Youtube - 1 Hr Comprehensive NCLEX Review

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chrisapollonio Preview nclex review 189 terms underwattPreview Nursing 49 terms gra Practice questions for this set Learn1 / 7Study using Learn 35-45 Potassium lab values3.5 - 5 Chloride lab values95 - 105 *Degrees to go swimming in a pool Choose an answer 1PH (neutral)2PaO2 (oxygen) 3PaCO2 (acid)4HCO3 (basic) Don't know?

Hemoglobin lab valuesMales: 13-18

Females: 12-16

*Like puberty Magnesium lab values1.5 - 2.5 *Magnum - for those 1.5 - 2.5 times bigger BUN lab values10 - 20 *those with a nice BUN is a perfect 10-20 Calcium lab values9 - 11 *Call 911 Phosphate lab values2.5 - 4.5 *fossils are 2.5-4.5 million years old Creatinine lab values0.6 - 1.2 *Nine is right in the middle of creati- "nine" WBC lab values4,000 - 11,000 *kids 4-11 are always getting sick Sodium lab values135 - 145

"Od" in sodium is like odd numbers: 1-3-5

Can of soda costs $1.35 - $1.45

Critical labsPH: 6's

Potassium: 6's

CO2 > 60 O2 < 60 Platelets < 40,000 Blood pH7.35-7.45 PaCO2 (acid)35-45 HCO3 (basic)22-26 SaO2 (O2 sats)95-100 PaO280-100

Causes of alkalosis (increased HCO3)Vomiting Suctioning Hyperventilation Causes of acidosis (increased PaCO2)diarrhea shock diabetic ketoacidosis Standard precautionsHand hygiene Gloves Gown Mask Droplet precautions - DiseasesP - Pertussis I - Influenza M - Meningitis / Mumps / Rubella P - Pneumonia Airborne precautions - DiseasesM - Measles

T - TB

V - Varicella (chicken pox) Airborne precautionsN95 mask Negative pressure room Private room Door closed Pt wears mask during transport Contact precautions - DiseasesC. diff MRSA VRE Herpes Contact precautionsHand hygiene with soap and water Gloves Gown Droplet precautionsMask Goggles Private room Putting on PPEGown Mask Goggles Gloves *Big Don puts his big gear on first

Taking off PPEGloves Goggles Gown Mask *Alphabetical Effects of hyperkalemiaEverything goes up except HR/urine output Effects of hypokalemiaEverything goes down except HR/urine output Effects of Calcium and Mag on hyperkalemiaEverything goes down Effects of Calcium and Mag on hypokalemiaEverything goes up Effect of HypernatremiaE - Dehydration Effect of HyponatremiaO - Overload of fluid Potassium antidotealbuterol inhaler, insulin & glucose, sodium bicarb, kayexalate Never do this with PotassiumIV push Signs & Symptoms of HypocalcemiaRemember “CRAMPS” Confusion Reflexes hyperactive

Arrhythmias (prolonged QT interval and ST interval) Note: definitely remember

prolonged QT interval…another major test question Muscle spasms in calves or feet, tetany, seizures Positive Trousseau’s! You will see this before Chvostek’s sign or before tetany. This sign may be positive before other manifestations of hypocalcemia such as hyperactive reflexes.Signs of Chvostek’s (nerve hyperexcitability of the facial nerves. To elicit this response you would tap at the angle of the jaw via the masseter muscle and the facial muscles on the same side of the face will contract momentarily (the lips or nose will twitch).Crutches2-3 fingerbreadths below axillae Two-point gaitAlways move weak side first Right crutch and left foot forward, THEN Left crutch and right foot forward Three-point gaitBoth crutches forward with weak leg, THEN Move strong leg forward

Four-point gaitResembles normal walking:

Left crutch Right foot Right crutch Left foot