MED SURG 245 {37 Page} Revised NCLEX Study Guide

MED SURG 245 {37 Page} Revised NCLEX Study Guide 1. Give meds either 1 hour before meal or 2 hours after meal 2. Give antacids 1 hour before med or 4 hours after med-after meals 3. When in doubt pick K (potassium) 4. 2 – 3 L of fluids 5. When in doubt pick answer that has you stay with patient 6. Anytime you see restless & ↓ level of consciousness = early sign always pick 7. Head of Bead → 30-45 degrees for any neuro patient 8. Elderly with acute onset confusion → UTI 9. Secretions will turn Orange/Red for meds 10. Anytime you have GI problem/exacerbation = NPO 11. All surgeries 1st 24 hrs – bleeding 48 hrs – infection 12. Check daily weights if it’s a fluid problem 13. Lateral position for maternity 14. Remove answer choices that are ‘absolutes’ position, prevent, promote Important Lab Values WBC 4K – 11K RBC 4 – 6 Hgb 12 – 16, 0r 12-18 Hct 36 – 48, or 37-52 Plt 150K – 400K BUN 8 – 20, or 7-22 Cr/Lithium 0.6 – 1.2 Urine Clearance 85 – 135, (GFR)=maintain above 60 Uric Acid 250 – 750 mg Na 135 – 145 Cl 98 – 106 Ca 8.5 – 10.5 K 3.5 – 5.0 PO 2.5 – 4.5g Mag 1.5 – 2.5, 4-7 if pregnant and receiving Toco Warfarin INR 2.0 – 3.5 Heparin PT 10 – 13 Seconds PTT 25 – 35 Seconds Therapeutic PTT: 1.5 – 2x the normal value (46 – 76 Seconds) Cholesterol Therapeutic Ranges Phenytoin Theophylline Acetaminophen 10 – 20 Digoxin 0.5 – 2.0 Albumin level 3.5 to 5.5