Nclex High Yield -Ask Graph

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NURR 1

575 term

brit When you see more than one of ASK GRAPH - ask yourself:

• Who do we have less time with? 2. What more can we do

Airway (above all else) - Clue words:

drooling, stridor, nasal flaring, accessory muscle use, irritability, tripod position, angioedema, pulmonary embolism (derives from DVT), sustained tachypnea, smoke inhalation, singed facial hair, overdose (Benzo and Opioids, RR<12>

Sepsis- Clue words:

Triad: Temperature < 96> (< 36>), Hypotension and Tachycardia Also look for purulent discharge at the incision site. Sepsis Treatment = IVF (1st) and then antibioticsOnes that may not seem obvious: Transfusion / Transplants

K+ (potassium) changes- Clue words:

Normal range: 3.5 - 5.0 mmol/L Potassium controls the ventricles → ventricular fibrillation →most lethal dysrhythmia. Look for "Muscle Cramps" Ventricular Fibrillation Treatment = Defibrillation (you need D-Fib the V-Fib)

Glucose (hypoglycemia- Clue words:

< 70 xss=removed>

LethaRgy or gRunting- seen in and clue word:

Particularly in pediatric patients that are in distress (usually < 5>

Altered Mental Status (AMS) - Clue words:

hallucinations, seizures, confusion, psychosis, change of LOC, delusional, disorientation, all of a sudden, in the last hour, acute, overdose Peritonitis- what is it and S/S the lining that encases the GI tract and Reproductive organs Signs and symptoms: fever, pain, board-like, rebound tenderness, rigidity, guarding

FRAG: Fever, Rebound tenderness, Abdominal rigidity, Guarding

Distractors on Prioritization Questions

• Scheduled for ... (surgery/biopsy/etc) - you can always reschedule!
• COPD with O2 of 90 - 92%

3.Elevated blood pressure (190/100 mmHg) without signs / symptoms

• Elevated glucose (250 - 450 mg/dL with no other symptoms)
• Transurethral resection of the prostate (TURP) or prostatectomy (with pink tinged urine)
• Laceration and broken bones without any neurovascular compromise (knee popping, wrist broken, ankle broken, ankle sprain

Postoperative Concerns (two things you are trying to do ASAP) Ambulation and Incentive spirometry

Postoperative Concerns - Ambulation:

Need to get patients up and walking so they're less likely to develop DVT.

Postoperative Concerns - Incentive spirometry:

Patients need to use their lungs to prevent atelectasis and other respiratory complications.

Outliers to ASK GRAPH-Reproductive:

Testicular and Ovarian TorsionPriapism (nafil, trazodone

Outliers to ASK GRAPH-Compartment syndrome:

Usually seen w/crush injuries/casts

• P's to identify Compartment Syndrome

Paresthesia: tingling, numbness, burning

Pain: out of proportion to injury, not relieved by meds

Pressure: tight/red skin, cast is too tight

Pallor: pale skin tone (white/gray)

Pulselessness: weakened or loss pulse

Poikilothermy: low/cool skin temp

Paralysis: loss of motor function

Closed-angle glaucoma contraindication anticholinergics Terms (16) Hide definitions