{"id":114821,"date":"2023-08-23T03:57:47","date_gmt":"2023-08-23T03:57:47","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114821"},"modified":"2023-08-23T03:57:49","modified_gmt":"2023-08-23T03:57:49","slug":"nclex-study-from-mark-klimek-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nclex-study-from-mark-klimek-2\/","title":{"rendered":"NCLEX study from Mark Klimek"},"content":{"rendered":"\n<p>1.Hyperthyroidism is also called: Grave&#8217;s disease or hypermetabolism<br>2.Tip to remember Grave&#8217;s disease s\/s&#8217;s: &#8220;Run yourself into the Grave&#8221; &#8211;<br>every- thing is up \u2026 diarrhea, thin, hot, high BP, high HR, cold<br>tolerance, hot intolerance<br>3.Treatment for Grave&#8217;s disease: Radioactive Iodine, PTU (put thyroid<br>under), surgically remove<br>4.Total thyroidectomy \u2026 totals get: tetany, need lifelong hormone<br>replacement<br>5.After thyroidectomy patients are at risk for: hypocalcemia, remember<br>hypocal- cemia is opposite of the prefix and anything to BP so tetany,<br>parasthesia<br>6.parathesia: numbness and tingling, first sign of electrolyte imbalance<br>7.Subtotal thyroidectomy \u2026 subs get: storm<br>8.S\/S of thyroid storm: Extremely high vital signs, hyperpyrexia,<br>psychotic deleri- um<br>9.How to treat thyroid storm: give o2, lower temp to spare brain<br>10.Risks post op for total thyroidectomy: airway, hemorrhage for 1st 12<br>hours then for 12-48 hours hypocalcemia leading to tetany<br>11.Risks post op for sub total thyroidectomy: airway, hemorrage for 1st 12<br>hours then for 12-48 hours thyroid storm<br>12.Hypothyroidism is also called: Myxedema or hypometabolism<br>13.S\/S of mydexema: everything is down, constipation, heat tolerance,<br>cold intol- erance<br>14.Treatment for mydexema: give thyroid medications<br>15.Where to put the 5 ice packs to cool a thyroid storm patient: neck pits<br>groin<br>16.If you cool a patient too fast what might happen?: Heart arrythmias<br>17.Never hold the hormone for what patient?: patient who is NPO with<br>mydexe- ma<br>18.Addison&#8217;s disease easy way to remember: Add a Sone (sone = steroid)<br>19.Adrenal Cortex diseases easy way to remember: A in Adrenal stands<br>for Addison&#8217;s<br>C in Cortex stands for Cushing&#8217;s<br>20.Addison&#8217;s disease is: undersecretion of adrenal cortex, not enough<br>hormone, BRONZE\/tan, go into shock very easily. STRESS can trigger.<br>21.Addison&#8217;s disease treatment: give a steroid, chronic steroid therapy<br>22.Cushing&#8217;s syndrome: Over secretion of adrenal cortex, too much<br>1 \/ 3<br>2 \/ 14<br>hormone, too much steroid.<br>23.S\/S of Cushing&#8217;s syndrome: same as steroid use \u2026 moon face, think<br>cushman &#8220;I&#8217;m mad I have an infection&#8221;, high blood sugar, losing<br>Potassium,<br>24.Treatment for Cushing&#8217;s syndrome: Surgery, bi or uni lateral<br>adrenalectomy (bilateral is worse)<br>25.Donning PPE&#8217;s order: Gown, Mask, Goggles, Gloves<br>2 \/ 3<br>3 \/ 14<br>26.Removing PPE&#8217;s order: alphabetically inside the room<br>27.For airborne precautions the mask is removed where?: outside of the<br>room<br>28.Avoid answers with what words for children 9 mths and younger?:<br>build, sort, stack, construct, make<br>29.Toddlers (1-3) work on: their gross motor skills (jump, hop, throw),<br>NO fine motor, parallel play<br>30.Preschoolers (3-6) work on: fine motor, balance (tumbling, dance,<br>tricycle), cooperative play, pretend<br>31.School age (7-11) work on: creative, collect, competitive<br>32.Best default order for click and drag order questions?: Hold\u2026.med<br>Assess \u2026.. what med<br>does Prepare \u2026\u2026 the<br>correction Call \u2026.. or<br>notify<br>33.Rarely if ever answer \u2026: call Doctor, NCLEX wants you to think<br>critically<br>34.Creatinine lab values: same as lithium 0.6-1.2 Not a huge worry, not a<br>danger- ous lab to worry about<br>35.INR lab values: 2-3, critical value if off, potential for patient to bleed.<br>Use default order for order ?&#8217;s (hold all coumadin, assess for bleeding,<br>prepare Vit K (antidote for Coumadin), Call or notify<br>36.Potassium lab values: 3.5-5.3 If low it is a critical lab to worry about<br>assess the heart and then prepare to give K<br>if high, hold all K, assess heart (EKG), give D5W and reg insulin, call<br>if really high, hold, assess, prepare, call STAT Get someone else<br>involved! Danger- ous!!<br>37.pH lab values: 7.35-7.45 if pH is in the 6;s VERY dangerous<br>remember as the patient&#8217;s pH goes so goes the patient<br>If bad vitals, call rapid response team<br>38.BUN lab values: 8-30 check for dehydration if elevated not a big<br>deal, just be concerned<br>39.If a deadly or dangerous lab value is discovered AND they have<br>symptoms call the: rapid response team!<br>40.HgB lab values: 12-18 check for bleeding if low or high, if low<br>prepare for tranfussion<br>41.HCO3 lab values: 22-26 if it is abnormal so what!<br>42.CO2 lab values: 35-45 if in the 50&#8217;s assess respiratory status and<br>have patient do pursed lip breathing, if in 60&#8217;s considered deadly and<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1.Hyperthyroidism is also called: Grave&#8217;s disease or hypermetabolism2.Tip to remember Grave&#8217;s disease s\/s&#8217;s: &#8220;Run yourself into the Grave&#8221; &#8211;every- thing is up \u2026 diarrhea, thin, hot, high BP, high HR, coldtolerance, hot intolerance3.Treatment for Grave&#8217;s disease: Radioactive Iodine, PTU (put thyroidunder), surgically remove4.Total thyroidectomy \u2026 totals get: tetany, need lifelong hormonereplacement5.After thyroidectomy patients are at [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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