Remar NCLEX 10

Remar NCLEX 10 studiers today Leave the first rating Students also studied Terms in this set (574) Science MedicineInfectious Disease Save Remar Quick Facts for NCLEX 2019-2...946 terms AndielaPreview REMAR NURSE ASSESSMENT 100 qu...104 terms Jellyroll7Preview Remar Courses and Quizzes (NCLEX...147 terms Ishaboo2023Preview Remar 131 terms Ane What is the primary symptom of GERD?Heartburn (pyrosis) What tests confirms GERD?Barium Swallow fluoroscopy What malfunction allows reflux in GERD?lower esophageal sphincter what is the client teaching for GERD?Low fat high protein diet, take antacids, avoid lying flat after meals What is the virus that causes AIDS?human immunodeficiency virus (HIV) How is HIV transmitted?sexual intercourse, direct contact with infected blood/ body fluids ( body fluids- semen, breast milk) HIV mother gives birth to baby What are the symptoms of HIVFever, weight loss, night sweats, diarrhea, fatigue How is the presence of HIV confirmed?Screening is done FIRST to see if HIV antibodies are present. The test is performed to specifically identify the HIV antibodies What is the screening for AIDS?ELISA What confirms the screening test for HIVWestern blot Hos does HIV attack the body?It attacks the immune system by destroying T-lymphocytes The virus also rapidly self=replicates What is so important about T-lymphocytes?T cells help immune system + recognize and fight pathogens

What is another name for T-Lymphocytes?CD4 cells Why is the CD4 count important?The lower the CD4 count the more damage the virus has done to the body.What is a normal cd4 count?500-1500 cells/mm3 What is the normal CD4 count in a client with HIV? Anything at or above 500. Client is considered in good health. If below 500 HIV has progressed to AIDS.If a client's CD4 count is below 200, client is at risk for what?Opportunistic Infections List some opportunistic Infections-Oral pharyngeal canididal infection (mouth fungus) -Kaposi's sarcoma (skin cancer) -Pneumocystis pneumonia -Cytomegalovirus (blindness) -Meningitis What is the goal of HIV medications?To interfere with the virus replicating The most important medication for HIV/ AIDS is? Zidovudine (AZT, Retrovir) Which isolation precautions are used with HIV? Universal precautions, patients do not have to tell you they have HIV, treat everyone as if they are INFECTED!How do the precautions change with AIDS?If the client has a low CD4 count and is at risk for opportunistic infection implement private room, reverse isolation, RN wears gown, goggles, and mask when in direct contact with blood or body fluids.What are teaching points for parents who have a child with HIV

clean up body fluid/blood with a 10:1 water/bleach ratio

get all immunizations except MMR, Varicella and oral poliovirus(live vaccines) High Calorie High protein diet gloves when changing diapers.What is the definition of ACUTE RENAL FAILURE?(ARF) Sudden loss of kidney function to excrete toxins and regulate fluids/electrolytes What are some possible causes of ARF?Infection, obstruction, shock What are the three phases of ARFOliguric, diuretic, recovery During the Oliguric phase what will you see?This phase lasts one to two weeks.Low urine output <400>

What does recovery phase mean?Kidneys are recovering through a slow process, urine vl & BUN is normal What are nursing interventions? ARFDaily weights strict I and O treat the causes of renal failure and diuretics What is the best diet for a client with ARF?High carb & low protein Clients allergic to latex may also be allergic to which foods?bananas, kiwi, chestnuts What standard hospital equipment contains latex? Blood pressure cuffs, gloves, stethoscopes, tourniquets, band aids, and indwelling catheters What allergy is contraindicated for IV contrast dye? iodine/shellfish allergy What are the major complications of having an amputation performed?Infections, skin breakdown, phantom limb pain, joint contractures what is the positioning for post op care? AKA (above the knee) amputation Elevate first 24 hours, then prone position twice daily to prevent hip flexion What is the positioning for post op care BKA(below the knee) amputation elevate foot of bed first 24 hours, then prone position twice daily to prevent hip flexion What should you encourage with an amputation? Expressing feelings about lost limb Pain felt in an area that has been amputatedPain felt in an area that has been amputated True or False? An aneurysm is a dilation formed at a weak point on the wall of an artery True What are the symptoms of aneurysms inside the body? most aneurysms inside the body have NO symptoms what sound would be heard on auscultation of an aneurysm blowing bruit what are some of the risk factors of an aneurysm arteriosclerosis, infection (syphilis), smoking, HTN What is the treatment for an aneurysm?Surgery-depends on size, strict blood pressure control with medications What are the signs of a ruptured aneurysm?Severe pain, nausea, vomiting, tachycardia, decreased level of conscious, hypotension List important NCLEX teaching points for aneurysm? Avoid straining, lifting, or exerting, take medications on schedule, report severe back/flank pain.What is the primary symptom of anorexia nervosa starvation what is the perception of the body with anorexia nervosa distorted

at what age does anorexia nervosa occuradolescent What is the usual personality type of someone with anorexia nervosa perfectionist, overachievers, low esteem What is a major cardiac complication of anorexia? Arrhythmias What is a majore gynecological complication of anorexia?Amenorrhea What is the treatment involved in the recovery of anorexia small, frequent meals with inpatient counseling and milieu therapy Commonly seen in what age range? Appendicitis? 10-30 What is the classic sign of appendicitis?Acute right lower abdominal pain what are some other signs/ symptoms of appendicitis? loss of appetite, nausea, vomiting, low grade fever Localized tenderness is found where in appendicitis? McBurney's Point What are the tests used to determine appendicitis? Complete history and physical exam with WBC it will be elevated What is the treatment for appendicitis?Immediate surgery to remove the appendix, IV antibiotics, Semi-Fowlers position, NPO- gut t rest What is the general treatment for any acute abdominal pain?NPO status, no heat on abdomen, assess abdominal distention, IV fluid therapy.Where are most ABG samples drawn from?Radial artery in wrist How long should pressure be applied to the site after collecting an ABG sample?

• minutes

What test should be performed before collecting an ABG on a client?Allen's Test Asperger's syndrome is from what?Autism What is the treatment focuses on improving with Aspergers?Communication/ patient social skills