2022 - 2023 NCLEX - RN Mnemonics_ABC Questions and Answers Actual Latest Grade A +
ABDOMINAL AORTIC ANEURISM
“4-A’s” Asymptomatic Abdominal mass Abdominal pulse Aches low back
ABDOMINAL DISTENSTION
"5-F's" Fat Fluid Feces Flatus Fetus
ACE INHIBITOR SIDE EFFECTS
"CAPTOPRIL" Cough Anaphylaxis Palpitations Taste Orthostatic -↓BP Potassium - ↑K+ Renal impairment Impotence Leukocytosis
ACID-BASE
"ROME" – Respiratory Opposite, Metabolic Equal
ACIDOSIS
» Respiratory (opposite): pH Pco2
» Metabolic (equal): pH HCO3
ALKALOSIS
» Respiratory (opposite): pH Pco2
» Metabolic (equal): pH HCO3
ACIDOSIS/ALKALOSIS
“ROME”
Respiratory Opposite:
pH↑ PCO2↓ = alkalosis pH↓ PCO2↑ = acidosis
Metabolic Equal:
pH↑ HCO3↑ = Alkalosis pH↓ HCO3↓ = Acidosis
ACIDOSIS/ALKALOSIS – COMPENSTATION
“RUB MUB”
Respiratory Uses Bicarb Metabolic Uses Breathing
ALKALOSIS AND ACIDOSIS
AlKalosis has “K” – it’s “K”icking pH up = PH↑ AciDosis has “D” – it’s “D”ropping pH Down = PH↓
ACUTE INFLAMMATION FEATURES 1 / 4
Think: "what a cute pair of SLIPpeRs" to tie
acuteinflammation to “SLIPR”mnemonic).
“SLIPR”
Swelling Loss of function Increased heat Pain Redness
ADRENAL GLAND
HORMONES“SSS”
S-sugar (Glucocorticoids) S-salt (Mineralocorticoids)S- sex (Androgens) AIMS for improvement
“PETEES” AIMS
P - Patient centered careE - Efficient T - Timely E - Effective E - Equitable S - Safety
ALCOHOL WITHDRAWAL – CLINICAL
FEATURES"HITS" Hallucinations (visual, tactile) Increased vital signs & insomnia Tremens delirium tremens (potentially lethal)Shakes/Sweat/Seizures/Stomach pain (N/V) ALCOHOLISM – BEHAVIORAL
PROBLEMS
“5-D's” D- Denial D- Dependency D- Demanding D- Destructive D- Domineering
ALCOHOLISM
OUTCOME“BAD”
B- Brain Damage A- Alcoholic Hallucinosis D- Death
ALDOSTERONE IS REGULATED BY:
"RNA’S" Renin-angiotensin mechanism Na concentration in blood Anp (ANP – atrial natriuretic peptide) Stress ALZHEIMER – “5 A’s” to DIAGNOSIS “5-A's” Amnesia – loss of memories Anomia – unable to recall names of everyday objects 2 / 4
Apraxia – unable to perform tasks of movement Agnosia – inability to process sensory information Aphasia – disruption with ability to communicate
ANGINA – PRECIPITATING FACTORS
"4-E's" Eating Emotion Exertion (Exercise) Extreme Temperatures (Hot/Cold weather)
“ANOREXIA” – EATING DISORDER
A-menorrhea delayed N-o organic factors accounts for weight loss O-obviously thin but feels FAT R-refusal to maintain normal body weight E-epigastric discomfort is common X-symptoms (peculiar symptoms) I-intense fears of gaining weight A-always thinking of foods
ANOREXIA NERVOSA – CLINICAL FEATURES
"ANOREXIC" A-adolescent women/Amenorrhea N-GT alimentation (most severe cases) O-obsession w/ wt. loss/becoming fat though underweight R-refusal to eat (5% die) E-electrolyte abnormalities (e.g., K+, cardiac arrhythmia) X-exercise I-intelligence often above average/Induced vomiting C-cathartic use (and diuretic abuse)
ANTICHOLINERGIC CRISIS
Can't see (blurred vision) Can't spit (dry mouth) Can't pee (urinary retention) Can't shit (constipation)
ANTICHOLINERGIC CRISIS – SIGNS
"SLUD" Salivation Lacrimation Urination Defecation ANTI-TB DRUGS & SIDE EFFECTS
“RIPES”
Rifampicin – red-orange urine Isoniazid – peripheral neuritis Pyrazinamide – increase uric acid Ethambutol – eye problems Streptomycin – ototoxic 3 / 4
(use a star as these drugs stain the teeth) – ???(H-eat, I-nduration) – ???
APGAR
SCORING
"APGAR"
Appearance: cyanosis--peripheral, central,
nonePulse: pulse rate
Grimace: response to stimulation
Activity: movement of the baby (muscle tone)
Respiration: respiratory rate
APPENDICITIS -
ASSESSMENT“PAINS”
Pain (RLQ) - pain in RLQ of abdomenAnorexia - loss of appetite Increased temperature, WBC (15,000- 20,000)Nausea Signs (McBurney's, Psoas)ARTERIAL
BLOOD GASES
1. look at pH:
Low pH = acidosis High pH = alkalosis
- use “ROME” mnemonic (to determine
if itsrespiratory or metabolic):
Respiratory – Opposite Metabolic – Equal
ASSESSING CHANGES IN
BEHAVIOR"DEMENTIA" Drug and alcoholEyes and ears Metabolic and endocrine disordersEmotional disorders Neurologic disordersTumors and trauma Infection Arterial vascular disease ASTHMA
MANAGEMENT
"ASTHMA" Adrenergics (Albuterol)Steroids Theophylli ne Hydration (IV) Mask (Oxygen) Antibiotics
ASTHMA - MANAGEMENT
Asthma is a spasm of the airways, which causes difficulty breathing.
“ASTHMA”
Adrenergic (Albuterol) Steroids Theophylline
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