<p>This is one of sample that I found from www. easynotecards.com, very basic information, but really need to know before you sit on the chair to take NCLEX exam. Good luck!</p><p> </p><p id="set-title">NCLEX NOTES</p><ol id="print-list"><li><div><span>Side effects of corticosteroids</span></div><div><span>Mood swing, increase hair growth, hump back, hypoglycemia, puffy face</span></div></li><li><div><span>Clinical findings typically in child with nephrotic symdrome</span></div><div><span>Massive proteinuria, hypoproteinemia, hypoalbuminemia, hyperlipidemia, edema</span></div></li><li><div><span>Visicants</span></div><div><span>Chemotherapeutic agents causing severe cellular damage to tissues</span></div></li><li><div><span>Side effect of amoxicillin</span></div><div><span>N/V, diarrhea, headache. Occasionally rash</span></div></li><li><div><span>Manifestations of leukemia in child</span></div><div><span>Anemia, infection, polycythemia, bleeding, bone pain</span></div></li><li><div><span>Phimosis</span></div><div><span>Foreskin of the penis cannot retract</span></div></li><li><div><span>S/S of child with epigolitis</span></div><div><span>Drooling,restless, high fever, no spontaneous cough due to obstruction</span></div></li><li><div><span>History of child with intussusception includes</span></div><div><span>CF, gastrostomy tube, abdominal blunt force trauma, URI and gastroenteritis</span></div></li><li><div><span>Gluten-sensitive enteropathy aka</span></div><div><span>Celiac disease</span></div></li><li><div><span>Vesicouretereal reflux</span></div><div><span>Urine flows backward from bladder to ureter causing UTI</span></div></li><li><div><span>Bleeding between the cranium and the dura</span></div><div><span>epidural hematoma</span></div></li><li><div><span>Early closure of cranial sutures</span></div><div><span>Craniosynostosis</span></div></li><li><div><span>Medication to treat multifocal PVC</span></div><div><span>Lidocaine</span></div></li><li><div><span>NI for child with RSV</span></div><div><span>albuterol (airways), acetaminophen (fever), fluids (hydration)</span></div></li><li><div><span>Hemolytic reactions with blood transfusion</span></div><div><span>fever, pain at injection site, hypotention, renal failutre, tachycardia, ogliuria, shock. Allergic reactions ( rash, hives and respiratory distress)</span></div></li><li><div><span>Most common cause for emergency surgery in children</span></div><div><span>Appendicitis</span></div></li><li><div><span>NI for patient with inflammatory bowel disease prescribed TPN</span></div><div><span>1.Check glucose level <br>2.Daily weight <br>3.Assess subclavian line for infection <br>4.Assess bowel sounds</span></div></li><li><div><span>Indication pancreatic enzyme is effective on patient with chronic pancreatitis</span></div><div><span>Bowel movements are formed, soft, brown</span></div></li><li><div><span>Preprocedure intervention for patient scheduled for cardiac catherization</span></div><div><span>Pedal and posterial tibial pulses</span></div></li><li><div><span>Severe abdominal pain, has hard rigid abdomen, temperature of 102 F.</span></div><div><span>Notify MD immediately - signs of peritonitis (life threatening)</span></div></li><li><div><span>PTT, PT, INR levels</span></div><div><span>PTT <br>PT <br>INR 2-3</span></div></li><li><div><span>Long term use of cascara sagrada (chronic constipation)</span></div><div><span>Hypokalemia</span></div></li><li><div><span>Favorable pelvic shape for vaginal birth</span></div><div><span>Anthropoid (long, narrow, oval)</span></div></li><li><div><span>Diet for CHF patient on digoxin and furosemide</span></div><div><span>baked pollack, mash potatoes(high potassium) carrot, raisin salad(low sodium)</span></div></li><li><div><span>NI for patient postop internal rotation of fractured right hip</span></div><div><span>Pillow to keep right leg abducted during turning</span></div></li><li><div><span>Neonate response to loud noises</span></div><div><span>Moro reflex</span></div></li><li><div><span>Food high in potassium</span></div><div><span>Carrot, spinach, apricots</span></div></li><li><div><span>S/S of blunt chest wall injury</span></div><div><span>SOB, chest pain. <br>Larger pneumothorax - tachypnea, cyanosis, diminished breath sounds, subcutaneous emphasema</span></div></li><li><div><span>NI for child with juvenile arthritis</span></div><div><span>Isometric exercise during painful episodes. <br>Hot/cold packs, splinting, positioning affected joint in neutral position reduce pain.</span></div></li><li><div><span>Early sign of hypovolemic shock</span></div><div><span>Restlessness, anxiety, agitation. <br>Late signs: lower BP, diminished perepheral pulses, pallor, cold skin, urine < 30 mL/hr</span></div></li><li><div><span>Signs of psychomotor retarded depression</span></div><div><span>Slowed walking and talking</span></div></li><li><div><span>Priority for child with partial/full thickness burns over 35% of body</span></div><div><span>Foley catheter - accurate urine measure hourly</span></div></li><li><div><span>Therapeutic effect of nitrofuratoin sodium (Macrodantin)</span></div><div><span>Antibacterial for acute UTI or chronic suppressive treatment : absent of dysuria</span></div></li><li><div><span>Adverse effect of fluoxetine (Prozac)</span></div><div><span>N/V, cramping, diarrhea.</span></div></li><li><div><span>Side effect of isopreterenol</span></div><div><span>Bronchodilator. Tachycardia, HTN, chest pain, dyshrythmias, nervousness, restlessness, headache</span></div></li><li><div><span>Position for patient with smoke inhalation and burns to anterior trunk with diagnosis of Impaired gas exchange</span></div><div><span>Turning, humidified oxygen, IS, suctioning PRN to prevent atelectasis and pneumonia</span></div></li><li><div><span>Priority for a child with hypertonic dehydration</span></div><div><span>Urine output. Not to give potassium if < 1 mL/kg/hr</span></div></li><li><div><span>Normal labs</span></div><div><span>Creatinine 0.6-1.3 <br>BUN 5-20 <br>Calcium 8.6-10 <br>WBC 4500-11000 <br>TSH 0.2-5.4 <br>Magnesium 1.6-2.6</span></div></li><li><div><span>S/S of dystocia with patient in labor</span></div><div><span>High level maternal fear,anxiety. <br>Fetal distress <br>Featal failed to descend</span></div></li><li><div><span>NI for patient receiving parenteral nutrition with sign of air embolism</span></div><div><span>Trendelengburg position increase intrathoracic pressure, decreases amount of blood pulled into the vena cava during inspiration</span></div></li><li><div><span>Lumbar puncture performed to obtain CSF for analysis. Negative values if CSF is normal</span></div><div><span>RBC</span></div></li><li><div><span>Adverse effect of epoetin alfa</span></div><div><span>HTN</span></div></li><li><div><span>Aluminum hydroxide prescribed for chronic renal failure, to be taken</span></div><div><span>With meal</span></div></li><li><div><span>Efavirenz - antiviral prescribed for HIV patient is best taken</span></div><div><span>HS due to side effect on the nervous system</span></div></li><li><div><span>Bronchial breath sounds can be heard at</span></div><div><span>Trachea or larynx</span></div></li><li><div><span>FSH and LH secreted by</span></div><div><span>Anterior pituitary gland</span></div></li><li><div><span>Labs values for patient with undyalized chronic renal failure <br>(CRF)</span></div><div><span>BUN > <br>Creatinine > 4.5 <br>K > 5.9</span></div></li><li><div><span>Administration of dopanmine and nitroprusside IV drips</span></div><div><span>Dopanmine (vasopressor), nitroprusside (vasodilator) for dilation of coronary vessles. Given SEPARATE SITES</span></div></li><li><div><span>S/S if cholecystitis</span></div><div><span>Pain begin in RUQ of abdomen, radiate to right shoulder and scapula</span></div></li><li><div><span>Diet for uncomplicated hyperthyroidism patient</span></div><div><span>Increase protein + calories, no caffein</span></div></li><li><div><span>Diet for stomatitis</span></div><div><span>Soft, bland, cool food</span></div></li><li><div><span>S/S of pelvic inflammatory disease</span></div><div><span>lower abdominal pain, fever, dysuria</span></div></li><li><div><span>carbamazepine (Tegretol)</span></div><div><span>5-12 mcg/mL</span></div></li><li><div><span>digoxin (Lanoxin)</span></div><div><span>0.5-2 ng/mL</span></div></li><li><div><span>gentamicin (Garamycin)</span></div><div><span>5-10 mcg/mL</span></div></li><li><div><span>theophylline</span></div><div><span>10-20 mcg/mL</span></div></li><li><div><span>tobramycin (nebcin)</span></div><div><span>5-10 mcg/mL</span></div></li><li><div><span>Side effects of chemotherapy with doxorubicin</span></div><div><span>alopecia, cardiotoxity can occure, urine/sweat turn red, stool turn white,severe injury if extravasation occurs ( IV administration )</span></div></li><li><div><span>Side effects of phenytoin (Dilantin) - anticonvulsant</span></div><div><span>Constipation, bleeding gums, hyperglycemia, decreased platelet counts</span></div></li><li><div><span>Opisthrotonos</span></div><div><span>prolonged arching of the back with head and heels bent backward</span></div></li><li><div><span>Care plan for child with hepatitis</span></div><div><span>Low fat, well balance diet. Teach hand washing technique. Caution in giving medication due to liver inability to detoxify/excrete. Jaundice is expected.</span></div></li><li><div><span>Toxic effect of cisplatin (Platinol) given to cancer patient</span></div><div><span>otoxicity, tinnitus, hypokalemia, hyocalcemia, hypomagnesia, nephrotoxity. <br>Give amifostine before cisplatin to reduce potential renal toxicity</span></div></li><li><div><span>Involution of fundus 12 hrs after delivery</span></div><div><span>rise to level of umbilicus then dececends into the pelvis one fingerbreadth each succeeding day</span></div></li><li><div><span>Signs/symtoms of meningitis</span></div><div><span>Tachycardia, photophobia, red/macular rash, positive Kernig sign</span></div></li><li><div><span>Clients are high risk for metabolic acidosis</span></div><div><span>Diabetes mellitus, renal failure, malnutrion because of increase acids in the body</span></div></li><li><div><span>Increase calcium of a client who is lactose intolerant</span></div><div><span>Tofu, broccoli, sardines, mustard greens</span></div></li><li><div><span>NI for hypernatremia</span></div><div><span>Sodium level >145 . Monitor I/O, VS, reduce sodium, electrolyte levels, increase fluid</span></div></li><li><div><span>Data collection for patient with positive Chvostek sign</span></div><div><span>Indicative of hypocalcemia = tachycardia, hypotention, positive Trousseau's sign, diarrhea, seizures, hypoactive bowel sounds</span></div></li><li><div><span>S/S of child with bacterial meningitis</span></div><div><span>fever, nuchal ridgity, irritability</span></div></li><li><div><span>Adverse reaction of magnesium sulfate</span></div><div><span>flushing, depressed respiration, extreme muscle weakness,</span></div></li><li><div><span>Calcium channel blockers are use for</span></div><div><span>HTN, angina pectoris, cardiac dysrhymias</span></div></li><li><div><span>S/S of an infant with Hirshprung's disease</span></div><div><span>Fever, constipation, FTT, abdominal distention, explosive/watery diarrhea</span></div></li><li><div><span>Fetal heart developed and beating</span></div><div><span>gestational week 5</span></div></li><li><div><span>Side effects of rifabutin (Mycobutin) for client with active Mycobacterium avium complex disease and TB</span></div><div><span>Rash, gastrointestinal disturbances, neutropenia, red/orange body secretions, uvitis (blurred vision or eye pain), myositis, arthralgia, hepatitis, chest pain with dyspnea, flu-like syndrome.</span></div></li><li><div><span>cinoxacin (Cinobac) urinary antiseptic caution</span></div><div><span>client with renal impairment</span></div></li><li><div><span>Functions of amniotic fluid</span></div><div><span>Allow fetus to move freely, maintain body temperature, measure kidney function, surround+cushion+protect fetus</span></div></li><li><div><span>S/S of air embolism</span></div><div><span>Life threatening - chest pain, coughing, hypotention, cyanosis, hypoxia, churning "windmill" sound on right ventricle</span></div></li><li><div><span>S/S of client taking phenytoin (Dilantin) has serum phenytoin level of 30 mcg/mL</span></div><div><span>Phenytoin level: 10-20 mcg/mL. <br>CNS depression, lethargy, ataxia, nausea, nystagmus, diplopia, lack of hyperactive reflex</span></div></li><li><div><span>S/S of severe pregnancy induced hypertention (PIH)</span></div><div><span>BP 150/90, urine +3 protein <br>NI: Monitor renal functioning</span></div></li><li><div><span>Common symtom of nephrotic syndrome</span></div><div><span>decrease urination + appear frothy</span></div></li><li><div><span>Diet restrictions for renal failure patient</span></div><div><span>< 40 g protein daily</span></div></li><li><div><span>Medications for long term control of tonic-clonic seizures</span></div><div><span>gabapentin, ethosuximide, carbamazepine</span></div></li><li><div><span>Discharge instruction for patient taking nifedipine (Adalft) for blood pressure</span></div><div><span>Take pulse daily. Weight at the same time each day. Palpitations may occur in early morning. Be care when rising from sitting to standing</span></div></li><li><div><span>Side effects of phenytoin ( Dilantin)</span></div><div><span>Constipation, bleeding gums, hyperglycemia, blood dyscrasias = decreased platelet + WBC</span></div></li><li><div><span>Diet high in calcium for lactose intolerant patient</span></div><div><span>Tofy, mustard greens, sardines</span></div></li><li><div><span>Procedure to administer an enema to an adult patient</span></div><div><span>Standard precautions. Client in left sims' position (retention of solution). Lubricate + insert tube 4 inches. Enema solution hang 12-18 inches above client's anus. Temperature: 100-105 F. Clamp tube if client is discomfort.</span></div></li><li><div><span>NI for pulmonary edema</span></div><div><span>LV failed to eject sufficient blood = increase pressure in the lung due to accumulated blood. <br>Administer oxygen. High fowler position. Furosemide. Foley (measure output).IV morphine sulfate (reduces return, decrease anxiety, reduce breathing)</span></div></li><li><div><span>Instructions for a client post op total laryngectomy about caring for the stoma</span></div><div><span>Wash daily with wash cloth. Avoid soap, cotton swabs or tissues. Avoid alcohol. Thin layer of petroleum jelly to skin around stoma(prevent cracking).Protect from water.</span></div></li><li><div><span>Care of client post op lumber puncture</span></div><div><span>Monitor ability to void. Maintain supine position. Monitor ability to move extremities. Inspect puncture site for redness, drainage, swelling</span></div></li><li><div><span>S/S of skull fracture following a head injury</span></div><div><span>Drainage from ear. Bruising around eyes. Pink tinged drainage from nose</span></div></li><li><div><span>Discharge instructions for client post op tonsillectomy.</span></div><div><span>Avoid hot fluid, rough foods. Rest 24 hours</span></div></li><li><div><span>Data from client diagnosed with placenta previa</span></div><div><span>Bright red vaginal bleeding. Soft, relaxed, nontender uterus, Fundal height may be > than gestational age</span></div></li><li><div><span>Prescribed interventions for carcinoma of the lung who develops SIADH</span></div><div><span>Radiation. Chemotherapy. Serum sodieum blood level. Antagonist to ADH. Restrict fluid, increase sodium intake.</span></div></li><li><div><span>NI for seizure client on corticosteroids for arthritis. Symtoms: flushed skin, dry mucous membranes, elevated tempt, poor skin tugor. Serum sodium of 172 mEq/L</span></div><div><span>Monitor I & O. Vital signs. Sodium reduced diet. Electrolyte levels. Increase water intake.</span></div></li><li><div><span>S/S of 3 yr old suspected bacterial meningitis</span></div><div><span>Fever, irritability, nuchal rigidity</span></div></li><li><div><span>Advantage of using spinal anesthesia for delivery of a fetus</span></div><div><span>Immediate onset. Ease of administration. Absence of fetal hypoxia.</span></div></li><li><div><span>S/S of client with positive Chvostek's sign</span></div><div><span>Tetany.Diarrhea. Possible seizure. Positive Trousseau's sign</span></div></li><li><div><span>Toxic effect of cancer patient taking cisplatin (Platinol)</span></div><div><span>Tinnitus. Ototoxicity. Nephrotoxicity. Hypomagnesemia</span></div></li><li><div><span>Platelets</span></div><div><span>150,000-400,000</span></div></li><li><div><span>Prothrombin time and International normalized ratio (INR)</span></div><div><span>PT: 2 seconds. <br>INR: (Male) 9.6-11.8 seconds (Female) 9.5-11.3 seconds <br>1.5-2 lab value - oral anticoagulants <br>2-3 for standard warfarin therapy</span></div></li><li><div><span>Iron</span></div><div><span>Male: 65-175 Female: 50-170</span></div></li><li><div><span>Hematocrit</span></div><div><span>Male: 42-52 Female: 35-47</span></div></li><li><div><span>Cardiac markers</span></div><div><span>Troponin I: <0.6 >1.5 = MI <br>Troponin T: >0.1-0.2 = MI <br>Myoglobin > 90 = MI</span></div></li><li><div><span>Creatine kinase (CK)</span></div><div><span>26-174</span></div></li><li><div><span>RBC</span></div><div><span>Male: 4.5-6.2 million <br>Female: 4.0-5.5 million</span></div></li><li><div><span>Hemoglobin</span></div><div><span>Male: 14-16 g/dL Female: 12-15 g/dL</span></div></li><li><div><span>Activated partial thromboplastin time (aPTT)</span></div><div><span>1.5-2.5 times normal for heparin</span></div></li><li><div><span>WBC</span></div><div><span>4500-11000</span></div></li><li><div><span>thyroid-stimulating homrone (TSH)</span></div><div><span>0.2-5.4</span></div></li><li><div><span>magnesium</span></div><div><span>1.6-2.6</span></div></li><li><div><span>calcium</span></div><div><span>8.6-10</span></div></li><li><div><span>BUN</span></div><div><span>5-20</span></div></li><li><div><span>Serum creatinine</span></div><div><span>0.6-1.3</span></div></li><li><div><span>Medications for treatment of HF</span></div><div><span>Diuretics, cardiac glycosides, PDE inhibitors, Ace inhibitors</span></div></li><li><div><span>Respiratory Acidosis ( pH <7.35 PCO2 > 45 )</span></div><div><span>Cause: Asthma, atlectasis, brain trauma, bronchiectasis, bronchitis, CNS depression, emphasyma, hypoventilation, medications, pneumonia, PE, repiratory failure <br>S/S: Headache, restlessness, drowsiness, confusion, visual disturbances, diaphoresis, cyanosis, hyperkalemia, tachycardia, dysrhythmias -> V fib</span></div></li><li><div><span>Respiratory Alkalosis ( pH > 7.45 PCO2 < 35)</span></div><div><span>Cause: Anxiety, fever, hyperventilation, hypoxia, hysteria, overventilation by mechanical ventilators, pain <br>S/S: Headache, vertigo, lower LOC, paresthesia, hypokalemia, hypocalcemia, tetany, convulsions</span></div></li><li><div><span>Metabolic Acidosis ( pH <7.35 HCO3 <22 )</span></div><div><span>Cause: DM, ecessive acetylsalicylic acid, gastrointestinal fistulas, high fat diet, insufficient metabolism of carbohydrates, lactic acidosis, malnutrition, RF, severe diarrhea, starvation. <br>S/S: Headache, N/V, diarrhea, fruity smelling breath, CNS depression, hypotension, hyperkalemia</span></div></li><li><div><span>Matabolic Alkalosis ( pH > 7.45 HCO3 >27)</span></div><div><span>Cause: Diuretics, excessive vomiting or gastrointestinal suctioning, excessive intake of antacids, hyperaldosteronism, excess sodium bicarbonate, massive transfusion of whole blood <br>S/S: N/V, dizziness, parathesia, hypokalemia, hypocalcemia, disrhythmia, tachycardia.</span></div></li><li><div><span>Adverse effect of ergotamine (Ergostat)</span></div><div><span>HTN, parathesias, N/V</span></div></li><li><div><span>Lab results confirm‎s meningitis</span></div><div><span>Reduce glucose level, pressure > 200, protein >15, cloudy,increase WBC</span></div></li><li><div><span>Food high in riboflavin</span></div><div><span>Milk</span></div></li><li><div><span>Indication of low protein intake</span></div><div><span>Albumin <3.5 <br>Normal 3.5-5</span></div></li><li><div><span>ABG results of respiratory failure client</span></div><div><span>PaO2 <50 PaCO2 >50</span></div></li><li><div><span>Major adverse effects of dantrolene sodium (Dantrium)</span></div><div><span>Drowsiness, diarrhea, hepatotoxicity</span></div></li><li><div><span>Risk factor for endometrial cancer</span></div><div><span>Estrogen replacement therapy</span></div></li><li><div><span>Side effects of Rifabutin (Mycobutin) for treatment of TB and MAC disease</span></div><div><span>Rash, gastrointestinal disturbances, neutropenia, red-orange body secretions, uveitis, myositis, arthralgia, hepatitis, chest pain, dyspnea, flu-like syndrome.</span></div></li><li><div><span>Positioning for a patient with insertion of MIller Abbott tube</span></div><div><span>Right side to faciliate passage through pylorus of stomach into small intestine</span></div></li><li><div><span>Medication prescribe for a child with spina bifida</span></div><div><span>sulfisoxazole (Gantrisin)</span></div></li><li><div><span>Phallic stage of Sigmund Freud's theory of personality development</span></div><div><span>Recognition of differences between sexes</span></div></li><li><div><span>Adverse effects of scopolamine (TransdermScop)</span></div><div><span>Dry mouth, urinary retention, dilation of pupils</span></div></li><li><div><span>Diagnostic study for carcinoma of the larynx patient taking bleomycin sulfate (Blenoxane)</span></div><div><span>Pulmonary function. Monitor for dyspnea (pulmonary toxicity) - discontinue med</span></div></li><li><div><span>Neologism</span></div><div><span>Created new word by combining syllables of other words</span></div></li><li><div><span>Medication commonly use for opioid intoxication</span></div><div><span>Nalorphine (Nalline)</span></div></li><li><div><span>S/S of Meningeal irritation</span></div><div><span>Positive Brudzinski and Kernig's signs, nuchal rididity, restlessness, severe headache</span></div></li><li><div><span>S/S of otitis media</span></div><div><span>Fever (4</span></div></li><li><div><span>Plan of care for patient diagnosed with dystocia</span></div><div><span>Characteristics of contractions (prolonged labor = fetal distress)</span></div></li><li><div><span>Herbal therapies used as antispasmodic</span></div><div><span>Angelica, Chamomile, Peppermint oil</span></div></li><li><div><span>Highest priority in caring of a child with nephrotic syndrome</span></div><div><span>Dipstick the urine for protein Q 4 hrs</span></div></li><li><div><span>Lab results for a child with iron deficiency anemia</span></div><div><span>Low hemoglobin levels + microcytic/hypochronic RBC</span></div></li><li><div><span>Toxic effects related to Oxybutynin chloride (Ditropan)</span></div><div><span>nervousness, restlessness, irrability, hypo/hypertention, confusion, tachycardia, flushed face, respiratory depression</span></div></li><li><div><span>Best information for recovery from spinal shock</span></div><div><span>Reflexes</span></div></li><li><div><span>Lab values for a child with sickle cell disease</span></div><div><span>Decreased Hbg + Hmat + Platelets. Increased reticulocyte counts (short RBC life span)</span></div></li><li><div><span>S/S of spinal shock of a patient with C5 spinal cord injury</span></div><div><span>Absent B/S, distended abdomen, respiratory diminished</span></div></li><li><div><span>S/S of inhalation injury with carbon monoxide</span></div><div><span>5-10% = impaired visual <br>11-20% = flushing/headache <br>21-30% = nausea/impaired dexterity <br>31-40% = vomiting, dizziness, synecope <br>41-50% = tachypnea, tachycardia <br>>50% = coma/death</span></div></li><li><div><span>Therapy that involves pairing a stimulus attractive to the client with an unpleasant event</span></div><div><span>Aversion therapy (negative reinforcement)</span></div></li><li><div><span>Test which determines continuation of pyrazinamide therapy</span></div><div><span>Positive sputum culture</span></div></li><li><div><span>Adverse effect of demopressin (DDAVP)</span></div><div><span>Water intoxication + hyponatremia = drowsiness, listlessness, headache</span></div></li><li><div><span>Nervous, lethargic, memory loss</span></div><div><span>Korsakoff psychosis - result from chronic alcoholism</span></div></li><li><div><span>S/S of chronic glomerulonephritis (CGN</span></div><div><span>Fixed specific gravity of urine, increased BUN + creatinine</span></div></li><li><div><span>S/S of renal caculi of patient with multiple fractures in an auto accident</span></div><div><span>Renal calculi = imobility = decalcification of bones</span></div></li><li><div><span>NI for a child during acute phase of glomerulonephritis</span></div><div><span>Assess appearance for signs of cerebral complications</span></div></li><li><div><span>Priority NI for post op insisional cholecystectomy patient</span></div><div><span>Hypostatic pneumonia (painful to cough)</span></div></li><li><div><span>Newborn whose mother had ruptured of membranes 23 hrs before delivery is at risk for</span></div><div><span>Neonatal sepsis = infection from organisms in the vaginal tract</span></div></li><li><div><span>S/S associated with Addison's diease</span></div><div><span>Elevated Adrenalcorticotropic hormone ( ACTH) and Meloncyte-stimulating hormone (MSH) = hyperpigmentation</span></div></li><li><div><span>Client receiving furosemide IV push. Possible complication?</span></div><div><span>Tachycardia</span></div></li><li><div><span>Pt. with PE, notes petechiea on chest and abdomen. Priority?</span></div><div><span>Contact physician</span></div></li><li><div><span>Rationale for diabetic pt to use diaphragm as method of contraception instead of pills</span></div><div><span>Noninvasive that will not alter blood glucose levels</span></div></li><li><div><span>Teaching to diabetic pt with a cold regarding insulin needs</span></div><div><span>Infect = alteration/increase insulin needs. Check Q 4 hr</span></div></li><li><div><span>Complication of Grave's disease</span></div><div><span>SOB</span></div></li><li><div><span>TB patient ask how long he have to take INH</span></div><div><span>Approx. 1 year and reeval‎uated</span></div></li><li><div><span>MRSA pt receiving Vanomycin IV. If client experience "red man" syndrome, nurse should</span></div><div><span>Slow infusion and monitor BP</span></div></li><li><div><span>Expected finding in normal newborn</span></div><div><span>Acrocyanosis</span></div></li><li><div><span>Intervention for Pt with radical mastectomy</span></div><div><span>Arranging visit from a member of Reach for Recovery</span></div></li><li><div><span>2 medications to be given IM. Nurse should</span></div><div><span>Determine whether medications can be combined</span></div></li><li><div><span>Finding consistent with an acute inflammatory reaction of a MVA pt with 4 in laceration on left lower leg</span></div><div><span>Increased pain caused by release of histamine</span></div></li><li><div><span>Food for client lack sufficient protein</span></div><div><span>Peas and beans</span></div></li><li><div><span>Intervention for client receiving a water enema if complain of abdominal cramp</span></div><div><span>Lower height of enema container</span></div></li><li><div><span>Best method for pt with fractured femur in crutch to manipulate stairs</span></div><div><span>Start up the stairs with unaffected leg first</span></div></li><li><div><span>Assessing of a dark-skinned client with anemia</span></div><div><span>Hard palate</span></div></li><li><div><span>Patient's Bill of Rights</span></div><div><span>The right to advanced directives concerning treatment</span></div></li><li><div><span>What is the host according to agent-host model in a toxic chemical spill</span></div><div><span>Residence living in the area</span></div></li><li><div><span>Nurse first time applying dressing. Reading manual, ask another nurse, skill level of the nurse is</span></div><div><span>Novice</span></div></li><li><div><span>Foley catheter for a male client should be inserted</span></div><div><span>7-9 in</span></div></li><li><div><span>Position to move a pt up the bed with 2 care givers</span></div><div><span>Opposite side of bed at chest level</span></div></li><li><div><span>Typical finding of client with fractured hip</span></div><div><span>Disalignment of affected extremity</span></div></li><li><div><span>Pt with sudden hearing loss who just broke up with fiance. This is example of</span></div><div><span>Conversion reaction</span></div></li><li><div><span>Pt receiving Nipride D5W IV.IV fluid has light brownish tint</span></div><div><span>Expected color of solution</span></div></li><li><div><span>Best position for pt with right total hip replacement</span></div><div><span>With right hip flexed 35 degree</span></div></li><li><div><span>An overly aggressive football player who are known as quiet and brooding</span></div><div><span>Sublimation</span></div></li><li><div><span>15 mo old turns his cup upside down, shakes milk from spout</span></div><div><span>Manipulation of objects in their environment enables toddler to learn about spatial relationships</span></div></li><li><div><span>Female pt with chlamydia, before she leaves clinic, nurse should</span></div><div><span>Obtain name and addresses of client's sexual contacts</span></div></li><li><div><span>Infant in need of additional growth assessment</span></div><div><span>Baby girl 4 months, BW 7 lbs 6 oz, present weight 14 lbs 14 oz</span></div></li><li><div><span>Assess for pt on assisted ventilation developed right sided tension pneumothorax.</span></div><div><span>Left sided tracheal deviation</span></div></li><li><div><span>Post op assessment of elderly pt with total hip repair. Sign of severe discomfort</span></div><div><span>Decreased heart rate</span></div></li><li><div><span>Lab finding confirm‎ that pt is bothered by sensory disturbance related to being in ICU.</span></div><div><span>Increased urine catecholamines</span></div></li><li><div><span>Pt with AKA of the right leg refuses to look at the operative site</span></div><div><span class="no-data">no data</span></div></li><li><div><span>What action by the nurse predisposes pt to hyperkalemia while administering transfusion of whole blood</span></div><div><span>Filling the drip chamber below level of the filter</span></div></li><li><div><span>Lab value indicates complication of NG suction</span></div><div><span>K 3.4 mEq/L</span></div></li><li><div><span>Correct wound healing statement</span></div><div><span>Healing by second intention results in excessive scar formation</span></div></li><li><div><span>Statement indicate needs for further teaching of bladder management of pt with paraplegia</span></div><div><span>I need to eat plenty of citrus fruits to prevent bladder infections</span></div></li><li><div><span>Assessment for jaundice in dark-skinned pt with hepatitis</span></div><div><span>Hard palate</span></div></li><li><div><span>Middle East patient</span></div><div><span>Take time for prayer during the day</span></div></li><li><div><span>Sarcoma pt being treated with Adriamycin</span></div><div><span>Nurse implements isolation precautions</span></div></li><li><div><span>Activities best tolerated with muscular dystrophy</span></div><div><span>Swimming</span></div></li><li><div><span>Appearance of area post-op of pt with basal cell carcinoma on the ear</span></div><div><span>Swollen, tender, blistered</span></div></li><li><div><span>Culture taken of a lesion suspected of being herpes</span></div><div><span>Pack on ice</span></div></li><li><div><span>Lesion < 0.5 cm in diameter on pt back</span></div><div><span>Papules</span></div></li><li><div><span>6 months old with multiple bruises, decreased ROM of right leg has fracture of right femur. Statement by mother indicate child abuse</span></div><div><span>She hurt her leg while she was crawling</span></div></li><li><div><span>Pt with pyloric obstruction has persistent vomiting, blood gases expected</span></div><div><span>pH 7.47, PCO2 40mm Hg</span></div></li><li><div><span>Acute leukemia has oral ulcerations. How to increase pt comfort</span></div><div><span>Cleanse teeth and mouth with lemon and glycerin swabs</span></div></li><li><div><span>Gastric ulcer losing significant amount of blood via NG tube, pulse weak, hypotensive.Continuous irrigation of NS ordered. Patient position</span></div><div><span>Left side lying</span></div></li><li><div><span>Pre op teaching of client scheduled for a transphenoidal hypophysectomy for removal of a pituitary tumor</span></div><div><span>You will not be able to brush your teeth for a week after surgery</span></div></li><li><div><span>Symptoms of pt diagnosed of pheochromocytoma NOT EXPECTED</span></div><div><span>Bradycardia</span></div></li><li><div><span>Teaching for pt suspected Addison's disease scheduled for rapid corticotrophin stimulation test</span></div><div><span>Need for periodic blood samples</span></div></li><li><div><span>Lab values expected in pt with Addison's</span></div><div><span>BUN 22</span></div></li><li><div><span>Position of pt with acute pelvic inflammatory disease</span></div><div><span>Semi folwer's</span></div></li><li><div><span>Pt with C6 spinal injury complaint of severe headache. BP 190/100 and diaphoretic.</span></div><div><span>Make sure Foley catheter is patent</span></div></li><li><div><span>Snacks permitted for a child with acute renal failure</span></div><div><span>Marshmallows</span></div></li><li><div><span>Activities suitable for 10 yrs old with asthma</span></div><div><span>Swimming</span></div></li><li><div><span>Musical instrument for teen with asthma</span></div><div><span>Clarinet</span></div></li><li><div><span>Post-op suprapubic prostatectomy has bright red urine with clots.</span></div><div><span>Check vital signs and notify physician</span></div></li><li><div><span>Teaching for pt taking calcium suppliments</span></div><div><span>Can use calcium based antacids to supplement diet</span></div></li><li><div><span>Pt with electrical burn, area sustained greatest degree of injury</span></div><div><span>Muscles supporting long bones</span></div></li><li><div><span>Organs most like to suffer permanent damage from shock</span></div><div><span>Kidneys</span></div></li><li><div><span>Pt to receive 8000 mL solution of Lactated Ringer begins at 7:30 am. Use Parkland formula, how much solution received by 11:30 pm</span></div><div><span>6000 mL</span></div></li><li><div><span>Drug of choice for status epilepticus</span></div><div><span>Diazepam (Valium)</span></div></li><li><div><span>Electrolyte must be maintain for pt receiving lithium</span></div><div><span>Sodium</span></div></li><li><div><span>Pt receiving colchicines for gout should report symptom</span></div><div><span>Diarrhea</span></div></li><li><div><span>Child with ventriculoperitoneal shunt has clear drainage from incision</span></div><div><span>Check dressing for presence of glucose with Dexrostik</span></div></li><li><div><span>Lung cancer pt advised to increase protein in diet</span></div><div><span>Crackers, cheese, fruit yogurt</span></div></li><li><div><span>14 months old receiving Digoxin and Lasix Q2 daily, assess for</span></div><div><span>Hypokalemia</span></div></li><li><div><span>Pt with seizure disorder to receive phenytoin and Phenobarbital. Nurse should be aware</span></div><div><span>Larger dose of Phenobarbital might be required because of increase in metabolism</span></div></li><li><div><span>If pre-op pt is allergic to shellfish</span></div><div><span>Physician need to alter type of skin preparation used</span></div></li><li><div><span>Lab value of pt in pre-op need immediate attention</span></div><div><span>PT of 1 minute 20 seconds</span></div></li><li><div><span>6 mos old pt with acute diarrhea. Rationaled for diet to include Isomil instead of Similac formula</span></div><div><span>Lactose intolerance after a diarrheal illness</span></div></li><li><div><span>Colostomy pt feel irrigation solution is not drained completely.</span></div><div><span>Massage abdomen gently</span></div></li><li><div><span>Pt with Miller-Abbot tube inserted to decompress the bowel, priority is</span></div><div><span>Advancing tube 3-4 in as ordered</span></div></li><li><div><span>Presence of Cullen's sign of pt in MVA suggestive of</span></div><div><span>Retroperitoneal bleeding</span></div></li><li><div><span>Pt with chronic pancreatitis receiving Pancreatin. Observations most indicative of drug achieved desired effect</span></div><div><span>Client's stools contain less fat + occur less frequency</span></div></li><li><div><span>Pt receiving aminophylline IV feeling nervous and shaky</span></div><div><span>CNS stimulation</span></div></li><li><div><span>Primary purpose pt with fractured hip in Buck's traction</span></div><div><span>Decrease muscle spasm</span></div></li><li><div><span>28 yr old primigravida with pregestional diabetes. Statement indicates understanding of teaching on her insulin needs</span></div><div><span>Changes in hormone levels will make my body more resistant to insulin, so I will need more as my pregnancy progress</span></div></li><li><div><span>Position best for pt with preeclampsia in labor</span></div><div><span>Left Sims</span></div></li><li><div><span>Primary physiological alteration in development of asthma is</span></div><div><span>Spasm of bronchiolar smooth muscle</span></div></li><li><div><span>Intervention to help manic pt maintain sufficient nourishment</span></div><div><span>Serve high calorie foods she can carry with her</span></div></li><li><div><span>Sign suggestive of impaired hearing in an infant</span></div><div><span>Absence of babbling by age 7 moths</span></div></li><li><div><span>Pt receiving Garamycin has order for a peak drawn. Priority</span></div><div><span>Blood draw 30 minutes after infusion</span></div></li><li><div><span>Teaching for pt receiving vincristine</span></div><div><span>Cause change in taste</span></div></li><li><div><span>Essential interventions for pt receiving cyclophosphamide</span></div><div><span>Urine output</span></div></li><li><div><span>Critical intervention for AIDS pt has lesions from herpes simplex virus, receiving acyclovir.</span></div><div><span>Fluids</span></div></li><li><div><span>First sign of graft-host disease following bone marrow transplantation</span></div><div><span>Rash</span></div></li><li><div><span>Medication orders should be questioned for client getting myelogram</span></div><div><span>Seconal 400 mg PO q 4 hours PRN for headache</span></div></li><li><div><span>Primary reason for maintain hyperventilation for MVA pt</span></div><div><span>Promote cerebral vasoconstriction + decrease cerebral blood flow</span></div></li><li><div><span>Finding consistent of stroke pt with receptive aphasia</span></div><div><span>Damage of temporal lobe</span></div></li><li><div><span>Finding considered abnormal of lumbar puncture pt</span></div><div><span>WBC 100/cu/100 mm</span></div></li><li><div><span>Interventions appropriate for pt lost function of cranial nerve V on left side</span></div><div><span>Helping client select foods easier to swallow</span></div></li><li><div><span>Priority following CT scan with contrast medium</span></div><div><span>Forcing fluids</span></div></li><li><div><span>Reddish-purple discoloration on AIDS pt eyelid</span></div><div><span>Kaposi's sarcoma</span></div></li><li><div><span>Elderly pt has difficulty with colors. Which colors often misinterpreted</span></div><div><span>Violet</span></div></li><li><div><span>Ability to remain continent depends on</span></div><div><span>Sympathetic nervous system (SNS)</span></div></li><li><div><span>Teaching for pt with history of renal calculi</span></div><div><span>Increase intake of meat, eggs, fish, plums, cranberries</span></div></li><li><div><span>Client at highest risk for Sarcodosis</span></div><div><span>30 yr old African American who is pregnant</span></div></li></ol>
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첫댓글 Thank you so much!!!
시간날때마다 보면 좋겠어요.감사합니다.
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으앙 이런거 넘 좋아용ㅋㅋㅋ 감사합니당
간결하게 보기 좋게 되어있네요 고맙습니다^^
thank you
감사합니다.
감사합니다^^
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감사감사합니다
와우~ 대단하네요
감사합니다.