Nclex Notes

Front 1

what is a possible complication when administrating Lasix?

Back 1

Tachycardia

Front 2

Oxygen applied by mask with be at how many liters?

Back 2

10 liters.

Front 3

red man syndrome means

Back 3

the IV is infusing rapidly

Front 4

naegals rule expected date of delivery

Back 4

subtract 3 months and add 7 days of your last menstrual period

Front 5

if scheduled for CAT scan, check for

Back 5

iodine sensitivity. allergy to oysters.

Front 6

if scheduled for MRI, check for

Back 6

metallic implants

Front 7

peas and beans contain

Back 7

protein

Front 8

if administering enema to a patient and the patient complains,

Back 8

dont stop the administration. just lower the height of the container to slow down the infusion.

Front 9

when walking up the stairs with crutches,

Back 9

use the "good leg" first

Front 10

to check a dark skinned patient with anemia, you best check the

Back 10

hard palate

Front 11

how many inches should the foley catheter be inserted in a male patient?

Back 11

7-9 inches

Front 12

when collecting stool from a patient,

Back 12

collect the center of the stool

Front 13

there is a fire and you are taking care of a ventilator-dependent patient, you first

Back 13

remove the patient and ambu

Front 14

heroin intoxication and signs of opiate use

Back 14

constricted pupils

Front 15

Dilantin given IVP

Back 15

do not administer more than 50mg/minute

Front 16

which electrolyte must be maintained in a steady state for a patient receiving lithium?

Back 16

sodium. low sodium equals high reabsorption of lithium.

Hint 16

lithium toxicity causes GI problems (nausea n vomiting), anti-manic & incoordination.

Front 17

normal protrhombin time

Back 17

12-20 seconds

Front 18

petal the cast means

Back 18

cover the edges with cast batting

Front 19

miller -abbot tube used for a patient with partial bowel obstruction.

Back 19

advance the tube 3-4 inches as ordered by doc

Front 20

a patient with pancreatitis taking pancreatin. his stool will

Back 20

contain less fat and occur with less frequency

Front 21

how do you prevent a spinal headache from happening after you take spinal anesthesia?

Back 21

increase fluid intake and lay the patient flat on the bed.

Front 22

bucks traction in a patient is to

Back 22

decrease muscle spasms

Front 23

best position for a patient with preeclampsia in labor

Back 23

left sims position

Front 24

dont give a patient with pancreatitis morphine because

Back 24

opiates stimulate the sphincter of oddi.

Front 25

diaphragm use for women

Back 25

do not leave it in for more than 8 hours and change the size if you have gained or lost 10 pounds.

Front 26

Following a CT scan with contrast medium, you should

Back 26

force fluids so that the dye is excreted through the kidneys and out as waste.

Front 27

you refrigerate urine because

Back 27

urea breaks down into ammonia, causing urine to become more alkaline and promoting cellular breakdown

Front 28

patient with enuresis needs bladder training. the ability to remain continent depends on the

Back 28

sympathetic nervous system

Hint 28

anti-cholinergic (anti-parasympathetic) causes urinary retention.

Front 29

which sign is associated with right sided tension pneumothorax?

Back 29

left-sided tracheal deviation

Front 30

a lab finding that would confirm sensory disturbance would be

Back 30

increased urine catecholamines

Front 31

a patient with menieres syndrome needs to limit their dietary intake of

Back 31

salt. salt increases edema which triggers menieres syndrome.

Front 32

myxedema needs to be in what diet?

Back 32

low sodium diet. because cortisol causes sodium retention.

Front 33

sarcoma is

Back 33

a bone tumor. adramycin decreases neutrophils making them prone to infection

Front 34

infants dont crawl until

Back 34

9-10 months

Front 35

what lab value will you expect to see in a patient with addisons disease?

Back 35

BUN 22.

Hint 35

normal BUN is 10-25

Front 36

antidepressants take effect

Back 36

several days to several weeks. or 3-6 months

Front 37

aldactone is what type of diuretic?

Back 37

potassium saving

Front 38

what is tetralogy of fallot

Back 38

unknown congenital heart defect.

Front 39

atropine decreases saliva secretions, use for preop.. do not give if

Back 39

patient has glaucoma

Front 40

dyspepsia

Back 40

luncheon meats can trigger this

Front 41

if a patient has a cast and is complaining of pain you

Back 41

notify the doctor first

Front 42

side effects associated with bronchodilators are

Back 42

Nausea.. irritability, rapid pulse, and palpitations, low blood pressure

Hint 42

hypotension is toxicity

Front 43

what skin changes do you see in a patient with Addisons Disease?

Back 43

bronze skin

Front 44

patient with myxedema has hypothyroid and hypopituitary

Back 44

needs to be in a low calorie diet since their metabolism is slow and provide additional blankets.

Front 45

pregnant woman complaints of painless vaginal bleeding

Back 45

apply an external fetal monitor to assess for placenta previa.

Front 46

be careful to give Timolol or "-olol" to a patient with a history emphysema because

Back 46

they cause bronchospasms.

Front 47

Monoamine oxidase inhibitors should not eat aged cheese, wine, pickled meat because

Back 47

they can cause a hypertensive crisis or "cheese syndrome" because tyramine causes a hypertensive reaction.

Front 48

if a patient has right sided weakness, he should hold the cane on the

Back 48

strong (unaffected) side.

Front 49

patient with stomach cancer had a gastric resection done. what food do you encourage him to eat?

Back 49

to eat carbohydrates to give him extra energy. energy needs after surgery.

Front 50

what is a common complaint of the client with end stage renal failure?

Back 50

itching. uric acid crystal build up causes itching.

Front 51

common complication following a myocardial infarction is

Back 51

cardiac dysrhythmia. NOT acute respiratory distress.

Front 52

patient that had a coronary artery bypass develops a high temperature. this causes

Back 52

increase in cardiac output. it increases oxygen requirements as well has cardiac output.

Front 53

a patient with a permanent pacemaker should be taught that

Back 53

the pacemaker will function continuously at a set rate.

Front 54

abdominal distension are symptoms of

Back 54

altered bowel function and possible shock.

Front 55

a patient at risk for the development of pernicious anemia is

Back 55

a patient with gastric resection

Front 56

a patient with mediterranean descent may have complication of what type of anemia?

Back 56

Cooley's anemia.

Hint 56

short life span of RBC is cooleys anemia

Front 57

what following indicates a complication of a ventriculoperitoneal shunt?

Back 57

projectile vomiting

Front 58

surgical removal of the pituitary can result in diabetes insipidus which is characterized by

Back 58

polyuria and polydipsia.

Front 59

what is a common side effect of a patient receiving magnesium sulfate?

Back 59

excessive sleeping (hypersomnolence).

Hint 59

a sign of toxicity to magnesium sulfate is oliguria.

Front 60

passive aggressive personality disorder display hostility through

Back 60

procrastination, non compliance, intentional insufficiency.

Front 61

multiple sclerosis is a demyelination disease.

Back 61

symptoms include sensation, visual problems, double vision (diplopia).

Front 62

patients on renal failure can drink which appropriate juice

Back 62

juice with less potassium. apricot juice.

Front 63

creatinine lab value

Back 63

0.6-1.5 mg/100ml

Front 64

potassium lab value

Back 64

3.5-5

Front 65

if you have hypercalcemia

Back 65

do NOT limit sodium intake.

Hint 65

sodium promotes loss of calcium by the kidneys.

Front 66

ataxia means

Back 66

unsteady gait. of the cerebellum.

Front 67

vitamin b12 is given for

Back 67

anemia

Front 68

stage 1 ulcer is when

Back 68

the skin is intact but area is pale and red.

Front 69

side effect of nitroglycerin is

Back 69

headache

Front 70

side effect of bronchodilators is

Back 70

anxiety, nausea, tachycardia.

Front 71

continuous bubbling in water seal chamber means

Back 71

it is leaking.

Front 72

19 gauge needle is used for

Back 72

obtaining blood and peripheral fat infusions.

Front 73

23 gauge needle is for

Back 73

standard IV solutions.

Front 74

25 gauge needle is for

Back 74

subcutaneous.

Front 75

specific gravity in AIDS and infection will be

Back 75

high.

Front 76

sodium level

Back 76

135-145 meq

Front 77

if you give lasix always monitor the

Back 77

weight.

Front 78

if you give coumadin always monitor the

Back 78

PTT.

Front 79

if you give digoxin always monitor the

Back 79

heart rate.

Front 80

lidocaine is a medication frequently ordered for a patient experiencing

Back 80

ventricular tachycardia

Front 81

what medicine reverses respiratory depression?

Back 81

Narcan

Front 82

Pt with CYSTIC FIBROSIS has disorder of exocrine glands. what diet do you put?

Back 82

high calorie and high protein diet.

Front 83

lipid lowering agents is contraindicated with liver disease because

Back 83

it blocks an enzyme in the liver that your body uses to make cholestero