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EXAM CRAM NCLEX-RN C

EXAM CRAM NCLEX-RN CRAM SHEET.

QuestionAnswer
Sodium 135-145
K 3.5-5
Calcium 8.5-11
Chloride 95-105
mag 1.5-2.5
Phosphorus 2.5-4.5
RBC 4.5-5 million
WBC 4,500-10,000
Plates 200,000-400,000
hemoglobin men 14-18
hemoglobin women 12-16
HCO3 24-26
CO2 35-45
PaO2 80% or more
SaO2 95% or more
Glucose 70-110
Spefific Gravity 1.010-1.030 (ten ten to ten thirty)
BUN 7-22
serum Crt 0.6-1.35
LDH 100-190
CPK 21-232
Uric Acid 3.5-7.5
Triglyceride 40-50
Total Cholesterol 130-200
Bilirubin 1 or less
Protein 6.2-8.1
Albumin 3.4-5
Therapeutic Dig 0.5-2
Therapeutic Li 0.8-1.2
Therapeutic Dilatin 10-20
Therapeutic Theophylline 10-20
Adult HR 80-100
Adult RR 12-20
Adult BP minimum 110/60
Adult BP Max 120/90
Adult Temp 98.6
Adult Temp of being sick 100.3 or more
FHR bpm 120-160
Baby Variability bpm 6-10
Contractions freq norm mins apart 2-5
Contractions normal duration seconds 90 seconds or less
Contractions intensity mm/hg 100 or less
Amniotic Fluid value 500-1200
Amniotic Fluid: urine paper color green
Amniotic Fluid: amniotic paper color blue
AVA - Vein carries what to where? oxygen to baby
APGAR: baby fails why usually? hands and feet are blue. this is normal.
APGAR: "A" stands for what? Appearance.
APGAR: "P" stands for what? Pulses.
APGAR: "G" stands for what? Grimace.
APGAR: The second "A" stands for what? Activity.
APGAR: "R" stands for what? Reflexes.
APGAR: When is the first and second test performed? 1 min after birth and 5 minns after birth.
APGAR scoring method. 0
FAB 9: Folic Acid Brain: required B9. Start B9 3 months before getting prego. B9 decreases neural tube defects in fetus.
Early Decels The baby decels before mom reaches peak. These are OK if FHR is normal range.
Late Decels Baby decels after mom hits peak.Caused by uteroplacental insuffiency. Move mom to left side lying to fix. Stop pit drip. Give oxygen. Increase IV fluids. Contact Dr if occurs again.
Variable Decels Are 'V' shaped on monitor strip. Caused by cord compression and can happen ANY time on the strip. Move mom to left side lying to fix. Stop pit drip. Give oxygen. Increase IV fluids. Contact Dr if occurs again.
TORCHS Is a combo of diseases: TOxoplasmosis Rubella (German Measles) Cytomegalovirus Herpes Syphyilis (Prego Nurses should not work with prego pts with TOxoplasmosis or Cytomegalovirus)
Prego nurses should not work with pts who have what? shingles, TOxoplasmosis, Cytomegalovirus.
Epidural pt. with hypotension. STOP stands for? Used for maternal hypotension after an epidural. STOP stands for: Stop pit drip. Turn pt to left side. Oxygen pt. Push IV fluids if with hypovolemia.
Anti-coag: Coumadin PT: AKA Warfarin. PT: 10-12 seconds (control)
Anti-coag: Coumadin Antidote 10 letters long. AKA Warfarin. Vitamin K found in Dark leavy veg.
Anti-coag: Heparin/Lovenox/Dalteparin PTT 10 letters long. PTT: 30-45 seconds (control)
Anti-coag: Heparin/Lovenox/Dalteparin Antidote Protamine Sulfate.
Anti-coag: Therapeutic Level understanding: It is important to maintain a bleeding time that is slightly prolonged so that clotting will not occur. so the bleeding time with medication being used should be 1.5 - 2 time the control time. The control time is the without-medication bleeding time.
TBSA Rules of Nines. 9% - Head 9% - Arm each 9% - Back each side 9% - Leg each 1% - Groin
Arab Americans Females avoid eye contact with males. same sex can touch. males decide stuff. Sunni refuse organ x-plants. no pork. no ice. no hot and cold drinks on same plate. colostrum is bad for baby.
Asian Americans Avoid direct eye contact. Touch feet LAST. Males make choices. Refuse Organ x-plants. No cold drinks.
Native Americans Use direct eye contact. refuse blood or organ x-plants. maybe refuse circum. use western meds, but may prefer shaman care.
Mexican Americans Avoid direct eye contact. refuse organ x-plants. no cold drinks. very emotional when bereaving.
Jehovah Witnesses No blood products. No PRBC, No Plates, No Plasma.
Hindu No gelatin. No cow.
Jews Kosher foods. No meat and dairy on same tray.
Renal Diet is: High cals, high carbs, low prot, low K, low salt, equal input to output. Output of 500ml extra is OK.
Gout Diet is: Low purine, increased fluids, Rx turns pee orange.
Heart Diet is: low fat. Less than 30% of cals is from fat)
ROME stands for: Respiratory Opposite, Metabolic Equal.
pH down, CO2 up, HCO3 up is: Respiratory Acidosis
pH down, CO2 down, HCO3 down is: Metabolic Acidosis
pH up, CO2 down, HCO3 down is: Respiratory Alkalosis
pH up, CO2 up, HCO3 up is: Metabolic Alkalosis
Addison's disease endocrine disorder involving cortisol.
Cushing's disease endocrine disorder involving cortisol.
Addison's disease tx is: increase salt intake, give Rx of cortisone.
Cushing's disease tx is: no salt, look for s/s of nfxn.
spider bite tx is: RICE Rest Ice Compression Elevate
Bleeding tx is: RICE Rest Ice Compression Elevate
Sickle Cell Tx: Crisis requires: HHOP Heat Hydration Oxygen Pain meds
Fractures and compartment syndrome Five P's: Pain Pallor Pulselessness Parasthesia Polar cold
Hip fractures: they hemorrhage
Femur fractures: fat emboli caution
Gallbladder disease is: fair skin, fat, 40, five pregos, farting.
Disaster triage: save the healthiest first.
regular triage: save the most hurt first.
tort: ...
negligence: ...
malpractice: ...
slander: ...
assault: saying you are gonna hit the person
battery: actually putting your hand on the pt without their permission.
what kind of nurse can pronounce a pt dead? a hospice nurse.
pril ace inhibitor
lol beta blocker
mycin anti-infective
pam / diaze benzo
zine phenothiazine
lone / zone / sone glucocorticoid
vir antiviral
statin cholesterol-lowering
sartan angiotensin receptor bloacker
xib Cox 2 enzyme blocker
dine histamine 2 antagonist
zole proton pump inhibitor
parin anticoagulant
research only drugs schedule 1, ie: pot, LSD
written prescription drugs schedule 2, ie: ritalin
requires a NEW prescription every 6 months or 5 refills drugs schedule 3, ie: codeine
requires a NEW prescription every 6 months drugs schedule 4, ie: darvon
Drugs Dispensed as any other type of prescription or non-prescription schedule 5, ie: antitussives
drug class that reduce hydrochloric acid in the stomach antacids
drug class that increases RBC production antianemics
drug class that decreases oral secretions anticholenergics
drug class that helps to control management of seizures and bipolar disorder anticonvulsants
drug class that decreases gastric motility and reduces water in bowel antidiarrheals
drug class to block the release of histamine antihistamine
drug class to lower blood pressure Antihypertensive
drug class to treat nfxns Anti-infective
drug class to open/dilate lungs Bronchodilators
drug class to get pt to make more pee Diuretics
drug class to allow poop to slide right on out Laxatives
drug class to constrict the pupils my eye! ouch! miotics
drug class to dilate pupils mydriatics
drug class to lower pain analgesics/narcotics
 

 



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