NCLEX study from Mark Klimek

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Crutches - odd numbered gate if

1 affected leg

1st trimester weight gain

1 lb/month or 3 lbs for 1st trimester

2nd/3rd trimester weight gain

1 lb/week

How often should WBC be drawn when pt is taking 'zap's for schizo?

1 time per week for 1 month, 1 month every month for 6 months then every 6 months

Therapeutic level for Lanoxin or Dig

1-2 (2 or more it toxic)

Excessive Lochia is

a pad saturated in less than or equal to 15 minutes

Contractions should not be longer than ____ seconds or closer than every _____ minutes.

90, 2

O2 sat lab values

93-100 pulse ox, if under 93 assess resp status and give O2

Neuroleptic Malignant Syndrome

a potentially fatal hyperpyrexia with temp of over 104, looks like EPS except for temp

Atrial Arrhythmias (same as supraventricular) medications

ABCD Adenocard (push fast) Beta Blockers ('lol) CCB's Digoxin

Diabetes Insipidus is a dificiency of

ADH

CD4 count less than 200 equals

AIDS

Umbilical cord has what in it

AVA 2 arteries and a vein

Thoracic

Abd muscles and gut affected, ability to cough

Memorize 1st stage 2nd phase of L&D then you know the rest

Active phase CM dilated 5-7 cm CXN Freq 3-5 min Duration 30-60 sec Intensity moderate

Rule #1 for prioritization

Acute beats Chronic, unstable beats stable. Ex: COPD, CHF, CRF and acute appendicitis, who wins? Acute appendicitis. No ABC's, an acute gut beats a chronic COPD all day long

Addison's disease easy way to remember

Add a Sone (sone = steroid)

Side effects for Benzodiazepines

Anticholinergic (dry mouth), Blurred Vision, Constipation, Drowsiness

Side effects of MAOI's

Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness

Side effects of Phenothiazines

Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low WBC's)

Side effects of Tricyclic medications

Anticholinergic(dry mouth), Blurred Vision, Constipation, Drowsiness, Euphoria HInt: Elavil starts with E so this group goes through E

MAOI's interact with LOTS

Avoid all foods containing Tyramine, causes fatal hypertension

S/S of thyroid storm

Extremely high vital signs, hyperpyrexia, psychotic delerium

Toddlers favorite food?

Finger-food

Postpartum Uterus Tone

Firm NOT boggy

Rule #2 for prioritization

Fresh post op (12 hours out) beats medical or other surgical, Ex: 2 hr post op cholesysectomy beats acute appendicitis and post op one day CABG and COPD, CHF, CRF (then do ABC's)

Tyramine foods

Fruits and Veggies are okay except remember salad BAR, avoid Banannas, Avacados, Raisins, Grains are okay except for active yeast, no organ meats, no preserved meats, no dairy, no alcohol, tinctures, caffiene, chocolate, licorice, soy sauce

Postpartum Fundal Height

Fundal height should equal day post partum, day 5 = 5 cm below navel

If a medication is taken PO and you dont know what the drug does pick a ______ side effect

GI

Water Seal bubbling intermittently or a suction control chamber bubbling continously is

GOOD

Donning PPE's order

Gown, Mask, Goggles, Gloves

Hyperthyroidism is also called

Grave's disease or hypermetabolism

If you cool a patient too fast what might happen?

Heart arrythmias

Diet for Hiatal Hernia

High Carbs, Low Protien

Treatment for HHNS

High flow rehydration, IV 150 or more

Best default order for click and drag order questions?

Hold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify

Phases of nurse patient relationship Pre-Interaction phase

How does the RN feel, own feelings about ...

DKA

Hyperglycemia in Type 1 patients

HHNS

Hyperglycemia in Type 2 which is really just dehydration

LPN's can't do

IV anything (don't assume they have IV cert unless it says so), assessments, planning, admission, discharge, transfer, teaching, taking verbal orders or 1st of anything

Phases of nurse patient relationship Working Phase (Therapeutic phase)

Implementing the plan of care, these answers will seem very focused, directive, "tough", stern and slightly unfriendly

Treating Type 1 diabetes

Insulin, Diet Exercise

Postpartum Lochia amount

Moderage 4-6 inches on pad in one hour Excessive pad saturated in 15 min

Hypothyroidism is also called

Myxedema or hypometabolism

NPH insulin rules

Not so fast, Not IV, NPH

Prolapsed cord

OB emergency, baby will die if you don't do something

Calcemias

Opposite of prefix anything to BP

Cushing's syndrome

Over secretion of adrenal cortex, too much hormone, too much steroid.

S/S of nerve root compression

Pain Parasthesia (numbness & tingling) Paresis (muscle weakness)

Stage 3 of L&D

Placenta delivery

Postpartum assessment of extremities

Pulses, Edema, S&S of Thrombophlebitis

What to do with prolapsed cord

Push then position! Push head off cord then position in knee/chest of trendelenburg (head down)

Zoloft with Coumadin?

Question the order if the coumadin dose wasn't lowered

Drawing up Insulin rules

R then N, Draw up R then N, NRRN the whole process

TRouBLe for heart defects

RL shunting is bad Blue is bad T starts with a T so it's bad (also Hypoplastic is bad, it's just TET)

Treatment for Grave's disease

Radioactive Iodine, PTU (put thyroid under), surgically remove

A Fluttter

Rapid P waves

Regular insulin rules

Rapid, Run IV, Regular

Stage 4 of L&D

Recovery (1st 2 hrs after delivery of placenta), considered unstable patient, stop the bleeding in stage 4

Postpartum Lochia color

Rubra - Red (ruby red) Serosa - Pink (rosa pink) Alba - whitish (albino white)

#1 problem or concern for patient taking Phenothiazines

SAFETY

AIDS can do

Soap suds enema, beds, bath, ADL's VS (not the first set), Accu check (not the first one)

Zoloft interacts with other medications like

St John's wart (causes serotonin syndrome) - sweating, apprehension (impending sense of doom), dizziness (vertigo), headache, also with Coumadin so watch for bleeding

Advice words to avoid

Suggest, advise, tell the patient, if I were you, You should do, you ought to, you should not do, don't do, recommend that

Treatment for Cushing's syndrome

Surgery, bi or uni lateral adrenalectomy (bilateral is worse)

Options to intervene when inappropriate behavior of staff is discovered (not in order of what to do first):

Tell supervisor Take over immediately and intervene counsel them later NEVER IGNORE IT

Easy way to calculate appropriate weight gain during pregnancy

The week number minus 9 so if 12 weeks pregnant 12-9=3 lbs. not allowed to be off by more than 2 lbs.

How to recognize an empathy question

They have a quote in the question and the answers contain a quote

Rule #4 for prioritization

Tie-breaker, ONLY use for a tie breaker, the more Vital the organ the higher the priority.

What is bad as far as Lie?

Transverse is bad, vertical is good, parallel is good

Stable patients are experiencing the ___________ or __________ s/s's of the disease with which they have been diagnosed and for which they are receiving treatment

Typical, expected

Rule #3 for prioritization

Unstable beats stable

Hegar's sign

Uterine softening

Postpartum assessment includes assessment of

Uterus, Lochia and Extremities

Top priority arrhythmias

VFib & Asystole, die in 8 minutes over 8 minutes not a priority anymore

V C E H A O L P

Variable Decels Cord Compression (bad) Early Decels Head (bad) Acels Okay (good) Late Decels Placenta (bad)

Easy way to remember 4 defects in Tet of Fallot

VarieD Ventricular Defect PictureS Pulmonary Stenosis Of A Overriding Aorta RancH Right Hypertrophy

Tie Breakers in Psych

Why questions are not as good, reflection is good, open ended is good, I, me, we, us are not good, shortest answers are better, concise don't confuse the clientq

'Zines for the

Zanny

Deconoate drug is

a long acting IM form given to non compliant patients

Tip to remember Grave's disease s/s's

"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance

What priority are hypoglycemic patients?

#1 or #2, they are always a high priority

Clozaril (Clozapine)

'zap's, for schizophrenia

Earliest sign of any electrolyte disorder is

parathesia or numbness and tingling

Universal sign of any electrolyte imbalance is

paresis or muscle weakness

Never hold the hormone for what patient?

patient who is NPO with mydexema

Side effects of Lithium

peeing, pooping, parasthesia

a good guess about psych med weening

decrease the dose of the old drug

Peak level for SQ

diabetes peak levels apply here

Activity post op spinal issue

do not dangle stand, walk, lie down w/o restricitons limit sitting to 30 min at a time

Nutrition questions

pick chicken or fish

Post op complications for cervical spinal surgery

pneumonia

Post op complications for thoracic spinal surgery

pneumonia (no cough), paralytic illeus (gut shuts down)

If two answers are opposite, one of them is

probably right (consider one of them)

Pressurizing Insulin rule

put air into N then R , NRRN the whole process

Benzodiazepines works

quickly, must not take for 6 weeks, keep on Valium until Elavil kicks in

If a deadly or dangerous lab value is discovered AND they have symptoms call the

rapid response team!

Psychosis patients (schizo, depression, mania) can learn

reality, enforce limits, teach reality

Dementia (alzheimers, Wernicke's) can not learn

reality, redirect

How long can a person be on MAOI's and how long before they work?

rest of life, 2-4 weeks

Creatinine lab values

same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about

A low empathy answer is ALWAYS wrong avoid saying

don't worry, don't feel, you shouldn't feel, I would feel, Anybody would feel, nobody would feel, most people would feel

Kalemias

same as prefix except HR and UO

S/S of Cushing's syndrome

same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium,

Hallucinations have a _________ component, delusions do not.

sensory, EX: voices, tactile, visual, gustatory, olfactory

In prioritization questions decide which patient is _________ or ____________

sickest, healthiest

Lithium monitor what levels

sodium, low sodium levels prolong lithium's half-life, causing lithium toxicity, high sodium levels decrease the effectiveness of lithium

OB medications tocolytics

stop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache

If question says there is pitocin running and there are complications

stop pit first then LIONpit

Subtotal thyroidectomy ... subs get

storm

Neutropenic precautions (low WBC)

strict handwashing, avoid crowds, private room, low bacteria diet (no raw or undercooked), no water that has been standing longer than 15 min, vital signs Q4H

What is best to do if a water seal breaks?

submerge

When changing the dose of Prozac for an adolescent or young adult, watch for

suicide

If pt or staff is in danger

take over and intervene

Coumadin is given PO, info re: Coumadin

takes days to work, labs ONLY PT-INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)

If it's illegal

tell supervisor

Delirium is sudden onset and

temporary

Total thyroidectomy ... totals get

tetany, need lifelong hormone replacement

If the baby has to leave the delivery area, the priority is

the ID band

Things that make a patient stable

the word stable, chronic, post op greater than 12 hours, local or regional anesthesia, unchanged assessment, to be discharged, lab values that aren't urgent

Things that make a patient unstable

the word unstable, acute, post op less than 12 hours, general anesthesia, changing assessment, newly, recently admitted or diagnosed, lab values that are critical or deadly

Toddlers (1-3) work on

their gross motor skills (jump, hop, throw), NO fine motor, parallel play

Reason for laminectomy

treat nerve root compression

Addison's disease is

undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.

Unstable patients are experiencing _________ or ____________ s/s's, complications

unexpected, atypical

Post op complications for lumbar spinal surgery

urinary retention

If a diuretic ends in the letter X it is a potassium

wasting drug plus Diurel

Always say to a psych patient

what do you think you should do?

Rule #1 for pediatric growth and development

when in doubt call it normal

Rule #3 for pediatric growth and development

when in doubt, pick the easier (not the easiest) task

Rule #2 for pediatric growth and development

when in doubt, pick the older (not oldest) age, giving them more time

When will a patient go hypoglycemic?

when insulin is at its peak

Peak level for PO

who cares!

Reassure a patient with delirium that the symptoms

will go away and that they are temporary and reassure their safety

advance a cane

with Bad side

Heparin is given IV or SQ NOT PO, info re: Heparin

works immediately, labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use caution)

Positive signs of pregnancy

xray, ultrasound, auscultation of fetal HR on doppler 10 weeks, examiner (not the mother) palpates fetal movement

S/S of mydexema

everything is down, constipation, heat tolerance, cold intolerance

Best answer for what to check first in fetal monitoring is

fetal heart rate, it's the ace of spades!

Preschoolers (3-6) work on

fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend

Lithium

for bipolar disorder (manic depression) it decreases mania

Fast but temporary solution to decrease K is to

give D5W w/regular insulin

Addison's disease treatment

give a steroid, chronic steroid therapy

How to treat thyroid storm

give o2, lower temp to spare brain

Treatment for mydexema

give thyroid medications

Survanta (surfactant)

given to baby after baby is born given trastracheal through the airway develops lungs

Diabetes is a ________ ____________ problem.

glucose metabolism

Dose of Haldol for elderly patient should be

half of usual adult dose

Easy way to remember station

has it made it through the "tight squeeze" (ischial spine) no then its a negative, yes then its a positive, 0 station is when it's at the ischial spine

Presenting part is 99% of the time the

head

Do give aminoglycocides via PO in

hepatic encephalopathy & pre-op bowel surgery

For a diabetic if they have sick days

hydrate, take insulin

Natremias

hypErnatremia = dEhydration hypOnatremia = Overload

Opisthotonos

hyperextension of neck BAD, put on side

After thyroidectomy patients are at risk for

hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia

Patients who are always unstable

hypoglycemia, hemorrhaging clients, fevers over 104, pulselessness, breathlessness

Fetal monitor patterns

if it starts with L it's bad so do LIONPit, ex; low fetal heart rate, low baseline variability, late decels

No guarantees in psych, avoid

if you... then ..., you will improve if you ..l., we can...

Gift giving to psych patients

includes hugs, kisses, compliments (oh you are doing really well)

Prozac causes

insomnia, so give before noon, so if BID, give at 6A and 12N NOT at bedtime

Prozac

it an SSRI, similar to Elavil so same info as Tricyclic's

Insulin does what to blood sugar?

it lowers it

Haldol

just like the Thorazine's, also has a deconoate form

Pain meds in labor

know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the pain med is peaking don't give! Why? Respiratory depression in baby

Preschoolers and nutrition

leave them alone, one meal a day is okay

If you exercise you need ______ insulin?

less

BNP lab value

less than 100 is normal, good indicator of CHF, edema, if elevated assess s/s of CHF

Vtach could become

life threatening

Hepatic encephalopathy

liver coma, crazy movements, high amonia level, don't give protien

#1 post op answer for spinal problems is

log roll patient

Med hints for SQ injections

look for 5's in both parts (the 5 looks like an S), guage and length, 25 g, 5/8 inch means SQ

All psych drugs cause

low BP and weight change (usually gain)

OB medications oxytocics

makes labor more intense, Pitocin, Methergine, Cervidil

Never mix ___________ in children's food

medications

Postpartum Uterus location

midline, if not void/cath

Tricyclic Antidepressants are

mood elevators to treat depression

Baclofen/ Flexoril

muscle relaxant, think on your back loafin'! makes a patient drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12

Where to put the 5 ice packs to cool a thyroid storm patient

neck pits groin

If two answers say the same thing ...

neither one is right EX: tachycardia and racing heart

Asystole

no QRS

Bleeding precautions

no venipuncture, injection or IV, if necessary use small guage, handle patient gently, use drawsheet, no razor, no toothbrush, blow nose gently, no aspriin, no rectal temp, no hard foods

Depression is caused by a deficiency of

norepinephrine, dopamine and serotonin in the brain

Pregnancy hemoglobin

normal is 12-18, first trimester falls to 11 which is okay, second trimester falls to 10.5 which is okay and then third trimester falls to 10 also okay

Chant the following chant for pediatric growth and development when you don't know the answer

normal, older, easier

Fundal Height

not palpable until 12 weeks, 2nd and 3rd trimesters week gestation 20-22 in cm so at the navel is 20 weeks

parathesia

numbness and tingling, first sign of electrolyte imbalance

When does the termination phase of the nurse patient relationship begin?

on admission

Lithotomy position

on back with knees drawn up

Hold a cane

on good side

Pattern of Office Visits for prenatal care

once a month until 28 weeks, once every 2 weeks until week 36, once a week until delivery or week 42 when induction is scheduled

Regular Insulin onset peak duration

onset 1 peak 2 duration 4

NPH insulin onset peak duration

onset 6 peak 8-10 duration 12

Magnesemias

opposite of prefix anything to BP, in a tie don't pick magnesemia's

For airborne precautions the mask is removed where?

outside of the room

Peak level for sublingual

5-10 minutes after disolved

WBC lab values

5000-11000 if low assess for infection

How long does temporary restrictions usually mean?

6 weeks (driving, lifting, etc.)

BUN lab values

8-30 check for dehydration if elevated not a big deal, just be concerned

When can a child give themselves their own insulin shot?

7

pH lab values

7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes so goes the patient If bad vitals, call rapid response team

If 70/30 insulin it is

70% N and 30% R, may have to make your own on boards, no 70/30 on the floor

What is the first thing you DO in a med surg situation?

A, B, C's ok for prioritizing actions just not for prioritizing patients

CO2 lab values

35-45 if in the 50's assess respiratory status and have patient do pursed lip breathing, if in 60's considered deadly and respiratory failure, need intubated

Hct lab values

36-54 thickness of blood if abnormal not too big of a deal, assess for dehydration

PO2 lab values

78-100 this is only obtained from an ABG if low give O2 but if really low it is respiratory failure give O2, prepare for intubation, call resp therapy and call Dr

4th stage of L&D recovery stage, what do do?

4 things you do 4 times an hour in 4th stage Vitals (assess for s/s of shock) Fundus (want midline and firm, if boggy, massage, if displaced void/cath) Pads (check and replace) Roll on side (check for bleeding under patient)

RBC lab values

4-6 million abnormal doesn't really matter

Never give more than ____ of K/liter of IV fluid

40 mEq, question the order of more is ordered

Therapeutic level for Aminophyline (airway spasms), Dilantin (anticonvulsant), Bilirubin

10-20, 20 or more is toxic

HgB lab values

12-18 check for bleeding if low or high, if low prepare for tranfussion

NA lab values

135-145, if a change in LOC then evaluate for fall/safety risk

Peak level for IV

15-30 min after finished

Platelets lab value

150000-400000 if lower than 90000 bad if lower than 40000 REALLY bad, if they sneeze they could die. Called thrombocytopenia

Nagele's Rule

1st day of last period + 7 days - 3 months

Crutches - even numbered gate if

2 legs are affected

Lithium Toxicity

2 or greater, tremors, metallic taste, severe diarrhea, number one intervention, give fluids, if sweating give electrolytes too

INR lab values

2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify

How long does a tricyclic need to be taken before results are seen?

2-4 weeks

HCO3 lab values

22-26 if it is abnormal so what!

Weight gain during pregnancy

28 lbs plus or minus 3 lbs

Child has to be at least what age for PRE op teaching?:

3

Prioritize patients at this very moment, not

3 seconds later or 10 minutes ago, Right NOW, right HERE, as they say it!

Potassium lab values

3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K if high, hold all K, assess heart (EKG), give D5W and reg insulin, call if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!

Peak level for IM

30-60 min after drug is in

AsystolE gets what med

A for Atropine and E for Epinephrine ... Epi is first though

Adrenal Cortex diseases easy way to remember

A in Adrenal stands for Addison's C in Cortex stands for Cushing's

Water Seal bubbling continuously or a suction control chamber bubbling intermittently is

BAD

OB medications Fetal/Neonatal Lung meds

Betamethasone, speeds the development of the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom

VTach

Bizarre

Lumbar

Bladder and legs affected, when did they last void, are they distended

Way to remember difference between Cephalohematoma and Caput Succedaneum

C S in Caput Succedaneum = Crosses suture lines, both are swelling on scalp caused by bleeding and both are normal or okay.

Chadwick's sign

Cervical color changes to Cyanosis See all the CCCCCC's!

Goodell's sign

Cervical softening

V fib

Chaotic

A fib

Chaotic P wave

Chvostek's sign

Cheek, facial spasm when Cheek is tapped associates with hypocalcemia

Advice giving to psych patients

DO NOT GIVE ADVICE.

During the 2nd stage (delivery of baby), order of actions.

Deliver the head then stop pushing, suction the mouth first then the nose, check for nuchal cord, deliver shoulders and body, ID band

Stage 2 of L&D

Delivery - pushing the baby out

Cervical

Diaphram and Arms affected, breathing, respiratory pattern

Treating Type 2 diabetes

Diet, Activity, Oral Hypoglycemia

Phases of nurse patient relationship Introductory (Orientation) phase

During the initial interview ... Upon admitting the patient ... On admission ... At your first few meetings with ... While assessing ... On the day of admission ... While formulating nursing diagnoses ... Correct answers should be warm and fuzzy and nosey

Examples of Tricyclic anti depressants

Elavil, tofranil, aventyl desyrel

Faulty reasoning, prioritizing by symptom severity

It is not how severe the symptom is, its if the symptom has changed or if its typical or expected.

King K lives in the ...

Kastle of the cell while Sir Sodium lives outside

Easy to remember interventions for complications of L&D

LIONPit L left side, I increase IV, O oxygenate, N notify Dr, Pitocin

Stage 1 of L&D

Labor - thinning and opening, has 3 phases, Latent, Active, Transitional, nothing to do with the baby just the cervix, no baby at the end of labor

What is the first thing you assess in a med surg situation?

Level of Consciousness

Ventricular gets what med

Lidocane (think of the V turning sideways to an L) & Amiodorone

Med hints for IM injections

Look for 1's in both parts (the 1 looks like an I), guage and length, 21 g, 1 inch means IM

Diet for Dumping Syndrome

Low carb, High Protien

Names of MAOI's

MAR, NAR, PAR: Marplan, Nardil, Parnate

Biggest and only side effect of Clozaril

aGranulocytosis

ABC's don't count for

acuity

Piaget's stage Sensorimotor

age 0-2, totally present oriented, only think about what they sense or what they are doing NOW. tell them what you are doing as you are doing it

Piaget's stage Formal Operations

age 12-15, able to think abstractly, understand cause and effect, tell them like an adult

Piaget's stage Pre-Poperational

age 3-6, fantasy oriented, illogical, no rules, if they can think it it can happen, play with them, tell them what you are going to do the day of the event.

Piaget's stage Concrete Operations

age 7-11, rule oriented, live and die by the rules,only 1 way to do things, everything different is wrong, tell them days ahead what you are going to do plus skills, reading and visual tools

What 2 parts are always irrelevant in a prioritization question?

age and gender (NCLEX is testing discrimination against agism)

If it is a pediatric question the age is critical but if it is a prioritization question ...

age is not critical

Risks post op for sub total thyroidectomy

airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm

Risks post op for total thyroidectomy

airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany

Phenothiazines

all end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety

'zine, 'zep, 'zap

all tranquilizers

All changes in cervix and vagina occur in what order?

alphabetical order

Removing PPE's order

alphabetically inside the room

Zoloft (sertraline)

also a SSRI like prozac, antidepressant, doesn't cause insomnia so it can be taken at bedtime.

Number one nursing concern for patient taking Benzo's is

also safety

Pediatrics rule of thumb for growth and development questions

always give the child more time, "don't rush growth and development", tell the family to wait a little while

Rule out absolutes

always, never are bad

Benzodiazepines are for

anti anxiety, they are minor tranquilizers, have 'zep in the name, EX: Diazepam (Valium), plus Xanax, Often given pre op, muscle relaxant, alcohol withdrawal, seizures, facilitates mechanical ventilation

In small doses Phenothiazines are

anti-emetics

In large doses Phenothiazines are

anti-psychotics

MAOI's

antidepressants, happy pills

Trousseau's sign

arm/carpal spasm associated with hypocalcemia

Good strategy for psych if narrowed to 2 answers

ask yourself which answer will require the patient to keep on talking, it is never wrong to get your patient to keep talking

How to answer an empathy question

be an actor, put yourself in the client's shoes, say their words as if you really meant them, ask yourself if I said those works and really meant them, how would I be feeling, choose the answer that reflects that reflects their feelings not the answer that reflects their words

Kernicterus

billirubin in CSF

Probable signs of pregnancy

blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign

If you know what a particular drug does, choose a side effect in the same ______ ___________ where the drug is working.

body system Ex: heart drug - tachycardia

Vital organ priority list

brain lung heart liver kidney pancreas

A Seal should not be

bubbling.

Avoid answers with what words for children 9 mths and younger?

build, sort, stack, construct, make

Names of uppers

caffiene, cocaine, PCP/LSD, Amphetamines/meth, adderol/ritalin

Best way to measure DVT is

calf circumferences, NOT Homan's sign, but if select all that apply question, include Homan's sign

Rarely if ever answer ...

call Doctor, NCLEX wants you to think critically

Never pick _________ for children in nutrition questions.

casseroles

AID's can't do

charting (only document what they did), assess, meds, IV, treatments, fleet enemas

What to do first if a water seal breaks?

clamp

Uterine Hyperstimulation

contractions longer than 90 seconds or closer than 2 minutes

If it's legal and not hurtful but just inappropriate

counsel them later

School age (7-11) work on

creative, collect, competitive


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