NCLEX study from Mark Klimek
Hyperthyroidism is also called - ANS-Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - ANS-"Run yourself into the Grave" - everything
is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
Treatment for Grave's disease - ANS-Radioactive Iodine, PTU (put thyroid under),
surgically remove
Total thyroidectomy ... totals get - ANS-tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for - ANS-hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - ANS-numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - ANS-storm
S/S of thyroid storm - ANS-Extremely high vital signs, hyperpyrexia, psychotic delerium
How to treat thyroid storm - ANS-give o2, lower temp to spare brain
Risks post op for total thyroidectomy - ANS-airway, hemorrhage for 1st 12 hours then
for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - ANS-airway, hemorrage for 1st 12 hours then
for 12-48 hours thyroid storm
Hypothyroidism is also called - ANS-Myxedema or hypometabolism
S/S of mydexema - ANS-everything is down, constipation, heat tolerance, cold
intolerance
Treatment for mydexema - ANS-give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - ANS-neck pits groin
,If you cool a patient too fast what might happen? - ANS-Heart arrythmias
Never hold the hormone for what patient? - ANS-patient who is NPO with mydexema
Addison's disease easy way to remember - ANS-Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - ANS-A in Adrenal stands for
Addison's
C in Cortex stands for Cushing's
Addison's disease is - ANS-undersecretion of adrenal cortex, not enough hormone,
BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - ANS-give a steroid, chronic steroid therapy
Cushing's syndrome - ANS-Over secretion of adrenal cortex, too much hormone, too
much steroid.
S/S of Cushing's syndrome - ANS-same as steroid use ... moon face, think cushman
"I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - ANS-Surgery, bi or uni lateral adrenalectomy
(bilateral is worse)
Donning PPE's order - ANS-Gown, Mask, Goggles, Gloves
Removing PPE's order - ANS-alphabetically inside the room
For airborne precautions the mask is removed where? - ANS-outside of the room
Avoid answers with what words for children 9 mths and younger? - ANS-build, sort,
stack, construct, make
Toddlers (1-3) work on - ANS-their gross motor skills (jump, hop, throw), NO fine motor,
parallel play
Preschoolers (3-6) work on - ANS-fine motor, balance (tumbling, dance, tricycle),
cooperative play, pretend
School age (7-11) work on - ANS-creative, collect, competitive
, Best default order for click and drag order questions? - ANS-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANS-call Doctor, NCLEX wants you to think critically
Creatinine lab values - ANS-same as lithium 0.6-1.2 Not a huge worry, not a dangerous
lab to worry about
INR lab values - ANS-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
Potassium lab values - ANS-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!!
pH lab values - ANS-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
BUN lab values - ANS-8-30 check for dehydration if elevated not a big deal, just be
concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the -
ANS-rapid response team!
HgB lab values - ANS-12-18 check for bleeding if low or high, if low prepare for
tranfussion
HCO3 lab values - ANS-22-26 if it is abnormal so what!
CO2 lab values - ANS-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 - ANS-36-54 thickness of blood if abnormal not too big of a deal, assess
for dehydration
Hyperthyroidism is also called - ANS-Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - ANS-"Run yourself into the Grave" - everything
is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
Treatment for Grave's disease - ANS-Radioactive Iodine, PTU (put thyroid under),
surgically remove
Total thyroidectomy ... totals get - ANS-tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for - ANS-hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - ANS-numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - ANS-storm
S/S of thyroid storm - ANS-Extremely high vital signs, hyperpyrexia, psychotic delerium
How to treat thyroid storm - ANS-give o2, lower temp to spare brain
Risks post op for total thyroidectomy - ANS-airway, hemorrhage for 1st 12 hours then
for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - ANS-airway, hemorrage for 1st 12 hours then
for 12-48 hours thyroid storm
Hypothyroidism is also called - ANS-Myxedema or hypometabolism
S/S of mydexema - ANS-everything is down, constipation, heat tolerance, cold
intolerance
Treatment for mydexema - ANS-give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - ANS-neck pits groin
,If you cool a patient too fast what might happen? - ANS-Heart arrythmias
Never hold the hormone for what patient? - ANS-patient who is NPO with mydexema
Addison's disease easy way to remember - ANS-Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - ANS-A in Adrenal stands for
Addison's
C in Cortex stands for Cushing's
Addison's disease is - ANS-undersecretion of adrenal cortex, not enough hormone,
BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - ANS-give a steroid, chronic steroid therapy
Cushing's syndrome - ANS-Over secretion of adrenal cortex, too much hormone, too
much steroid.
S/S of Cushing's syndrome - ANS-same as steroid use ... moon face, think cushman
"I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - ANS-Surgery, bi or uni lateral adrenalectomy
(bilateral is worse)
Donning PPE's order - ANS-Gown, Mask, Goggles, Gloves
Removing PPE's order - ANS-alphabetically inside the room
For airborne precautions the mask is removed where? - ANS-outside of the room
Avoid answers with what words for children 9 mths and younger? - ANS-build, sort,
stack, construct, make
Toddlers (1-3) work on - ANS-their gross motor skills (jump, hop, throw), NO fine motor,
parallel play
Preschoolers (3-6) work on - ANS-fine motor, balance (tumbling, dance, tricycle),
cooperative play, pretend
School age (7-11) work on - ANS-creative, collect, competitive
, Best default order for click and drag order questions? - ANS-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANS-call Doctor, NCLEX wants you to think critically
Creatinine lab values - ANS-same as lithium 0.6-1.2 Not a huge worry, not a dangerous
lab to worry about
INR lab values - ANS-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
Potassium lab values - ANS-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!!
pH lab values - ANS-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
BUN lab values - ANS-8-30 check for dehydration if elevated not a big deal, just be
concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the -
ANS-rapid response team!
HgB lab values - ANS-12-18 check for bleeding if low or high, if low prepare for
tranfussion
HCO3 lab values - ANS-22-26 if it is abnormal so what!
CO2 lab values - ANS-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 - ANS-36-54 thickness of blood if abnormal not too big of a deal, assess
for dehydration
