NCLEX-RN U-WORLD REVIEW

NCLEX-RN U-WORLD REVIEW

Leave the first rating Students also studied Terms in this set (680) Save capstone exam 1 study guide 107 terms Andrreeasanchez01 Preview PEARSON NCLEX-RN Questions & R...199 terms Candice_Haygood Preview Foundations of Nursing Final Exam, ...164 terms quizlette61315896 Preview NCLEX Teacher was Allen's testThis diagnostic test is performed prior to initiating radial cannulation to ensure adequate circulation proximal and distal to the site AgoraphobiaDefined as the fear or anxiety about being in (or anticipating) certain situations or physical spaces; Ex- being on a train for an extended period of time DeliriumDefined as an acute onset cognitive dysfunction where consciousness is impaired, memory may be impaired and is reversible; Seen in ICU's DementiaDefined as a chronic, gradual condition which causes irreversible and progressive cognitive decline; LOC intact, some memory loss is present and is irreversible DepressionDefined as a disease with gradual progression, may be episodic & is reversible

• Providing a calming environment with minimal

stimulation

• Private room AWAY from nurses station is key
• Use quiet/monotone voice
• Use eye contact/gestures carefully
• Limit visual clutter
• Maintain minimal lighting
• Provide child with single object to focus on

When caring for a child with autism spectrum disorder, what are nursing actions/interactions that should be implemented?Autism Spectrum Disorder (ASD)Patients with this cognitive disorder often exhibit sensory processing problems to sounds, movement, touch, taste and smells OligohydramniosA condition characterized by low amniotic fluid volume Pulmonary hypoplasia & umbilical cord compression What are two major complications of oligohydramnios at time of birth?

Pulmonary hypoplasiaA complication of oligohydramnios defined as lack of normal alveolar dissension by aspirated amniotic fluid Umbilical cord compressionA complication of oligohydramnios which can present as late/variable decelerations; Requires continuous fetal monitoring at birth PolyhydramniosDefined as a complication of excessive amniotic fluid volume, putting the mother at risk for post partum hemorrhage Pull the pinna upward & back to straighten the external ear canal When administering an otic medication to an adult or child age 3 and older, how should the nurse manipulate the pinna?Instilling cold drops into the ear can cause vestibular reaction, resulting in dizziness/vomiting Why should otic medication be warmed to room temperature before administration?ACE inhibitorsWhat class of blood pressure medications is category X in pregnancy and are extremely teratogenic?Placental abruption (Placento abrupto)Defined as a complication of preeclampsia that occurs when the placenta tears away from the wall of the uterus due to stress, causing significant vaginal bleeding

HELLP syndrome:

H - Hemolysis EL - Elevated liver enzymes LP - Low platelets A complication of pregnancy defined as severe eclampsia; What does this acronym stand for?At least 0.5 mL/kg/hr or approximately 30 mL/hr What is normal urine output for an adult?DKA - Diabetic KetoacidosisAn endocrine disorder characterized by breakdown of fat for fuel and the resulting byproducts are acidic ketones; Polyuria & kussmaul respirations are present to help blow off extra co2 PalpationThis disorder of pediatrics presents as an abdominal pass. What nursing intervention is PROHIBITED with this diagnosis?Sickle cell anemiaThis disorder can present as a vasoocclusive crisis leading to ischemia and severe pain; Bilirubin released from the destroyed RBC's leads to jaundice and brownish hue to urine CodeineThis medication is an opioid drug prescribed to treat mild/moderate pain & is also an antitussive to suppress the cough reflex AllopurinolThis medication is prescribed to prevent gout attacks characterized by pain/inflammation in the joints due to uric acid deposits; Will need to be taken for the rest of life Allopurinol should be taken with a FULL glass of water & overall fluid intake should be increased when taking this medication What is the MOST important teaching topic when educating a patient about administration of allopurinol?

Kawasaki Disease (KD)This childhood condition is defined as inflammation of arterioles, also known as vasculitis Coronary aneurysmsFor pediatric patients diagnosed with Kawasaki Disease (KD), what are they most at risk for developing?Acute phaseThis phase of Kawasaki Disease is characterized by acute, sudden onset of high fever that does not respond to antibiotics or antipyretics; Strawberry tongue develops Subacute phaseThis phase of Kawasaki Disease is characterized by peeling of skin on hands and feet Convalescent phaseThis phase of Kawasaki Disease begins when the symptoms begin to slowly disappear; Temperature returns to normal IV immunoglobulin (IVIG) and high dose aspirin What is the initial treatment of Kawasaki Disease?46-70 seconds (1.5-2x control)What is the therapeutic aPTT value for a client receiving a continuous heparin infusion?Warfarin - Vitamin K Heparin - Protamine sulfate What are the reversal agents for warfarin & heparin?Water intoxication resulting in hyponatremiaThis occurs when parents of newborns dilute formula to "stretch" the feeding and save money Irritability, lethargy, hypothermia and seizure activity What are some s/s of hyponatremia?

"Airing MTV:"

• Measles
• Tuberculosis
• Varicella

What diseases require airborne precaution in the hospital?A private room with negative airflow pressureFor patients under airborne isolation precaution, what kind of room placement is required?IntussusceptionDefined as a process in which one part of the intestine prolapses and then telescopes into another part; Very common during infancy

• Legs drawn up toward abdomen
• Continuous crying due to pain
• Grossly bloody "Currant jelly" stools (Mixture of blood

and mucus) What would the clinical manifestations be for an infant suspected of having intussusception?An air (Pneumatic) enemaWhat is the treatment for intussusception?Nephrotic SyndromeThis disease is defined as a collection of symptoms resulting from various causes of glomerular injury

• Massive proteinuria***
• Hypoalbuminemia in serum (Massive loss in urine)
• Edema (Periorbital and peripheral)
• Hyperlipidemia

What are the 2 classic manifestations of nephrotic syndrome?< 200 mg/dLWhat is the normal level of total cholesterol?

3.5-5.0 (Same as K)What is normal serum albumin?

• Personal/family history of colorectal cancer/polyps
• Personal history of IBS, Crohn's or UC
• Lifestyle factors such as obesity, smoking, alcohol

consumption and diet high in red meat What are examples of risk factors of developing colorectal cancer?External fixatorFor patients with musculoskeletal issues, this device is a metallic device composed of metal pins, which are screwed into the bone to stabilize it Wound dehiscence & eviscerationFor patients that underwent open gastric surgery, what are examples of complications that they are at risk for post-op?Obese (Bariatric) patientsWhich clients that underwent open gastric surgery are at GREATEST risk for dehiscence and evisceration?

• Furosemide (Lasix)
• Tursemide (Demadex)
• Bumentanide (Bumex)

What are 3 examples of loop diuretics that may be prescribed for patients with CHF?ARB inhibitorsThis class of blood pressure medications are prescribed for patients that cannot tolerate ACE inhibitors. They block the angiotensis-aldosterone system Transfusion reactionSOB, fever, low back pain, flushing & itching upon initiation of transfusion of a blood product indicate what?

• Stop transfusion ASAP and disconnect tubing at

catheter hub

• Maintain IV access with NS to prevent vascular collapse
• Notify HCP and blood bank
• Monitor vital signs

After recognizing that a patient is experiencing a transfusion/hemolytic reaction to a blood product, what is the nurses next actions?

2.0-3.0; Up to 3.5 for prosthetic heart valves/valve disease For patients prescribed warfarin, what is the therapeutic value for their INR?MeningitisDefined as inflammation of the meninges of the brain and spinal cord caused by infection

• Fever
• Restlessness
• High pitched cry
• Bulging/tense fontanels (Due to hydrocephalus and

increased ICP

• Increased head circumference

What are the clinical manifestations of meningitis in an infant?