithium carbonate 300 mg PO QID for the adult client. The nurse in the outpatient clinic instructs the client about the medication. The nurse encourages the client to maintain an adequate intake of which substance?
sodium
Comprehension:
sparse and nonfluent
Anticholinergic effect- won't be able to...
spit, pee, poop or see
A 15-month-old begins to seize during assessment for a high-grade fever. What is the most appropriate nursing action?
stay with pt and monitor o2
A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding concerning the pt stools should the nurse expect?
stools mixed with blood and mucus
Several hours after an oxytocin infusion is started, a client 's contractions are sustained over 2 minutes. Which nursing action is most important for the nurse to take?
stop oxytocin
The nurse provides care for a client with a history of chronic urinary tract infections who is experiencing urolithiasis. Which type of urinary stone does the nurse suspect the client has developed?
struvite
If a pt has a Cerebral Arteriovenous Malformation, which s/s are CRUCIAL? (2)
sudden severe ha
Pt with the CN IX and CN X affected, which precautions are necessary?
swallow precautions
The client has partial-thickness and full-thickness burns over 75% of the body. The nurse is most concerned if which symptom is observed?
tachypnea
The nurse is assisting the health care provider (HCP) with a client's chest tube removal. Just as the HCP prepares to pull the chest tube, what instructions should the nurse give the client?
take a breath in, hold it, and bear down
The health care provider (HCP) has told a client to take over-the-counter (OTC) supplemental calcium carbonate 1000 mg/day for treatment of osteoporosis. Which instruction should the clinic nurse give the client?
take calcium in divided doses with food
The following should be taught to clients taking tetracyclines (eg, tetracycline, doxycycline, minocycline)? (4)
take on empty stomach
Q: EKG changes: Hypomagnesemia (2)
tall T waves, depressed ST segment
Q: EKG changes: Hyperkalemia (4)
tall peaked T waves, flat P waves, widened QRS complex, prolonged PR interval
What is a Cerebral Arteriovenous Malformation?
tangle of aa and vv in the brain
The supervisor observes the nurse delegate a dressing change on a client with a fever, positive blood cultures, and a blood pressure of 86/42 mm Hg to the LPN/LVN. Which action will the supervisor take next?
tell nurse the lpn cannot perform the change
What is rhabdomyolysis?
the breakdown of muscle tissue that leads to the release of muscle fiber contents into the blood
A nurse is discussing parallel play with parents of toddlers. Which statement should be included in the discussion?
they play without group goals
Where is Erb's point?
third intercostal space and the left lower sternal border
When taking valporic acid, what labs need to be done periodically? (3)
thrombocyte count
Q: Oral birth control is contradicted in these types of female patients (8)
thrombophlebitis, cardiovascular issues, cerebrovascular issues, estrogen dependent cancer, malignant liver tumors, impaired liver fxn, HTN, DM with vascular involvement
The nurse cares for the client admitted with a diagnosis of acute hypoparathyroidism. It is most important for the nurse to have which item available?
trach set
What type of medication is imipramine?
tricyclic antidepressant
What lab test is a highly specific cardiac marker for the detection of MI?
troponin
The nurse provides care for a client diagnosed with a severe ankle sprain. The client needs to be fitted with crutches. Which finding indicates to the nurse that the crutches are adjusted correctly?
two fingers fit between the top of the crutch and the axilla
Do not give MAOIs with ___________ containing foods
tyramine
Where would the fundus be at 20-22 weeks?
umbilicus
The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?
upright leaning forward on a bedside table
The primary health care provider prescribes a 24-hour urine collection for a client with suspected Cushing syndrome. Which instructions should the nurse give the client regarding this test? (3)
urine collection container should be kept in the fridge
A 24-year-old female client has been prescribed isotretinoin for severe nodulocystic acne that has been resistant to other therapies. Which instruction is most important for the nurse to reinforce with this client?
use 2 forms of contraception
Torsades de pointes can develop quickly into?
v fib
Hypomagnesemia causes prolonged QT interval which increases a pt's susceptibility to?
v tach
What two rhythms are most commonly shocked?
v tach
"VEAL CHOP"
variable
Which leads to?
venous return
What complication is common directly after an acute MI?
ventricular dysrhythmias
Q: Hypotonic overhydration is also known as?
water intoxication
Q: Hypertonic dehydration occurs when?
water loss exceeds electrolyte loss
Cushing's syndrome s/s (5)
weight gain
What s/s is most concerning when a pt is taking propanolol?
wheezing
How to take potassium chloride tablets?
with a glass of water and stay sitting up afterwards
How should tetracyclines be taken?
with full glass of water
The health care provider prescribes simvastatin for a client with hyperlipidemia. The nurse instructs the client to take this medication in which manner?
with the evening meal
How does hyperuricemia present?
worsen gout attacks
Where would the fundus be at 36 weeks?
xiphoid process
Bureger's disease occurs in?
young men with a long hx of smoking
