NCLEX Samenvattingen, Aantekeningen en Examens

The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the 1. first stage of labor who has an oral temperature of 99.7° F (37.6° C) 2. first stage of labor whose contractions are occurring every 30 seconds 3. second stage of labor who has respirations of 26 4. second stage of labor whose contractions are lasting for 60 seconds - correct answer 2. first stage of labor whose contracti...

Your pt has respiratory acidosis your pt has: (select all that apply) a) +1 reflexes b) diarrhea c) a dynamic ileus d) spasm e) urinary retention f) paraxysmol atrial tachycardia e) 2nd degree, mobitz, type 2 heart block g) hypokalemia : a) +1 reflexes c) a dynamic ileus e) urinary retention g) 2nd degree, mobitz, type 2 heart block A pt has pneumonia present in 4 lobes, they have a RR of 52, and a SpO2 of 78. What acid-base imbalance is the patient exhibiting? a) respiratory a...

Decide Sickest v.s. Healthiest" With prioritization, answers will always have these 4 parts: : Age- Irrelevant because all humans are important Gender- Irrelevant because all humans are important Diagnosis Modifying Phrase (*Most important*) Ex: Of prioritization Ex: Angina pectoris with unstable BP v.s stable vitals with a myocardial infarction (Angina pectoris is the highest priority at this time because they have unstable vitals due to the "modifying phrase". : Prioritization ...

Hyperthyroidism is also called : Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's : "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease : Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get : tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for : hypocalcemia, remember hypocal...

Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ : pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ : ↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ : ↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 30_______ : ↓= acidosis; ↑= respiratory You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: :...

As the pH goes, : so goes my patient, EXCEPT for potassium (Mac) Kussmaul's is only seen in... : Metabolic Acidosis In respiratory, if the patient is OVERventilating, : Respiratory Alkalosis In respiratory, if the patient is UNDERventilating, : Respiratory Acidosis The only cause for metabolic alkalosis is... : prolonged vomiting or suctioning A HIGH pressure alarm is due to... : obstructions (kinks in tubing, mucus secretions) A LOW pressure alarm is due to... 2 | P a g e : disco...

The increase in pressure is d/t an imbalance in the formation and drainage of ____ humor from the anterior chamber : Aqueous Glaucoma affects (one/both) eyes, usually : Both (it is a bilateral disease) The most common visual field defect in glaucoma is ___ : Central vision (loss of peripheral vision - also called tunnel vision) What are 2 types of glaucoma? : Open-angle, closed angle Open-angle glaucoma is seen most commonly in ___ life : Later Open-angle glaucoma is (painless/painfu...

Never hold the hormone for what patient? : patient who is NPO with mydexema Addison's disease easy way to remember : Add a Sone (sone = steroid) Best default order for click and drag order questions? : Hold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify Rarely if ever answer ... : call Doctor, NCLEX wants you to think critically INR lab values 2 | P a g e : 2-3, critical value if off, potential for patient to bleed. Use default order for ord...

What are the unexpected H's in patients? : hemorrhage high fever of 105 hypoglycemia has no pulse, breathless What are neutropenic precautions? : <1000 WBC, <400 Neutrophils Strict hand washing No visitors who are sick No children No raw food, no live plants No free standing water What are the most concerning labs? : "6"s 2 | P a g e PH: 6 K: 6 Co2: 60 O2: 60 platelet: <40,000 What is the difference between PAD vs PVD? : Arterial: claudication, hair loss, gangre...

What body system is attacked by mononucleosis? : Lymphatic What blood count will be elevated in mononucleosis? : Lymphocytes increase, monocytes increase, granulocytes decrease How long is the average recovery from mononucleosis? : Three weeks What two medications are given to clients with mononucleosis? : ASA; steroids if a bad case

NCLEX Part 5 Exam Questions and Answers 100% Pass Endocrine system -Answer-usually avoid oral hypoglycemia during pregnancy Alpha-glucosidase inhibitors -Answer-Acarbose, Miglitol MOA: inhibit intestinal brush-border glucosidases. This decreases glucose absoprtion (and decreases postprandial hyperglycemia). Use: type II SE: GI disturbances. Bigaunides: Metformin withheld these medications 48 hours prior to and after a test with contrast media Contraindicated in clients with severe inf...