NCLEX Part Flashcards

intraocular pressure
Terms Definitions
HEMOGLOBIN/FEMALES
12-16
Theophylline
10-20
sodium
135-145 mEq/L
LAM
ANTI-ANXIETY AGENTS
Non-Popular Meds
NardilParnateMarplan
Penicillin: Cross allergy
Cephalosporins
DINE
H2 BLOCKERS (ANTI-ULCERS)
sq guage
25 -27
for PKU
gallbladder disease
Dumping syndrome: Results in
Diaphoresis
Diarrhea
Hyptension
Cardioversion: Analgesic
Not given before
Antianemics
Increase red blood cells
MATERNITY NORMALS

VARIABILITY
6 -10 BPM
Apraxia
failure to identify objects
MI: Caused by
Coronary artery disease
DVT: Prevent
Encourage fluids
Wear elastic stockings
Perform leg exercises
Assess for redness, swelling or pain
Incentive spirometer: Use
Every 1-2 hours
SPINE
SHARP PROJECTION FROM BONE SURFACE
Theraputic drug level of digoxin
0.5-2.0
Cranial Nerve VI
Abducent- eye movement
HEMATOLOGY VALUES

RBC
4.5 - 5.0 MILLION
Depolarization
Neutralization of electrical polarity; reversal of the resting potential in excitable cell membranes when stimulated. An example is the reduction of the ion differential of sodium and potassium across the nerve cells at the neuromuscular junction.
Airbone
My- MeaslesChicken- Chicken PoxHez- Herpez ZosterTB
ACE Inhibitor Examples
captopril (Capoten), enalapril (Vasotec), benazepril (Lotensin)
Projection
Attributing one's own feelings that are unacceptable to someone else, or blaming someone else for one's own problems
glargine (Lantus)
Very long acting insulin
Continuous effect with no peak
Charting
Timely and accurate
Begin charting on the next line
Beta blocker: D/C
Never abruptly
May develop tachycardia, diaphoresis, malaise, palpations
Peritonitis
Indication include fever and abdominal rigidity plus pain.
Respiratory Acidosis- S/S
tachypnea, HA, restlessness, confusion, diaphoresis, hyperkalemia, dysrythmias
IV pyelogram contraindicated when:
Kidney disease
DM
HTN
Heart disease

Always draw BUN & creatinine B4 to indicate good function
Aortic Heart Sound
Right Side 2nd-3rd ICS
Variability
Differing rhythmicity or changes in condition; often used to describe fetal heart rate reflected on the fetal heart rate tracing as a slight irregularity or jitteriness.
Iatrogenic
Introduced inadvertently by a medical practitioner or resulting from a diagnostic procedure or treatment.
Preeclampsia
An abnormal condition characterized by the development of hypertension during pregnancy, accompanied by edema or proteinuria, usually after the 20th week of gestation.
Adrenergic
1. Activated or transmitted by epinephrine, norepinephrine, or a similar substance. 2. Also called a sympathomimetic, a drug that stimulates alpha or beta receptors (thus mimicking the effects of epinephrine or norepinephrine) or acts primarily on recepto
Hypernatremia >145
in client taking corticosteroids,renal failure, or hyperaldosteronism
PSORIASIS
COAL TAR SHAMPOO IS PRESCRIBED FOR WHAT TYPE OF SKIN CONDITION?
Bell's palsy
Avoid sudden movements when bending over
Problems with increased intraocular pressure
Mastoidectomy
A mastoidectomy is performed to remove infected mastoid air cells resulting from ear infections, such as mastoiditis or chronic otitis
Phobias
Allow client to avoid
Do not remove defense mechanism
Do not want to increase patient's apprehension and anger
Detached retina: Postop
Administer analgesics and antiemetics as prescribed
Report increase in pain and instruct client not to bend from waist, cough or sneeze or strain to have bowel movement
Epiglottis: Treatment
Moist air
IV antibiotics to decrease epiglottal swelling
Pulse oximeter to measure oxygen satuation
Preschool: Erickson
Initiative vs. Guilt
3-6 years of age
Virtue
A theory that involves making ethical decisions or taking ethical stands related to healthcare. The intent is the driving force behind virtue. With virtue functioning under good intentions makes actions ethical.
Beta Blockers
are less effective in African Americans.
Anticonvulsants
Used for managment of seizures and bipolar disorder
Med to give in a transfusion reaction:
Benadryl
Tegretol
this is used to treat trigeminal neuralgia (tic douloreux) its theraputic effect is relieving the agonizing pain that may result in severe depressing and suicide. Tegretol inhibits nerve impulses and reduces the pain of the condition.
Hemicolectomy
Surgical removal of one-half of the colon.
Bradyarrhythmias
Irregularity in heart rate or rhythm characterized by slowness.
Diabetes mellitus
A chronic disorder of carbohydrate metabolism characterized by hyperglycemia and glycosuria resulting from inadequate production or utilization of insulin.
Quickening
The first notable fetal movement in utero, usually occurring at 16 to 20 weeks' gestation.
Parenteral
Not in or through the digestive system, but rather by injection through some other route, such as subcutaneously, I.V., I.M., or intradermally.
Obsessive-compulsive disorder
A disorder characterized by obsessive thoughts and compulsive behaviors that represent recurring efforts to control overwhelming anxiety, guilt, or unacceptable impulses that persistently enter the consciousness.
Hyponatremia s/s
nausea, muscle cramps, Increase ICP, confusion, muscular twitching, convulsions
Infiltrated IV
dislodged from veinlying on subq tissue
iron
adult male = 65-175 mcg/dL ; adult female = 50-170 mcg/dl
Leukemia:providing oral Hygiene
-The mouth is especially affected because its cells are replaced at a high rate. Chemotherapy and radiation therapy affect the ability of cells to divide - which creates big problems for the normal tissue repair process in the mouth.
-Oral mucositis may appear from 4 to 7 days after the initiation of chemotherapy
-Fungal (candida) infections of the oral mucosa
-spontaneous oral bleeding when the platelet count goes below 20,000
-hypomature enamel.
Active external rewarming
Techniques can cause rewarming shock and temperature afterdrop
Can lead to ventricular fibrillation
Parents offer child ?
Comfort and security
Reduce child's anxiety
"Your mom is ging to be here with you"
Eye injury: Assess
"What type of material entered eye?"
Copper, iron, steel can result in inflammatory reaction
Information assists staff to determine extent of injury
Dialysate: Cloudy or opaque
Earliest sign of peritonitis
Normal outflow is relatively clear and light yelllow
Bulimia: Acne vulgaris
R/t binging on junk foods
Multiple papulopustular skin eruptions on face, chest, and back
Which of the following matches the definition: response to severe emotion stress resulting in involuntary disturbance of physical functions?
Conversion disorder
PT
this value measures how long it will take your blood to clot.

Females: 9.5 to 11.3
Males: 9.6 to 11.8
what's racemic epinephrine
adrenergic for croup to reduce inflam/edema of peri trach tissue
Transephogeal Fistula
Signs include: in the infant frothy sputum that is excessive. This babies are at risk for aspiration.
MATERNITY NORMALS

AVA
THE UMBILICAL CORD HAS TWO ARTERIES AND ONE VEIN.

ARTERIES CARRY DEOXYGENATED BLOOD

VEIN CARRIES OXYGENATED BLOOD
Amblyopia
Decreased visual acuity in one eye in the absence of detectable structural or pathologic changes.
Cognitive development
Ability to learn from experience, gain and maintain knowledge, respond to new situations, and solve problems.
Autonomic Dysreflexia
triggered by sustained stimuli at T6 or below. Vasodilation above injury(flushed face, inc Bp) Vasoconstriction below injury (pale, cool, no sweating)
this diuresis leads to dehydration. weight loss.
Cushing's Syndrome Diet
Sources of Nutrition: Expected findings in a school age child with vitamin C deficiency:
*Edema, bronchial infections, fatigue, weakness, swollen/bleeding gums, nosebleeds, spontaneous pinpoint hemorrhages can be observed
*stops healing of bone fractures, anemia
Crisis Intervention
A crisis is a state of temporary disequilibrium
Bathroom fixtures
Should be made of material that break away from weight of patient attempting to kill himself
MS: Heat and humidity
Can aggravate fatigue
Can intensify symptoms
Gang rape
Rape that is characterized by men who feel pressured to commit acts of sexual assault as a group to show masculinity or prove themselves equal to or better than their peers; often associated with violence with no regard to the victim.
Callie desires a form of spermicide that she can insert just prior to intercourse. The nurse instructs her to use which of the following?
C. Effervescent spermicides
Callie desires a form of spermicide that she can insert just prior to intercourse. The nurse instructs her to use which of the following?
A. Astroglide
B. KY Jelly
C. Effervescent spermicides
D. Suppositories
STD - Syphilis early S/S:
Chancre (papule-like lesion) develops within 2-6 weeks. Starts as small papule, develops into painless ulcer
ANGIOTENSIN CONVERTING ENZYME AGENTS
GENERIC NAMES INCLUDE THE SYLABLE "PRIL"
Action: antihypertensive
S.E. hypotension, bradycardia, tachycardia, headache, N/V, respiratory problems
Nursing Considerations: monitor V.S., WBC count, electrolyte levels
Electromyogram (EMG)
A record of the electrical activity of skeletal muscles, obtained by surface electrodes or needle electrodes and devices that amplify, transmit, and record the signals. The technique is helpful in diagnosing neuromuscular disorders, pinpointing motor nerv
Prinzmetal's angina
A variant of angina pectoris, a form of unstable angina, in which the attacks occur during rest. Attacks are indicated by an ST-segment elevation on an electrocardiogram.
pt sleep on unaffected side with a night shield for 1-4 weeks
After thyroidectomy
CD4+ cell count
indicates how well immune system is working
Organic Nitrates: Proper use of Nitroglycerin (Nitro-Bid) skin Patch
monitor for othostatic hypotension, apply to area with few hairs, and do not apply near the area for defibrillation to avoid skin burns.
*applied once a day, in am, sites rotated
*HEADACHE is most common side affect
Diphtheria, tetanus and pertussis
10 years after kindergarten booster of tetanus and diphtheria vaccine
Early Sign of Peritonitis
cloudly or opaque dialyslate is the earliest sign of peritonitis, which is the major complication, normal outflow drainage is relatively clear and light yellow.
A pregnant woman is diagnosed with primary syphilis. Which of the following assessment date would be most important for the nurse to gather?
a allergy to penicillin
A pregnant woman is diagnosed with primary syphilis. Which of the following assessment date would be most important for the nurse to gather?
a allergy to penicillin
b. previous hx of ti's
c. allergy to metronidazole
d. previous hx of pregnancy
Haldol
A fever of a few days while on an antipsychotic medication such as Haldol may indicate impending neuroleptic malignant syndrome.
Cerebral aneurysm
A saclike dilation of the wall of a cerebral artery, typically resulting from weakness of the wall. A cerebral, or berry, aneurysm usually occurs in the circle of Willis and is prone to rupture.
when Plugging a cuffed tracheostomy tube
the cuff must be deflated
Cataract Surgery: Post op care
No vacuuming for a few weeks
Jerky movements and bending from waist can increase intraocular pressure
No straining with bowel movements
Various types of pelvic structures a woman may possess
Gynecoid pelvis, android pelvis, anthropoid pelvis, Platypelloid pelvis.
what's chvostek's sign & it's implication?
tap facial nerve below temple. twitching = hypocalcemia
Health care power of attorney
A legal document in which an individual designates another person, called an "attorney-in-fact," to act on the individual's behalf if the principal person becomes disabled or incapacitated. The document becomes void when the principal person dies or recov
Sickle Cell Anemia:Preventing a sickle Cell Crisis
A sickle cell crisis happens when sickled red blood cells block small blood vessels that carry blood to your bones. This causes pain that can begin suddenly and last several hours to several days.
Alzheimer Patient:Client in bed
Nurse needs to find out why client is not getting up and moving around
Reasons include:
Caregiver burnout
Family doesn't understand importance of regular routine for client
Focus on patient
A client is on intravenous heparin therapy. The nurse would keep which of the following drugs available as an antidote.
B. Protamine Sulfate
A client is on intravenous heparin therapy. The nurse would keep which of the following drugs available as an antidote.
A. Vitamin K
B. Protamine Sulfate
C. Epinephrine
D. Norepinephrine
pH 7.35 to 7.45CO2 35 to 45HCO3 22 to 26
Addison's Disease s/s
9 month old Infant: Separation anxiety
Allow parent to sit the child in her/his lap
Allow infant to feel more secure
The nurse injects 0.1 ml of purified protein derivative (PPD) intradermally into the inner aspect of the raction to this test as positive when the following is seen
C. induration greater than 10 mm
The nurse injects 0.1 ml of purified protein derivative (PPD) intradermally into the inner aspect of the raction to this test as positive when the following is seen
A. Redness greater than 5 mm
B. Swelling greater than 7 mm
C. Induration greater than 10 mm
D. Exudate covering more than 12 mm
Blood glucose in the elderly:
how is it different in the urine?
the renal threshold for glucose is elevated in the elderly; it may read high, which is a false-negative
Post Op care Intracapsular Cataract Extraction
Requires patients to be in bed at 35 degree angle to prevent significant, sustained intraocular pressure, which is a major complication of postoperatively.
A client at the family planning clinic is diagnosed with primary dysmenorrhea. Which of the following should be included in the nurse's teaching plan for non-pharmacological comfort measures?
c - balanced meals and adequate rest
A client at the family planning clinic is diagnosed with primary dysmenorrhea. Which of the following should be included in the nurse's teaching plan for non-pharmacological comfort measures?
a - initiation of oral contraception.
b - application of cold to the abdomen
c - balanced meals and adequate rest
d - regular emotional counseling
Which of the following statement from a client receiving treatment for Chlamydia would alert the nurse that further teaching is indicated.
c I will be glad to resume sexual activity now that my treatment has begun
Which of the following statement from a client receiving treatment for Chlamydia would alert the nurse that further teaching is indicated.
a. I must avoid intercourse for at least 7 days while I'm taking my medication.
b. My partner will need to take the same medicine that I am taking.
c. I will be glad to resume sexual activity now that my treatment has begun
d. If I were pregnant, this infection might cause my baby to develop an eye infection.
A nurse working in a women's clinic sees four clients with bacterial vaginosis. Which client would be an appropriate candidate for treatment with metronidazole (Flagyl)?
d. 38 year old client in her third trimester of pregnancy
A nurse working in a women's clinic sees four clients with bacterial vaginosis. Which client would be an appropriate candidate for treatment with metronidazole (Flagyl)?
a. 42 year old with a history of pylenonephritis
b. 23 client who is breastfeeding
c. 27 client in her 1st trimester of pregnancy
d. 38 in her 3rd trimester of pregnancy
INR
2.0-3.0
hyperparathyroid
hypercalcemi/hypophosphatemia
Miotic
little o=constricts
sx:
Hypocalcemia (8.6-10)
Influenza vaccine: Allergies
Eggs
BLOOD UREA NITROGEN
10-30
MATERNITY NORMALS

APGAR SCORING
A=APPEARANCE
P=PULSES
G=GRIMACE
A=ACTIVITY
R=REFLEXES

DONE AT 1 AND 5 MIN WITH A SCORE OF
0 FOR ABSENT
1 FOR DECREASED
2 FOR STRONG
Hypercalcemia
hyperparathroidismelevated serum calcium levels produce osmotic diuresis & thus polyuria.
Pneumothorax: S/S
Rapid respiration (tachypnea)
clomipramine (Anafranil)
Tricyclic antidepressants, anttiobsessive agents
Photosensitivity side effect
Antidote to heparin
protamine sulfate
HEMATOLOGY VALUES

WBC
5,000 - 10,000
*Addison disease
Hyponatremia : <135
glipizide (Glucotrol): S/E
Oral hypoglycemic
Aplastic anemia
Monitor CBC
Grave's Disease: S/S
Difficulty sleeping
Weight loss
Intolerance to heat
Irritability
Rapid pulse
Tonsillitis
Pathophysiology and etiology, Clinical manifestations- inflammation Nursing considerations-S/S hemorrhage (swallowing constantly)
alcohol w/d s/sx
n/v, sweating, tremors
Agnosia
inability to recognize common objects
SERUM ELECTROLYTE

PHOSPHORUS
2.5 - 4.5 MEQ/L
Hemarthrosis
Bleeding into a joint cavity.
(increased secretions then suction......, biting tube-need an oral airway,...... or coughing and anxiety- need a sedative)
low alarm-
Digoxin Toxicity
*DECREASED POTASSIUM levels increases digoxin toxicity.
* s/s = nausea, vomiting, anorexia, bradycardia, depression, yellow halos in visual field, hyperkalemia, photophobia, diplopia
fluoxetine (Prozac)
Antidepressant, SSRI
Takes four weeks for full effect
Be aware of suicidal tendencies
Febrile Transfusion Reaction: S/S
Sudden chills
Increased temperature
Headache
Anxiety
Muscle pain
Flushing
Intravenous pyelogram: Pre-procedure
NPO after midnight
Bowel prep
Antidiarrheals
Decrease gastic mobility and reduce water in bowel
Treatment for Low-Output Stage of Acute Renal Failure:
Dialysis
Plasmapheresis
this procedure is similar to hemodialysis its done to remove antibodies that may be causing symptoms such as chills and hypothermia. Patients need warm blankets.
Teratogenic
Causing harm to the developing fetus.
Cholelithiasis
The presence or formation of gallstones in the gallbladder.
Reye's syndrome
Acute encephalopathy and fatty infiltration of the internal organs following acute viral infections, such as influenza B, chickenpox (varicella), the enteroviruses, and the Epstein-Barr virus; has also been associated in children with administration of as
nifedipine (Procardia)verapamil (Calan)diltiazem (Cardizem)
centrally acting alpha adrenergics
EKG in Hypocalcemia
prolonged ST or QT
AMMONIA DERMATITIS
A BED RIDDEN INCONTINENT PATIENT COMPLAINING OF PRURITIS AND EXCESSIVE DRYNESS IN LOWER BACK MAY BE INDICATIVE OF?
Rhonchi
Musical sounds or vibrations
Heard on expiration
Glaucoma: Intraocular pressure
Higher in morning
Early morning appointment with physican likely to be more accurate
meperidine (Demerol)
Opioid analgesic
May mask signs of ICP
Myelomeningocele: Monitor for
Infection (meningitis) because of myelomeningocele sac
Elevated temperature, irritability, and lethargy
Necrotizing Enterocolities
Acute inflammatory disease of the bowel preterm and high risk infants.
Normal Hyperbilirubinemia
if not resolved could cause encephalopathy; assess the baby for CNS depression, excitation, loss of interest in feeding.
fundus palpable at umbilicus when
1 hour postpartum
daily iron needs for females (mg/day)
15 mg
Atenolol
Patients on this medication should not be ashmatics, it is contraindicated.
Hemiplegia
Paralysis of one side of the body.
Living will
A witnessed document indicating a client's desire to be allowed to die a natural death rather than be kept alive by heroic, life-sustaining measures. The will applies to decisions that will be made after a terminally ill client is incompetent and has no r
Anastomosis
A surgical procedure in which two blood vessels, ducts, or other tubelike structures are joined to allow the flow of substances between them. Types of anastomoses are end-to-end and side-to-side.
Compliance
1. Adherence to a therapeutic regimen. 2. A tissue's or organ's ability to yield to pressure without disruption, commonly used to describe the distensibility of an air- or fluid-filled organ.
prevents external rotation of hip joint & prevent femur from rolling, placed by hip joint (from later aspect of the hip to the mid thigh)
Lofenalac Formula
diarrhea b/c loss of bicarbonate
Cleft palate feeding
PCO2
35 to 45 mmHq partial pressure of carbon dioxide = respiratory function indicator
Heart Failure: Understanding medication Self Administration
monitor serum potassium level, DECREASED potassium levels increases digoxin toxicity.
*Cardiotonic drugs affect the intracellular calcium levels in the heart= increased cardiac output, renal blood flow, and urine formation. Neg side affect is bradycardia.. MONITOR apical pulse
Barium enema exam
Lower GI series
Visulaization of large intestine
Toddlers: Parallel Play
Two children in sandbox building sandcastles side by side
Playing alongside, not with, others
Antisocial personality
Set limits on client in nonpunitive manner
Are manipulative and act out
To establish trust and avoid power struggles, limits must be set in nonpunitive manner
STRAIN
AN EXCESSIVE STRETCHING OF A MUSCLE OR TENDON
Myasthenia Gravis
muscle weakness which is caused by acetylcholine deficiency, transmission of nerve impulses is limited, resulting in difficulty stimulation on initiating muscular movements, muscle weakness increases with exertion, dropping eyelids, ptosis, and diplopia.
Amniocentesis will detect what condition?
hemolytic disease;
maternal antibodies destroy fetal RBCs;
bilirubin secreted r/t hemolysis
Internal Radiation Device
Health care providers should limit their exposure to the radiation by limiting time spent in the clients room.
Graves' disease
A disorder of the thyroid gland characterized by pronounced thyrotoxicosis usually associated with an enlarged thyroid gland, exophthalmos, or pretibial myxedema.
Resuscitation
A method used to support a client's breathing and circulation until the body can do so on its own or the client is mechanically supported. It involves maintaining an open airway, providing artificial ventilation through rescue breathing, and promoting art
Interpretation
The deep analysis of the meaning and significance of what a client is saying and doing in an effort to gain insight into his behavior.
Negative nitrogen balance
Increased rate of protein breakdown when compared to protein synthesis; nitrogen excretion that exceeds nitrogen intake.
M- multidrug resistant organismR- respiratory infectionS- Skin infectionsW-wound infectionE- Enteric Infection- clostridium difficileE- Eye infection - conjunctivitis
Skin infectionsVCHIPSV- varicella zosterC- cutaneous diphtheriaH-herpes simplexI- ImpetigoP-pediculosisS-scabies
mL per dose
chest tube dislodged from insertion site
Medications for Rheumatoid Arthritis: Findings to report while taking prednisone (Deltasone)
Risk for osteoporosis, Insomnia, vertigo, adrenal suppression, delayed wound healing
Client in pain
Priority is to determine what client is doing now to relieve pain
"What have you taken today to relieve pain?"
Pt. at 12 weeks gestation: Need
folic acid (vitamin B9)
Cast Care: Drying
Elevate affected limb above heart on soft surface until dry
Don't use heat lamp
Bone Fracture
after a suspected fracture of a bone the priority is to prevent further injury to the leg, adequate splinting
The nurse is taking a neurologic health history from a female client who is concerned with symptoms of premenstrual syndrome. Which of the following symptoms should the nurse inquire about?
b - vertigo
The nurse is taking a neurologic health history from a female client who is concerned with symptoms of premenstrual syndrome. Which of the following symptoms should the nurse inquire about?
a - urinary retention
b - vertigo
c - edema
d - acne
Decorticate positioning
arms turned in and up, towards the core
SCHEDULE V DRUGS
DISPENSED AS ANY OTHER PRESCRIPTION OR WITHOUT PRESCRIPTION IF STATE LAW ALLOWS.
(ANTIDIARRHEALS, ANTITUSSIVES)
Endotracheal intubation
Passage of a wide-bore tube through the mouth or nose into the trachea. It may be used to maintain a patent airway, administer anesthesia, aspirate secretions, prevent aspiration of foreign material into the tracheobronchial tree of an unconscious or para
Isotonic
Of or relating to a solution that has the same osmotic pressure as another solution; a solution in which cells neither swell nor shrink.
Atropine Overdose
Hot as a Hare (temperature)Mad as a Hatter (confusion, delirum)Red as a Beet (flushed face)Dry as a Bone (dec. secretions, thirsty
adverse affect of rapid dec in CO2: seizure activity
Fire
The low-pressure alarm sounds on the ventilator. The nurse checks the client and the attempts to determinethe cause of the alarm but is unsuccessful. Which initial action will the nurse take?
Ventilate the client manually.
Dialysate: High concentration of dextrose
Adds calories to daily intake
May result in some weight gain
Consel about dietary changes
Positron emission tomography (PET) scan: Procedure
Last 2 hours: Empty bladder before
Remove jewelry from hair
Catheter Procedure
When putting in a catheter you want to avoid rapid decompression of bladder because that can result in bladder wall damage, so you should clamp the catheter after 300 to 500 ml of urine has drained.
what is cardiac output
cardiac output
The volume of blood ejected by the heart per minute (normally ranging from 4 to 8 L). Cardiac output equals the stroke volume (the difference between end-diastolic volume and end-systolic volume) multiplied by the heart rate.
HEMATOLOGY VALUES

HGB
WOMEN = 40% - 48%
MEN = 42% - 50%
Lochia rubra
Present during the first 3 to 4 postpartal days; it’s bloody and may contain mucus, tissue, debris, and small clots.
low in carb & sodiumhigh in protein/potassium
Perforation of an ulcer
TB immunocompromised pt.
May not be able to mount a positive reaction
5 mm or greater is considered positive
Rules for IV adminstration
the rate of IV adminstration should be no faster than 20 mEq/H
Captropril (Capoten) is in the class of:
antihypertensives; monitor B/P before administration
Gestational trophoblastic disease
Failure of an embryo to develop beyond a primitive state due to proliferation and degeneration of the trophoblastic villi becoming filled with fluid and appearing as grape-sized vesicles Also called a hydatidiform mole, molar pregnancy.
Hypertension: Adverse Effects of Captopril (Capoten)
- captopril is an ACE inhibitor used for the treatment of hypertension
-cough being the most common ADR(due to elevated levels of bradykinin)
-rash and taste disturbances (metallic or loss of taste)
-short half-life necessitates 2-3 times daily dosing
-postural hypotension ,Hyperkalemia
Pt with Hx of assault: Potentially violent
Nurse's safety always comes first
Give patient time and space alone to calm down
"I'll return in 30 minutes"
A 16 year old client states that she has never started her menstrual cycle. The nurse asks about marked weight loss, excessive exercise and prolonged stress. Which cause of amenorrhea is she/he inquiring about?
a - hypothalmic dysfunction
A 16 year old client states that she has never started her menstrual cycle. The nurse asks about marked weight loss, excessive exercise and prolonged stress. Which cause of amenorrhea is she/he inquiring about?
a - hypothalmic dysfunction
b - pituitary dysfunction
c - ovarian failure
d - anatomic abnormalities
used for localed pain- use gel, place elctrodes over, above or below painful area
Neck Injury, open airway by
Accepted Norms for Neonatal Care
6 to 8 wet diapers a day indicated hydration status.

The mother should be nursing every 1 to 2 hours.
A 46-year old client has just had a femoral-distal bypass. It would be most importnt for the nurse to assess:
C. Pedal pulses
A 46-year old client has just had a femoral-distal bypass. It would be most importnt for the nurse to assess:
A. Serum cholesterol levels
B. Popliteal pulses
C. Pedal pulses
D. Cardiac enzyme levels
RULE OF NINES FOR BURNS
HEAD
ARMS
BACK
LEGS
GENITALIA
HEAD = 9%
ARMS = 18% (9% EACH)
BACK = 18%
LEGS = 36% (18% EACH)
GENITALIA = 1%
What is the onset, peak and duration of NPH insulin
onset - 1-2 hours
peak - 6-14 hours
duration - 24 hrs
A client comes with multiple bruises on her arms and chest. Her lip is swollen and one of her front teeth is missing. She denies domestic violence and claims falling into fireplace. What is the most appropriate nursing response?
a. the signs are common among women who've been abused. we are trained to assist these women in finding a safe place to escape the abuse.
A client comes with multiple bruises on her arms and chest. Her lip is swollen and one of her front teeth is missing. She denies domestic violence and claims falling into fireplace. What is the most appropriate nursing response?
a. the signs are common among women who've been abused. we are trained to assist these women in finding a safe place to escape the abuse.
b. I know you've been abused. No one is fooled. Why not admit it?
c. I'm sure you did fall into the fireplace. Your injuries are not very life threatening.
d. you'll have no one to blame but yourself if you don't tell us the truth. This will happen again if you return home.
1. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient's medication does not cause urine discoloration?
A. Sulfasalazine B. Levodopa C. Phenolphthalein D. Aspirin *
Jackie states that cost is a factor in choosing a birth control method. The nurse offers which of the following options.
C. Diaphragm
Jackie states that cost is a factor in choosing a birth control method. The nurse offers which of the following options.
A. The female Condom
B. Combined oral contraceptives
C. The diaphragm
D. Vaginal sponge
A client is in traction for a fractured femur. Which of the following statements indicates understanding of the nurse's instruction:
A. The weights must hang freely at all times
A client is in traction for a fractured femur. Which of the following statements indicates understanding of the nurse's instruction:
A. The weights must hang freely at all times.
B. I'm free to move about in bed as I wish.
C. I'll be in a lot of pain and will need narcotics frequently.
D. I won't have the time or energy to work on my paintings.
/ 220
Term:
Definition:
Definition:

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