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NCLEX Study Guide 2
Rn Nclex
| Question | Answer |
|---|---|
| Demerol for pancreatitis | but NOT morphine sulfate |
| Myasthenia Gravis | worsens with exercise and improves with rest |
| Myasthenia Crisis | a positive reaction to Tensilon—-will improve symptoms |
| Cholinergic Crisis | Caused by excessive medication. stop med. giving tensilon will make it worse. |
| Head Injury medication | Mannitol (osmotic diuretic) crystallizes at room temp so alway use filter needle. |
| prior to live biopsy | its important to be aware of lab results for the prothrombin time |
| From the ass (diarrhea) | metabolic acidosis |
| from the mouth (vomitis) | metabolic alkalosis |
| Myxedema/Hypothyroidism | slowed physical and mental function, sensitivity to cold, dry skin and hair |
| Graves disease/hyperthyroidism | accelerated physical and mental function; sensitivity to heat, fine/soft hair |
| Thyroid storm | increased temp, pulse and HTN |
| Post-thyroidectomy | semi-fowlers, prevent neck flexion/heperextension, trach at bedside |
| Hypo-parathyroid | CATS - convulsions, arrhythmias, tetany, spasms, stridor (decreased calcium) hi Ca, low phosphours diet |
| Hyper-parathyroid | fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium) low Ca, high phosphorus diet. |
| Diabetes Insipidus (decreased ADH) | excessive urine output and thirst, dehydration, weakness, administer Pitressin |
| SIADH (increased ADH) | a change in LOC, decreased deep tendon reflexes, tachycardia, n/v/A, HA, administer Declomycin, diuretics |
| Hypovolemia | increased temp, rapid pulse, increase respiration, hypotension, anxiety, urine specific gravity > 1.030 |
| Hypervolemia | bonding pulse, SOB, Dyspenea, rales/crackles, peripheral edema, HTN, urine specific gravity < 1.010, semi-fowlers position |
| Hypokalemia | muscle weakness, dysrhythmias, increase K (raisins, bananas apricots, oranges, potatoes, carrots, celery |
| Hyperkalemia | MURDER: muscle weakness, urine (oliguria/anuria), respiratory depression, decreased cardiac contractibility, ECG changes, reflexes |
| hyponatremia | nausea, muscle cramps, increased ICP, muscular twitching, convulsions, osmotic diuretics, fluids |
| hypernatremia | increased temp, weakness, disorientation/delusions, hypotension, absent tendon reflexes, sedative effect on CNS |
| Hypocalcemia | CATS - convulsions, arrhythmias, depression, confusion, dysphagia, dig toxicity |
| hypercalcemia | muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, sedative effect on CNS |
| HypoMg | tremors, tetany seizures, dysrhythmias, depression, confusion, dysphagia, dig toxicity |
| HyperMg | depresses the CNS, hypotension, facial flushing, muscle weakness, absent deep tendon reflexes, shallow reparations, emergency |
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