nclex rationals and study guide questions with ans
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NCLEX Rationals and Study G'
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NCLEX Rationals and Study Guide Questions with
Answers 100% Accuracy |Updated 2024| right occiput
posterior position.
right occiput posterior position
will have back pains with labor "back labor" positioning woman and hands and knees will relive some of
the pressure and help facilitate rotation into an anterior position.
Right occiput anterior
optimal for birth
Predisposing factors for delirium are?
advanced age
neurodegenerative disease (stroke, dementia)
polypharmacy
infection
ABG imabalance
Surgery
untreated pain
occipital transverse
when fetus remains in OP or OT position labor is prolonged. fetus will usually reposition to OA. manual
rotation may be required if this position persist.
Agoraphobia
fear or anxiety about being in certain situations or any physical spaces. they are highly concerned about
having trouble escaping or being able to get help in the event of a panic attack.
Hypertensive medications Contraindicated in Pregnancy that can have tetragenic affects are?
ACE inhibitors and ARB's
Acceptable abbreviation for documentation
c/o
ac
pc
QID
cm
Unacceptable abbreviations for documentation
q1d
qd
,qod
SSRI
u
Must have a zero before decimal 0.05
No trailing zeros after decimal 1.000
Major complications of oligohydramnios are;
Pulmonary hypoplasia
Umbilical cord compression
*** additional staff will be needed during delivery in case of CPR
Major complications of TNF inhibitor(inhibits inflammatory response) drugs are;
type of drugs?
infections
bone marrow suppression
type of drugs include; infliximab, entanercept,
side effects of furosemide in pt's chronic kidney disease would be ?
what instruction do you give your patient prior to their colonoscopy procedure?
Clear liquid diet the day before
NPO 8-12 hours before exam
take bowel cleansing agent day before (GoLYTELY)
uterine fundus location during prenatal exam
after 20 weeks gestation the fundus location = gestational age.
, intussesception is when one part of the intestine prolapses and then telescopes into another part of
the intestine. It is also the most frequent cause of bowel obstruction during infancy. what are the signs
and symptoms to look out for.
intermitten pain with legs drawn up.
severe progressive pain with inconolable crying.
ongoing obstruction leads to mucosal ischemia, and current jelly stools (mucus and bleeding mixed)
pregnant women have a blood volume that increases between 40-45% to meet increased O2 demands
and nutritional demands for the fast growing fetus. what is the normal hemoglobin, hematocrit, WBC,
RBC and platelet count ?
what are the signs of uterine rupture?
abnormal FHR patter
constant abdominal pain
loss of fetal station
sudden cessation of uterine contraction
severe signs are hemorrhage, hypovolemic shock and maternal tachycardia
Polycythemia Vera is a chronic myloproliferation disorder in which the bone marrow produces
abnormal high amounts of RBC's. What is the danger with this disease and what is the treatment for
it?
the danger with this disease is blood clotting r/t increase viscosity of the blood
tx: periodic phlebotomy to remove 300-500 millimeters of blood until hematocrit and hemoglobin levels
are meet.
what are the common causes of bilateral neuropathy?
Diabetic neuropathy *** most common
alcohol
auto immune ( Guillian Barre syndrome)
**always establish if the neuropathy pain was present before surgery to rule out if this is a surgical
complication
lymph nodes are not normally palpable in adults... however what type of palpable node would be
considered a normal finding and why?
lmyph nodes that are 05.-1 cm in size, firm, mobile and non-tender - this could be r/t some type of
trauma ie. masectomy
what is NOT considered a normal finding when palpating a lymph node?
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