Exam (elaborations)
NCLEX-RN 2023.
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- MedSurg Notes Nurse’s Clinical Pocket Guide
Exam of 31 pages for the course MedSurg Notes Nurse’s Clinical Pocket Guide at MedSurg Notes Nurse’s Clinical Pocket Guide (NCLEX-RN 2023.)
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NCLEX-RN 2023#1 post op complication for CERVICAL laminectomy to look out for? - ANS-pneumonia
#1 post op complication for LUMBAR laminectomy to watch for? - ANS-urinary retention
and problems with legs
#1 post op complication for THORACIC laminectomy to watch for ? - ANS-pneumonia
and paralytic illeus
3 S/S of nerve root compression? - ANS-pain, paresthesia( tingling and numbness)
paresis ( muscle weakness)
5 stages of grief - ANS-denial, anger,bargain,depression,acceptance
Absent or decreased deep-tendon reflexes - ANS-Earliest sign of magnesium toxicity
Acetaminophen - ANS-N-acetylcysteine
Most effective if given w/in 8hrs of ingesting acetaminophen
all congenial heart disease will have 2 thing whether TRouBLe or NOT TRouBLe -
ANS-1. murmurs
2. echocardiogram
always avoid answers with the following words for children under 9 months old -
ANS-build, sort, stack, make, construct
antabus/Revia onset and duration used for aversion therapy? - ANS-2 weeks
Anticholinergics - ANS-Physostigmine
Arsenic - ANS-Chelation therapy:
1.dimercarpol
2.penincillamine
3.calcium disodium edetate
4. Succimer
ASYSTOLE - ANS-
,ATRIAL FIBRILLATION - ANS-
atrial fibrillation is? - ANS-chaotic P wave depolarization
ATRIAL FLUTTER - ANS-
atrial flutter is? - ANS-rapid P wave depolarization in a "saw tooth pattern"
Be concerned about PVC's if? - ANS-more than 6 per minute
6 in a row
PVC falls on T wave of previous beat
Benzodiazepines - ANS-Flumazenil
best way to remember DI? - ANS-DI is just like DM but only with the fluids and without
the glucose
Ex. DI and DM both have high urine output
Beta blockers - ANS-(High dose) glucagon
BUN - ANS-6-20
Calcium channel blockers - ANS-Glucagon, calcium chloride, calcium gluconate
Calcium gluconate (antidote) - ANS-Magnesium toxicity
can you give calcium channel blockers on a client with supra ventricular tachycardia ? -
ANS-yes. because the indication of supra ventricular means its above the ventricle
which is were the atrial is located.
can you keep adolescents from hanging out together in the hospital? - ANS-no only
when their are fresh out of post of (less than 12 hrs)
they are immunosuppressant, or have a contagious disease
chaotic P wave depolarization? - ANS-used to describe fibrillation
Cholinergics - ANS-Atropine,pralidoxime
Classic symptoms of autonomic dysreflexia? - ANS-Severe hypotension, throbbing
headache,diaphoresis,bradycardia,flushing and piloerection.
,CREATINE NORMAL VALUES - ANS-0.6 - 1.2
Creatinine - ANS-0.6-1.3
Cyanide - ANS-Amyl nitrate
Sodium thiosulfate
Hyperbaric oxygen chamber
diet of type 2 DM - ANS-restrict calories ex. 1200,1600, 1800,2000 cal
need to eat 6 times a day. smaller but more frequent meals
Digitalis/digoxin - ANS-Digoxin antibodies: digoxin immune fab, digifab,digibind
Dnoxaparin - ANS-Protamine sulfate
duration of type R insulin? - ANS-4 hrs
Elevated CVP can indicate? - ANS-Right ventricular failure aka fluid volume over load
Ethylene glycol - ANS-Ethanol
Fomepizole
Pyridoxine hydrochloride(vitamin b6)
every congenital heart defect is either - ANS-trouble or not trouble
examples of wanna be mycin's? - ANS-azythromycin, clarithromycin, arthromycin
frequency of aminoglycolides adminstration? - ANS-every 8 hrs
Ha1c levels? - ANS-HA1C <6 = control
HA1C >8 = out of control
Hematocrit - ANS-39-50%
Hemoglobin - ANS-13.2 -17.3
Heparin - ANS-Protamine sulfate
how do give lisipro and humalog? - ANS-give it meals and not before meals
, how do you treat hyperglycemia aka HHKA,HHNC, non ketonic coma? - ANS-theres is
no need for insulin ONLY hydration.
KEEP IN MIND THAT HHKA, HHNC is just severe dehydration
How many chest tube and location for unilateral pneumohemothorax? - ANS-2 CT's
apical and basilar on side of pneumo
how many CT and where for post-op chest surgery/ chest trauma? - ANS-assume
unilateral pneumohemothorax
2 apical and basilar on side if pneumo(sx)
how many CT for Pneumohectomy? - ANS-zero because it has no pleural space
how many incisions will the patient have? - ANS-2 one at the hip and one in the spine
how to deal with a person with psychosis of delirium? - ANS-1. acknowledge feeling
2. reassure them of dsfety and temporariness
how to deal with a person with psychosis of dementia? - ANS-1. acknowledge feeling
2. redirect- get them to express the fixation that they are expressing inappropretly to
appropriate
how to obtain the MAP for the BP? - ANS-
how to put on PPE? put it on alphabetic order only that mask comes second -
ANS-gowns, mask, googles, gloves
how to remember aminoglycoslides? - ANS-think " A MEAN OLD MACIN"
how to remember steroids? - ANS-they all end in sone
how to remember Type R insulin? - ANS-fast and rapid + run fast = run it IV
bottle is clear therefore the solution can be IV drip
how to take off PPE? take it off alphabetic order - ANS-gloves, googles, gowns, mask
how to use type R insulin? - ANS-R= regular, Rapid, run IV
hyperthyroidism is also known as? - ANS-Grave's Disease
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