Nclex

Front 1

CONSTANT bubbling in the water seal chamber of a closed chest drainage system indicates

Back 1

an air leak which needs immediate intervention

Front 2

pneumothorax

Back 2

A collection of air in the pleural space r/t an open chest wound or rupture of a vesicle on the lung surface

Front 3

Common types of pneumothorax are

Back 3

open, closed, and tension.

Front 4

INTERMITTENT bubbling in the water seal chamber of a closed chest drainage system indicates

Back 4

pneumothorax

Front 5

yellow sclera is an early sign of

Back 5

jaundice

Front 6

common bile duct obstruction causes

Back 6

jaundice

Front 7

circumoral pallor is a sign of

Back 7

hypoxia

Front 8

black tarry stools are a sign of

Back 8

bleed high in the GI tract

Front 9

fundus palpable at umbilicus when

Back 9

1 hour postpartum

Front 10

10 days postpartum, where will the fundus be palpable

Back 10

unpalpable

Front 11

population with highest incidence of esophageal cancer

Back 11

black males

Front 12

narcotic w/d s/sx

Back 12

rhinorrhea, dilated pupils, abd cramps

Front 13

sedative w/d s/sx

Back 13

increased motor activity and tachycardia

Front 14

alcohol w/d s/sx

Back 14

n/v, sweating, tremors

Front 15

ect - electroconvulsive tx is used primarily in what disease

Back 15

acute depression

Front 16

common adverse effect of ect

Back 16

short term memory loss x 3 months

Front 17

what is Colles' fracture

Back 17

fx of distal radius usu r/t fall on outstretched hand

Front 18

what's siadh

Back 18

syndrome of inappropriate ADH (overproduction) -> fluid retention

Front 19

s/sx of hypocalcemia

Back 19

parasthesias, muscle spasms, perif numbness

Front 20

3 p's of dm

Back 20

polyuria, polyphagia, polydipsia

Front 21

s/sx of meningitis

Back 21

nuchal rigidity, fever, headache

Front 22

what's kernig's sign and what does it indicate?

Back 22

tests for meningitis: Elicitation of resistance & hamstring pain when you extend the knee while the hip and knee are both flexed 90 degrees.

Front 23

what's cullen's sign & it's indication?

Back 23

periumbilical skin is bluish r/t intraperitoneal hemorrhage

Front 24

what are koplik's spots & their indication?

Back 24

red areas c grey/blue centers on buccal mucosa = measles

Front 25

what's chvostek's sign & it's implication?

Back 25

tap facial nerve below temple. twitching = hypocalcemia

Front 26

implication of high serum k+

Back 26

life threatening arrhythmia

Front 27

what's fantasy play & who does it?

Back 27

imaginary playmates by preschoolers (3 - 5). like magic

Front 28

toddler's (1-3) biggest fear of hospitalization

Back 28

separation from parents

Front 29

s/sx of peritonitis

Back 29

sharp abd pain and abd rigidity

Front 30

what causes secretion of prolactin

Back 30

delivery of placenta

Front 31

what's the 4th stage of labor

Back 31

recovery (post placental delivery)

Front 32

what does PTT stand for, which drug does it eval

Back 32

partial thromboplastin time; heparin

Front 33

where is the urinary bladder palpable at?

Back 33

either unpalpable, or 1 - 2" above symphysis pubis

Front 34

what are c-section babies at risk for

Back 34

respiratory distress

Front 35

what's cushing's syndrome

Back 35

metabolic disorder r/t chronic, excessive production of adrenocortical hormones or by prolonged high-dose glucocorticoid tx.

Front 36

s/sx of cushing's syndrome

Back 36

hypertension, diabetes mellitus, dusky complexion with purple striae, muscle wasting, weakness, and sudden development of fat around the face, neck, and trunk.

Front 37

common side effect of cushing's syndrome

Back 37

depression

Front 38

what is polyneuritis?

Back 38

characteristic of guillian barre: perif nerves denenerate, causing muscle weakness c sensory loss & atrophy, & decreased or absent deep tendon reflexes.

Front 39

most serious complx of polyneuritis

Back 39

respiratory failure

Front 40

what's considered a full term baby

Back 40

38 - 42 weeks

Front 41

s/sx of hemorrhage

Back 41

tachycard & hypotension

Front 42

clay colored stools indicates/

Back 42

biliary obstruction

Front 43

frank (bright red) blood in stools indicate/s

Back 43

lower GI bleed

Front 44

what is trousseau's sign & it's indication?

Back 44

hypocalcemia; carpopedal spasm when bp cuff is higher than sbp

Front 45

what's reye's syndrome

Back 45

Acute encephalopathy & fatty infiltration of the internal organs following acute viral infx, or children given aspirin during flu or chickenpox

Front 46

bacteria's that cause meningitis

Back 46

Neisseria meningitidis, Haemophilus influenzae, Streptococcus pneumoniae, or Escherichia coli.

Front 47

what's a catecholamine

Back 47

compounds with a sympathomimetic action. Some are produced by the body and function as key neurologic chemicals. Others are synthesized as drugs for use in the treatment of such disorders as asthma, shock, and heart failure.

Front 48

what are the actions of narcotics (6)

Back 48

reduce pain perception. induce mental changes. promote deep sleep. depress respirations. constrict pupils. decrese GI motility.

Front 49

what is ulcerative colitis

Back 49

colon is ulcerated chronically and recurrently. abd cramping. rectal bleeding. diarrhea c blood, pus, mucus.

Front 50

what is tb

Back 50

tuberculosis
An acute or chronic infection from exposure to Mycobacterium tuberculosis or another strain of mycobacteria characterized by pulmonary infiltrates and formation of granulomas with caseation, fibrosis, and cavitation.

Front 51

what's racemic epinephrine

Back 51

adrenergic for croup to reduce inflam/edema of peri trach tissue

Front 52

anticholinergic

Back 52

Of or relating to blockade of the impulses of parasympathetic or other cholinergic nerve fibers

Front 53

normal wbc count

Back 53

4 - 10k microliters

Front 54

what is cardiac output

Back 54

cardiac output
The volume of blood ejected by the heart per minute (normally ranging from 4 to 8 L). Cardiac output equals the stroke volume (the difference between end-diastolic volume and end-systolic volume) multiplied by the heart rate.

Front 55

what does tachycardia indicate

Back 55

decreased cardiac output

Front 56

when is contact isolation used

Back 56

gi infx, diarrhea, wound infections, draining abscesses

Front 57

abbreviation for both eyes

Back 57

ou

Front 58

abbreviation for both ears

Back 58

au

Front 59

respiratory acidosis

Back 59

Caused by reduced alveolar ventilation; is marked by increased partial pressure of arterial carbon dioxide, excess carbonic acid, and increased plasma hydrogen-ion concentration. Hypoventilation inhibits the excretion of carbon dioxide, which consequently produces excessive carbonic acid and thus lowers blood pH.

Front 60

respiratory alkalosis

Back 60

Caused by both respiratory and nonrespiratory factors, this condition is marked by decreased partial pressure of arterial carbon dioxide, decreased hydrogen-ion concentration, and increased blood pH. Extreme anxiety can precipitate hyperventilation associated with respiratory alkalosis.

Front 61

metabolic acidosis

Back 61

A condition resulting from excessive accumulation of acid or depletion of bicarbonate

Front 62

bandage technique for joints

Back 62

figure 8

Front 63

f to c

Back 63

c = (f - 32)/ 1.8

Front 64

sq guage

Back 64

25 -27