Pearson Nclex Review
cushing - ANS-excessive level of cortisol
cluster of symptoms caused by excessive amounts of cortisol or adrenocorticotropic hormone
(ACTH) circulating in the blood
hyperthyroidism - ANS-Light sleepers, give them a private room is you can so they will get their
rest.
Graves disease
Hypersecretion of thyroxine from immune system attacking thyroid gland causing anxiety,
irritability, insomnia, tachycardia, tremors, diaphoresis, sensitivity to heat, weight loss,
exophthalmos and photosensitivity, diarrhea,
laser gall bladder surgery - ANS-after post op period the nursing interventions are minimal.
A nursing assistant can be assigned
viral pneumonia - ANS-the RN or LPN should be assigned this patient so they can auscultate
lungs for rhonchi
xerostomia - ANS-provide saliva substitute
Dryness of the mouth caused by reduction of saliva
xero - ANS-dry
stomia - ANS-opening
which action indicates that the client has accepted his recent amputation -change of body image
- ANS-looks at the operative site
peripheral vascular disease - ANS-Take brisk walk for 20 minutes per day to build muscle and
muscles support blood vessels and gets blood to the heart.
never massage the legs could throw a clot to lungs
, "Bad blood flow to my legs"
rule of nine - ANS-Head and neck 9%, upper extremities 9% each, lower extremities 18% each,
front trunk 18%, back trunk 18%, perineal area 1%
blood sugar - ANS-70 - 110
3.5 - 5.5 - ANS-normal hematocrit (Hct)
vitamin K - ANS-Blood clotting
Warfarin - Coumadin Antidote
Fat soluble vitamin that aids in blood clotting.
found in green leafy vegetables
sodium warfarin - ANS-coumadin
limit green leafy vegetables don't avoid it
desired action is to increase bleeding time
watch pt and inr
normal ph - ANS-7.35-7.45
sickle cell crisis - ANS-apply heating pad to joints for vasodilatation so that the blood will flow
freeer with less pain
kidney disease - ANS-very low protein diet because it is difficult to eliminate through the
kidneys
sometimes marked by the presence of protein (especially albumin) or blood in the urine.
nocturnal dyspnea - ANS-A priority client because may be congestive heart failure.
Is the shortness of breath while a person is sleeping. This is a sign of HF
Airway
1 to 2 days post surgery the patient should be - ANS-discharged soon
lithobid - ANS-twice a day - see the bid at the end of the name
Mood Stabilizer -lithium, lithium carbonate)
cushing - ANS-excessive level of cortisol
cluster of symptoms caused by excessive amounts of cortisol or adrenocorticotropic hormone
(ACTH) circulating in the blood
hyperthyroidism - ANS-Light sleepers, give them a private room is you can so they will get their
rest.
Graves disease
Hypersecretion of thyroxine from immune system attacking thyroid gland causing anxiety,
irritability, insomnia, tachycardia, tremors, diaphoresis, sensitivity to heat, weight loss,
exophthalmos and photosensitivity, diarrhea,
laser gall bladder surgery - ANS-after post op period the nursing interventions are minimal.
A nursing assistant can be assigned
viral pneumonia - ANS-the RN or LPN should be assigned this patient so they can auscultate
lungs for rhonchi
xerostomia - ANS-provide saliva substitute
Dryness of the mouth caused by reduction of saliva
xero - ANS-dry
stomia - ANS-opening
which action indicates that the client has accepted his recent amputation -change of body image
- ANS-looks at the operative site
peripheral vascular disease - ANS-Take brisk walk for 20 minutes per day to build muscle and
muscles support blood vessels and gets blood to the heart.
never massage the legs could throw a clot to lungs
, "Bad blood flow to my legs"
rule of nine - ANS-Head and neck 9%, upper extremities 9% each, lower extremities 18% each,
front trunk 18%, back trunk 18%, perineal area 1%
blood sugar - ANS-70 - 110
3.5 - 5.5 - ANS-normal hematocrit (Hct)
vitamin K - ANS-Blood clotting
Warfarin - Coumadin Antidote
Fat soluble vitamin that aids in blood clotting.
found in green leafy vegetables
sodium warfarin - ANS-coumadin
limit green leafy vegetables don't avoid it
desired action is to increase bleeding time
watch pt and inr
normal ph - ANS-7.35-7.45
sickle cell crisis - ANS-apply heating pad to joints for vasodilatation so that the blood will flow
freeer with less pain
kidney disease - ANS-very low protein diet because it is difficult to eliminate through the
kidneys
sometimes marked by the presence of protein (especially albumin) or blood in the urine.
nocturnal dyspnea - ANS-A priority client because may be congestive heart failure.
Is the shortness of breath while a person is sleeping. This is a sign of HF
Airway
1 to 2 days post surgery the patient should be - ANS-discharged soon
lithobid - ANS-twice a day - see the bid at the end of the name
Mood Stabilizer -lithium, lithium carbonate)
