Mark-klimek-lectures notes National Council Licensure Examination (NCLEX) and Exam Test Bundle

Rule of B's for ABGs answer if the pH and the Bicarb are Both in the same direction it is metaBolic normal pH normal Bicarb answer pH: 7.35-7.45 Bicarb: 22-26 Kussmul respirations answer MACkussmul= metabolic acidosis S&S of acid-base imbalance answer as the pH goes, so goes my p...

Acidosis: Ph goes down: everything goes down except ____ goes up. Hyporeflexia, lethergy, _____, etc. "As Ph goes down so goes my pt" Respiratory ____ can occur answer potassium, bradycardia, arrest Alkalosis: ph goes up: everything goes _____ except potassium goes down. Can cease and ______...

Never hold the hormone for what patient? answer patient who is NPO with mydexema Addison's disease easy way to remember answer Add a Sone (sone = steroid) Best default order for click and drag order questions? answer Hold ..... med Assess ..... what med does Prepare ...... the corre...

Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ answer pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ answer ↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ answer ↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 3...

If the pH and the BiCarb are both in the same direction then it is? answer Metabolic If the pH is up it is? answer Alkalosis If the pH is down it is? answer Acidosis As the pH goes so goes my patient except for? answer Potassium If the pH is up my patient with show signs and symp...

Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG. 85 answer Low calcium diet For client with nephrolithiasis the diet should be ___ ash answer Acid If kidney stone is calcium phosphate the diet must be low in ___ too answer Phosphorus Primary diet tx for uric acid...

Prioritization questions will always have: -Age -Gender -Diagnosis -Modifying Phrase What is important? answer IGNORE age/gender Most important = modifying phrase Angina Pectoris vs Myocardial Infarction - who is higher priority? answer MI Angina Pectoris with unstable BP vs Myo...

A= answer Abnormal- Do nothing B= answer Be Concerned- Assess/Monitor C= answer Critical- Do something! D= answer Deadly Dangerous Do something NOW. You cannot take care of this. You need HELP. INR Theapeutic answer 2-3 INR >4 answer C= Critical. When INR is critic...

When does the anterior fontanel close? answer 18-24 months Infant's birthweight should ________ in 6 months. answer double Infant's birthweight should ________ in one year. answer triple Infant's respiratory rate is _____ to _____ breaths/minute. answer 30;60 Infants heart rat...

How do you measure crutches for a person? answer 2 to 3 fingerwidths below anterior axillary fold to a point lateral to and slightly in front of foot If they mention axilla or a landmark on the foot... answer They are wrong instructions When the handgrip of a crutch is properly in place th...

A first-degree burn is pale or red? answer Red A first-degree burn has vesicles. (T/F) answer False A second-degree burn is pale or red? answer Red A second-degree burn is dull or shiny? answer Shiny A second-degree burn has vesicles. (T/F) answer True A second-degree burn i...

What size needle do you use for IM? answer 21G, 1 inch What size needle do you use for SubQ? answer 25G, 5/8 inch Heparin answer -given IV or SubQ -works immediately -Antidote: protamine sulfate -monitor PTT -can be used in pregnancy -can only use for up to 3 weeks (except Lovenox) ...

In hypovolemic shock, there is a _____________ in the circulating ________ volume which ______________ tissue perfusion with ____________. answer decrease; blood; decreases; oxygen What gauge catheter would you use to start an IV in hypovolemic shock? answer 16 or larger What is the #1 cau...

A SaO2 in a pediatric patient of <95 is: answer an emergency! pathologic jaundice: answer bili high at birth. dangerous physiologic jaundice: answer bilirubin increase after 24h. Peaks at day 3 or 4. with OB questions, when in doubt: answer check the fetal HR basic peds dev...