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Examen

Rn Comprehensive Predictor

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RN COMPREHENSIVE PREDICTOR

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RN COMPREHENSIVE PREDICTOR
NURSING - STUDY 2024/2025
GUIDE

CATS Convulsions, Arrythmias, Tetany, spasms and stridor Hypercalcemia muscle weakness, lack of




Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia, (dig toxicity)

Hyper Mg depresses the CNS. Hypotension, facial flushing, muscle weakness, absent deep tendon
reflexes, shallow respirations. EMERGENCY



Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance to stress fx, alopecia, weight




Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting, weakness, edema, HTN, hirsutism,
moonface/buffalo hump



N/V confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, decreased BP
Pheochromocytoma hypersecretion of epi/norepi. persistent HTN, increased HR, hyperglycemia,
diaphoresis, tremor, pounding HA; avoid stress, frequent bathing and rest breaks, avoid cold and
stimulating foods (surgery to remove tumor)



DROP (Defect, septal, Right ventricular hypertrophy, Overriding aortas, Pulmonary stenosis)

Autonomic Dysreflexia

coordination, abdominal pain, confusion, absent tendon reflexes, shallow respirations, emergency!
Hypo Mg

Addison's

loss. GI stress.

Cushings

Addesonian crisis

Tetrology of Fallot

, RN COMPREHENSIVE PREDICTOR
NURSING - STUDY 2024/2025
GUIDE

(potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess
for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI,
seizure) FHR patterns for OB Think VEAL CHOP!

NURSING - STUDY GUIDE



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V-variable decels; C- cord compression caused

E-early decels; H- head compression caused

A-accels; O-okay, no problem

L- late decels; P- placental insufficiency, can't fill what to check with pregnancy

, RN COMPREHENSIVE PREDICTOR
NURSING - STUDY 2024/2025
GUIDE


heart tones with stethoscope.

Position of the baby by fetal heart sounds

Posterior --heard at sides

Anterior---midline by unbilicus and side Breech- high up in the fundus near umbilicus Vertex- by the




High alarm--Obstruction due to secretions, kink, pt cough etc

Low alarm--Disconnection, leak, etc



ICP- Increased BP, decreased pulse, decreased resp

Shock--Decreased BP, increased pulse, increased resp



Right sided heart failure caused by left ventricular failure (edema, jugular vein distention)

Heroin withdrawal neonate irritable, poor sucking brachial pulse pulse area on an infant lead poisoning
test at 12 months of age Before starting IV antibiotics obtain cultures!

pt with leukemia may have epistaxis due to low platelets when a pt comes in and is in active labor first
action of nurse is to listen to fetal heart tones/rate for phobias
Never check the monitor or machine as a first action. Always assess the patient first. Ex.. listen to fetal
symphysis pubis.

Ventilatory alarms

HOLD

ICP and Shock Cor pumonae

use systematic desensitization NCLEX answer tips choose assessment first! (assess, collect, auscultate,
monitor, palpate) only choose intervention in an emergency or stress situation. If the answer has an
absolute, discard it. Give priority to the answers that deal with the patient's body, not machines, or
equipment. ARDS and DIC

NURSING - STUDY GUIDE

, RN COMPREHENSIVE PREDICTOR
NURSING - STUDY 2024/2025
GUIDE


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are always secondary to another disease or trauma In an emergency patients with a greater chance to
live are treated first Cardinal sign of ARDS hypoxemia Edema is located

in the interstitial space, not the cardiovascular space (outside of the circulatory system) the best
indicator of dehydration?

weight---and skin turgor heat/cold

hot for chronic pain; cold for accute pain (sprain etc) When pt is in distress ... medication administration
is rarely a good choice pneumonia fever and chills are usually present. For the elderly confusion is often
present. before IV antibiotics? check allergies (esp. penicillin) make sure cultures and sensitivity has
been done before first dose. COPD and O2

with COPD baroreceptors that detect CO2 level are destroyed, therefore, O2 must be low because high
O2 concentration takes away the pt's stimulation to breathe.

Prednisone toxicity

Cushings (buffalo hump, moon face, high blood sugar, HTN) Neutropenic pts no fresh fruits or flowers
Chest tubes are placed in the pleural space

Preload/Afterload

Preload affects the amount of blood going into Right ventricle. Afterload is the systemic resistance after
leaving the heart.

CABG

Great Saphenous vein in leg is taken and turned inside out (because of valves inside) . Used for bypass
surgery of the heart. Unstable Angina not relieved by nitro PVC's can turn into V fib.

1 tsp

5 mL

1 oz

30 mL

NURSING - STUDY GUIDE



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Subido en
13 de abril de 2025
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