HESI NCLEX FINAL Review 2021/2022_Set (232)

HESI NCLEX FINAL REVIEW 2021 / 2022 Terms in this set (232) 1. Maslow's Hierarchy of Needs Physiologic • Safety • Love and Belonging • Esteem • Self-actualization 2. Nursing Process Assessment • Diagnosis (Analysis) • Planning • Implementation (treatment) • Evaluation 3. ABCs • Airway • Breathing • Circulation 4. Hgb 12-18 5. Hct 37-52 6. RBCs 4.2-6.1 7. WBCs 4.5-11K 8. Platelets 150-400K 9. BUN 10-20 10. Creatinine 0.5-1.2 11. Glucose 70-110 12. Cholesterol 200 13. Billirubin Newborn 1-12 14. Na+ 136-145 15. K+ 3.5-5 16. HypoK+ Prominent U waves, Depressed ST segment, Flat T waves 17. HyperK+ Tall T-Waves, Prolonged PR interval, wide QRS 18. Ca+ 9-10.5 19. Hypocalcemia muscle spasms, convulsions, cramps/tetany, + Trousseau's, + Chvostek's, prolonged ST inter- val, prolonged QT segment 20. Mg+ 1.5-2.5 21. Cl- 96-106 22. Phos 3-4.5 23. Albumin 3.5-5 24. Spec Gravity 1.005-1.030 25. Hgb A1c 4-6% ideal, 7.5% = OK (120 days) 26. Lithium 0.5-1.5 27. pH 7.35-7.45 28. CO2 35-45 (Respiratory driver) ... High = Acidosis 29. HCO3 21-28 (Metabolic driver) ... High = Alkalosis 30. Antidote Digoxin Digiband 31. Antidote Coumadin Vitamin K 32. Antidote Benzo Flumzaemil 33. AntidoteMag Sulfate Calcium gluconate 34. Antidote Heparin Protamine Sulfate 35. Antidote Tylenol Mucomist 36. Antidote Opiates Narcan 37. Antidote cholinergic meds Atropine 38. Rifampin (for TB) Rust/orange/red urine and body fluids 39. Pyridium (for bladder in- fection) Orange/red/pink urine 40. Glasgow Coma Scale 8 = coma 41. Diabetic Coma vs. Insulin Shock Give glucose first - If no help, give insulin 42. Fruity Breath Diabetic Ketoacidosis 43. Acidosis If it comes out of your ass 44. Alkalosis Vomiting 45. Lipitor (statins) No grapefruit juice 46. Hold Digoxin HR 60 47. ACE Inhibitor dose Stay in bed for 3 hours 48. Pulmonary air embolism prevention 49. Head Trauma and Seizures Trendelenburg (HOB down) + on left side (to trap air in right side of heart) Maintain airway = primary concern 50. Peptic Ulcers Feed a Duodenal Ulcer (pain relieved by food) ... Starve a gastric ulcer 51. Acute Pancreatitis Fetal position, Bluish discoloration of flanks (Turner's Sign), Bluish discoloration of pericum- belical region (Cullen's Sign), Board like ab- domen with guarding ... Self digestion of pan- creas by trypsin 52. Hold tube feeding if residual 100mL 53. Gullain-Barre Syndrome Weakness progresses from legs upward - Resp arrest 54. Trough draw ~30 min before scheduled administration 55. Peak Draw 30-60 min after drug administration. 56. Most suicides occur after beginning of improvement with increase in energy levels 57. MAOIs Hypertensive Crisis with Tyramine foods Nardil, Marplan, Parnate Need 2 wk gap from SSRIs and TCAs to admin MAOIs 58. Phenothiazines (typical antipsychotics) - EPS, Photosensitivity 59. Atypical Antipsychotics work on positive and negative symptoms, less EPS 60. Benzos (Ativan, Lo- razepam, etc) good for Alcohol withdrawal and Status Epilepti- cus 61. Alcohol Withdrawal Delerium Tremens - Tachycardia, tachypnea, anxiety, nausea, shakes, hallucinations, para- noia ... (DTs start 12-36 hrs after last drink) 62. Opiate (Heroin, Morphine, Watery eyes, runny nose, dilated pupils, NVD, etc.) Withdrawal cramps 63. Stimulants Withdrawal Depression, fatigue, anxiety, disturbed sleep 64. Hypoventilation Acidosis (too much CO2) - - - - -