NCLEX REVIEW Flashcards

Question

Fat embolism symptoms

Answer 1

Petechiae (red-purple spots)

Answer 2

Is a severe complication that occur 48 hours following a fracture

Answer 3

D-Dimer CT Scan

Answer 4

30 minutes

Answer 5

At the same time every day , usually at rest

Answer 6

After activity

Answer 7

Calcium channel blockers (ine)

Answer 8

Nitroglycerin

Answer 9

First-line therapy treatment for pulmonary tuberculosis

Answer 10

Peripheral neuropathy

Answer 11

B complex vitamins

Answer 12

Client falling asleep in the middle of normal daily activities

Answer 13

Anxiety and depressive disorders

Answer 14

Intense emotional bonding and attachment that occurs between a parent and a newborn shortly after birth

Answer 15

Is a standard psychosocial process where the mother links the newborn facial features to other family members

Answer 16

Refers to the rhythmic synchronization process where the mother links the newborn facial features to other family members

Answer 17

When the bonding process fails and either the infant or parent has no bond with the other

Answer 18

-Etanercept increase the risk for infection -Before the first dose the client should have a negative purified protein -After administered, the nurse should perform an assessment of the injection site

Answer 19

-Take with orange juice -Drink with with straw to avoid staining teeth

Answer 20

Predsisone Acyclovir

Answer 21

To treat migraines headaches

Answer 22

To treat ADHD

Answer 23

5-10 min before meal or while the client actively eating

Answer 24

28 days at room temperature

Answer 25

Store insulin in a cool dry place Protect insulin from direct heat and light Throw away if cloudy Store insulin synringe in upright position Store unexpired , prefilled syringe in refrigerator

Answer 26

Administered 20-30 minutes before meals

Answer 27

Newborn turn their head to the side on which the cheek is stroked

Answer 28

Newborn big toe moves upward toward the top surface of the foot , and the other toes fans out

Answer 29

Newborn wrap fingers around examiner when placed in the newborn palms

Answer 30

Newborn places index fingers and thumbs into a C shape

Answer 31

Massage it until it firm

Answer 32

Thrombocytopenia

Answer 33

Systolic blood pressure increase by up to 10 to 40 mm Hg

Answer 34

Rubra : red

Answer 35

Serosa : Pink

Answer 36

Alba : white

Answer 37

Pseudomonas aeruginosa

Answer 38

Treat SIADH

Answer 39

To facilitate drainage from the eardrum

Answer 40

Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage of damage to another organ system , most of the liver and kidney.

Answer 41

Hyperreflexia , headache , epigastric pain

Answer 42

MAOI , SSRI , like paroxetine , citolapram, tramadol , venlafaxine

Answer 43

The cervix should not be assessed for dilation

Answer 44

Rotavirus , MMR , Varicella

Answer 45

Orthodox Jewish Faith

Answer 46

Unwrap the eating utensils

Answer 47

Take furosemide early in the day to avoid nocturia

Answer 48

Memory Loss

Answer 49

Dystonic movements of the face Involuntary movement of the jaw

Answer 50

To support ventilation, decrease respiratory muscle, improve overall respiratory function.

Answer 51

Protect the gastric mucosa, decreasing gastric acid secretion, lining the stomach for protection.

Answer 52

Diabetes insipidus / Noctural enuresis

Answer 53

1-6 L 24-44%

Answer 54

4-10 L 24-55 %

Answer 55

5-8 L 40-60%

Answer 56

5-8 L 40-60%

Answer 57

100%, and is the only device to provide 100% , and is used for CO poisoning

Answer 58

Occipital lobe

Answer 59

Prevent seizure activity associated with preeclampsia and eclampsia, Delay labor progress to prevent preterm labor

Answer 60

Bulky, foul-smelling, oily stools

Answer 61

Atrial fibrillation

Answer 62

Sinus Tachycardia

Answer 63

Retain sodium does not lower it

Answer 64

To treat Excessive flatulence and it’s discomfort

Answer 65

Azithromycin , haloperidol , Ziprasidone , Ondosetron

Answer 66

To treat urinary bladder urgency and incontinence

Answer 67

Is a procedure to repair a cleft lip

Answer 68

Bulb syringe , suction equipment

Answer 69

Vomiting, report to provider

Answer 70

Vitamin B9 Thiamine Magnesium

Answer 71

Pregnancy test

Answer 72

Decrease blood pressure by causing vasodilation of the vessels. Block catecholamines from the beta receptors sites found in the heart and lungs

Answer 73

Lamotrigine

Answer 74

To derermine if patient have any blood clots in the heart

Answer 75

Diphenhydramine

Answer 76

To treat bipolar disorder Epilepsy

Answer 77

Gynecomastia

Answer 78

Involves the client creating an image in mind , concentrating on the image and gradually becoming less aware of the offending stimulus.

Answer 79

Slow movement , develops by patient with slow movement.

Answer 80

Freezing or no movement, develops with client parkinson disease

Answer 81

Used to manage and treat heart failure, To control ventricular rates in some clients with Atrial fibrillation

Answer 82

Anorexia , nausea, vomiting Neurological abnormalities can also occur early : Fatigue , headache, weakness, depression, drowsiness, nightmares.

Answer 83

Facial pain, personality changes , ocular disturbances (photophobia, diplopia, light flashes, halos around bright objects , yellow or green color perception

Answer 84

Neurological manifestations occurs when magnesium elevated : depression, drowsiness, sedation, lethargy, respiratory depression, muscle weakness, areflexia, bradycardia, hypertension

Answer 85

Is a serious obstructive inflammatory process that requires immediate intervention and that airway patency is a priority

Answer 86

Lateral neck and chest X-ray to determine degree of obstruction. Sit upright to reduce respiratory distress Place on oxygen saturation monitor Tracheostomy or intubation may be necessary if respiratory distress is severe

Answer 87

Do not examine the throat with a tongue depressor or attempting to obtain a throat culture

Answer 88

Thrombophlebitis Thromboembolic disorder Cardiovascular disease Cerebrovascular disease Breast cancer Estrogen dependent-cancer Malignant or benign tumor Impaired liver function Hypertension Diabetes mellitus with vascular involvement

Answer 89

Ventricular fibrillation

Answer 90

Defibrillate immediately If defibrillator is not available, do CPR until defibrillator arrives.

Answer 91

Left lateral side lying position with the right knee flexed

Answer 92

Left lateral side lying position with the right knee flexed

Answer 93

97.8- 99.5

Answer 94

Restlessness, followed by increase heart rate and decreased blood pressure

Answer 95

If pulse rate drops less than 60 notify your cardiologist…….

Answer 96

Physiological Safety and security needs Love and belonging Self-esteem Self-actualization

Answer 97

Gown and Gloves Face shield if splashing is anticipated

Answer 98

‘’Pril’’ Use for Hypertension

Answer 99

-Do not take antacid with medication because the antacid will affect the absorption of the medication. -Do not crush enteric-coated or sustained release tablets, also capsules should not be opened -Never adjust or change a medication dose or abruptly stop taking the medication -Avoid taking OTC or herbal supplements unless prescribed by provider

Answer 100

Pink urine (normal assessment)

Answer 101

-Individual is unable to adequately meet basic needs (food,clothing,shelter,medical care, personal safety) -Individual appears to be imminent danger to self or others

Answer 102

Tell the truth and avoid dishonesty

Answer 103

-Activities of daily living -Hygiene -Linen change -Routine, Stable vital signs -Documenting intake & output -Positioning

Answer 104

-Bulging fontanelles -Increased head circumference -Sunset eyes, sclera visible above the iris, setting-sun sign -Prominent scalp veins

Answer 105

6-10 diaper / day

Answer 106

Toes fan out and big toes dorsiflexes when plantar surface is stroked

Answer 107

30 minutes after administration

Answer 108

-Should be treated with antiemetic if Postoperative nausea, vomiting , dry heaving occur to avoid wound dehiscence , and evisceration

Answer 109

Opening between the ventricles that results in shunting of oxygenated blood from left to right ventricle

Answer 110

Heart failure

Answer 111

Heart failure

Answer 112

When the ductus arteriousus remains open causing blood to shunt from the aorta to the pulmonary artery. Loud, machine,like murmur is expected

Answer 113

Narrowing of the descending aorta, which results in increased blood flow to the upper extremities (bounding radial pulses ) , and decreased blood flow to the lower extremities.

Answer 114

-Monitoring RN findings -Reinforcing education -Routines procedures -Most medication administration m -Ostomy care -Tube patency and enteral feeding

Answer 115

Lungs sounds Bowel sounds Neurovascular checks

Answer 116

Liver disorder exclusive to pregnancy that typically occurs during the third trimester and causes generalized pruritus that is worse on the hand and feet , however no rash is present

Answer 117

Tachycardia Muffled heart sounds Jugular veins distentions Decreased BP

Answer 118

Genital herpes , taking antiviral like acyclovir

Answer 119

Do no harm

Answer 120

Client being treated as children

Answer 121

40-60 mg/dl

Answer 122

-Falls -Deteriorates significantly or dies -Has critical laboratory results -Needs prescription that requires clarification -Leaves against AMA -Refuses key treatment in a relevant period

Answer 123

Client in a coma

Answer 124

46-70 seconds 1.5 - 2 times normal

Answer 125

Increase in an intracranial pressure that results from obstruction of cerebrospinal fluid.

Answer 126

Death , brain damage

Answer 127

-Bulging fontanelles -Increased head circumference -Sunset eyes (sclera visible above the iris ) Vomiting

Answer 128

Is a liver disorder exclusive to pregnancy that typically occurs during the 3rd trimester and causes generalized pruritus that is worse on the hands and feet , however no rash is present.

Answer 129

Is a liver disorder exclusive to pregnancy that typically occurs during the 3rd trimester and causes generalized pruritus that is worse on the hands and feet , however no rash is present.

Answer 130

-Tachycardia -Muffled heart sound -Jugular vein distention -Decrease in systolic blood pressure -hypotension

Answer 131

-Communicating -Swallowing -Eating

Answer 132

-Coping -Connecting to resources

Answer 133

Herpes simplex virus (HSV)

Answer 134

Painful , vesicular lesions that form ulcers that cross over. Headache Low grade fever Malaise Paresthesia Itching at the site

Answer 135

Acyclovir (antiviral)

Answer 136

Cesarean birth

Answer 137

Hemorrhage due to esophageal varices and coagulation disorders

Answer 138

Is a sensory warning that a complex or generalized seizure will occur

Answer 139

Tachycardia , fever , hypotension, CHF, nausea, vomiting , diarrhea, altered mental status

Answer 140

Fetus has passed it first stool in utero

Answer 141

Food poisoning that occurs after consuming clostridium botulinum, which is a bacteria in soil and animal

Answer 142

Constipation , decreased head control , diminished tendon reflexes

Answer 143

Respiratory failure and arrest

Answer 144

-Maintaining head of bed <=30 to allow venous return , increase cardiac output, perfusion

Answer 145

Act that threatens the client and cause the client to fear arm, but without the client being touched

Answer 146

Involve making physical contact with the client without permission Is the intentional touching of a person that is legally defined or occurs without the person consent

Answer 147

Red, warm, peau d’orange breast tissue, breast mass

Answer 148

Palpitation Chest pain Tachycardia Hypertension Anxiety Tremors Insomnia

Answer 149

Green zone >=80% no intervention needed. Yellow zone 50-79% SABA albuterol Red zone <50% emergency medical care

Answer 150

Constipation , weakness , peripheral edema

Answer 151

SSRI ( Paroxetine )

Answer 152

-Altered mental status (agitation,confusion, hallucinations) -Neuromuscular excitement (Jitters, tremors, shivering) -Automatic symptoms (high fever, diaphoresis, diarrhea)

Answer 153

Early menarche Late menaupause Long use of menopausal therapy , estrogen, progestin pills

Answer 154

Compromised immune system client Immunosuppresed client

Answer 155

MMR Varicella zoster (chickenpox) Rotavirus Yellow fever Polio

Answer 156

Cancer Chemo / radiation Methotrexate Immunoglobulins therapy Pregnant client

Answer 157

30-45 degree angle

Answer 158

Contraction Pain in lower back, radiates to abdomen Increase cervical dilation and effacement

Answer 159

HPV MMR Live attenuated vaccine Varicella

Answer 160

Deep plantar creases Dry cracked and peeling skin Abundant scalp hair and long fingernails Minimal or absent vernix caseosa

Answer 161

Infertility

Answer 162

Folic acid ( cereals, breads, pastas, green leafy vegetables, brocolli asparagus B-Complex vitamins

Answer 163

400 mcg supplement

Answer 164

Is a system for the assessment and rating of cervical favoribility and readiness for induction of labor

Answer 165

Score of 6-8 in nulliparous women means successful induction and subsequent vaginal birth

Answer 166

Double by age of 6 months Triple by age of 12 months

Answer 167

2-3 months

Answer 168

Regular moderate intensity exercise Increase intake of high fiber (raw fruit and vegetables) Drink adequate fluid

Answer 169

>=6 months

Answer 170

Avoid pregnancy during follow up care while the health care provider monitor human chorionic gonadotropin levels to ensure that gestational trophoblastic neoplasia does not develop

Answer 171

The symphisis pubis to the top of the uterine fundus

Answer 172

12 weeks Reaches the umbilicus at : 20-22 weeks At the xiphoid : 36 weeeks

Answer 173

G=> Gravidity : number of times a person has been pregnant, regardless of pregnancy outcome. T=> Term : number of birth at 37 weeks 0 gestation and beyond P=> Preterm : Number of birth at 20 weeks 0 days to 36 weeks 6 days gestation A=> Abortion : number of pregnancy ending before 20 weeks 0 days gestation. L=> Living children

Answer 174

Down and back

Answer 175

14 weeks 6 days gestation

Answer 176

16-20 weeks Described as flutter in the abdomen

Answer 177

24-48 weeks

Answer 178

1 lb per week

Answer 179

Multiple sexual partners History of chlamydia and gonorrhea Partner with STI Age 15-25 Lack of consistent barrier contraception use

Answer 180

Lead exposure , either via ingestion of lead-based paints, or water from lead pipes, or by inhalation of contaminated dust or soil around older homes

Answer 181

Home environment should be inspected Wash hand before eating Return for follow up lead level Use hot tap water

Answer 182

Both parents must be carrier of the abnormak genes for offspring to get the disorder

Answer 183

Apply counterpressure to the client sacrum during contraction

Answer 184

Skin to skin Sexual contact vaginal anal or oral

Answer 185

Cervical cancer

Answer 186

Application of ice pack and chilled Fresh cabbage leaves Analgesic Firm breast support

Answer 187

Have cholesterol level monitored Engage in weight bearing exercise Consume dietary calcium, green leafy vegetables, low fat diary products

Answer 188

Brachial plexus nerve roots that connect neck and arms.

Answer 189

Fracture or brachial plexus injury

Answer 190

13-14 in 33-35 cm

Answer 191

TORCH ( Toxoplasmosis, Rubella, Cytomegalovirus, Herpex simplex virus )

Answer 192

Penicilin desensitization

Answer 193

Alkaline amniotic fluid and vaginal secretion or urine

Answer 194

Yellow or Green : suggest that amniotic membrane are intact Bluish color : probable rupture of membrane Presence of blood or semen may result in false positive

Answer 195

Smoking Hypertension Diabetes mellitus Hyperlipidemia

Answer 196

Preterm gestational age <37 weeks Older sibling had it Maternal blood group incompatibility Exclusive breast feeding

Answer 197

Loud blowing , musical or swooshing sounds

Answer 198

Epinephrine

Answer 199

RH sensitization in client who are RH negative

Answer 200

28 weeks gestation, or within 72 hours postpartum

Answer 201

Back of the head is located posteriorly

Answer 202

Back of the fetal head is facing neither anterior nor posterior

Answer 203

When the back of the fetal head is facing neither anterior or posterior and is facing the right side of the maternal pelvis

Answer 204

Occurs when the fetal sacrum is the presenting part

Answer 205

Ketonuria Weight loss Hypokalemia Dehydration Tachycardia

Answer 206

Test involve applying pressure to an area to assess client sensation

Answer 207

Is the difference between the pressure heard at the first korotkoff sound during expiration and the korotkoff sound heard throughout inspirations and expiration

Answer 208

Intellectual disability Developmental delay Distinct facial characteristics (indistinct philtrum,thin upper lip, epicanthal fold, flat midface , short palpebral fissures)

Answer 209

Presence of extra gluteal folds on the affected side of the

Answer 210

A : asymmetric B : Border irregularity C : Color change D: Diameter ( size of a nickel) E: Evolving appearance

Answer 211

Peripheral neuropathy Neuromotor impairment Memory loss

Answer 212

Varicella zoster virus

Answer 213

Low grade fever Swelling and erythema Irritability Rash

Answer 214

Reye syndrome

Answer 215

C : change in bowels or bladder habits A : A sore that does not heal U : unusual bleeding or discharge from a body orifice T: Thickening lump in the breast or elsewhere I : Indigestion or difficulty swallowing O : Obvious change in wart or mol N : Nagging cough or hoarseness

Answer 216

-Psychiatric disorders, prior suicide attempts -Hopelessness -Never married, divirced, separated -Living alone -Unemployed or unskilled -Physical Illness -Family history of suicide, family discord -Access to firearms -Substance abuse, impulsivity

Answer 217

Social support Family connectedness Parenthood Religion and participation in religious activities

Answer 218

Body map, to provide written record of the injuries , include a detailed description of each

Answer 219

Impairments or loss of language comprehension

Answer 220

Amenorrhea Lanugo : fine, downy hair Fluid and electrolyte imbalance Fear of weight gain Decreased metabolic rate : hypotension, bradycardia, cold intolerance, decreased body temperature

Answer 221

<18.5 kg/m2

Answer 222

CNS : irritability’s, restlessness, high pitched crying Nasal congestion, sweating , sneezing Poor feeding , diarrhea

Answer 223

Hypoxia Acute infection Fever Electrolyte imbalance Sleep deprivation Dehydration and malnutrition Metabolic disorders (hypoglycemia) Opiods and benzodiazepines

Answer 224

Show empathy or feelings Sharing hope or humor Providing information Focusing or clarifying Asking relevant information Summarize or paraphrase

Answer 225

Fever, hypertension, tachycardia, hallucinations, diaphoresis

Answer 226

Patient displaces feelings and behaviors from the patient past onto the nurse

Answer 227

Occurs when the nurse direct feelings about another person onto the client

Answer 228

Anxiety, restlessness, nausea , vomiting , pupillary dilation, tachycardia

Answer 229

Defense mechanism that involves redirecting uncomfortable thoughts or behaviors from their original source onto an object or individual.

Answer 230

Involves subconsciously assigning uncomfortable feelings to someone else of the appearance of others to cover up one’s own insecurities

Answer 231

Avoild guilt by using excuses to logically justify behavior

Answer 232

Replacing an unpleasant impulse with its opposite impulse

Answer 233

Wernicke encephalopathy

Answer 234

Characterized by pervasive suspiciousness and distrust of others

Answer 235

Characterized by a recurrent pattern of grandiosity, need for admiration, or lack of empathy

Answer 236

Fear of abandonment Extreme fragile self esteem

Answer 237

Hallucinations Delusions Apathy Alogia Anhedonia Avolition

Answer 238

Help regulate mood and improve acute manic symptoms

Answer 239

Decrease symptoms of schizophrenia

Answer 240

Elevated mood in client

Answer 241

Elevated mood in client

Answer 242

Major Depressive disorder ADHD

Answer 243

Used to treat Alzheimer and improve cognitive function by increasing the amount of acetylcholine in the brain

Answer 244

Acknowledge the client emotions Reassurance (kept the client from harm) Distraction (to divert the client attention Redirection to simple task

Answer 245

Is an intense fear and anxiety about being certain situations or spaces and unable to escape

Answer 246

Fear of heights

Answer 247

Hyperactivity, distractibility, impulsivity

Answer 248

Provide a structured, organized, and consistent environment with a daily schedule

Answer 249

Is a form of disorganized thinking characterized by rapid , shifting ideas with little or no connection

Answer 250

Difficult with abstract thinking

Answer 251

Involves transitioning from one topic to the next without getting to the point of the original idea or topic

Answer 252

Are invented words that hold meaning for the client but are meaningless to others

Answer 253

Reducing respiratory rate Lessen dyspnea Improve airflow by providing pressure that prolongs exhalation and expel trap air from the alveoli

Answer 254

A condition in children characterized by abdominal discomfort, diarrhea, constipation

Answer 255

Adding probiotic supplement to the diet Add moderate amount of fiber Developing healthy coping skills Exercise regularly Avoid substance that may exacerbate IBS like high fat food , caffeinated, beverages

Answer 256

Autoimmune neuromuscular disease that involves the attack of acetylcholine receptors by autoantibodies at the neuromuscular junction

Answer 257

Fluctuating skeletal muscle weakness

Answer 258

Difficulty speaking, swallowing, chewing Ptsosis ( eyelid drops Diplopia (double vision) Fatigue Breathing difficulty

Answer 259

Excess fluid accumulation in the inner ear

Answer 260

Vertigo , tinnitus, hearing loss

Answer 261

Low sodiun diet Avoid stimuli (flickering light, tv) Take antiemetic, antihistamine, sedative) Vestibular rehabilitation

Answer 262

Impairment verbal and written language comprehension

Answer 263

Chest physiotherapy Huff coughing Hydration Position head of bed 45-60 degrees

Answer 264

Proliferating cell first such as oral mucosa, GI tract , bone marrow

Answer 265

Transurethral resection of the prostate (TURP)

Answer 266

Obstruction and require immediate follow up

Answer 267

Left lateral trendelenburg

Answer 268

Use sitz bath and oatmeal bath to provides comfort and relief of itching and burning. Avoid sex when lesion are present as the virus spread via contact Always condoms during sex even the lesions are not present

Answer 269

Impair swallowing

Answer 270

Object on the affected side

Answer 271

Bronze skin pigmentations Hypovolemia Hypertension Hyponatremia Hyperkalemia Vitiligo

Answer 272

Chest compression Bag valve mask Epinephrine

Answer 273

Epinephrine Elevale legs Bronchodilator (albuterol) Antihistamine Corticosteroids

Answer 274

Elevating head of the bed Provide oral care with antiseptic solution Performing scheduled daily sedation vacation Practicing strict hygiene

Answer 275

Airborne precaution

Answer 276

Negative pressure room N95

Answer 277

Semi-fowler position to promote ease breathing Arm and hand on the affected side should be placed on elevated pillow to promote drainage and prevent lymphatic pooling

Answer 278

Back slaps and chest thrusts

Answer 279

Abdominal thrust

Answer 280

Abdominal pain Current jelly stools Sausage shaped abdominal mass

Answer 281

Decreased level of consciousness, muscle flaccidity, projectile vomiting , cushing triad

Answer 282

Esophagus and trachea do not properly develop

Answer 283

Fatigue , weight gain , cold intolerance, decreased gastrointestinal motility, menstrual irregularities.

Answer 284

Is a protein made by the ventricle in response to stretching caused by increased blood volume and extracellular fluid that accompany heart failure

Answer 285

Natriuses : sodium elimation

Answer 286

Elevated BNP

Answer 287

Dry skin Hoarse cry Difficulty awakening

Answer 288

Seizures High pitch cry Poor feeding Nuchal rigidity Bulging fontanelles

Answer 289

Sodium level slightly decrease Decreased urine output Water retention result in weight gain High urine specific gravity Low serum osmolarity Higher urine osmolarity

Answer 290

Frontal lobe

Answer 291

Preoxygenate with 100% oxygen Use strictly sterile techniques Suction only while withdrawing the catheter from the tracheostomy tube Limit suction to 10-15 seconds

Answer 292

Atrial depolarization

Answer 293

Ventricular depolarization

Answer 294

Pacemaker spike before the P wave

Answer 295

External rotation Abduction Muscle spasm Shortening of the affected extremities

Answer 296

Pitting edema Ascites

Answer 297

Sit upright and inhale deeply , before performing a quick forceful exhalation that creates an audible huff sounds Pursed lips during exhalation should be performing during pursed lip breathing

Answer 298

Medulla Oblongata

Answer 299

Frontal lobe

Answer 300

Parietal lobe

Answer 301

Occipital lobe

Answer 302

Cranial nerve 7

Answer 303

Semi fowler position

Answer 304

No massaging or rubbing Provide warm water soak analgesia , and report increasing pain Elevated injury area above the level of the heart Apply loose , nonadherent , sterile dressing, monitoring for compartment syndrome Tetanus immunization Assess for compartment syndrome Arteriography to evaluate perfusion Amputation may be required due to those develop gangrene or compartment syndrome

Answer 305

Check for bowel distention Removing tight clothing Raising head of the bed

Answer 306

Hypotension, tachycardia, dizziness, shoulder pain , pelvic pain, vaginal bleeding, positive pregnancy test

Answer 307

Cranial nerve 3

Answer 308

Hemorrhagic stroke

Answer 309

Sitting or high fowler position Raise the piston to preset goal marker Spirometer should be used 5-10 times every hours Hold breath 2-6 seconds after inhalation

Answer 310

Blurry spot in the middle

Answer 311

Low hemoglobin level

Answer 312

Low wbc count

Answer 313

Decreased platelets count

Answer 314

Fever Hypothermia Hypotension Tachycardia Leukocytosis

Answer 315

100-160 min

Answer 316

Too much RBC produced causing increased blood viscosity, venous stasis , and increased risk for thrombus formation

Answer 317

Therapeutic phlebotomy Low dose of aspirin Increase fluid intake Elevating legs while sitting Antihistamine cream

Answer 318

Low grade fever Night sweats Anorexia and weight loss Fatigue Cough Purulent or blood tinged sputum SOB

Answer 319

Polycythemia (elevated hematocrit)

Answer 320

Droplet precautions

Answer 321

Bile from instestine which indicate bowel obstruction

Answer 322

Sudden death in athletes due to cardiac abnormalities

Answer 323

Administer analgesics Fill a 30-60 ml sterile irrigation Attach 18-19 gauge needle and hold it 1 inch above the wound Use continuous pressure to flush the wound , repeat until drainage is clear Dry the surrounding wound area to prevent skin breakdown Clean from the least contaminated area

Answer 324

Desmopressin

Answer 325

Respiratory compromise (oral and airway, swelling, stridor, wheezing, chest tightness, Shock ( dizziness, loss of consciousness)

Answer 326

Check the infant pulse no longer than 10 seconds Provide 2 minutes of CPT till at rate of at least 100 compression

Answer 327

Tension pneumothorax

Answer 328

Crackles Pleuritic chest pain Bronchial breath sound Unequal chest expansion Dullness

Answer 329

Vaccination Eating soft food Taking acetylcholine inhibitors (pyrisdostigminr) 45-60 min before meal Planning for precipitating factors like pregnancy

Answer 330

Hypotension

Answer 331

Vagal manoeuvers : place ice bag to the client face and instruct client to hold their breath while bearing down

Answer 332

Diaphoresis Pallor , paresthesia Trembling Palpitations Anxiety Restlessness Blurred vision Cool and clammy skin

Answer 333

Left upper quadrant pain radiating to the back

Answer 334

Bronchitis

Answer 335

Is sign of hemorrhage

Answer 336

Calcium gluconate

Answer 337

Administer IV factor VIII

Answer 338

Hypotension Tachycardia Shoulder pain

Answer 339

Elevate leg 20-30 // 3-4 times daily Consume diet in high protein Vitamin C, Vitamin A, Zinc Apply compression stocking Apply fragrance free moisturizer

Answer 340

Fever Abdominal rigidity Guarding Rebound tenderness

Answer 341

Life threatening conditions that occur in response to stress

Answer 342

Take vitamin and oral supplements Use a skin barrier cream for perianal irritation Drinking at least 2000-3000 ml Continuously taking sulfasalazine after symptoms resolve

Answer 343

Gower sign: placing hand on thigh to push up to stand Enlarged calves Walking on tiptoe Frequent tripping or falling

Answer 344

Severe eyes pain Reduced central vision Blurred vision Ocular redness Halos around the light

Answer 345

Stop the transfusions Initiate normal saline to maintain IV access and prevent hypotension and vascular collapse

Answer 346

Chills Fever Low back pain Itching

Answer 347

Stop transfusion immediately and disconnect tubing Maintain IV access with normal saline Notify HCP Monitor vital signs Recheck labels, numbers , and client blood type Treat client symptoms according to HCP prescriptions Collect blood and urine specimen to evaluate for hemolysis Return blood and tubing set to the blood bank for additional testing Complete necessary facility paperwork to document the reaction

Answer 348

May give calcium gluconate

Answer 349

Neurological manifestations (blurry vision , lethargy, coma ) Severe hyperglycemia

Answer 350

Vesicular rash has a characteristic of linear dermatomal distribution and can present with severe pain

Answer 351

Is used in emergency, delivers high concentrations of oxygen (up to 90-95 % ) requires a tight face seal.

Answer 352

Delivers a higher concentrations of oxygen 40-60%

Answer 353

Used to deliver a guaranteed oxygen concentration to client

Answer 354

Open airway

Answer 355

Is a temporary artificial airway used to prevent tongue displacement and tracheal obstruction in client who are sedated or unconscious

Answer 356

Should never be taped in place because of the risk for choking and aspiration

Answer 357

Peripheral edema Jugular vein distention Increased abdominal girth Ascites

Answer 358

Reye syndrome

Answer 359

Pulmonary edema

Answer 360

Laryngospasm or edema of the upper airway

Answer 361

Pink frothy sputum Acute onset dyspnea Cough productive

Answer 362

Provide cotton blankets Administering lubricating eye drops

Answer 363

White patches on the oral mucosa, palate, and tongue Difficulty sucking or feeding

Answer 364

Atrial fibrillation

Answer 365

Lactated ringer

Answer 366

Dark Amber urine

Answer 367

High serum osmolarity Low urine specific gravity Dehydration Polydipsia

Answer 368

Prepare for surgical removal of the tumor Administration of IV hypertension Initiating 24 hr urine collection

Answer 369

Dyspnea Pain with respiratory Diminished breath sounds with dullness to percussion over the area

Answer 370

Abdominal discomfort , distention Nausea, vomiting

Answer 371

Given within 15 minutes before eaten Peak 30 min - 3hrs

Answer 372

NSAIDS Smoking Excess use of alcohol or caffeine

Answer 373

Low fowler position with knees bent to reduce tension on the open wound

Answer 374

Difficulty tolerating feeding Bilious emesis Distended abdomen No passage of meconium for 48 hours

Answer 375

IV Magnesium

Answer 376

Helps ease work of breathing in client with COPD

Answer 377

Helps to increase venous return in client with shock

Answer 378

Used in client with pneumonia

Answer 379

Vagal manoeuvers ( bearing down as if having a bowel movement

Answer 380

Immunosuppressant (HIV) antibiotic therapy

Answer 381

Respiratory issues Petechiae Neurologic impairment

Answer 382

Administer glucocorticoids (bethamethasone , dexamethasone ) to stimulate lung maturity Administration of antibiotics Initiated magnesium sulfate Give to tocolytics ( nifedipine , indomethacin ) to suppress uterine uterine activity

Answer 383

Indicates symptoms are worsening, and the client need to take rescue meds If level return to green , no changes are necessary to daily meds

Answer 384

In pregnant women

Answer 385

Upright supine position

Answer 386

Heart murmur Poor weight gain Diaphoresis Signs of heart failure

Answer 387

Low grade fever Tachycardia Cloudy outflow

Answer 388

Signs of hypocalcemia

Answer 389

One pad is placed on the chest The other pad is placed on the back

Answer 390

Rest Adequate nutrition ( adequate carbohydrates and protein intake, low fat small frequent meals)

Answer 391

Polyuria Polydipsia Hypernatremia Increased serum osmolarity Decreased urine specific gravity

Answer 392

High protein Carbohydrates Vitamin Minerals

Answer 393

Weight gain Truncal obesity Moon face Skin Atrophy Muscle weakness Hypertension Hyperglycemia Buffalo hump Hirsutism Acne

Answer 394

Inhale 2 seconds through my nose , keeping my mouth close Exhale 4 seconds through purse lips

Answer 395

Purulent drainage Red and bulging tympanic membrane Restlessness and irritability Pulling on the ear Refusal to eat

Answer 396

Prodromal phase: period with warning signs that precede the seizure Aural phase : period before the seizure where client may experience visual or other sensory changes Ictal phase : is the period of active seizure Postical phase: recovery, client may experience confusion

Answer 397

Use artificial tears and saliva

Answer 398

2 minutes of CpR in cycles of 30 high quality chest compression to 2 rescue breath , followed by activating the emergency response and obtaining an AED

Answer 399

Wash the area

Answer 400

4th intercostal space at the midaxillary line

Answer 401

Dantrolene

Answer 402

Maintain head of bed 30-45% Pause sedation to assess weaning

Answer 403

Tall, peaked T waves on the ECG

Answer 404

Costicosteroid (end in sone )

Answer 405

Infection , so report sign of infection to HCP asap Report signs of hyperglycemia

Answer 406

Myopathy ( generalized by muscle aches and weakness ) Muscle injury Hepatic dysfunction

Answer 407

Urinary retention

Answer 408

Over 60 minutes to prevent VIR

Answer 409

Vitamin A Tetracycline

Answer 410

Peptic ulcer disease

Answer 411

Blood pressure Heart rate

Answer 412

Potassium Blood pressure

Answer 413

Platelets levels Sign of bleeding

Answer 414

Muscle pain before administering

Answer 415

Behind the ear

Answer 416

Misoprotol

Answer 417

Height / Weight / Blood Pressure

Answer 418

Partial seizures

Answer 419

Neurological manifestations Ataxia Nystagmus Nausea Vomiting

Answer 420

Treat seizures

Answer 421

Muscle weakness, cramps

Answer 422

Treat cerebral edema Acute glaucoma

Answer 423

Immunocompromised Pregnant Less than 2 years of age

Answer 424

Tardive dyskinesia (uncontrollable lip smacking , hand wringing, rocking

Answer 425

Angioedema (swelling of the lips , tongue , throat, face , larynx)

Answer 426

Uncontrolled blood pressure

Answer 427

Flumazenil

Answer 428

Wait 30 minutes before washing the affected area

Answer 429

Urine and saliva may turn reddish brown but this is not harmful

Answer 430

Vastus lateralis

Answer 431

Induration >=15 Immunocompromised >=5

Answer 432

Put patient at risk for clostridium difficile associated with diarrhea, decreased bone density, pneumonia, hypomagnesemia

Answer 433

Report any muscle aches or weakness as these can lead to rhambolysis

Answer 434

Take in the morning

Answer 435

Treat iron deficiency anemia

Answer 436

Administer 1 hr or 2 before or after meals Antacids or calcium decrease absorption of iron if administered with or within 1hr of sulfate

Answer 437

Osteoporosis Bones fractures from decreased calcium absorption

Answer 438

Mild discomfort ,cramping, spotting is associated with IUD insertion Heavier bleeding Check on IUD string at least every month

Answer 439

Tremor Seizures Tachycardia Nausea Vomiting Muscles twitches Insomnia

Answer 440

Doxycycline Ace inhibitors (pril) Isotretinoin

Answer 441

Take on empty stomach preferably in the morning Seperate daily dose from antacid medication by 4 hrs Report palpitations or Diaphoresis

Answer 442

Calcium gluconate to prevent life threatening dysrhythmias After calcium gluconate meds to correct potassium level is administered

Answer 443

Epidural anesthesia Nitrous oxide Pudental nerve block

Answer 444

Increase the risk for conversion of latent TB to active TB

Answer 445

Should never be taken together

Answer 446

Put patient in left lateral position with knee flexed Hang the enema no more than 12 inches (30 cm) above the rectum to avoid overly rapid administration Lubricants the enema tubing tip and insert 3-4 inches (7.5-10 cm ) into the rectum Insert the tubing tip directed toward the umbilicus Encourage client to retain the enema (5-10 minutes ) Opening the roller clamp on the tubing to allow the solution to flow by gravity Stop if report abdominal cramps

Answer 447

Take in the evening at bedtime

Answer 448

Check pulse , Heart rate Report GI ( anorexia , nausea, abdominal pain) Report visual changes ( alterations in color vision, scotomas, blindness) Neurological changes ( lethargy, fatigue, weakness, confusion, dizzy , lightheaded)

Answer 449

Contraindicated for clients with hypertension due to the risk of seizures or stroke

Answer 450

No greater than 10 mEq/hr (10 mmol/hr

Answer 451

Lithium toxicity

Answer 452

Take medication with a full glass of water with each dose Increase fluid intake Take with meals May be taken with nsaid

Answer 453

Rheumatoid arthritis Inflammatory bowel disease

Answer 454

Crytalluria Yellow orange skin Urine discoloration Photosensitivity

Answer 455

Pain relieving effects Depression

Answer 456

Take it with a full glass of water and stay sitting upright Contraindicated with oliguria

Answer 457

Increase levothyroxine dose

Answer 458

No routine lab check required

Answer 459

Heart rate <90-110 in infants and young children Heart rate <70 in older children

Answer 460

Cesarean Birth Abnormal fetal heart rate Urine tachysystole History of renal failure

Answer 461

High risk for central line- associated bloodstream infection

Answer 462

Hypoglycemia, Weight gain

Answer 463

Increase dietary intake of folic acid

Answer 464

Take pyridoxine vitamin B6 to prevent neuropathy Avoid aluminum containing antacids Report hepatotoxicity jaundice dark urine Report numbness

Answer 465

For client with high serum potassium levels

Answer 466

To prevent stress ulcers from developing during surgery or a major illness

Answer 467

Client with glaucoma , urinary retention or benign hyperplasia

Answer 468

Causes insomnia do not administer the last dose no later than 6pm to precent disruption

Answer 469

Indomethacin increase the risk for bleeding when used concurrently with apixaban therapy Used to slow or stop premature labor Should not be given longer than 48-72 hrs or > 32 weeks gestation Constrict the ductus arteriosus and impair fetal renal function

Answer 470

Drinking at least 8-12 cups of fluid Receiving routine blood test

Answer 471

Metformin should be discontinued 24-48 hours before administration of iodined contrast Avoid in client with renal impairment

Answer 472

Pull pinna up and back to straighten the ear canal in clients >4 years old and adults Pull the pinna down and back <3 years old

Answer 473

Absent or diminished tendon reflexes Decreased respiratory rate Somnolence

Answer 474

Sexual dysfunction

Answer 475

Severe electrolyte imbalance

Answer 476

Desmopressin will lower urinary output and cause the specific gravity to increase Monitor for signs water intoxication , specially altered mental status which can indicate symptoms of hyponatremia

Answer 477

Take with food Shake well before administering

Answer 478

Enteric coated Extended release Sustained release

Answer 479

Short acting beta agonist (Albuterol , Ipratopium ) Corticosteroids ( methylprenisolone ) Oxygen saturation maintains >90%

Answer 480

It should be stored in the original container at room temperature to protect from degradation

Answer 481

Warfarin must be taken same time every day to maintain therapeutic INR Antibiotics can affect INR value Avoid NSAIDs Eat vitamin rich in vitamin k

Answer 482

Weight loss Hypertension Exacerbation of vocal / motor tics Excess brain stimulation Abuse potential

Answer 483

Suppository must be inserted past both the external and internal sphincter

Answer 484

Take 1 hour before or 2 hr after meals with water Take with dairy products or withing 2 hours of taking antacids Use sunblock due to photosensitivity

Answer 485

FAST F : facial dropping (numbness or droopiness on one side of the face) A : Arm weakness ( weakness or drifting of one arm when raised shoulder level) S : Speech difficulties (slurring speech , incomprehensible speech , inability to understand others T: Notation of the time of symptoms onset, which is critical for guiding treatment

Answer 486

Assess skin 2-3 times daily for redness , breakdown, under the straps Dress child in a shirt and knee socks Apply diapers underneath the straps Leave harness on at all times

Answer 487

Cephalic vein

Answer 488

Heart failure

Answer 489

Wash hair Avoid caffeine beverages ECG is painless

Answer 490

With intracranial pressure Stroke Head injury Heart disease Cataract surgery

Answer 491

Tradelenburg : for air embolism Side lying with head, back, knees flexed : lumbar puncture Arm raised above the head on the affected side : chest tube

Answer 492

1.Cane , 2.affected leg 3.unaffected leg

Answer 493

1.Step up with the stronger let 2. Move cane next while bearing weight on the stronger leg 3. Finally move the weaker leg up

Answer 494

Involuntary leakage of small amounts of urine when intraabdominal pressure is increased

Answer 495

Private room with negative airflow Protective gown and gloves Airborne precautions N95

Answer 496

Fetal abnormalities Stillbirth

Answer 497

Stand with feet together and hand at the sides of the body , then ask to close their eyes Loss of balance indicates ataxia is sensory

Answer 498

1.Inspections 2. Auscultation 3. Percussion 4.Palpitations

Answer 499

We Better Think High Glucose Waist circumference Blood pressure Triglycerides HDL Glucose

Answer 500

Semi fowler position Mouth care every 4 hours Turn off suction briefly every 4 hours Turn off suction briefly during auscultation

Answer 501

Elevate the affected arm

Answer 502

Proper skin care Wear a cotton t-shirt under the brace Adherence to wearing the brace

Answer 503

Side lying position

Answer 504

Elevate leg and feet while sitting Wearing support stocking Increase fluid intake during exercise and hot wearing Report sign of DVT , swelling, tenderness

Answer 505

Hydrocephalus And ICP So bulging fontanels and increasing head circumference are important indicators of bacterial meningitis may

Answer 506

Contraction are too frequent >5 contraction in 10 min

Answer 507

Bilirubin Ammonia Coagulation studies Hyponatremia and hypoalbuminea are to be expected

Answer 508

0.8-1.2 Draw lithium level 12 hours after last dose. Lab is also drawn to determine if you develop hypothyroidism

Answer 509

Mnemonic : PPM Decline serum phosphate , potassium, magnesium

Answer 510

1ml =1000 mcg

Answer 511

6-14 hours

Answer 512

GI disturbances

Answer 513

Central vein => subclavian , internal jugular vein , femoral vein

Answer 514

Administer fluid Administer meds Parenteral nutrition Hemodynamic

Answer 515

Proper hand hygiene Non sterile gloves Catheter hubs always be handled aseptically, always allow aseptic to dry before using the hub/port CVC are used to administer incompatible drugs simultaneously

Answer 516

A feeding tube , orally

Answer 517

Slowly injecting normal saline into the cvc and stopping for any resistance, injecting against resistance may cause embolism, malfunction

Answer 518

To maintain patency and prevent clotting when not in use

Answer 519

Doses of 2-3 ml of 10 units/ml or 100 units/ml Doses of 1000-10000 units are given in case of venous thromboembolism

Answer 520

Central venous pressure (right atrium monitoring)

Answer 521

In the superior vena cava vein , closest to the right atrium of the heart

Answer 522

Repositioning the client m Assessing for IV tubing , clamps, kinks or precipitate If occlusion remain contact HCP, for alteplase

Answer 523

Supine position Bear down or exhale Air occlusive dressing Pull the line cautiously

Answer 524

Cephalic vein

Answer 525

Sterile technique , wearing sterile gloves , mask

Answer 526

Tell client to turn head away from the picc line Tell client to hold breath , or perform valsalva manoeuver to prevent air entering the line

Answer 527

Hold the breath while bearing down and contracting muscle

Answer 528

Intracranial pressure Stroke Head injury Heart disease Cataract surgery Liver cirrhosis

Answer 529

Needle inserted into the pleural space to remove fluid for diagnostic or therapeutic purposes

Answer 530

Upright sitting position on the side of the bed , leaning forward over the bedside table with arms supported on pillows

Answer 531

Fetal position

Answer 532

Level of alertness Lungs sounds O2 saturation Respiratory pattern

Answer 533

Intercostal space

Answer 534

Used of fluorescent light to treat hyperbilirubinemia or jaundice in newborn clients. Convert bilirubin into water soluble form that is excreted through urine and stools

Answer 535

Fully exposed except for diaper and eye shields when placed under the phototherapy lights No lotion or ointment Monitor for skin breakdown and temperature changes May removes clients for feeding and bonding

Answer 536

Meconium (sticky, thick , black/dark green stool) may worsen hyperbilirubinemia

Answer 537

Capnography

Answer 538

Continuous feeding , no bolus

Answer 539

Positive sputum culture Leukocytosis Elevated temperature New or progressive infiltration on xray

Answer 540

Assess abdominal distention every 4hrs , assess for GI intolerance feeding Keep head of bed at >=30 degreees Keep endotracheal cuff inflated Suction any secretion Use caution when using sedation Avoid bolus

Answer 541

Barotrauma Hypotension

Answer 542

When O2 drops because of respiratory secretions

Answer 543

Oral care chlorhexidine every 2 hous Reposition side to side every 2 hours

Answer 544

Stress ulcers , so give H2 blockers or PPI

Answer 545

Use warm humidifier oxygen via facemask Oral care NPO High fowler position

Answer 546

Stool softener (docusate) to prevent straining and constipation Antimetics (ondosetron) to prevent straining with nausea Abdominal binder to provide homeostasis, support the incision, and reduce mechanical stress on the wound Monitor blood glucose Splint the abdomen by holding a pillow or folded against the wound for support when coughing and moving

Answer 547

Empty device 4-12 hours unless it is 1/2 to 2/3 full

Answer 548

80-120 ml in the firsr 24 hours , if more notify the provider

Answer 549

Administer analgesics 30-60 minutes before the procedure to decrease discomfort Fill a 30-60 ml sterile irrigation syringe with the prescribed irrigation solution Attach 18-19 gauge needle to the syringe and hold it 1 inch(2.5 cm ) qbove the wound Use continuous pressure to flush the wound Dry the surrounding area to prevent skin breakdown and irritation

Answer 550

Elevating the legs for 20-30 min 3-4 times days Consume vitamin A and Zinc Apply compression stocking Fragance free moisturizer

Answer 551

Section A : suction Control chamber Section B : Part of water seal chamber Section C : water seal chamber Section D : collection chamber

Answer 552

Continuous bubbling of fluid at the base of the water seal chamber Section

Answer 553

Drainage system is working properly

Answer 554

Drainage >3ml for 3 consecutive hours should be reported immediately to the provider

Answer 555

Drainage of >100 ml or sudden changes in quality should be reported to the HCP

Answer 556

Cephalic or basilic vein

Answer 557

Avoid sleeping on the arm Avoid lifting heavy object , however can use a squeezing soft ball or sponge Check the function of vascular access by feeling for vibration (thrill) to assess AVF patency Avoid rectrictive clothing Monitor for signs of bleeding or infection after dialysis

Answer 558

Cloudy outflow Low grade fever Tachycardia Abdominal pain Rebound tenderness

Answer 559

Assess for abdominal distention and constipation Examin the catheter for kink or obstruction Place the client in side-lying position

Answer 560

Pink to red that is moist

Answer 561

Dusky , pale, dark colored may indicate vascular compromise and should be reported to HCP

Answer 562

Clarifying enteric-coated meds Identify food that cause excess gas and odor => brocolli , cauliflower, dried beans

Answer 563

Adventitious breath sounds (rhonhi, wheezes, crackles) Altered mental status ( irritability, lethargy) Decreased O2 Increased respiratory rate Increased work of breathing ( flared nostrils, use of accessory muscle ) Pallor, mottling , cyanosis of the skin

Answer 564

Pacemaker spike before the P wave

Answer 565

Ventricular pacing

Answer 566

Sitting high fowler Seal lips around mouthpiece before slowly inhaling Hold breath 2-6 seconds Coughing to promote expectoration

Answer 567

NSAIDs =>. Remember NSAIK => N= Naproxen S=Salicyclic acid A= Aspirin I=Ibuprofen, Indomethacin K= Ketorolac ——————————————————— Ace and Arbs => pril , sartan ——————————————————— Doxycycline and tetracycline ( cycling dangerous during pregnancy ——————————————————— Carbamazepine => seizures

Answer 568

Return for a second dose 4-8 weeks Use contraception for 1 month to avoid pregnancy

Answer 569

18.5 - 24.9 kg

Answer 570

Folic acid 400 mcg / day to prevent neural tube defects Calcium 500 mg daily Iron rich foods meat and dried fruit Iron supplements ( ferrous sulfate) to prevent anemia

Answer 571

Take on empty stomach Risk for constipation Increase vitamin c to aid absorption

Answer 572

Grilled chicken Greens peanut butter Juice

Answer 573

Dried beans Seeds Peanut butter Peas

Answer 574

Dark green , leafy vegetables

Answer 575

Cereal , bread , pastas

Answer 576

Orogastric tube

Answer 577

To remove ingested toxins and irrigate the stomach

Answer 578

Aspirations Esophageal or gastric perforation Dysrhythmia

Answer 579

When overdose is lethal or can be initiated within 1 hour of the overdose

Answer 580

Activated charcoal administration but it is ineffective in some drugs (lithium, iron, alcohol.

Answer 581

Intubation and suction supplies should always be available at bedside in case aspiration, or respiratory distress

Answer 582

Dull flank pain, extended towards the umbilicus

Answer 583

SSRI : fluoxetine , escitalopram

Answer 584

Corticosteroids to reduce inflammation and accelerate neurological symptoms recovery

Answer 585

Olanzapine

Answer 586

Reduce the frequency of bladder spasms

Answer 587

Methotrexate

Answer 588

Child age of 6 and older should stand 10 feet away

Answer 589

Client feel no pain , anesthesia and muscle relaxation are administered during ECT

Answer 590

Fear of leaving the house or being in public due to the anxiety and fear of having future attacks in situations that may be embarrassing or incapacitating

Answer 591

Nausea, vomiting, diarrhea, abdominal cramping, myalgia

Answer 592

Benzodiazepine ( diazepam , lorazepam, chlordiazepoxide ) Vitamins ( thiamine, folic acid)

Answer 593

Is low , hyponatremia

Answer 594

Consume adequate dietary sodium because low sodium diet precipitates sodium toxicity Lithium take at least one for manic effects to subside and at least 2 weeks for the full therapeutic of the medication to be seen Limit intake of soda, tea, coffee Drink 2-3 liter of fluid each day to maintain normal sodium level and prevent toxicity

Answer 595

Admister slowly to prevent Ototoxicity

Answer 596

To reduce the risk for thromboembolism and stroke in client with AFIb

Answer 597

To reduce the risk for thromboembolism and stroke in client with AFIb

Answer 598

Implement measure to prevent bleeding Dabigatran capsules should be swallowed not crushed, chewed , or opened

Answer 599

To reduce symptoms of thyrotoxicosis (thyroid storm? Also treat symptoms like tachycardia, hypertension, irritability, tremors, nervousness in hyperthyroidism

Answer 600

Neuroleptic malignant syndrome that occurs 1-3 days after initiation of rapid dose

Answer 601

Hold the dose and notify the healthcare provider

Answer 602

Muscle rigidity Autonomic dysfunction (tachycardia, fluctuations blood pressure , Diaphoresis) Mental status changes Hyperthermia Hyperglycemia Overweight ( abdominal obesity) Hypertension

Answer 603

Antidepressants (amitriptyline) First generation antihistamines ( diphenhydramine ) Benzodiazepine ( diazepam

Answer 604

To lyse thrombi To restore perfusion for client having ischemic stroke

Answer 605

Surgery Stroke Head trauma

Answer 606

Should be assessed for for allergie to sulfonurea meds ( glyburide) due to potential cross sensitivity

Answer 607

Loud , wet respiratory Intervention for this finding = > Anticholinergic ( sublingual atropine , scopolamine)

Answer 608

Monitor for infection , low grade fever

Answer 609

Pregnant women and children Use seperate toilet and disposable tableware Sleep in separate bed Isolate personal laundry

Answer 610

Blood pressure and heart rate within normal limits

Answer 611

Increase intravascular oncotic pressure Increase fluid volume in client with ascites

Answer 612

Increase fluid Increase bulk diet Increase laxative Take meds with food Changing positions slowly

Answer 613

Bronchospasm

Answer 614

Aspirin / salicylates, and aspirin causes reye syndrome in children so , avoid administering in children

Answer 615

Less than <150000 indicate thrombocytopenia

Answer 616

Pregnant client

Answer 617

Severe hypertension, like systolic blood pressure <90

Answer 618

GI toxicity Kidney injury Exacerbation of fluid overload Hypertension Bleeding

Answer 619

Tachycardia Palpitations Insomnia Mild tremor Vomiting

Answer 620

To treat bradykinesia in parkinson disease To improve tremor and rigidity to some extent

Answer 621

Should never be stopped abruptly

Answer 622

Bowel sounds Review medical record of stools

Answer 623

Improve in mental status

Answer 624

To decrease serum ammonia level

Answer 625

Turn urine orange red color Alleviate dysuria

Answer 626

Lavender , aromatherapy

Answer 627

Valerian root Kava Melatonin Benzodiazepines

Answer 628

Assess dietary intake Liver function test Pregnancy status

Answer 629

Beta blocker ( metoprolol , timolol ) Calcium channel blocker ( diltiazem , verapamil

Answer 630

Lithium toxicity

Answer 631

To treat vaginal candidiasis

Answer 632

At bedtime

Answer 633

Wear loose-fitting cotton underwear Refrain from swxual intercourse

Answer 634

Within 15 minutes of administration

Answer 635

Aspart Lispro Glulisine

Answer 636

Use 2 form of contraception consistently

Answer 637

Can safely administer in client in active labor who is likely to give birth at least in 2-4 hours after opioid administration

Answer 638

Decrease BP Increase pulse rate Output greater than intake Hypernatremia Low K

Answer 639

2-49 , but do not give to immunocompromised or less than 2 years child Do not give to immunocompromised Do not give to pregnant client

Answer 640

For mild moderate chronic RA For inflammatory disease

Answer 641

Most hypertensive Most antipsychotic, depressant Volume depleting agent

Answer 642

Elevated mood Greater energy level Heart rate within normal limit

Answer 643

Hepatotoxicity (jaundice, vomiting , dark urine, fatigue ) Peripheral neuropathy ( numbness, tingling of extremities)

Answer 644

Avoid alcohol Avoid aluminum antacids

Answer 645

To treat and prevent receptor-positive breast cancer

Answer 646

Deep vein (thromboembolic events) Endometrial cancer

Answer 647

Watch for vision changes

Answer 648

Ace inhibitors Angiotensin receptor blocker

Answer 649

Must be given with meals Form thick layer of paste that adhere to the ulcer surface to prevent further damage and promoting healing

Answer 650

Active bleeding Recent trauma Surgery Hemorrhagic stroke Uncontrollable hypertension

Answer 651

Acute thrombolytic events

Answer 652

Development of drug induce hepatitis

Answer 653

Adalimumab ( tumor necrosis factor TNS )

Answer 654

For client with high serum potassium levels , to remove excess potassium in the body

Answer 655

Glucose level

Answer 656

Shake bottle before measuring the dose Swish the suspension in the mouth before swallowing Avoid eating at least 30 min after administration Monitor oral mucus membranes for signs of irritation ( redness , swelling)

Answer 657

Bone marrow suppression Hepatotoxicity GI irritation

Answer 658

Taken with or within 1 hour of meals that contain fat. If a meal does not contain fat , then the dose may be skipped

Answer 659

MI Stroke Exacerbation of heart failure

Answer 660

MI Stroke Exacerbation of heart failure

Answer 661

Diuretics Antihypertensive

Answer 662

Cardiovascular disease Hypertension

Answer 663

Treat hypertension, heart failure But ARBS are prescribed to client who can’t tolerate the chronic cough caused by ace

Answer 664

To treat schizophrenia in client who have not improved with other meds

Answer 665

Monitor for signs of infection Monitor follow up lab because clozapine may cause neutropenia

Answer 666

Agranulocytosis Myocarditis Sialorrhea Weight gain

Answer 667

Injecting into the outer thigh at 90 angle at symptoms onset Seeking immediate medical care after device use Storing in a dark place at room temperature Palpitations, tachycardia, dizziness may occur after injection

Answer 668

Ventricular dysrhythmia

Answer 669

Seizure Cardiac dysrythmia Insomnia

Answer 670

Hold entering feeding for 1-2 hours before and after administering phenytoin Establish cardiac monitoring when administering phenytoin

Answer 671

Fertilized eggs implants begin to grow outside of uterus often in the fallopian tubes

Answer 672

Hemorrhage, so it requires surgery

Answer 673

Postpartum hemorrhage is a total blood loss >=1000 ml Accompanied by hypovolemia that can be life threatening

Answer 674

Uterine over distended Oxytocin Magnesium sulfate Prolonged labor Precipitous birth

Answer 675

Within 12 hours of birth

Answer 676

Assess for birth injuries Monitor blood glucose Encourages feeding every 2-3 hours Report capillaries blood reading <40

Answer 677

Preterm birth in clients with cervical insufficiency

Answer 678

Low back pain Discomfort Regular contraction that intensify Pelvic pressure

Answer 679

Birth defects and developmental dysfunction So avoid travel to zika areas

Answer 680

Use of sleep sack Supine sleep positioning Proper car seat use : snuggly fitted harness, rear facing , back seat placement

Answer 681

Minimal to absent vernix caseosa Dry cracked Peeling skin Deep plantar creases , Long fingernail Scalp hair

Answer 682

Timing of the event Verbalizing passing time Perform McRobert manoeuver Apply suprapubic pressure

Answer 683

Brain or spinal cord underdevelopment or damage

Answer 684

Polycythemia ( hematocrit >65 %

Answer 685

Decreased muscle tone Sacral dimple Single artery

Answer 686

Congenital dermal melanocytosis So measure and document the size and location of the markings

Answer 687

Penicillin, so if allergic penicillin desensitization is necessary

Answer 688

Normal finding , bluish discoloration of the newborn hands and feet

Answer 689

Placing newborn skin to skin with the parent

Answer 690

Keep umbilical area dry No antiseptic to the stump Report signs of infection

Answer 691

Presence of at least two large bore iv Available blood product

Answer 692

Administer antibiotics

Answer 693

Require precise administration so administer via secondary IV line Titrate oxytocin Has antidiuretic effect so monitor urine output

Answer 694

Early ambulation Perform leg exercises Maintain sequential compression device

Answer 695

Hemoglobin and hematocrit

Answer 696

Fetus is in cephalic presentation

Answer 697

Avoid sexual intercourse and tub baths two weeks to prevent infection. Use ibuprofen to alleviate cramping Reports foul smelling vaginal discharge , bleeding, severe pain

Answer 698

Tuft of hair Hemangioma Nevus Dimple along the base of the spine

Answer 699

Minimize environmental stimuli Provide comfort swaddling Gently rocking newborn

Answer 700

Fetal macrosomia Shoulder dystocia Polyhydramnios

Answer 701

Warm the heel Select location on the lateral or medial aspect of the heel puncture with an automatic lancet ( never use needle ) Cleanse area with alcohol pad Wipe the first drop of blood to prevent false reading

Answer 702

Dysplasia Hydrocephalus Neurogenic bladder Infection

Answer 703

After 48-96 hours following last drink

Answer 704

Low sodium and fat High calcium , potassium, fiber

Answer 705

Reduced visual acuity when viewing objects at a distance Clients with myopia need to hold objects near their face or sit near objects to see clearly

Answer 706

Headache, dizziness, decreased school performance from eye strain

Answer 707

Perineal itching Restlessness Disturbed sleep Noctural enuresis

Answer 708

Via fecal route by touching contaminated objects

Answer 709

Dehydration

Answer 710

Streptococcal infection

Answer 711

Distinctive red rash

Answer 712

Throat culture Rapid streptococcal antigen

Answer 713

Low grade fever Swelling and erythema Irritability Rash up 1 month after injection

Answer 714

4-6 months

Answer 715

Ask for help restraining the client arm stabilizing the head Pull down and back on the pinna Insert speculum no further than the outer external auditory canal Insoect tympanic membrane for infection

Answer 716

Testicular enlargement

Answer 717

Heart murmur on auscultation

Answer 718

12-15 months

Answer 719

Deformity characterized by lateral curvature of the spine

Answer 720

Within 6 months of the appearance of the first tooth

Answer 721

Unused , prepared formula should be stored in the refrigerator, if unused discarded after 24 hours

Answer 722

Installing high-efficiency particulate air filter Applying hypoallergenic pillow and mattress covers Moping floors and damp-dusting furniture frequently Keep windows closed

Answer 723

Strategy to reduce risk of bleeding Ensure medical bracelet wear at all times Encourage participation in noncontact sports

Answer 724

Strategy to reduce risk of bleeding Ensure medical bracelet wear at all times Encourage participation in noncontact sports

Answer 725

Asymmetrical or extra gluteal fold on the affected side

Answer 726

Aerobic exercise Chest physiotherapy Increase fluid intake High fat and calories Social services

Answer 727

Elevete head of bed Implement pain reduction Remove elbow restraints

Answer 728

External rotation Abduction Muscle spasm Shortening of the affected extremities

Answer 729

Kinked blocked catheter Bladder spasm Postoperative pain

Answer 730

Temporay of permanent pacemaker Prepare client for temporary transcutaneous pacing

Answer 731

4 ml X body weight x % total body surface area

Answer 732

Have cholesterol level monitored Consume calcium rich food Weight bearing exercise Seek support emotional

Answer 733

Position the client side lying with the affected ear up Pull pinna up and back Instruct client remain side lying 2-3 minutes Place cotton ball loosely in the outer ear for 15 minutes

Answer 734

Deltoid Vastus lateralis Ventrogluteal

Answer 735

Used for pain relief but short term due to the risk of bleeding Z-Track method is used Use 1-10 1/2 inn needle

Answer 736

Used for pain relief but short term due to the risk of bleeding Z-Track method is used Use 1-10 1/2 inn needle

Answer 737

Airborne and contact : both

Answer 738

Use non dominant hand to spread the labia majora and minora before cleansing the urinary meatus

Answer 739

Application of hot and cold compresses Nsaid / acetaminophen Sleeping in side lying position or supine

Answer 740

Put on dry , hairless area on the upper arm or chest

Answer 741

Take in the morning Rinse mouth with water Site upright and inhale deeply , several times , and cough prior to expectoring

Answer 742

Use package pre-moistened cloths containing chlorhexidine to bathe the client to reduce the spread of infection

Answer 743

Check gastric residual volume Place client in high fowler position Verify the gastric PH is <5, return aspirated GRV to the stomach Flush tube before and after feeding

Answer 744

Quality of life and symptoms management Palliative cate is provide by a multidisciplinary team Palliative care provide relief symptoms associated with chronic illness

Answer 745

Maintain standard or isolation precautions in place at time of the death Gently closed the client eyes Removes tube and dressing Straighten and wash the body Pad under the perineum Place pillow under the head Remove equipment and soiled linen in the room Give client belongings to a family member or send them with the body

Answer 746

P : pull the pin A. : Aim the spray S : squeze the handle S. : sweep spray

Answer 747

Elevating legs Maintain head of bef =<30 degree

Answer 748

Sudden onset of severe abdominal pain in the left upper quadrant

Answer 749

Ac Pc Qid Cm

Answer 750

In a inflammation of a vein that occur as complication of IV therapy

Answer 751

Pain Warmth Swelling

Answer 752

Ripping back pain

Answer 753

Tissue is damaged and myoglobin is released into the blood

Answer 754

Dark colored urine Elevated creatine kinase

Answer 755

70 - 105 mm Hg

Answer 756

Dry mouth Blurred vision

Answer 757

Loss excess weight Anticholinergic meds ( oxybutynin) Avoidance of bladder irritants Pelvic floor exercises Bladder training

Answer 758

Manually close the eyelid after applying artificial tears Tape the eyelid shut to prevent excessive drying of the eye Eat soft , high calorie food on the unaffected side to prevent choking Use warm , moist compress for pain relief

Answer 759

Administer 1L sodium chloride IV bolus Initiate continuous iv insulin infusion Obtain serum blood glucose Initiate cardiac monitoring

Answer 760

Hydrocortisone

Answer 761

Varicose vein Edema and brown Hardened skin on the lower extremities

Answer 762

Open airway

Answer 763

Routine vaccination Avoid raw/undercooked food

Answer 764

Wear wrist immobilization splint

Answer 765

Sit upright and inhale deeply before forcefully exhaling

Answer 766

Sit upright and inhale deeply before forcefully exhaling

Answer 767

Loosen and clear secretions for clients with COPD

Answer 768

Applying sequential compression device Placing abductors pillow between the leg Maintain head of bed <60

Answer 769

Prevent constipation ( high fiber , increase fluid intake , regular exercise) Regular exercise NPO NG suction Best rest Antibiotics, analgesics

Answer 770

Pain by weight bearing Morning stiffness subsiding within 30 minutes Decreased joint mobility Range of motion Atrophy and supporting muscle

Answer 771

Pleuritic chest pain that is sharp aggravated during inspirations and coughing

Answer 772

History of chickenpox

Answer 773

Intraocular pressure Gradual loss of peripheral vision

Answer 774

Maintain NPO Opioid analgesia for pain IV fluid administration

Answer 775

Maintain NPO Opioid analgesia for pain IV fluid administration

Answer 776

Report foul odors or hot area in cast Prevent cast from getting wet Elevate the extremity above heart level for the first 48 hours Regularly exercising the affected extremity Report symptoms of impair circulation (numbness, tingling, pallor , coolness) Never insert object under the cast

Answer 777

Iz beta blocker to maintain normal pressure in aorta

Answer 778

Highest period transmission usually occur 1 day before symptoms begin and continue for at least 5-7 days after the illness stage begins

Answer 779

To improve hemodynamic status in clients with shock and heart failure

Answer 780

Heart rate Blood pressure Cardiac output Urine output

Answer 781

Amiodarone Amitriptyline Ondansetron

Answer 782

Prolinged QT interval , causes by hypomagnesemia

Answer 783

Dry eyes and mouth So use artificial tears and saliva

Answer 784

Implement fixed voiding schedule Teach technique to emptying bladder (valsa manoeuver , Credé manoeuver, double voiding ) Monitor for perineal skin breakdown Measure postvoid residual volume

Answer 785

Pelvic organ prolapse

Answer 786

Ammonia Biliburin Prothrombin time

Answer 787

Perform vagal manoeuver ( bear down if having bowel movement

Answer 788

Posture and balance

Answer 789

80-120 ml for first 24 hours

Answer 790

Bed rest with affected extremity straightening Head of bed <=30

Answer 791

Low fowler position

Answer 792

Intact skin with non-blanchable redness

Answer 793

Partial thickness skin loss, presenting as shallow open ulcer or blister

Answer 794

Full thickness skin loss with extensive tissue damage including muscle , bone , or supporting structures

Answer 795

Full thickness skin loss with extensive tissue damage including muscle, bone , or supporting structure

Answer 796

Full thickness skin loss with the base of the ulcer covered by slough or eschar

Answer 797

Leukocyte-reduced blood product

Answer 798

Seizure longer than 5 minutes Repeated seizure over 30 minutes

Answer 799

Place client on their side Loosen any restrictive clothes Parenteral benzodiazepines (lorazepam) or barbiturates

Answer 800

Furosemide Vancomycin Ibuprofen Enalapril

NCLEX REVIEW Flashcards

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