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NCLEX study from Mark Klimek exam with complete solutions 2024_2025.
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NCLEX study from Mark Klimek exam with complete solutions 2024_2025.
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NCLEX study from Mark Klimek exam withcomplete solutions 2024/2025
Hyperthyroidism is also called - ANSWER-Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - ANSWER-"Run yourself into the Grave" -
everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot
intolerance
Treatment for Grave's disease - ANSWER-Radioactive Iodine, PTU (put thyroid
under), surgically remove
Total thyroidectomy ... totals get - ANSWER-tetany, need lifelong hormone
replacement
After thyroidectomy patients are at risk for - ANSWER-hypocalcemia, remember
hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
paresthesia - ANSWER-numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - ANSWER-storm
S/S of thyroid storm - ANSWER-Extremely high vital signs, hyperpyrexia,
psychotic delirium
How to treat thyroid storm - ANSWER-give o2, lower temp to spare brain
,Risks post op for total thyroidectomy - ANSWER-airway, hemorrhage for 1st 12
hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - ANSWER-airway, hemorrhage for 1st
12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - ANSWER-Myxedema or hypometabolism
S/S of myxedema - ANSWER-everything is down, constipation, heat tolerance,
cold intolerance
Treatment for myxedema - ANSWER-give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - ANSWER-neck pits
groin
If you cool a patient too fast what might happen? - ANSWER-Heart arrythmias
Never hold the hormone for what patient? - ANSWER-patient who is NPO with
myxedema
Addison's disease easy way to remember - ANSWER-Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - ANSWER-A in Adrenal stands
for Addison's
C in Cortex stands for Cushing's
Addison's disease is - ANSWER-undersecretion of adrenal cortex, not enough
hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - ANSWER-give a steroid, chronic steroid therapy
Cushing's syndrome - ANSWER-Over secretion of adrenal cortex, too much
hormone, too much steroid.
S/S of Cushing's syndrome - ANSWER-same as steroid use ... moon face, think
cushman "I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - ANSWER-Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
, Donning PPE's order - ANSWER-Gown, Mask, Goggles, Gloves
Removing PPE's order - ANSWER-alphabetically inside the room
For airborne precautions the mask is removed where? - ANSWER-outside of the
room
Avoid answers with what words for children 9 mths and younger? - ANSWER-
build, sort, stack, construct, make
Toddlers (1-3) work on - ANSWER-their gross motor skills (jump, hop, throw), NO
fine motor, parallel play
Preschoolers (3-6) work on - ANSWER-fine motor, balance (tumbling, dance,
tricycle), cooperative play, pretend
School age (7-11) work on - ANSWER-creative, collect, competitive
Best default order for click and drag order questions? - ANSWER-Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - ANSWER-call Doctor, NCLEX wants you to think
critically
Creatinine lab values - ANSWER-same as lithium 0.6-1.2 Not a huge worry, not a
dangerous lab to worry about
INR lab values - ANSWER-2-3, critical value if off, potential for patient to bleed.
Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare
Vit K (antidote for Coumadin), Call or notify
Potassium lab values - ANSWER-3.5-5.3 If low it is a critical lab to worry about
assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved!
Dangerous!!
pH lab values - ANSWER-7.35-7.45 if pH is in the 6;s VERY dangerous remember
as the patient's pH goes so goes the patient
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