nclex review1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Stay with client for 1st ____ min of blood transfusion | 15
🗑
|
||||
| Infuse blood within ____ hours | 4
🗑
|
||||
| What type blood transfusion reaction manifests in pruritus, respiratory distress,urticaria, and flushing | allergic
🗑
|
||||
| What type of blood transfusion reaction manifests in flank pain, chest pain, fever, chills, tachycardia, and tachypnea | hemolytic
🗑
|
||||
| Erythropoietin is produced in the _________ | kidneys
🗑
|
||||
| Pernicious anemia results from a deficiency in _____ usually caused by lack of the intrinsic factor in gastric juice | B12
🗑
|
||||
| Lead poisoning can cause _____________ anemia | hemolytic
🗑
|
||||
| Pain med of choice for sickle cell anemia | dilaudid
🗑
|
||||
| Dilute liquid ________ preparations in juice or water and administer with a plastic straw to avoid staining teeth | iron
🗑
|
||||
| Avoid antacids, coffee, tea, dairy products or whole grain breads for ___ after oral iron administration | 1 hr
🗑
|
||||
| For iron injections, use a _______ guage, ___ inch needle | 20, 3
🗑
|
||||
| Massage after injecting iron. t/f | False
🗑
|
||||
| Change needles between drawing up iron and injecting to prevent staining. t/f | True
🗑
|
||||
| A 45 year old man's lipid profile results are sent to the nurse practitioner. They are as follows total cholesterol= 287; HDL= 30' LDL= 165; triglycerides =150. The nurse interprets these results as: | Abnormal: the total cholesterol and LDL levels are elevated, and the HDL is too low.
🗑
|
||||
| Barium swallow series | Upper GI tract exam under fluoroscopy after ingesting barium sulfate to detect anatomical or functional abnormalities of the esophagus, stomach and small intestines
🗑
|
||||
| Increased fluids and laxatives may be prescribed after a swallow series to increase elimination of ________ | barium
🗑
|
||||
| Lower GI tract exam done by ex-ray and fluoroscopy of the large intestine after rectal insertion of a ___________ | Barium enema
🗑
|
||||
| Give clear liquid diet and laxative day before procedure, NPO after midnight, and cleansing enema before a ________________ and _____________ | barium enema study, colonoscopy
🗑
|
||||
| For a colonoscopy, patient lies on ______ side with knees drawn up to chest | left
🗑
|
||||
| x-ray that requires the client to consume a high-fat meal at 1200, a low-fat meal at 1700, and contrast tablets 12 hours before the procedure | cholecystogram
🗑
|
||||
| Have client lie on ______ side for 1-2 hours after a liver biopsy | Right
🗑
|
||||
| Assess placement of NG tube before each feeding and every ___ hours with continuous feeding | 4
🗑
|
||||
| Always refeed residual of NG tube unless it exceeds ____ mL | 100
🗑
|
||||
| TPN must be administered through a ___________ for rapid dilution and blood flow | central line
🗑
|
||||
| Maintain __________ technique during TPN dressing changes | aseptic
🗑
|
||||
| Change all TPN tubing and filters every ____ hours | 24
🗑
|
||||
| Check blood glucose every __ hours for TPN | 4
🗑
|
||||
| Methods to avoid ____________ include eating small frequent meals, avoiding liquids with meals, lying down after meals, and eating high-protein, high-fat, LOW-CARB meals | Dumping syndrome
🗑
|
||||
| Eat a _____ residue diet to prevent diverticulitis and a ____ residue diet to heal it - ALWAYS avoid ______ | high, low, seeds
🗑
|
||||
| Ulcerative colitis | Bowel disease effecting large bowel, causing bleeding, pain, weight loss, and severe diarrhea
🗑
|
||||
| Crohn's Disease | Bowel disease effecting small bowel, causing perianal involvement, fistulas, colicky pain, weight loss, and diarrhea
🗑
|
||||
| Hepatitis A | Virus transmitted by fecal-oral contact; often seen with contaminated water or shellfish
🗑
|
||||
| Hepatitis B | Virus transmitted through infected blood or unprotected sex - most common
🗑
|
||||
| Hepatitis C | Virus transmitted through blood transfusions, IV drug abuse, health care exposure
🗑
|
||||
| Appropriate immune serum globulin must be administered within ____ days of exposure to Hepatitis viruses | 2-7
🗑
|
||||
| cirrhosis diet | This condition requires a high-calorie; low/no protein; low-fat; low-sodium diet
🗑
|
||||
| medication used to lower blood ammonia levels | lactulose
🗑
|
||||
| Which condition can be treated with a Sengstaken-Balemore tube? | esophageal varices
🗑
|
||||
| Murphy's sign | Palpation of right subcostal area while client takes a deep breath - extreme pain indicates acute cholecystitis
🗑
|
||||
| Elevated serum amylase and lipase are seen with __________ | pancreatitis
🗑
|
||||
| NPO with NG tube in place and TPN for moderate to severe cases occurs with ____________ | pancreatitis
🗑
|
||||
| ID sites | inner forearm,back,chest
🗑
|
||||
| SQ sites | abdomen,outer arm,anterior thigh
🗑
|
||||
| SQ Heparin sites | abdomen,posterior upper arm,low back,thigh,upper back
🗑
|
||||
| IM sites | deltoid,ventrogluteal,dorsogluteal,vastus lateralis
🗑
|
||||
| dont use more than 2ml injection where? | deltoid
🗑
|
||||
| preferred site for IM adults | ventrogluteal
🗑
|
||||
| watch for sciatic nerve whene using what site | dorsogluteal
🗑
|
||||
| Potassium High sources include | bananas, peaches, melons, raisins, dried fruits, black licorice, nuts, salt substitutes, vegetables, and tomato, orange, and grape juices,
🗑
|
||||
| Which side effect of hydrochlorothiazide, a thizide diuretic should a diabetic patient be monitored for? | Increased hyperglycemia
🗑
|
||||
| An elderly white man with a long history of asthma has recently ben given a diagnosis of hypertension. Which class of antihypertensive agents should the nurse avoid for this client? | Beta Blockers
🗑
|
||||
| Your patient is receiving unfractionatedheparin. In addition to the PTT, which laboratory value must be monitored? | Platelets
🗑
|
||||
| Which drug counteracts heparin? | Protamine sulfate
🗑
|
||||
| CD4 count less than _______ indicates AIDs | 200
🗑
|
||||
| chronic inflammatory disease involving vascular and connective tissue of multiple organs causing butterfly rash on cheeks and across nose, polyarthralgia, anemia, fever, malaise, weight loss, Raynaud's | Lupus
🗑
|
||||
| Which birth control method is contraindicated for patients with Lupus? | IUD
🗑
|
||||
| Burn percentage of head and neck | 9
🗑
|
||||
| Burn percentage of anterior trunk | 18
🗑
|
||||
| Burn percentage of posterior trunk | 18
🗑
|
||||
| Burn percentage of arms | 18
🗑
|
||||
| Burn percentage of legs | 36
🗑
|
||||
| Burn percentage of perineum | 1
🗑
|
||||
| The shock phase of a burn victim occurs for ___ -____ hours - this is when massive edema, protein and fluid loss, and increase in potassium occurs | 24-48
🗑
|
||||
| For burn victims, give half of total fluids in first ___ hours | 8
🗑
|
||||
| Sodium High sources include | table salt, processed foods, baking soda, MSG
🗑
|
||||
| Calcium High sources include | dairy products, sardines, salmon, tofu, soy,and nuts
🗑
|
||||
| Magnesium High sources include | fruits, peas, nuts, pumpkin seeds, sunflower seeds, spinach, salmon, halibut, black and navy beans
🗑
|
||||
| Administration of glucose and insulin facilitate entry into cells | Potassium
🗑
|
||||
| Kayexalate can be given for excess of this electrolyte | Potassium
🗑
|
||||
| Never give this electrolyte by bolus IV or PO - Must be diluted and infused at no greater than 40 mEq/L | Potassium
🗑
|
||||
| Use ___ instead of tap water for irrigation or enemas in the presence of hyponatremia | NS
🗑
|
||||
| In the presence of surplus _________, signs include edema, hypertonicity, dry sticky mucous membranes, elevated temperature, flushed skin, and thirst | Sodium
🗑
|
||||
| Proportions in body are always inversely related to phosphorus proportions | Calcium
🗑
|
||||
| May be deficient in hypoparathyroidism or removal of thyroid | Calcium
🗑
|
||||
| Calcium Deficiency causes | tetany, cramps, tingling, numbness, hyperactive reflexes, cardiac arrhythmias, and Chvostek and Trousseau's signs
🗑
|
||||
| This vitamin facilitates absorption of calcium | D
🗑
|
||||
| Deficiency of this can be related to alcoholism | magnesium
🗑
|
||||
| Do not administer antacids containing ______________ to renal failure patients | magnesium
🗑
|
||||
| Post-renal biopsy, patient must remain in a _______ position and be on bed rest for ___ hours | supine, 24
🗑
|
||||
| Antibiotics of choice for UTIs | sulfonamides
🗑
|
||||
| Type of acute renal failure resulting in inflammation of the kidney's that is thought to be related to strep infection | glomerulonephritis
🗑
|
||||
| This type of acute renal failure usually occurs in children and has a good prognosis | glomerulonephritis
🗑
|
||||
| Reduce dietary protein and sodium and increase calories for ____________________ | glomerulonephritis
🗑
|
||||
| acute renal failure Symptoms include | sudden onset of oliguria, edema, elevated BUN, creatinine, potassium, decreased protein and calcium, phosphate, decreased specific gravity, acidosis, heart failure
🗑
|
||||
| Diet for _________ renal failure is low-protein, low-potassium, low sodium, low phosphate, high-carb,, with vitamin and calcium supplements with fluid restriction | Chronic
🗑
|
||||
| Never clamp a nephrostomy tube. t/f | True
🗑
|
||||
| Medications which promote urinary flow | alpha-blockers
🗑
|
||||
| If fluid intake is encouraged, this usually means at least ___________mL per day | 3,000
🗑
|
||||
| TURP syndrome | Hyponatremia, confusion, brady./tachycardia, hypo/hypertension, N/V, or visual changes resulting from absorption of irrigating fluids through prostate tissue during surgery
🗑
|
||||
| Urge incotinence | Type of incontinence in which patient cannot hold urine when stimulus to void occurs
🗑
|
||||
| Functional incotinence | Type of incontinence when the patient cannot physically get to the bathroom or doesn't know to
🗑
|
||||
| Stress Incotinence | Type of incontinence when pressure such as coughing, straining, or laughing causes urine to escape
🗑
|
||||
| Decorticate | Abnormal posturing indicated by rigidity, flexion of arms, clenched fists, extended legs
🗑
|
||||
| Decerebrate | Abnormal body posturing indicated by rigid extension of arms and legs, downward pointing of toes, and backward arching of head
🗑
|
||||
| __ or less on the Glasgow coma Scale indicates that the patient is in a coma | 7
🗑
|
||||
| After a lumbar puncture, it is correct to position the patient flat for 20-60 minutes. T/F | True
🗑
|
||||
| The first sign of increased ICP is altered _____ | LOC
🗑
|
||||
| Change in LOC, N/V, pupil changes, diplopia, widening pulse pressure, bradycardia, Cheyne-Stokes respirations, and elevated temperature are signs of _______________ | elevated ICP
🗑
|
||||
| With elevated ICP, keep HOB at ___-___ degrees and head in ________ position | 30-45, neutral
🗑
|
||||
| Opiates and sedatives are contraindicated for ___________, but ___________ may be used if uncontrolled | elevated ICP, barbituates
🗑
|
||||
| This med can only be administered with NS and has side effects of ataxia, diplopia, hirsuitism, and gum hypertrophy | Phenytoin
🗑
|
||||
| medication of choice for status epilepticus | Ativan
🗑
|
||||
| autonomic dysreflexia | Life threatening syndrome of sudden, severe hypertension in response to noxious stimuli below cord damage such as bowel/bladder distension, pressure ulcers or points, and pain or spasms
🗑
|
||||
| multiple sclerosis | Chronic, progressive disease of the CNS, characterized by small patches of demyelination in the brain and spinal cord
🗑
|
||||
| Parkinson's Manifestations include | bradykinesia, rigidity, resting tremor, expressionless fixed gaze, drooling, slurred speech, constipation
🗑
|
||||
| amyotrophic lateral sclerosis Rapidly progressive, invariably fatal neurological disease that attacks the nerve cells that control the voluntary muscles |
🗑
|
||||
| myasthenia gravis | Disorder affecting neuromuscular transmission of voluntary muscle causing extreme muscular weakness, increased by fatigue
🗑
|
||||
| Guillain-Barre Syndrome | Ascending, reversible paralysis cause by acute inflammatory disease of peripheral nerves
🗑
|
||||
| presbycusis | progressive disorder associated with aging in which the patient loses the ability to hear sounds at high frequencies
🗑
|
||||
| presbyopia | farsightedness associated with aging
🗑
|
||||
| Meniere's Disease | Disorder of the inner ear that causes vertigo, tinnitus, hearing loss, and pressure in the ear due to increased fluid
🗑
|
||||
| Risk for _________ is an area for concern with patients with Meniere's disease | Falls
🗑
|
||||
| It is important to take precautions against increasing _______ after a cataract surgery - severe pain should be reported immediately | ICP
🗑
|
||||
| Patients with glaucoma should avoid all ______________ medications | anticholinergic
🗑
|
||||
| Infant birth weight doubles by ____ months and triples by ____ months | 6, 12
🗑
|
||||
| The posterior fontanel closes by ___ months | 2
🗑
|
||||
| The anterior fontanel closes by __-___ months | 12-18
🗑
|
||||
| Age of child in months minus 6 equals number of ______ | teeth
🗑
|
||||
| Solids can be introduced into an infants diet around __-___ months | 4-6
🗑
|
||||
| Infant can sit alone by __ months | 7,8
🗑
|
||||
| Infant can pull self to feet by ___ months | 9
🗑
|
||||
| Use a semi-reclining infant car seat that faces rear until ___ lbs | 20
🗑
|
||||
| Forward facing seats for children weighing __-___ lbs | 40-80
🗑
|
||||
| Sensorimotor Cognitive stage | 12-14 months - objects are cause of action; separation anxiety
🗑
|
||||
| Preoperational Cognitive stage | 2-7 years - egocentric in though and behavior; concrete, tangible thinking; vivid imagination (magical thinking, peak age for fears)
🗑
|
||||
| Play of the toddler | parallel
🗑
|
||||
| Play of the Preschooler | cooperative
🗑
|
||||
| Concrete Cognitive stage | 7-11 years - classifies and sorts; enjoys collecting; concrete logic and problem solving; less egocentric; inductive thinking
🗑
|
||||
| formal operations Cognitive stage | 11+ years - abstract thinking; ability to hypothesize
🗑
|
||||
| Ortalani's sign | Audible click that can be heard with congenital hip dysplasia as the examiner slips the femoral head forward
🗑
|
||||
| _________ is used during an acute asthma attack, ________ is used daily for chronic asthma | albuterol, salmeterol
🗑
|
||||
| Overdose of ________ can cause tinnitus, hyperpyrexia, seizures, bleeding, and hyperventilation | aspirin
🗑
|
||||
| Overdose of _______ can cause liver necrosis in 2-5 days, N/V, Right upper gastric pain; coagulation abnormalities | tylenol
🗑
|
||||
| Consumption of _________- can cause developmental regression, impaired growth | lead
🗑
|
||||
| chelation therapy | Treatment for lead poisoning (or other heavy metals)
🗑
|
||||
| Activated charcoal and gastric lavage are treatment for ______________ and _______________ - do NOT induce emesis | hydrocarbons, corrosives
🗑
|
||||
| rheumatic fever | Inflammatory disease affecting the heart, joints, and CNS 2-6 weeks after a upper respiratory strep infection
🗑
|
||||
| Wilm's tumor | renal cancer usually in children around age 3 - Do NOT palpate abdomen
🗑
|
||||
| nephrotic syndrome | renal disorder in very young children with increased permeability of the glomerular membrane to protein
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
1057850081
Popular Nursing sets