NCLEX study from Mark Klimek Exam Questions With 100% Correct Answers

NCLEX study from Mark Klimek Exam Questions With 100% Correct Answers Hyperthyroidism is also called - answerGrave's disease or hypermetabolism Tip to remember Grave's disease s/s's - answer"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease - answerRadioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get - answertetany, need lifelong hormone replacement After thyroidectomy patients are at risk for - answerhypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia parathesia - answernumbness and tingling, first sign of electrolyte imbalance Subtotal thyroidectomy ... subs get - answerstorm S/S of thyroid storm - answerExtremely high vital signs, hyperpyrexia, psychotic delerium How to treat thyroid storm - answergive o2, lower temp to spare brain Risks post op for total thyroidectomy - answerairway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany Risks post op for sub total thyroidectomy - answerairway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm Hypothyroidism is also called - answerMyxedema or hypometabolism S/S of mydexema - answereverything is down, constipation, heat tolerance, cold intolerance Treatment for mydexema - answergive thyroid medications Where to put the 5 ice packs to cool a thyroid storm patient - answerneck pits groin If you cool a patient too fast what might happen? - answerHeart arrythmias Never hold the hormone for what patient? - answerpatient who is NPO with mydexema Addison's disease easy way to remember - answerAdd a Sone (sone = steroid) Adrenal Cortex diseases easy way to remember - answerA in Adrenal stands for Addison's C in Cortex stands for Cushing's Addison's disease is - answerundersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger. Addison's disease treatment - answergive a steroid, chronic steroid therapy Cushing's syndrome - answerOver secretion of adrenal cortex, too much hormone, too much steroid. S/S of Cushing's syndrome - answersame as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium, Treatment for Cushing's syndrome - answerSurgery, bi or uni lateral adrenalectomy (bilateral is worse) Donning PPE's order - answerGown, Mask, Goggles, Gloves Removing PPE's order - answeralphabetically inside the room For airborne precautions the mask is removed where? - answeroutside of the room Avoid answers with what words for children 9 mths and younger? - answerbuild, sort, stack, construct, make Toddlers (1-3) work on - answertheir gross motor skills (jump, hop, throw), NO fine motor, parallel play Preschoolers (3-6) work on - answerfine motor, balance (tumbling, dance, tricycle), cooperative play, pretend School age (7-11) work on - answercreative, collect, competitive Best default order for click and drag order questions? - answerHold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify Rarely if ever answer ... - answercall Doctor, NCLEX wants you to think critically Creatinine lab values - answersame as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about