NCLEX Review QA Latest

NCLEX Review Q&A Latest

DO NOT delegate (E.A.T.) - E- evaluate A- assess T- teach

Addisons - down, down, down, up, down hyponatremia, hypotension, decreased blood volume, hyperkalemia, hypoglycemia

Cushings - up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia

No Pee, No ___ - K - No potassium without adequate urine output

Transmisson of Airborne - My- Measles Chicken- chicken pox/ varicella Hez- Herpez Zoster/shingles TB Give Private room, negative pressure with 6-12 air exchange/hr, mask, N95 for TB

Droplet - Spiderman - S- sepsis S- scarlet fever S- streptococcal pharyngitis P-parvovirus B 19 P - pneumonia P- pertussis I- influenza D- diptheria (pharyngeal) E- epiglottitis R- rubella M- mumps M- meningitis M- mycoplasma or meningeal pneumonia An- adenovirus

Give - Private room or cohort, mask

Contact precautions - Mrs. WEE - M- multidrug resistant organism R- respirotary infection S- skin infections W- wound infections E- eteric infection- clostridium difficile E- eye infection- conjunctivitis

Skin infections - VCHIPS - V- varicella zoster

C- cutaneous diphtheria H- herpez simplex I - impetigo P- pediculosis S- scabies

From the a** (diarrhea) - metabolic acidosis

from the mouth (vomitus) - 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 temperature, pulse, and HTN

Post-thyroidectomy - semi-fowlers, prevent neck flextion/hyperextension, trach at bedside

measles dangerous to get when pregnant - Never get pregnant with a German (rubella)

Order with drawing up insulin - RN (regular comes before NPH)

MAOI's (PANAMA) - PA- parnate NA- nardil MA- marplan

Digoxin - check pulse, less than 60 hold, check dig levels and potassium levels

Amphojel - tx of GERD and kidney stones, watch our for constipation

Vistaril - tx of anxiety and also itching, watch out for dry mouth, given preop commonly

Versed - given for conscious sedation- watch for resp. depression and hypotension

PTU and Tapazole - prevention of thyroid storm

Sinemet - tx of parkinson... sweat, saliva, urine may turn reddish brown occassionally.. causes drowsiness

Artane - tx of parkinson... sedative

Tigan - tx of postop n/v and for nausea associated with gastroenteritis

Timolol (Timoptic) - tx of gluacoma

Bactrim - antibiotic.. dont take if allergic to sulfa drugs... diarrhea common side effect.. drink plenty of fluids

Hypokalemia - muscle weakness, dysrhythmias, increase K by giving raisins, bananas, apricots, oranges, beans, potatoes, carrots, celery

Hyperkalemia - M.U.R.D.E.R - M - muscle weakness U - urine (oliguria/anuria R- respiratory depression D- decreased cardiac contractility E- ECG changes R- reflexes

Calan (verapamil) - calcium channel blocker, tx of HTN, angina, assess for constipation

Carafate - 1.tx of duodenal ulcers

• coats the ulcer
• give before meals

Synthroid - 1. tx of hypothyroidism

• notify doctor of chest pain
• take in the AM on empty stomach

ICP - increased BP, decreased pulse, decrease respirations

Shock - decreased BP, increased pulse, increased respirations

Jews - no meat and milk together

Lower amputations - prone position

Cold products - for acute pain (sprain ankle)

Heat products - chronic pain (rheumatoid arthritis)

Reverse agents heparin - protamine sulfate

Reverse agents coumadin - vitamin K

Reverse agents ammonia - lactulose

Reverse agents

acetaminophen - n-Acetylcysteine

Reverse agents Iron - deferoxamine

Reverse agents Digitoxin, digoxin - digibind

Reverse agents Alcohol withdrawl - Librium

Heparin prevents? - platelet aggrgation

patient in Vtach give? - lidocaine

patinet in SVT give? - adenosine or adenocard

patient in Asystole (no heart beat) give? - atropine

Patient with CHF give? - Ace Unhibitor

Patient in anaphylactic shock give? - Epinephrine

Patient who is bipolar give? - Lithium

Meningitis what do you check? - Kernig's and Brudzinski's sign

Eclampsia is? - a seizure

Placenta previa - no pain only bleeding

Placenta abruption - pain but no bleeding

dystocia - baby cannot make it down to the canal

Pitocin give when? - uterine stimulation

Magnesium sulfate is used when? - halt preterm labor- contrainindicated if deep tendon reflexes are ineffective

Phenergan - an antiemetic used to reduce nausea

Demerol - pain control

hypernatremia - greater than 145 S - skin flushed