2023 NCLEX RN Uworld Comprehensive Study Guide, Exams of Nursing

Download 2023 NCLEX RN Uworld Comprehensive Study Guide and more Exams Nursing in PDF only on Docsity! 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 1/129 2023 NCLEX RN Uworld Comprehensive Study Guide Updated May 2023 with Questions, Answers, and Rationale from Actual Exam 1700+ Terms what will damage to the occipital lobe cause? --------- Correct Answer -------- visual disturbances what do advanced care documents include? --------- Correct Answer -------- healthy care proxy and living will if pt comes into ER and says they have the worst HA of their life what could it be --------- Correct Answer -------- an aneurysm what is the most important med to give for anaphylactic shock? --------- Correct Answer -------- IM epinephrine what are mongolian spots? --------- Correct Answer -------- benign discoloration bluish gray but usually fades after an amputation, should the residual limb be elevated? --------- Correct Answer -------- NO, to prevent hip flexion contractures buck traction --------- Correct Answer -------- immobilizes hip and femur fractures . the weight pulls the limb into traction. the foot of the bed is elevated following total hip replacement, how is hip dislocation prevented? --------- Correct Answer -------- using an abductor pillow to maintain hip in a straight position. dont bend hip more than 90 deg before starting broad spectrum antibiotics, what must be done? --------- Correct Answer -------- blood culture and sensitivity what is HELLP related to pregnancy? --------- Correct Answer -------- Hemolysis Elevated Liver enzymes Low Platelet it is a severe sign of preeclampsia. symptoms may be RUQ pain n/v and malaise normal sodium --------- Correct Answer -------- 135-145 homonymous hemianopsia --------- Correct Answer -------- loss in half of the visual field on the same side oxytocin --------- Correct Answer -------- induction or augmentation of labor 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 2/129 should be given by an electronic infusion pump requires frequent mother/fetal assessment adverse affects: maternal hypotension and water intoxication what are some seizure triggers? --------- Correct Answer -------- excess caffeine, alcohol, sleep deprivation, and stress phenytoin --------- Correct Answer -------- gingival hyperplasia dont give nsaids with nasal polyps --------- Correct Answer -------- dont give beta blockers to asthma patient --------- Correct Answer -------- treat asthma with --------- Correct Answer -------- albuterol. SE: n/v, insomnia, palpitations, tremor proton pump inhibitors can increase the risk of --------- Correct Answer -------- C-diff common proton pump inhibitors PPIs --------- Correct Answer -------- Prazoles: omeprazole, lansoprazole, etc heparin is measured thru what levels? --------- Correct Answer -------- PTT normal wbcs --------- Correct Answer -------- 4,000-11,000 a pt with heparin should have a ptt of 1.5-2 times the normal range which is 25-35 scds --------- Correct Answer -------- what is the causitive agent of fifth disease? --------- Correct Answer -------- human parvovirus fifth disease --------- Correct Answer -------- "slapped face" distinct red rash on cheeks its on communicable before the onset of symptoms spreads via respiratory PKU --------- Correct Answer -------- low phenylalanine diet specal infant formula no meat eggs or dairy warning signs of cancer --------- Correct Answer -------- CAUTION what do rales (crackles) indicate? --------- Correct Answer -------- fluid in the lungs proper nasal spray administration --------- Correct Answer -------- high fowlers and head bowed slightly forward 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 5/129 what is Docusate --------- Correct Answer -------- stool softener what is the beers criteria? --------- Correct Answer -------- list of drugs that are dangerous in the elderly what are foods high in vitamin k? --------- Correct Answer -------- leafy green veggies, asparagus, brocoli, kale, brussel sprout, spinach some symptoms of tardive dyskinesia --------- Correct Answer -------- unusualy movements of arms, legs, face, body metoclopramide --------- Correct Answer -------- can cause tardive dyskinesia therapeutic trough levels of vancomycin --------- Correct Answer -------- 10-20 normal creatinine level --------- Correct Answer -------- 0.6-1.3 normal BUN level --------- Correct Answer -------- 6-20 elevated bun and creatinine may indicate what? --------- Correct Answer -------- nephrotoxicity first level priority problems --------- Correct Answer -------- airway breathing circulation & cardiac (become first priority in cardiac arrest) vital signs second level priority problems --------- Correct Answer -------- altered mental status acute pain untreated medical problems (like hyperglycemia in client with diabetes) chronic pain acute elimination problems abnormal lab results risk for infection, safety where should the nurse listen for a bruit in abdominal aneyurism --------- Correct Answer -------- epigastric/periumbilical area what are TORCH infections --------- Correct Answer -------- cause fetal abnormalities in pregnant women what does TORCH stand for? --------- Correct Answer -------- T: toxoplasmosis O: otherparvo- b 19, varicella zoster R: rubella C: cytomeglovirus 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 6/129 H: herpes pt with measles precautions --------- Correct Answer -------- airborne and neg pressure room n95 respirators priority intervention for excema --------- Correct Answer -------- prevent scratching when are pancreativ supplements taken? --------- Correct Answer -------- with or judt before every meal what will chronic pancreatitis show in stool --------- Correct Answer -------- greasy, foamy, foul-smelling, fatty how about biliary obstruction --------- Correct Answer -------- light gray clay colored RA causes bilateral symmetrical pain insmall joints of hands wrists and feet --------- Correct Answer -------- displacement --------- Correct Answer -------- angry at boss and comes home yelling at wife warfarin --------- Correct Answer -------- monthly INR spironolactone --------- Correct Answer -------- potassium sparing diuretic liver dysfunction abnormalities --------- Correct Answer -------- low albumin, high ammonia, elevated INR/PT, increased bilirubin, low platelets symptoms of malignant hyperthermia --------- Correct Answer -------- tachycardia, tachypnea, rigid jaw, high fever. it is triggered by drugs used for anesthesia give them IV DANTROLENE PTSD patients tend to --------- Correct Answer -------- blame themselves. make sure to tell them it wasnt their fault how to use the peak flow meter for asthma --------- Correct Answer -------- exhale quickly and forcibly thru the mouthpiece nursing care for acute pancreatitis --------- Correct Answer -------- NPO IV opioids IV fluids NG tube for suction what puts a patient at risk for preterm labor? --------- Correct Answer -------- infection like periodontal disease 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 7/129 symptoms of active tuberculosis --------- Correct Answer -------- cough, ,fever/chills, malaise, weight loss, night sweats, anorexia, fatigue positive T skin test abnormal chest xray can transmit latent TB infection --------- Correct Answer -------- positive TST, neg chest xray, asymptomatic, cant transmit what medications interact with grapefruit? --------- Correct Answer -------- calcium channel blockers: diltiazem, nifedipine, verapamil, etc statins caffeine SSRIs be sure to practice math! --------- Correct Answer -------- stent placement using the femoral approach puts you at risk for retroperitoneal hemorrhage --------- Correct Answer -------- what are early signs of bleeding into the retroperitoneal space? --------- Correct Answer -------- hypotension, back pain, flank ecchymosis (grey turner sign), hematoma formation, diminshed distal pulses what is the grey-turner sign and what is it a sign of? --------- Correct Answer -------- bruising of the flanks and retroperitoneal hemorrhage and is a bluish color what are some physical signs of peripheral arterial disease? --------- Correct Answer -------- intermittent calf muscle pain?, rest pain, hair loss, decreased peripheral pulses, cool, dry, shiny skin, thick brittle nails, gangrene, ulcers (all of these are in the extremities) transplanted hearts are expected to be --------- Correct Answer -------- tachycardic like 90-110 what is the priority intervention for pain with sickle cell crisis and why? --------- Correct Answer -------- administer IV fluids to reduce blood viscosity and restore perfusion to areas affected by vasoocclusion what is the purpose of continuous bladder irrigation? --------- Correct Answer -------- it is perscribed after TURP to prevent obstruction of urine outflow by removing clotted blood from the bladder 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 10/129 memorize MAOIs and remember --------- Correct Answer -------- they cant eat foods high in tyramine like aged cheese, yogurt, fermented foods, beer, red wine, cocolate, avocados do not give lasix to a pneumonia patient with fine crackles bc they dont result from heart failure or edema --------- Correct Answer -------- you can give pneumonia patient exportants, antibiotics, mucolytics, antipyretics, analgesics, and antinflammatories examples are --------- Correct Answer -------- Mucinex, Ibuprofin, decerebrate posturing (toes point down and amrs/legs straight out) is a sign of --------- Correct Answer -------- severe brain damage near drowning hypothermia --------- Correct Answer -------- warm iv fluids, blankets, and air also will find weak and thready pulse a client is not dead until warm and dead!!! --------- Correct Answer -------- nc sometimes a pt is so cold that a pulse cannot be felt intussusception causes intestinal obstruction --------- Correct Answer -------- ileum telescopes into cecum, pain obstruction, edema, compression of BVs, bowel ischemia, rectal bleeing (CURRANT JELLY stools) signs of intussusceotion --------- Correct Answer -------- inital periodic pain with legs drawn up to abdomen, pain is severe and progressive though, inconsolable crying, blood/mucousy stools "current jelly" how is it treated? --------- Correct Answer -------- an air enema guaifenesin (Mucinex) --------- Correct Answer -------- expecorant med that inc resp fluids and thins secretions to facilitate expectoration erythropoeitin Epogen --------- Correct Answer -------- stimulates bone marrow to make RBCs and combats the effects of chemo and used for kidney disease when is hemoccult done? --------- Correct Answer -------- when hidden (occult) blood is suspected due to dark and tarry stool treat intussusception with --------- Correct Answer -------- AIR ENEMA tetraology of fallot --------- Correct Answer -------- exacerbation can happen when infant or child cries, becomes upset, or is feeding you immediately place them in KNEE CHEST position 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 11/129 hemolytic uremic syndrome --------- Correct Answer -------- life threatening complication of e. coli diarhea what are the signs? --------- Correct Answer -------- anemia (pallor), low platelets (petechiae and purpura, and acute kidney injury (low UO) cognitive behavioral therapy (CBT) 5 basic components --------- Correct Answer -------- education about pts disorder self observing and monitoring relaxation techniques cognitive restructuring behavioral strategies speicen collection from a foley is considered sterile and should not be delegated to uap --------- Correct Answer -------- a clients first and last name is not PHI privileged health info --------- Correct Answer -------- it is not a violation to cal them by their first and last names or have info heard inadvertently what happens if a client does not full undersnad infromed consent?q --------- Correct Answer -------- the nurse must contact the doctor. the nurse is not responsible for verifiying that the client understands how to stop epistaxis --------- Correct Answer -------- tilt the head forward and apply direct continuous pressure on the alaes (sides) for about 5-20 mins can also hold a cold washcloth to the bridge of nose for vasoconstriction keep child calm and quiet IV iodinated contrast used for ct scan can cause --------- Correct Answer -------- kidney injury metformin is discontinued on the day of IV iodine contrast exposure --------- Correct Answer -------- Amlodipine --------- Correct Answer -------- calcium channel blocker used to treat hypertension Gabapentin (Neurontin) --------- Correct Answer -------- used for neuropathic pain Phenytoin (Dilantin) --------- Correct Answer -------- antiseizure Glipizide --------- Correct Answer -------- oral sulfonylurea controls blood sugar Levofloxacin (Levaquin) --------- Correct Answer -------- antibiotic 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 12/129 testicular self examination --------- Correct Answer -------- perform monthly and on same day perform while taking hot shower bc temps will relax scrotal tissue and make testis hang lower in scrotum use both hands to feel each testis separately palpate gently using thumb and first 2 fingers normal calcium level --------- Correct Answer -------- 8.6-10.2 review heart rhythms --------- Correct Answer -------- lactated ringers is often used for burns --------- Correct Answer -------- addisons disease= hyperpigmentation of the skin --------- Correct Answer -------- what is one of the earliest signs of ICP? --------- Correct Answer -------- change in respsonsiveness what are some expected symptoms in a TBI? --------- Correct Answer -------- low grade constant HA, slowness in thinking, memory problems, loss of balance, poor coordination, constant exhaustion, inc sensitivity to light, and heightened irritability all symtpoms that can last up to 6 weeks bacterial meningitis --------- Correct Answer -------- high fever change in loc nuchal rigidity meningeal signs (positive kernig and brudzinski signs)-- treat with antibiotics what is the kernig sign? --------- Correct Answer -------- patient lies supine, thigh is flexed at right angle, and it hurts to extend leg what is the brudzinski sign? --------- Correct Answer -------- bending of neck causes flexion of knee and hip what are these 3 signs indicative of? --------- Correct Answer -------- meningitis client identifiers --------- Correct Answer -------- first and last name medical record number DOB expected term newborn findings --------- Correct Answer -------- plantar creases up entire sole presence of babinski Epstein's pearls 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 15/129 what is in the lpn scope of practice? --------- Correct Answer -------- monitor RN findings reinforce education routine procedures like catheterization most medication administrations ostomy care tube patency and enteral feeding specific assessments notify hcp if child temp is over 100.4 after immunizations --------- Correct Answer -------- what are common SE of immunizations? --------- Correct Answer -------- mild fever and soreness and redness at injection site anorexia/fussiness in the first 24 hours GP llb/llla receptor inhibitors (abciximab, etc) can cause serious BLEEDING --------- Correct Answer -------- careful monitoring of puncture site after percutaneous coronary intervention signs of internal bleeding and to watch carefully when GP llb/llla receptor inhibitors are given --------- Correct Answer -------- hypotension, tachycardia, changes in heart rhythm, blood in urine, abom/back pain, mental status changes, black tarry stools thrombocytopenia --------- Correct Answer -------- low platelet count; so this increases risk for bleeding what is SIADH? --------- Correct Answer -------- high antidiuretic hormone production leads to water retention increased total body water DILUTIONAL HYPONATREMIA -will see signs of fluid volume overload, changes in loc, weight gain w/o edema, hypertension, tachycardia -seizure precautions what can hyponatremia cause? --------- Correct Answer -------- SEIZURES, confusion, neurologic complications institute seizure precautions treatment of SIADH --------- Correct Answer -------- fluid restriction less than 1000 ml per day oral salt tablets to inc serum sodium hypertonic saline (3%) or NS IV and/or vasopresson receptor antagonists to decrease renal response to ADH 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 16/129 so a pt with SIADH --------- Correct Answer -------- does not need extra fluid needs salt seizure precautions strict I/Os RACE for FIRES in a hospital --------- Correct Answer -------- R: rescue any pts in immediate danger and move them to safety A: alarm- sound alarm C: confine fire by closing all doors to all rooms E: extinguish fire with extinguisher what is asystole? --------- Correct Answer -------- complete absence of ventricular electrical activity in the heart. no ventricular contraction occurs client is pulseless, apneic, and unresponsive how to treat asystole? --------- Correct Answer -------- CPR initiate advanced cardiac life support give epinephrine and/or vasopressin place an airway hepatic encephalopathy --------- Correct Answer -------- sleep disturbances (early), lethargy, coma, mental status altered, not oriented to person place or time, asterixis- flapping tremor of hands, fetor hepaticus, elevated ammonia asterixis --------- Correct Answer -------- flapping tremors of the hands how is asterixis assessed? --------- Correct Answer -------- have pt extend the arms and dorsiflex the wrist what is the drug of choice for SVT? --------- Correct Answer -------- adenosine- administer it rapidly over 1-2 scds and flush after administer as close to heart as possible before the med, how is SVT usually treated? --------- Correct Answer -------- vagal maneuvers what is adenosine? --------- Correct Answer -------- an arrhythmic it treats irregular heartbeats what is the purpose of having a pt do a vagal maneuver? --------- Correct Answer -------- full weight bearing --------- Correct Answer -------- independent; no assistance needed unless they are uncooperative or they are a fall risk, which is 1 person standby partial weight bearing --------- Correct Answer -------- 1 person assist stand & pivot transfer with gait belt or motorized assist device if cooperative 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 17/129 2 person assist with full body sling if uncooperative no weight bearing --------- Correct Answer -------- motorized assist device if cooperative and they have upper body strength 2 person assist with full body sling if uncooperative and/or has no upper body strength clients should use as much of their own weight as possible --------- Correct Answer -------- how to measure how to safely transfer a pt the first time --------- Correct Answer -------- assess if they can bear weight assess whether they are cooperative 1 gram of weight is equal to how many ml of fluid? --------- Correct Answer -------- 1 what is adeaute UO for an infant? --------- Correct Answer -------- 2 ml/kg/hr how to measure UO in diapers? --------- Correct Answer -------- subtract the weight of the diaper when dry from its weight when wet how often and where is growth hormone replacement given to a child? --------- Correct Answer -------- daily sub q injections tretment is most successful when it begins early in a child's life, as soon as growth delays are noted when is replacement therapy usually stopped? --------- Correct Answer -------- when bone growth stops or when paretns determine what is the classic sign of a tenson pneumothorax? --------- Correct Answer -------- mediastinal shift and tracheal deviation why does tension pneumothorax cause hypotension? --------- Correct Answer -------- bc the heart and great vessels are compressed/shifted anc cardiac output is reduced it is LIFE THREATENING what is the treatment for tension pneumothorax? --------- Correct Answer -------- emergency large bore needle decompression chest tube if injury to the spinal cord, what important precaution to take? --------- Correct Answer -------- hard cervical collar and backboard major depressive disorder demonstrates --------- Correct Answer -------- loss of appetite, weight loss, and insomnia or hypersomnia sleep disturbances 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 20/129 scarlett fever --------- Correct Answer -------- sandpaper skin rash and fever peritonsillar abcess? a collection of pus --------- Correct Answer -------- a serious complication that can reuslt from tonsilities symptoms include fever, sore throat, dysphagia, trismus, muffled voice, uvula deviation, pooling of saliva normal pH --------- Correct Answer -------- 7.35-7.45 paÓ --------- Correct Answer -------- 80-100 PaCÓ --------- Correct Answer -------- 35-45 HCǑ --------- Correct Answer -------- 22-26 Ó sat --------- Correct Answer -------- 95-99 ABG values that mean ARF are what? --------- Correct Answer -------- PaÓ less than or equal to 60 and PaCÓ greater than or equal to 50 what type of med is clopidogrel? --------- Correct Answer -------- antiplatelet and should be stopped 5-7 days before surgery NSAIDS should also be stopped 7 days before surgery to prevent excess bleeding --------- Correct Answer -------- ginko= bleeding --------- Correct Answer -------- what does foul smelling lochia suggest? --------- Correct Answer -------- endometrial infection what are other signs of endometrial infection? --------- Correct Answer -------- maternal fever, tachycardia, and uterine pain/tenderness WBC is usually elevated up to what during the first 24 hours postpartum? --------- Correct Answer -------- up to 30,000. temperature is also elevated pinworm infection --------- Correct Answer -------- anal itching thats worse at night how much folic acid do pregnant women need daily? --------- Correct Answer -------- min of 400 mcg what foods have folic acid? --------- Correct Answer -------- green leafy vegetables are an excellent source 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 21/129 others are beans, rice, peanut butter, and fortified cereals what is topical capsaicin cream (Zostrix)? --------- Correct Answer -------- OTC analgesic that relived minor pain like osteoarthritis special instrution: wait 30 mins after massaging cream into hands before washing orthodox jews cant take capsules why? --------- Correct Answer -------- the gelatin is not kosher (fit to be consumed) what is the most accurate indicator of fluid loss or gain? --------- Correct Answer -------- daily weight what are some risk factors for respiratory depression? --------- Correct Answer -------- elderly underlying pul disease post surgery obesity smoking opiate naaive nursing care for pts in acute mania --------- Correct Answer -------- quiet structured non stimulating envrionment one on one activities instead of group limiting contact with other people high protein high cal finger foods easy to eat what type of drug is theophylline --------- Correct Answer -------- bronchodilator symptoms of theophylline toxicity --------- Correct Answer -------- cns stimulation like HA, insomnia, and seizures, n/v, cardiac toxicity digoxin toxicity --------- Correct Answer -------- 1st GI disturbances and visual changes what type of drainage is expecte after a surgical procedure? --------- Correct Answer -------- serosanguinous (pink) what does a cpap machine do --------- Correct Answer -------- positive pressure opens the airway that was previously cut off narcotics like morphine can do what with obstructive sleep apnea symptoms --------- Correct Answer -------- exacerbate them opioid agonist-atagonist meds can be used when during labor? --------- Correct Answer -------- in the active phase of stage 1 labor when labor contractions are well established and the cervix is dilated to atleast 4 cm 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 22/129 if pt is in resp distress what do you assess first --------- Correct Answer -------- AIRWAY what are the mejor side effects of opioid analgesics --------- Correct Answer -------- sedation, respiratory depression, hypotension, constipation how should hydromorphine be administered? --------- Correct Answer -------- slowly over 2-3 minutes intramuscular injetions can cause bleeding --------- Correct Answer -------- how should IV potassium be administered? --------- Correct Answer -------- must be given in an infusion pump so the rate can be regulated. not by gravity infusion. it should also always be diluted symptoms of cold stress in a newborn --------- Correct Answer -------- irritability, lethargy, decreased temp, hypoxia, bradycardia, weak suck and cry, emesis, hypoglycemia whos at a high risk fr cold stress and why? --------- Correct Answer -------- premature babies due to decreased brown adipose tissue do babies shiver to produce heat? --------- Correct Answer -------- no what is red man syndrome and what does it haooen from --------- Correct Answer -------- rapid infusion of vancomycin- flushin, erythema, pruritis on face neck and chest what is wound evisceration? --------- Correct Answer -------- protrusion of internal organs thru the wall of an incision. placing them in low fowlers with the knees bent helps reduce the tension on the wound dont forget to always assess first --------- Correct Answer -------- what should always be at beside for a gastric lavage? --------- Correct Answer -------- intubation and suction supplies why is it done and how soon after overdose? --------- Correct Answer -------- remove toxins and irrgate stomach and within one hour after overdose manisfestions of OA --------- Correct Answer -------- pain exacerbted by weight bearing crepitus morning stiffness dec joint mobility and rom atrophy of the muscles during pregnancy, why are women in a hypercoaguble state? --------- Correct Answer -------- to protect them from hemorrhage but there is a risk for DVT ambulate the pt soon after childbirth 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 25/129 pancreatic enzyme supplements with all meals and snacks recurrent respiratory infections what can determine if a person with heart problems can resume sexual activity? --------- Correct Answer -------- walking 1 block or climbing 2 flights of stairs without symptoms what is a major complication of RA? --------- Correct Answer -------- morning stiffness. how to fix? take a warm shower or bath characteristics of neuroleptic malignant syndrome --------- Correct Answer -------- fever, muscle rigidity, altered mental status, sweating, hypertension, and tachycardia what does torsades de pointes look like --------- Correct Answer -------- a strand of dna what is the first line of treatment for torsades de pointes? --------- Correct Answer -------- iv magnesium a porlonged QT interval is usually the result of electrolyte imbalances so what is usually the treatment? --------- Correct Answer -------- look for electrolyte in the answer what is the drug of choice for SVT? --------- Correct Answer -------- adenosine drug of choice for symptomatic hypotension? --------- Correct Answer -------- dopamine tachyarrythmias? --------- Correct Answer -------- metoprolol can be used what does DOPAMINE do? --------- Correct Answer -------- speeds up the heart rate increases cardiac contractility what type of fluids do pts in hypovolemic shock need? --------- Correct Answer -------- isotonic solutions like NS, LR what is the purpose of noreepinephrine? --------- Correct Answer -------- vasoconstriction and improved contractility/output what are some non pharmacologic interventions that help with phantom limb pain? --------- Correct Answer -------- wrapping the extremity or applying ice what are some signs of a bowel obstruction? --------- Correct Answer -------- nausea, vomiting, abdominal distention, dec stool active infection is a contraindication for what? --------- Correct Answer -------- elective surgery what are some classic signs of DVT? --------- Correct Answer -------- unilateral leg edema, local warmth, erythema, low grade fever (PS a negative homan is normal) 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 26/129 LITHIUM- bipolar range? --------- Correct Answer -------- 0.6-1.2 wat levels of lithium are considered toxic? --------- Correct Answer -------- over 1.5 while taking lithium clients should: --------- Correct Answer -------- drink 1-2 L of fluid daily maintain normal sodium levels have their blood drawn regularly for therapeutic levels what can cause lithium toxicity in a pt taking lithium? --------- Correct Answer -------- dehydration decreased renal function, diet low in sodium, and drug-drug interactions like nsaids at what age does an infant have equal head and chest circumference? --------- Correct Answer -------- 1 year at 12 months, an infants weight should be --------- Correct Answer -------- tripled the birth weight at 12 months can in infant go fom standing to siting --------- Correct Answer -------- yes when does teeth eruption happen in infants? --------- Correct Answer -------- 6-10 months how to calculate the # of teeth a child should have in the first 24 months? --------- Correct Answer -------- age of child in months minus 6 what are vegans at rsk for since they dont eat animal products? --------- Correct Answer -------- tingling and numbness from vit B 12 deficiency vit b 12 defieicny affects the entire nervous system from peripheral nerves to spinal cord and brain --------- Correct Answer -------- when do you not give a vaginal exam for a pregnant woman? --------- Correct Answer -------- bleeding with unknown origin what is suspected in a pregnant woman having painless vaginal bleeding after 20 weeks gestation? --------- Correct Answer -------- placenta previa a tuft of hair at base of spine in a newborn indicates what? --------- Correct Answer -------- spina bifida taking folic acid during pregnancy prevents what? --------- Correct Answer -------- neural tube defects and spina bifida UAPs CAN perform oral suction for pts during oral care --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 27/129 normal albumin level --------- Correct Answer -------- 3.5-5.0 what is the function of albumin> --------- Correct Answer -------- to keep fluid from leaking out of vessels when serum albumin is low this can cause --------- Correct Answer -------- pitting edema while talking with a delusional pt, focus on the pts feelings and reinforce reality --------- Correct Answer -------- for priority questions, anything with a new onset problem is usually first --------- Correct Answer -------- in therapeutic communication, dont choose "why" questions --------- Correct Answer -------- birth weight should double at 6 mo and triple at 12 mo --------- Correct Answer -------- when does the anterior fontanel close? --------- Correct Answer -------- 18 mon when does the posterior fontanel close? --------- Correct Answer -------- 2 months whatis typically seen in a retinoblastoma? --------- Correct Answer -------- absence of red reflex. the pupil reflects a white color what route is the best way to give burn victim meds? --------- Correct Answer -------- IV 14 gauge catheter --------- Correct Answer -------- fluids and drugs in prehospital or emergency setting or hypovolemic shock 18 gauge --------- Correct Answer -------- infusing blood or large amounts of fluids in adults drug for fibromyalgia --------- Correct Answer -------- duluxetene (cymbalta) it has both antidepressant and pain reliving affects its also perscribed for MDD what is fobromyalgia? --------- Correct Answer -------- abnormal cns pain transmission and processing incentive spirometer use --------- Correct Answer -------- piston rises with each deep inhalation why isit used> --------- Correct Answer -------- tp revent atelectasis in post op clients 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 30/129 what is CVP and what does it monitor? --------- Correct Answer -------- central venous pressure measuring right ventriculr preload and reflects fluid volume status connect it to the proximal port to pressure monitoring system how to asisst a falling client? --------- Correct Answer -------- stand behind and let out leg for supporting them to ground parasthesia is an early sign of what? --------- Correct Answer -------- neurovascular impairment REMEMBER NOT TO CHOOSE A YES/NO ANSWER QUESTION --------- Correct Answer -------- what is a major adverse effect of TNF inhibitors like infliximab or adalimumab? --------- Correct Answer -------- infection bc they cause immunsuppression positions --------- Correct Answer -------- for paracentesis --------- Correct Answer -------- high fowlers enema administration --------- Correct Answer -------- sims after a lumbar puncture --------- Correct Answer -------- supine after liver biopsy --------- Correct Answer -------- right side (to put pressure on the liver) after cardiac catherterization --------- Correct Answer -------- lie flat normal newborn RR --------- Correct Answer -------- 30-60 glucose levels are normally decreased 1 hour after birth --------- Correct Answer -------- steroids can convert latent to active TB --------- Correct Answer -------- what is an amniotomy? --------- Correct Answer -------- artificial rupture of the membranes what should the nurse do during an amniotomy? --------- Correct Answer -------- assess FHR before and after, note characteristics of amniotic fluid, assist client to an upright position after the procedure symptoms of anaphylaxis --------- Correct Answer -------- oral/airway swelling dizziness tachycardic stridor/hoarseness wheezing 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 31/129 rash pruritis flushing n/v abdom pain treatment of anaphylaxis --------- Correct Answer -------- IM epinephrine before starting on statin drugs, what must be checked? --------- Correct Answer -------- liver function tests bc they can cause hepatotoxicity what can statins cause? --------- Correct Answer -------- muscle aches and can lead to rhabdomyolysis aphasia --------- Correct Answer -------- inability to express thoughts and comprehend language what does a pt with Marfan syndrome look like --------- Correct Answer -------- tall and thin. they often have heart abnormalities so contact sports are dicouraged so no contact sports with Marfan syndrome --------- Correct Answer -------- what is the Bishop score? --------- Correct Answer -------- assesses and rates cervical favorability and readiness for induction of labor. a score above 8 is good carbidopa-levodopa --------- Correct Answer -------- treats parkinson's- improves spontaneos activity seen with this disease what does a person see with glaucoma eye --------- Correct Answer -------- tunnel vision what does a sacral dimple on a newborn signify? --------- Correct Answer -------- spina bifida what is a normal newborn HR --------- Correct Answer -------- 110-160 what type of drug is clopidogrel, prasugrel, and ticagrelor --------- Correct Answer -------- antiplatelet prior to an EEG which diagnoses seizures: --------- Correct Answer -------- non caffeine, stimulants or depressants wash hair what is Duchenne muscular dystrophy? --------- Correct Answer -------- childhood form of MD x linked recessive lacks protein called dystrophin for proper muscle stabliizing 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 32/129 mucles of proximal lower extremities are affected first they do the gower sign to help them stand remove clutter to prevent falls what is the gower sign? --------- Correct Answer -------- uses ones hands to rise from sqaut to a chair x linked recessive --------- Correct Answer -------- carried by females and affects males what is methotrexate? --------- Correct Answer -------- antineoplastic, immunosuppressant to treat malignancies chemotherapy, rheumatoid arthritis, psoriasis, and for abortions what are the major side effects with methotrexate? --------- Correct Answer -------- bone marrow suppression, hepatotoxicity, fetal death. you dont need monthly eye exams when taking it remember for lung positioning: --------- Correct Answer -------- GOOD LUNG DOWN transport techs need to/dont need to know which info --------- Correct Answer -------- need:pertinent info to transport pt dont need: exact diagnosis you can put last names on boards in nurses station --------- Correct Answer -------- what is the only med approved for ALS? --------- Correct Answer -------- Riluzule (Rilotek) pneumonia vaccine --------- Correct Answer -------- 65 and above need 2 vaccines advere reaction to gentamicin --------- Correct Answer -------- ototoxicity and nephrotoxicty what is an exected side effect symptom of nitroglycerine? --------- Correct Answer -------- headache some calclium channel blockers like nifepidine cause what --------- Correct Answer -------- edema from vasodilation calcium channel blockers end in --------- Correct Answer -------- PINE= vasodilation radioactive iodine (RAI) --------- Correct Answer -------- treats hyperthyroidism destroys thymus gland take precautions to not spread this to others. aka everything private what does myasthenia gravis look like symptom wise --------- Correct Answer -------- ptosis, difficulty speaking, swallowing, and breathing 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 35/129 stage 2 --------- Correct Answer -------- blister, abrasion, shallow open ulcer red pink wound with no sloughing stage 3 --------- Correct Answer -------- full thickness skin loss with visible sub q fat stage 4 --------- Correct Answer -------- full thickness skin loss exposed muscle tendon or bone unstageable --------- Correct Answer -------- full thickness skin loss ulcer base covered by slough and eschar that needs to be removed to stage which long acting insulins can you not mix? --------- Correct Answer -------- glargine and detemir what does lead poisoning cause? --------- Correct Answer -------- neurological and motor impairment if a chest tube gets dislodged, immediately cover with something sterile or clean if you dont have sterile. what are we trying to prevent here? --------- Correct Answer -------- air from getting into the pleural cavity what is happening in ventricular trigeminy? --------- Correct Answer -------- PVCs are occuring every third heartbeat its dangerous when someone is throwing PVCs why? --------- Correct Answer -------- they could go into a lethal dsrythmia what is the battle sign? --------- Correct Answer -------- bruising behind the ear what could this indicate? --------- Correct Answer -------- skull fracture that could cause brain injury if not treated risperidone- what class and what is it used to treat? --------- Correct Answer -------- antipsychotic used to treat schizophrenia and bipolar what are some potential side effects of antipsychotic meds? --------- Correct Answer -------- -extrapyramidal symptoms like akathisia, parkinsonism (tremor, rigidity, etc) -anticholinergic effects -orthostatic hypotension -sedating effects -tardive dyskinesia -neuroleptic malignant syndrome what is akathisia? --------- Correct Answer -------- restlessness with inability to sit still 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 36/129 tardive dyskinesia --------- Correct Answer -------- involuntary movements like face tongue trunk that you cant control neuroleptic malignant syndrome --------- Correct Answer -------- fever, muscle rigidity, altered mental status anticholinergic effects --------- Correct Answer -------- dry mouth and constipation what are some meds that treat EPS? --------- Correct Answer -------- benzos like "pam" drugs and benadryl blood products should not be left at room temp for more than 30 minutes before being given --------- Correct Answer -------- if patient has hyperkalemia, what drugs should they not have --------- Correct Answer -------- ace inhibitors and angiontension 2 how often should ostomy bags be changed? --------- Correct Answer -------- every 5-10 days when should an ostomy bag be emptied? (when it is how full?) --------- Correct Answer -------- when it is 1/3 full what is preeclampsia? --------- Correct Answer -------- new onset of hypertension PLUS proteinuria after 20 weeks gestation signs of preeclampsia --------- Correct Answer -------- BP > 140/90 proteinuria >300 mg of protein in urine in 24 hours headache visual changes 2+ pitting edema preeclampsia can lead to what severe thing? --------- Correct Answer -------- SEIZURES what is Amphotericin B? --------- Correct Answer -------- antifungal med used to treat systemic fungal infections it is commonly associated with what? --------- Correct Answer -------- severe adverse reactions like hypotension, fever, chills, and nephrotoxicity ulcerative colitis diet --------- Correct Answer -------- low residue, high protein high calorie kids with autism spectrum disorders are usually --------- Correct Answer -------- visual. dont touch them or make eye contact 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 37/129 dopamine function --------- Correct Answer -------- treat distributive shock and maintain cardiac output 1 kg is --------- Correct Answer -------- 2.2 lbs albuterol is a --------- Correct Answer -------- bronchodilator expected side effects of albuterol --------- Correct Answer -------- tachycardia, palpitations, and tremors what is obstructive sleep apnea? --------- Correct Answer -------- intermittent airflow blockage during sleep stroke patients are at a high risk for --------- Correct Answer -------- injury/falls bc of one sided paralysis and confusion clients with ESRD are unable to excrete which electrolyte? --------- Correct Answer -------- potassium; so they should eat a diet low in potassium ESRD* Potassium* --------- Correct Answer -------- what are some foods that are high in potassium? --------- Correct Answer -------- bananas, strawberries, legumes, green leafy veggies, potatoes, carrots, tomatoes, melons, avocados, whole grains, most fish, beef, pork accidental exubation is a medical emergency. if it happens, what does the nurse do? --------- Correct Answer -------- immediately deliver rescue breaths using a bag valve mask and 100% oxygen until they can be reintubated if patients are having an ischemic stroke, they are given tissue plasminogen activator tPA to dissolve the clot. how soon must tPA be given? --------- Correct Answer -------- within 3-4.5 hours of onset of symptoms does tPA do? --------- Correct Answer -------- dissolve all clots in the body what are the contraindications for giving tPA? --------- Correct Answer -------- thrombocytopenia coagulation disorders major surgery within the last 14 dayswha thrombocytopenia --------- Correct Answer -------- >100,000 platelet count when a patient is taking lithium, be careful when taking which medications in addition bc they can increase lithium levels and lead to toxicity? --------- Correct Answer -------- thiazide diuretics, nsaids, and antidepressants 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 40/129 symptoms of RSV in infants --------- Correct Answer -------- excessive mucous production, rhinorrhea, fever, cough, lethargy, irritability, poor feeding RSV interventions --------- Correct Answer -------- give oxygen elevate HOB airway suction give antipyretics IV fluids CONTACT AND DROPLET isolation bipolar pt comes in and is experiencing acute mania. what is the priority? --------- Correct Answer -------- NOT risk prone behavior bc physiological needs like food take priority (remember maslows). so imbalanced nutrition would be the priority MEMORIZE MASLOWS --------- Correct Answer -------- PSILOVEYOU Pysiological, Safety, Self actualization, Love and beloning, Self esteem having a patient bring their meds to each appointment is the appropriate thing to do --------- Correct Answer -------- botulism is what and caused from? --------- Correct Answer -------- GI absorption of toxin produced by clostridium botulinum from improperly canned or stored food. found in soil and can grow in food. look out for swollen/bulging cans what does botulism cause? --------- Correct Answer -------- muslce paralysis children under what age should not be given honey? --------- Correct Answer -------- 1 year serious form of preeclampsia condition called HELLP stands for what? --------- Correct Answer -------- Hemolysis, Elevated Liver enzymes, Low platelets- delivery right away swelling of the hands feet and face are expected findings of what pregnant condition? --------- Correct Answer -------- preeclampsia preeclampsia 2 main things: --------- Correct Answer -------- high blood pressure and protein in urine. edema is expected but not part of the criteria complications of preeclampsia? --------- Correct Answer -------- eclampsia, placental abruption, and HELLP how is hep A transmitted? --------- Correct Answer -------- fecal-oral route how is hep B transmitted? --------- Correct Answer -------- blood, semen, vaginal secretions "B" for body fluids 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 41/129 early symptoms of hepatitis B? --------- Correct Answer -------- nonspecific like malaise, n/v, abdom pain later signs of hep B? --------- Correct Answer -------- jaundice, weight loss, clay colored stools, thrombocytopenia what are some symptoms that a pregnant woman has HELLP? --------- Correct Answer -------- RUQ pain, nausea, vomiting, malaise delirium signs --------- Correct Answer -------- sudden onset of fluctuating mental status changes and inattention with disorganized thinking and/or altered level of consciousness. think of the patient that I had that was lying in bed and reaching up grabbing something in the air with her hand that wasnt there delrium vs dementia --------- Correct Answer -------- dementia has a slow onset usually with normal attention once a woman's water breaks, this leaves her susceptible to what? --------- Correct Answer -------- infection if GBS status is unknown in a pregnant woman, always give what? --------- Correct Answer -------- prophylactic antibiotics when are pregnant clients tested for GBS? --------- Correct Answer -------- 35-37 weeks if a pregnant women is positive for GBS, what happens? --------- Correct Answer -------- she gets prophylactic antibiotics so that she doesnt pass it to her baby during labor bc it can cause harmful things like oneumonia or neonatal GBS sepsis carbidopa-levidopa is the drug for what? --------- Correct Answer -------- PARKINSON disease what dos specifically help with? --------- Correct Answer -------- bradykinesia. can also improve tremor and rigidity what is the role of the combo drug carbidopa-levidopa? --------- Correct Answer -------- levodopa comverts to dopamine so more is available and carbidopa helps prevent the breakdown of levidopa once is something to remember about carbidopa-levidopa? --------- Correct Answer -------- never stop it suddenly symptoms of PE --------- Correct Answer -------- SOB RR >20/min 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 42/129 even after the diagnosis of a DVT, is walking suggested? --------- Correct Answer -------- YES where is a PICC line inserted into? --------- Correct Answer -------- basilic or cephalic veins which go into the superior vena cava during dressing changes of a PICC line, what should a nurse check? --------- Correct Answer -------- the external length of the PICC after abdominal surgery, do you expect to hear bowel sounds? --------- Correct Answer -------- no because postop paralytic ileus Isotretinoin is what? --------- Correct Answer -------- ACCUTANE (acne med) what is the relationship btwn Accutane and pregnancy? --------- Correct Answer -------- DO NOT TAKE if pregnant or planning to become. can cause SERIOUS birth defects. pregnancy category X females prescribed Accutane must have what --------- Correct Answer -------- -2 negative pregnancy tests before starting -must use 2 forms of contraception -enroll in a risk management program to make sure these are both being followed through loop diuretics like Furosemide can cause what? --------- Correct Answer -------- hypokalemia what is an example of potassium sparing diuretics? --------- Correct Answer -------- Spironolactone (Aldactone) it is normal for children to regress while hospitalized --------- Correct Answer -------- signs of Epiglottitis --------- Correct Answer -------- sore throat, dyshagia, drooling, respiratory distress, and sitting up/leaning forward AN EMERGENCY- PREPARE FOR EMERGENCY AIRWAY- INTUBATION/TRACHEOSTOMY signs of croup --------- Correct Answer -------- upper respiratory tract symptoms, hoarseness, barking cough, stridor, respiratory distress urinary retention is an expected side effect of opioids --------- Correct Answer -------- majority cases of epiglottitis are caused by what? --------- Correct Answer -------- HiB. if kids are vaccinated, this is rarely seen 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 45/129 SIRS --------- Correct Answer -------- genralized inflammatory response to an infectuous or noninfectuous insult to the body (fever, tachycardia, tachypnea) sepsis --------- Correct Answer -------- presence of infection along with systemic manifestations of infection septic shock --------- Correct Answer -------- sepsis induced hypotension despite adequate fluid resusitation MODS --------- Correct Answer -------- septic shock plus multiple organ system damage (2 or more organs) what is the ABG most consistent with diabetic ketoacidosis? --------- Correct Answer -------- metabolic acidosis diabetic ketoacidosis --------- Correct Answer -------- severe form of hyperglycemia, >250. glucose cant be taken out of the bloodstream withoutinsulin which they cant produce. the body begins to break down fat stores into ketones what is one golden sign of diabetic ketoacidosis related to breath? --------- Correct Answer -------- Kussmaul respirations (fruity smell) ADHD kid acting out of control --------- Correct Answer -------- have them deep breathe and calm down key thing to remember about delirium is that it is ACUTE --------- Correct Answer -------- delirium --------- Correct Answer -------- acute, consciousness impaired, fluctuating, reversible dementia --------- Correct Answer -------- onset is gradual (months to years), consciousness intact, progressive, irreversible quality improvements should be objective and measurable --------- Correct Answer -------- MMR is a live vaccine and live vaccines are contraindicated during what? --------- Correct Answer -------- pregnancy some examples of live vaccines are: --------- Correct Answer -------- MMR and varicella when is the best time to give a pregnant client that is nonimmune to MMR the vaccine? --------- Correct Answer -------- immediately postpartum info on acute pericarditis --------- Correct Answer -------- -sharp pleuritic chest pain 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 46/129 -aggravated on inspiration and coughing -how is pain relievd? sit up and lean forward -assessment shows pericardial friction rub -treatment is NSAIDs and colchicine (antiinflammatory) how should a person with COPD breathe? --------- Correct Answer -------- pursed lip breathing what does enteral mean? --------- Correct Answer -------- given through the GI tract (orally or feeding tube) parenteral? --------- Correct Answer -------- IV route is a central venous catheter CVC? --------- Correct Answer -------- put in a "central" vein (subclavian, internal jugular, femoral) where is gluten found? --------- Correct Answer -------- BROW- barley, rye, oats, wheat important education for celiac disease --------- Correct Answer -------- gluten-free diet for the rest of their lives. why? gluten damages intestines (small) thats needed to function properly for nutrient absorption rice, corn, and potatoes are allowed bc they are gluten free read food labels of all processed foods bc some may contain hidden gluten what is the first sign of puberty change in boys? --------- Correct Answer -------- testicular enlargement unfractioned heparin, what does this mean? --------- Correct Answer -------- orthostatic hypertension is a common side effect of most of what type of meds? --------- Correct Answer -------- antihypertensives statins can cause which adverse effect? --------- Correct Answer -------- muscle aches when can fetal sex be determined? --------- Correct Answer -------- end of 12 weeks what is polycythemia? --------- Correct Answer -------- too many RBCs target therapy for polycythemia --------- Correct Answer -------- phlebotomy to remove some of those RBCs what is monitored carefully after an abdominal aortic aneuryim repair? --------- Correct Answer -------- renal status so things like BUN, creatinine, and urinry output skin cancer neumonic ABCDE what does it stand for? --------- Correct Answer -------- Assymetry 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 47/129 Border irregularity COlor changes Diameter more than a pencil eraser Evolving or changing in any way if a patient has a chest tube and all of the sudden the rainage stops, what are some interventions? --------- Correct Answer -------- -lung sounds (bc maybe the lungs have re expanded and there is no more drainage) -reposition patient -get them to cough and deep breathe milking chest tubes --------- Correct Answer -------- generally contraindicated bc it messes with the pressure changes in the pleural space care of anorexic patient --------- Correct Answer -------- -determine pt daily calorie requirement -monitor weight at same time every day with same scale, same amount of clothes on -limit exercise initialy bc they are obsessed -reflecting with the patient on triggers -dont encourage a log of food bc this contributes to patient's obsession with food after a thyroidectomy, there shouldnt be swelling of the neck or increased pain. what could this indicate? --------- Correct Answer -------- hematoma formation or increased tissue inflammation which affect airway patency. this patient shoudl be seen first hepatic encephalopathy symtpoms --------- Correct Answer -------- compliction of ESRD build up ammonia in the blood lethary, confusion, slurred speech, can lead to coma watch for asterixis- flapping hand tremors what med is given for encephalopathy? --------- Correct Answer -------- Lactulose bc it gets rid of the ammonia stress ulcers can develop in critically ill patients so what helps with this? --------- Correct Answer -------- enterel feedings asthma --------- Correct Answer -------- frequent cough at night how long hsould an acceleration last on a fetal heart strip? --------- Correct Answer -------- 15 min above the baseline lasting for at least 15 scds-- means fetal ovement is moderate variability considred normal? --------- Correct Answer -------- yes and is 6- 25/min late or variable decelerations are BAD- inadequate fetal oxygenation --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 50/129 SHOULD NOT BE CONTINUOUS BUBBLING IN THE AIR LEAK MONITOR --------- Correct Answer -------- what are preventatives given before and after surgery to prevent venous thromboembolism? --------- Correct Answer -------- heparin, enoxaparin, lovenox en beofre and after surgery to rpevent infetion? --------- Correct Answer -------- Ancef meds common for an open fracture? --------- Correct Answer -------- Cefazolin (Ancef), tetanus toxoid, Toradol, opioids what is Toradol? --------- Correct Answer -------- NSAID used for inflammation and pain what is Ancef? --------- Correct Answer -------- cephalosporin antibiotic thats active against skin flora like staff, given before and after surgery RSV/bronchiolitis causes what --------- Correct Answer -------- respiratory secretions. use saline nose drops abd then suction the nares to remove secretions. give fluids bronchiolitits --------- Correct Answer -------- begins with upper respiratory symptoms like rhinorrhea/congestion and then goes to lower respiratory symptoms like tachypnea, cough and weezing if patient has pertussiss infection, family members should be treated --------- Correct Answer -------- it is normal for some children to have a reaction to MMRV vaccine 5-12 days after getting it symptoms like --------- Correct Answer -------- low grade fever, mild rash, swelling/redness at injection site, irritable, restless. watch that their temp does not get too high bc this could lead to febrile seizures. tell them to give acetaminophen if temp over 102 giving aspirin to children can cuase what --------- Correct Answer -------- Reyes syndrome acute lithium toxicity presents early with what and later with what --------- Correct Answer -------- early/acute: GI disturbances later/chronic: neurologic like ataxia, confusion, tremor, or diabetes insipidus manifestations like polyuria, polydipsia what is tiotropium (Spiriva) and what/how is it used for? --------- Correct Answer -------- long acting, 24 hour, anticholinergic inhaled med used to control COPD. given using capsule-inhaler system where the capsule is placed in the device and a buttom is pressed to put a hole in the capsule and the powder is dispered thru the inhaler. it should not be used as a rescue med for example if someone has trouble breathing, thats where you woulld use the short acting like albuterol 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 51/129 important teaching for tiotropium --------- Correct Answer -------- do not take the capsule orally even though it comes in a capsule and look slike you do. the buttom must also be pushed on the inhaler for the med to be dispersed Ipratropium --------- Correct Answer -------- is the short acting anticholinerguc used as a rescue med for COPD and asthma is a child is having sepration anxiwty in the hospital, what are some things nurses can do to reduce the anxiety --------- Correct Answer -------- have parent leave familiar objecs in room, dont leave them alone when upset, establish daily schedule thats familira to the one at home, give child time to play many people use St. John's wort to tret what? --------- Correct Answer -------- depression what meds does St. John's wort interact with --------- Correct Answer -------- antidepressants like SSRIs, SNRIs, MAOIs can increase side effects and lead to serotonin syndrome from too much serotonin symptoms of serotonin syndrome --------- Correct Answer -------- mild (shivering and diarrhea) sever (muscle rigidity, fever, seizures) also tachycardia and hypertension also agitation/restlessness patient care for acute manic episode --------- Correct Answer -------- -reduce environment stimuli -calm quiet low lit -limiting person contact -ONE on ONE- not group activities -structured scheudle of activities to keep focus -physical activities one on one to relieve energy -high protein high calorie finger foods -SET LIMITS before a lumbar puncture teaching --------- Correct Answer -------- empty bladder lateral recumbent (fetal position) or sitting pain may be felt radiating down leg but should be temporary after a LP teaching --------- Correct Answer -------- lie flat with no pillow for atleat 4 hours incrase fluid intake what does normal CSF look like/contain? --------- Correct Answer -------- colorless and odorless a little protein, glucose, minimal wbcs, no rbcs, and no microorganisms 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 52/129 digoxin function --------- Correct Answer -------- increases cardiac contractility but slows heart rate EXCRETED BY THE KIDNEY when is digoxin used? --------- Correct Answer -------- in heart failure to increase cardiac output and in afib to reduce the heart rate what labs to check before giving digoxin? --------- Correct Answer -------- BUN and creatinine bc this drug is mostly excreted by the kidney who to watch for while taking digoxin? --------- Correct Answer -------- elderly and those with kidney injury bc they ave decreased kidney function and digoxin can build up so they must be monitored frequently early signs of dig toxicity --------- Correct Answer -------- nausea and vomiting late signs of dig toxicty --------- Correct Answer -------- arrhythmias dince dig lowers the heart rate, it is important tpo check what before giving? --------- Correct Answer -------- the heart rate. make sure it is above 60 bpm Fluoxetine (Prozac) --------- Correct Answer -------- antidepressant SSRI containdications to thrombolytics --------- Correct Answer -------- -previous brain bleed -ischemic stroke or head trauma within 3 mo -active bleeding -cerebral aneurysm all thrombolytics lyse the pathologic clot (one whats causing the MI) and may lyse other clots so bleeding is a complication having chest pain typical of acute MI for 6 hours or less and no absolute contraindications you can then be given what --------- Correct Answer -------- thrombolytic therapy watch ALS patients for swallowing and respiratory difficulty --------- Correct Answer -------- what is dysarthria? --------- Correct Answer -------- worsening ability to speak- can lead to respiratory distress meds should be stored specfcaly how when hiding from children? --------- Correct Answer -------- out of sight up in a cabinet and locked 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 55/129 increasd iron requirement blood loss what are some iron rich foods? --------- Correct Answer -------- meats- beef, lamb, liver chicken, pork shellfish- oysters, clams, shrimp eggs, green leafy veggies, broccoli, dried fruits, dried beans, brown rice, oatmeal eating foods rich in vitamin c like citrus fruits potatoes and tomatoes and also orange juice can enhance the absorption of iron a nurse should listen to breath sounds of a client with heart failure related fluid overload bc they are likely to have dyspnea, orthopnea, and rales/crackles --------- Correct Answer -------- fall risks --------- Correct Answer -------- 65 or above the use of assistive ambulatory devices like canes or crutches orthostasis taking sedatives or antiparkinson med like Sinemet (carvidopa/levidopa) potassium sparing diuretics and ACE inhibitors cause hyperkalemia --------- Correct Answer -------- indicatrs of increased ICP --------- Correct Answer -------- change in LOC (often the first sign), cushings triad, and pupillary changes) if spine injury is suspected, do not use the head tilt chin lift method as this could damage the spine further. what do you use instead? --------- Correct Answer -------- jaw thrust maneuver with any suspicion of spinal injury in a trauma, always use the jaw manuever --------- Correct Answer -------- given what meds in hypovolemic shock (besides fluids) ? --------- Correct Answer -------- norepinephrine and dopamine what type of fluids would someone need while in hypovolemic shock? --------- Correct Answer -------- isotonic like normal saline and lactated ringers in cystic fibrosis, pancreatic ducts are blocked in the GI tract due to thick secretions that clog them. therefore they are deficient in what type of enxymes? --------- Correct Answer -------- pancreatic enzymes that are given with meals cystic fibrosis diet --------- Correct Answer -------- high calorie, high fat, high protein kidney disorders diet --------- Correct Answer -------- low phosphate 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 56/129 heart failure, ascites, hypertension diet --------- Correct Answer -------- low sodium (fluid overload states) antisocial personality disorder --------- Correct Answer -------- they disregard rules, hx of irresponsible behavior, and blame others for their actions. SET LIMITS with them make them aware of the rules and acceptable behaviors in pregnancy, pts are considered anemic when hemoglobin drops below what? --------- Correct Answer -------- <11 the elderly should avoid which type of drugs --------- Correct Answer -------- sulfonylureas- can cause prolonged hypoglycemia what is the Beers criteria? --------- Correct Answer -------- lists potentially inappropriate drugs thar lead to adverse effects in the elderly Naegele's rule --------- Correct Answer -------- add 9 months and 7 days to LMP conception occurs around the time of ovulation and is about 14 days frmo the beginning of the LMP --------- Correct Answer -------- in Arab culture, a man is not allowed to be alone with a woman other than his wife --------- Correct Answer -------- ulcerative colitis --------- Correct Answer -------- inflammation/ulcerations in the large intestines causing urgent, frequent, bloody diarrhea, abdom pain, anorexia, and anemia clients with alcoholism are commonly deficeint in which vitamin? --------- Correct Answer -------- thiamine what can thiamine deficiency lead to? --------- Correct Answer -------- Wernicke encephalopathy what should all intoxicated patients be given? --------- Correct Answer -------- IV thiamine before or with IV glucose signs of phenytoin toxicity --------- Correct Answer -------- ataxia, nystagmus, slurred speech, decreased mentation what type of device would be placed in a client with sudden kidney failure requiring immediate dialysis? --------- Correct Answer -------- central venous catheter how to deliver a dose via a metered dose inhaler? --------- Correct Answer -------- -shake MDI and attach to spacer 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 57/129 -exhale completely -place lips tightly around the mouthpiece -deliver a single puff of med into spacer -take a slow deep breath and hold for 10 scds -rinse mouth with water after dose acute hemolytic reaction --------- Correct Answer -------- develops within the first 15 mins s/s are: chills, feverm lower back pain, tachycardia, tachypnea, and hypotension Nifedipine (Procardia) is what? --------- Correct Answer -------- calcium channel blocker antihypertensive- dont give if hypotensive infants should not be throwing up green vomit, this could indicate what? --------- Correct Answer -------- bowel obstruction when should statin drugs be taken? --------- Correct Answer -------- evening meal or at bedtime positioning for paracentesis --------- Correct Answer -------- upright semi or high fowler inferior vena cava filter is placed where and does what? --------- Correct Answer -------- in the femoral vein and catches blood clots from the legs from going to the lungs bile --------- Correct Answer -------- made in liver and helps aid in digestion why is throwing up green vomit an emergency? --------- Correct Answer -------- his is indicitaive of bile ad coule mean its a bowel obstruction lumbar puncture poditioning --------- Correct Answer -------- during- side lying after- supine enema administration position --------- Correct Answer -------- sims AFTER a liver biopsy positioning --------- Correct Answer -------- right side lying to put pressure on liver to stop bleeding AFTER cardiac catheterization position --------- Correct Answer -------- flat and keep extremity straight can UAP tell familes and alert other departments why patient is on precautions? --------- Correct Answer -------- no this is for RN to do whats given for preeclampsia? --------- Correct Answer -------- magnesium sulfate to prevent seizures 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 60/129 should bulemic patients be allowed to keep a doof diary in the hospotal? --------- Correct Answer -------- yes, to keep track of the amount and type of food the client has eaten the deluvery if oxytocin --------- Correct Answer -------- given through an infusion pump into a proximal port (not distal) monitor FHR and uterine contraction pattern at least every 15 mins monitor intake and output continuous FHR monitoring be careful for giving too much oxytocin why --------- Correct Answer -------- can lead to uterine tachysystole, decreased placental perfusion, and fetal distress. this is why its given via an infusion pump so there are no med errors why do we monitor intake and output during oxytocin infusion? --------- Correct Answer -------- can lead to water intoxication metoprolol --------- Correct Answer -------- slows the HR and lowers the BP review heart strips and which meds to be given/actions to take when patients are in certain heart rhythms --------- Correct Answer -------- hydrocdone/aceteminophen oral tablet is typically used for what type of pain? --------- Correct Answer -------- moderate morphine is typically used for what type of pain? --------- Correct Answer -------- severe remember when measuring fundal height, that after 20 weeks it correlates with number of weeks pregnant. so if you are 24 weeks pregnant, the fundal height should be 24cm above the pubis sympysis --------- Correct Answer -------- what is quickening? --------- Correct Answer -------- the awareness of fetal movement when should quickening happen? --------- Correct Answer -------- 18-20 weeks in first time baby havers and sooner for previous moms first trimester in weeks --------- Correct Answer -------- 1-12 weeks second trimester in weeks --------- Correct Answer -------- 13-26 weeks third trimester in weeks --------- Correct Answer -------- 27 weeks to end of pregnancy how to calculate MAP? --------- Correct Answer -------- 2xdiastolic + systolic all divided by 3 proton pump inhibitors examples --------- Correct Answer -------- pantoprazole and omeprazole 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 61/129 given for GERD, ulcer treatment and prophylaxis IV proton pump inhibitors are given for --------- Correct Answer -------- gastric ulcer bleeding what antibiotic is used for cdiff? --------- Correct Answer -------- vancomycin what are lab results that support a vaso-occlusive crisis (pain crisis) in sickle cell patients? --------- Correct Answer -------- elevated reticulocytes elevated bilirubin anemia high reticulocytes inicate what --------- Correct Answer -------- bone marrow is producing RBCs fast what are mongolian spots and are they normal? --------- Correct Answer -------- they are bluish discoloration of the skin on newborns seen on darker skinned newborns on the back or butt. they isllay fade over 1-2 yrs of life. nurse shouls measure and document bc they look like bruises. they are normal rememebr that when delegating, the nurse can only ask for specific assessments f someting like if there are blood clot in the urine or how mich urine is there, they can not ask the UAP to describe what the urine looks like bc this involves assessment --------- Correct Answer -------- the RN can ask the UAP to apply the restraints but the RN cannot ask the UAP to verify if they are on correctly. that is the RNs job --------- Correct Answer -------- childhood of someone with NPD --------- Correct Answer -------- sense of inferiority, poor self esteem, and self criticism what does this cause them to do? --------- Correct Answer -------- try to regulate their self esteem people with narcissistic personality disorder try to maintain what? --------- Correct Answer -------- self esteem the liver is highly vascular- after a biopsy always watch out for bleeding --------- Correct Answer -------- basically, lpns can give any medication that doesnt invovlve the veins right? so what can they give? --------- Correct Answer -------- oral, sub q, IM what is the Simian crease and what is it seen in? --------- Correct Answer -------- a single transverse crease across the entire palm of the hand; seen in down syndrome 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 62/129 what is "sunset eyes" in an infant a sign of? --------- Correct Answer -------- late sign of increased intracranial pressure/hydrocephalus what is the normal range for wet infant diapers per day? --------- Correct Answer -------- 6-10- great way to measure hydration status in infants what re the primary drugs to treat addison's disease --------- Correct Answer -------- corticosteroids long term corticosteroid treatment --------- Correct Answer -------- -never abruptly discontinue- could lead to addisonian crisis -report any signs of infection immediately bc use can cause immunosuppression and can even mask signs of infection -watch for signs of hyperglycemia -cataracts are a side effects- eye apt every year -never take on an empty stomach a sucking chest wound indicates what and is caused from what? --------- Correct Answer -------- open pneumothorax, air is rushing in with each inspiration and fills the pleural space what is the nurses priority action when she hears a sucking chest wound? --------- Correct Answer -------- cover with petroleum gauze and tape on three sides remember that when taking the test, its not true that actual nursing diagnoses take importance over risk for. for example risk for falls could be the answer if all others are actual diagnoses bc always remember safety first --------- Correct Answer -------- if a patinet questions a med they are gettting, just double check yourself and go throgh the 6 right again --------- Correct Answer -------- if infants jave cold stress, they are not going to shiver --------- Correct Answer -------- if a newborn's heart rate is below 100 bpm, what does the nurse immediately do? --------- Correct Answer -------- positive pressure ventilation fall risk factors --------- Correct Answer -------- above age 60 previous fall bowel/bladder incontinence or urinary freuqency sedatives, diuretics, ntihypertensives, CNS drugs unsteady gait weakness, limited mobility hypotension visual/auditory impairments dementia tubes 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 65/129 what are some hings that happen with myopia? --------- Correct Answer -------- headache, dizziness, poor school performac,e eye rubbing, frequent blinking.squinting when viewing bjects from afar what is strabismus? --------- Correct Answer -------- cross eyes eyes dont look in the same directon at once closing one eye when viewing objects is a sign avoid sex with active herpes lesions and can still be contracted if lesions are not present so use condoms --------- Correct Answer -------- what is Levetiracetam (Keppra) used for? --------- Correct Answer -------- treats seizures the preferred antiepileptic med what is Dexamethasone? --------- Correct Answer -------- corticosteroudoid that reduced inflammation and cerebral edema with brain injury and tumors APETOMAN --------- Correct Answer -------- APETM aortic, pulmonary, erbs point, tricuspid valve, mitral valve valve locations --------- Correct Answer -------- erbs point --------- Correct Answer -------- 3rd ICS tricuspid --------- Correct Answer -------- 5th ICS pulmonic --------- Correct Answer -------- 2nd ICS aortic --------- Correct Answer -------- 2nd ICS mitral AKA apex --------- Correct Answer -------- 5th ICS at midclavicular line what to check labs wise when giving ace inhibitors? --------- Correct Answer -------- BUN/creatinine, potassium, blood pressure what will a child with epiglottitis present like? --------- Correct Answer -------- sitting in tripod position, be drooling, restless, anxious epiglottis- what is it? --------- Correct Answer -------- severe inflammatory obstruction caused by H. influenzae medical emergency!! symptoms progress fast from being asymptomatic to an occluded airway have emergency intubation available 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 66/129 what are signs of perforation? --------- Correct Answer -------- abdominal pain (with shoulder tip pain), positive rebound tenderness, gaurding, abdominal distension, boardlike/rigid abdomen what are normal expected findings after a colonoscopy? --------- Correct Answer -------- cramping, gas, and watery stools if a diabetic patient shows symptoms of hypoglycemia, what does the nurse do after checking the blood glucose? --------- Correct Answer -------- give them a carbohydrate snack! symptoms of hypoglycemia --------- Correct Answer -------- sweating and pallor, irritable, tremors/weakness, tachycardic, drowsiness, hunger. if the brain becomes glucose depleted, this could cause seizures anc coma decreased hemoglobin/hematocrit levels are normal in chronic kidney patient --------- Correct Answer -------- if a patient gets a transplant, they are then given immunosuppressants to help prevent organ rejection. however what does this make them susceptible to ? --------- Correct Answer -------- infections ventricular bigemy must be assessed rapidly because it can lead to what? --------- Correct Answer -------- deadly arrythmias like vtach or vfib what is magnesium sulfate used for? --------- Correct Answer -------- to stop seizures durin pregnancy therapeutic level is 4-7 when is the rapid response team notified? --------- Correct Answer -------- acute significant changes in heart rate, systolic BP, RR, o2 sat, LOC, and urine output physical findings of peripheral arterial disease --------- Correct Answer -------- weak/absent peripheral pulses, poor wound healing, cool pallid skin, shiny skin, missing hair wht does failing the pinprick test indicate? --------- Correct Answer -------- peripheral neuropathy if there is a puncture wound to a person by an object, the nurse should not try to remove the object. instead, they should stabilize it with dressings --------- Correct Answer -------- this my cause further trauma and bleeding bumetanide (Bumex) --------- Correct Answer -------- heart failure to diurese 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 67/129 when doing compressions on an infant, where do you place your fingers? --------- Correct Answer -------- right below imaginary horizontal line between the nipples steps after newborn is born --------- Correct Answer -------- stimulate and if after 30 scds if hr remains <100 then start PPV. if after 30 scds still reminds <60 afterquality PPV then do chest compressions and if still <60 then give epinephrine what is the first line treatet for kawasaki disease? --------- Correct Answer -------- IV immunoglobulin and aspirin to prevent the aneurism parent teaching for Kawasaki disease --------- Correct Answer -------- CHECK FOR FEVER what is Kawasaki disease and what are he symptoms? --------- Correct Answer -------- think of it as one big body rash systemic vasculitis in children presenting with more than 5 day of a fever, conjuntivitis, lymphadenopathy, mucositis, hand and foot swelling, an a rash, can cause coronary artery aneurisms some skin peeling jpint pain and irritability a DNR does not provide direction for nutrition supplementation --------- Correct Answer -------- what are some tings that put patients at risk for respiratory depression? --------- Correct Answer -------- elderly age, underlying pulmonary condition, hx of snoring, obesity, cigarette smokers, opiate naive, post surgery within 24 hours what is acute RLQ pain, n/v, and a high WBC count most likely? --------- Correct Answer -------- appendicitis. emergency surgery bc appendix could rupture. if it ruptures, the pain will subside temporarily (until peritonitis/sepsis develops) gastric lavage "stomach pumped" --------- Correct Answer -------- orogastric tube removes toxins and irrigates stomach rarely performed unless overdose could be lethal and if it can be done within ONE HOUR of the overdose. not done a lot bc of high risk for aspiration or esophageal/gastric perforation **intubation/suction should always be at bedside elevate HOB or put pt on side use large bore what is the standard treatment for overdose? --------- Correct Answer -------- charcoal (but its inneffective for lithium, iron, and alcohol) infant formula teaching --------- Correct Answer -------- -keep parts of bottles as clean as possible -wash the top of can before opening 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 70/129 what do you do if a tooth falls put --------- Correct Answer -------- tooth death can occur in one hour so put the tooth in milk and get help CF kids have thick secretios and lifelong respiratory infections --------- Correct Answer -------- in leukemia, bone marrow activity is depressed and so what does this result in --------- Correct Answer -------- blood cancer *infection low RBC production= *anemia decreased making of platelets= *bleeding what should be checked before giving erythropoietin? --------- Correct Answer -------- blood pressure chronic kidney disease can cause anemia becase the kidneys are unable to produce erythropoietin to stimulate the production of RBCs --------- Correct Answer -------- parvo causes fifth disease --------- Correct Answer -------- slapped cheek bright re facial rash, flu like smptoms trimethoprim-sulfamethazle (Bactrim) --------- Correct Answer -------- sulfa antibiotic IV iron can cause hypersensitivity reactions --------- Correct Answer -------- Memantine treats what? --------- Correct Answer -------- Alzeimers DASH diet --------- Correct Answer -------- fruite/veggies/fat free/low fat dairy whole grains, fish, poltry, beans, seeds, nuts limit intake of sodium, sweets, sugary beverages, and red meats low in saturated and trans fats and rich in potassium, calcium, magnesium, fiber, and protein if a patients is receiving palliative care, they can still receive curative care too --------- Correct Answer -------- what happens in peritoneal dialysis? --------- Correct Answer -------- dialysate is infused into the abdominal cavity and the tubing is clapmed to allow the dialysate to dwell. after the dwell time, tubing is unclamped and the fluid drains out during instillation and dwell time of peritoneal dialysis, what are clients closely monitored for? --------- Correct Answer -------- respiratory distress from infusing too quickly, overfilling the abdomen, or fluid entering the thoracic cavity 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 71/129 what do to if pregnant client has prolapsed cord? --------- Correct Answer -------- put client on their hands and knees in the knee-chest position symptoms of acromegaly (overproduction of growth hormone) --------- Correct Answer -------- enlarged face, hands, feet, and organs like tongue, spleen, kidney, thyroid hypertension, heart failure joint pain skin changes hyperglycemia additional heart sounds like S3 and S4 require reporting to HCP to look for cardiac problems --------- Correct Answer -------- cardiac catheterization --------- Correct Answer -------- helps assess/diagnose CAD. catheter is placed in vein in leg up to heart. after, a pressure dressing is applied and client is places supine with affected extremity flat for 2-3 hours. if bleeding occurs, direct manual pressure is put above the puncture site. peripheral pulses and pulses distal to site should be checked routinely after to make sure adequate blood flow to extremities what is the extreme thing that happens as a result of hypothyroidism? --------- Correct Answer -------- myxedema coma like lethargy, mental slugglishness, and coma which 2 groups of drugs can cause problems for those with asthma? --------- Correct Answer -------- NSAIDS and beta blockers bc they can cause bronchospasm what is Guaifenesin (Mucinex)? --------- Correct Answer -------- expectorant to facilitate mobilization of mucus Loratidine (claritin) --------- Correct Answer -------- antihistamine incentive spirometry is important post surgery to prevent atelectasis and expand lungs --------- Correct Answer -------- instructions for taking levothyroxine --------- Correct Answer -------- take on empty stomach in the morning separate from other meds blood tests are done to determine accurate dose usually is lifelong therapy dont take with antacid, iron, or calcium after Botox, watch for respiratory problems like dysphagia and respiratory paralysis --------- Correct Answer -------- if a patient is in a hypertensive crisis, give them IV vasodilators but remember to lower BP slowly tp prevent it dropping too rapidly and causing organ damage from decreased perfusion --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 72/129 in continuous bladder irrigation, what should the urine look like? --------- Correct Answer -------- light pink with no clots bladder spasms are expected in bacterial meningitis, what is the priority of care? --------- Correct Answer -------- immediate antibiotics LP with csf is done to find causative organism continuous bublling in a chest tube inicates what --------- Correct Answer -------- an air leak in the chest tube system section C orienting client to the bedside unit is the job or RN or UAP? --------- Correct Answer -------- RN signs of DIC --------- Correct Answer -------- frank external bleeding like venipuncture site bleeding and internal bleeding like petechiae, ecchymosis, hematuria, and bloody stools, also respiratory distress from bleeding into the lungs what to do? replace clotting factors fresh frozen plasma and platelets what modifications to take when giving cpr to a pregnant patient? --------- Correct Answer -------- place them on left side and compress slightly higher on the sternum a pregnant client in the supine is never really good because it compresse the aorta and vena cava --------- Correct Answer -------- normal urine output in mg/hr and mg/kg/hr --------- Correct Answer -------- 30 ml/hr 0.5-1 ml/kg/hr cold clammy skin is a sigh of hypoperfusion in shock --------- Correct Answer -------- Trousseua and Chvosteks are signs of what --------- Correct Answer -------- hyocalcemia what is the trousseau sign --------- Correct Answer -------- blood pressure cuff is inflated and the wrist spasms what is the chvostek sign --------- Correct Answer -------- facial twitch after tapping nerve on side of head hepatitis is diagnosed when liver enzymes are 2-3 times the normal value --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 75/129 1 tab or 1 spray every 5 minutes for a max of 3 doses. if chest pain continues after 5 mins after first dose, call 911. chest pain that occurs at rest is not considered stable like for example waking up at night with chest pain --------- Correct Answer -------- where should NTG tabs be stores? --------- Correct Answer -------- keep in original container stored away from light and heat sources but easily accessible what is the purpose of hemoglobin? --------- Correct Answer -------- to pick up oxygen in the lungs and carry it to the tissues with CO poisoning, what should be the nurses primary action? --------- Correct Answer -------- 100% oxygen at 15ml via nonrebreather mask what happend when carbon monoxide enters the body relating to hemoglobin? --------- Correct Answer -------- CO displaces oxygen from HGb causing hypoxia that is NOT REFLECTED BY A PULSE OX. the pulse ox cant differentiate btwn carbohemoglobin and oxyhemoglobin. so, their pulse ox may relfect normal findings, yet severe hypoxia may be present heart failure patinets must take which very important 2 actions? --------- Correct Answer -------- low sodium diet and take medications why should a patient take diuretic in the morning and not at bedtime> --------- Correct Answer -------- so they wont have to pee a lot at night hyperkalemia is a side effect of ACE inhibitors --------- Correct Answer -------- high in sodium foods examples --------- Correct Answer -------- processed meat, cheese, brea, canned soup/veggies, frozen dinners teaching for an electroencephalogram --------- Correct Answer -------- -wash hair before to remove oils -avoid caffeine, stimlants, and cns depressants before the test -test is not painful, as electrodes are just placed on the head oral isoniazid (INH) interferes with what vitamin? --------- Correct Answer -------- vitamin B6 resulting in peripheral neuropathy. if taking thise you should take a vit B supplement what lab is monitored when receiving warfarin? --------- Correct Answer -------- INR what lab is monitored when receiving unfractioned heparin? --------- Correct Answer -------- aPTT 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 76/129 glucose levels should be watched when receiving a steroid (glucocorticoid) --------- Correct Answer -------- when a patient is on prednisone, check glucose levels --------- Correct Answer -------- if a patient is on dig, monitor dig levels and also potassium levels --------- Correct Answer -------- Loperamide (Imodium) --------- Correct Answer -------- antidiarrheal opiate withdrawal --------- Correct Answer -------- everything is increased if there is a radiation contamination, see the victims farthest away from the source first --------- Correct Answer -------- in postmortem care, it is ok to let family members assist with care --------- Correct Answer -------- chlorhexidine gives antimicrobial effect really quick (like 30 scds) --------- Correct Answer -------- excessive hari may be clipped but not shaved when trying to start an IV. sjaving can cause abrasions which can introduce pathogens --------- Correct Answer -------- elbow sling placement --------- Correct Answer -------- 90 deg hand abve elbow bottom of sling ends in middle of palm with fingers visible do not take ace inhibitors if pregnant or planning to become --------- Correct Answer -------- when dealing wtih a cf patient, airway and o2 sat are the priorities bc a pneuothorax can develope and the only sign may be a drop in o2 sat --------- Correct Answer -------- a little facts about cystic fibrosis --------- Correct Answer -------- -sticky thick respiratory secretions -chronic cough -at risk for recurrent lung infections -reduced pulse ox but 90% requires immediate intervetion -can cough up blood sputum -lose weight -fecal retenion/impaction metaboli syndrome- what s it? --------- Correct Answer -------- insulin resistance syndrome 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 77/129 what are the criteria? --------- Correct Answer -------- 3 or more of the following: increased waist circumference high bp 130/85 triglyceride level over 150 HDL below 40 or 50 fasting glucose levels above 100 mnemonic: We Better Think High Glucose LDL (bad) cholesterol level is ok if below 100 --------- Correct Answer -------- normal triglyceride is below 150 --------- Correct Answer -------- best fluid solution to give after a burn --------- Correct Answer -------- lactated ringers bc it most closely resembles blood than all of the others a patient with SIADH is going to need fluid restrictions --------- Correct Answer -------- what to wear to ptrotect yourself from mosquites --------- Correct Answer -------- long sleeve, long pants, and light colors after thyroidectomy watch out for what --------- Correct Answer -------- respirtory distress from neck compressing the ariway stridor is noisy breathing --------- Correct Answer -------- 2 major purposes of amniotic fluid --------- Correct Answer -------- to prevent cord compression and promote lung development where is amniotic fluid produced? --------- Correct Answer -------- fetal kidney what causes oligohydramnios? --------- Correct Answer -------- low amniotic fluid volume caused by fetal kidney anomalies or leaking fluid through the vagina oligohydramnios requires more personnel in tht eroom for delivery --------- Correct Answer -------- oligohydramnios increases the risk for what? --------- Correct Answer -------- umbilical cord compression and pulmonary hypoplasia so needs additional personnel and continuous fetal monitoring what is an external fiaxtor --------- Correct Answer -------- metal device with metal scerws placed into a bone to stabilize it. there is an adjustable external rod *infection with pins is a complication. antibiotics must be started right away to prevent osteomyelitis 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 80/129 gallstone surgery- may have referred pain --------- Correct Answer -------- placenta previa is when placenta is at bottom touching the cervix --------- Correct Answer -------- ultra sound done around 36 weeks to see location of placenta --------- Correct Answer -------- dont stick anthing into vagina with suspected placenta previa --------- Correct Answer -------- nursing intervetions for a child with ADHD in hospital --------- Correct Answer -------- calm, structured, organized, consistent enviornment written chart or list of daily activities if a child is suddenly in distress and cant speak what should you suspect --------- Correct Answer -------- forein body aspiraion if schizophrenia is hearing voices, alwasy asses what they are saying --------- Correct Answer -------- necrotizing enterocolitis --------- Correct Answer -------- mostly preterm infants from underdeveloped intetestin/gut immunity so bacteria is introduced into bowel and get worse fast bc compromised immunity inflammation and ischemic necrosis of the intetsine pogression causes bowel congestion and gangrenous with gas forming inside bowel wall nursing interventions for necrotizing enterocolitis --------- Correct Answer -------- measure abdominal girth daily NPO NG suction to decompress stomach/intestines parenteral hydration IV antibiotics place supine to avpid pressure on the abdomen avoid rectal temps in case perforation Marfan syndrome need to avoid what --------- Correct Answer -------- contact sports why? --------- Correct Answer -------- heart problems raising the HOB causes BP to do what? --------- Correct Answer -------- decrease hypovolemic shhock patient should never be places in high fowlers --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 81/129 norepinephrine (Levophed) --------- Correct Answer -------- vasopresser used to increase stroke volume, CO, and MAP what is normal MAP --------- Correct Answer -------- 60 or more different stages/phages of kidney disease --------- Correct Answer -------- bladder spasms are exptedt after a prostatectomy with a catheter --------- Correct Answer -------- laser lithotripsy --------- Correct Answer -------- breaks down stones. burning on urination and hematuria are expected SE autonomic dyreflexia can happen in someone with a SCI at or above T6 --------- Correct Answer -------- autonomic dysrefexia (hyperreflexia) --------- Correct Answer -------- throbbing headache from uncontrolled hypertension nausea blurred vision sweating and skin flushing above level of injury what are common triggers of this? --------- Correct Answer -------- bladder or rectum distention. treat the trigger nurses should ask clients what they think caused illness as a way to assess their undersandings and beliefs of it --------- Correct Answer -------- albuterol --------- Correct Answer -------- short term rescue inhaler that treats reversible airway obstruction a/w asthma if not effective, use an inhaled corticosteroid side effects of albuterol --------- Correct Answer -------- insomnia, n/v, palpitations (from tachycardia), and tremor IV potassium chloride 5-10 m/hr is recommended to correct hypoakalemia --------- Correct Answer -------- potassium is never given via which 3 routes? --------- Correct Answer -------- IV push, intramuscular, or subq what is expected during IV infusion of KCL? --------- Correct Answer -------- irritation and discomfort at the site bc KCL irritates the vein 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 82/129 if there is discomfort when infusing KCL, what should the nurse do? --------- Correct Answer -------- slow the rate. dont stop it bc they need their potassium replacement if 20-40 of KCL are needed to be given, use a CVAD rather than a peripheral vein --------- Correct Answer -------- how are orthostatic vitals taken? --------- Correct Answer -------- supine, sitting, then standing with 2 minutes btewn each position change orthostatic vitals are present when what happens to systolic/diastolic BP? --------- Correct Answer -------- systolic drops at least 20 diastolic drops at least 10 pulse usually rises about 20 in dehydrationm you get hypotension and tachycardic --------- Correct Answer -------- what to dw tih client with positive orthstatic vitals?` --------- Correct Answer -------- dnt complete if feel dizzy/weak give fluids examples of isotonic solutions? --------- Correct Answer -------- normal saline lactated ringers look up fluid types in saunders --------- Correct Answer -------- IUDs can cause heavy bleeding- normal finding --------- Correct Answer -------- ovarian cancer --------- Correct Answer -------- subtle symptoms at first which contribute to more deaths than any other gynecologic cancer lack of screening and vague symptoms may not be diagnosed until advanced stage ovarian cancer symptoms --------- Correct Answer -------- ABDOMINAL BLOATING PELVIC PAIN OR PRESSURE early satiety abdominal, back, or leg pain urinary urgency/frequency gi disturbances how do toddlers play? --------- Correct Answer -------- parallel play- right alongside eachother but not with eachother dealing with a patient with hearing loss or deaf --------- Correct Answer -------- visibly gain their attention before speaking directly face the client put up hearing impairment sign on hob or door 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 85/129 what kind of physical activities should a child with arthritis do? --------- Correct Answer -------- low impact weight bearing and non weight bearing like swimming, yoga, stationary bike what is an amniotomy? --------- Correct Answer -------- artificial rupture of the membranes (AROM) -induces labor -watch for cord prolapse -assess fetal heart rate -characteristics of amniotic fluid. once ruptured this inc risk for infection -check patients temp every 2 hours after rupturing is supine positioning good for pregnant lady --------- Correct Answer -------- no bc it decreases uteroplacental blood flow and fetal oxygen what does a pulsatile mass in periumbilical area with back pain indicate? --------- Correct Answer -------- abdominal aneuryism diffue abdominl pain and rigid abdomen coul indicate what? --------- Correct Answer -------- peritonitis bronchioltiis --------- Correct Answer -------- priority as it requires frequent suctioning dilaudid is 5-10 times the strength of morphine --------- Correct Answer -------- aortic stenosis- --------- Correct Answer -------- narrowing of orifice btwn L ventricle and aorta aka blood is not properly pumped to body. patients may experience passing out and SOB and sudden death eith exertion thats why they should rest and not exericse before surgery therapeutic INR is what --------- Correct Answer -------- 2-3 true or fale: antiiotics can affect INR value? --------- Correct Answer -------- true vitamin K is a/w what --------- Correct Answer -------- clotting factors warfrain teachng --------- Correct Answer -------- take at same time each day dont have a diet high in vitamin k vitamin K would lower INR why --------- Correct Answer -------- the more clotting factors, the faster it would take the blood to clot so the lower the INR dont take aspirin/alcohol when on warfarin --------- Correct Answer -------- what does atropne treat? --------- Correct Answer -------- can decrease saliva and also used for bradycardia 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 86/129 what to do if you need to use an aed on a child but there are only adult pads available not kids --------- Correct Answer -------- place one on front and one on back to "sandwhich" the heart. just make sure they dont touch malignant hyperthermia symptoms --------- Correct Answer -------- high fever, rigid jaw, tachynea, and tachycardia what meds can precipitate malignant hyperthermia? --------- Correct Answer -------- anesthesia what med is given right away for malignnant hyperthermia? --------- Correct Answer -------- IV dantrolene bc it reversws the process by slowing metabolis use of dantrolene --------- Correct Answer -------- muscles spasms/malignant hyperthermia!!! when is epinephrine given? --------- Correct Answer -------- cardiac arrest, anaphylactic reactions, severe asthma attack when is atropine given? --------- Correct Answer -------- severe bradycardia it will speed up heart rate near-dorwning victim managemeent --------- Correct Answer -------- airway management- mechanical ventilation warm blankets warm IV fluids dont necessairyl need to give blood only if blood loss has occured but not just cux of dorwning glucoe levels are decreased 1 hour after birth but gradually incerease to normal 2-3 hrs after birth. optimal is 70-100 but 40 or over is normal --------- Correct Answer -------- what number is consididered a hypoglycemic neonate? --------- Correct Answer -------- less than 40. feed them right away phenytoin --------- Correct Answer -------- anticonvulsant used for seizers early signs of phenytoin toxicity --------- Correct Answer -------- horizontal nystagmus and gait unsteadiness gingival hyperplasia is en expected side effect of phenytoin. good oral hygiene can limit symptoms --------- Correct Answer -------- what is phenylketonuria PKU? --------- Correct Answer -------- the amino acid phenylaline is unconverted causing neurological damage 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 87/129 teaching for a phenylketonuria baby --------- Correct Answer -------- -a low phenylaline diet -lifetime dietary restrictions -monitor serum levels ac its an mino acid and is necessary but just in moderation -infants on special formulas -eliinate high phenylaline foods like meat eggs and milk what is an aura? --------- Correct Answer -------- happens right before a seizure what is significant about guillian baree syndrome? --------- Correct Answer -------- ascending symmetricl paralysis what is scanning speach? --------- Correct Answer -------- pasues btwn syllables and is expected with MS in fibromyalgia patients feel "point tenderness" where specific points on their body hurt --------- Correct Answer -------- rheumatoid factor is positive in cliehts with rhematoid arhtiritis --------- Correct Answer -------- what is osteoarthritis? --------- Correct Answer -------- disorder of the synovial joints (knee, hip, fingers) that causes erosion of joint cartilage and bone beneath cartilage what are some symtpoms fo osteoarthritis? --------- Correct Answer -------- pain exacerabetd by weight bearing crepitus morning stiffness 10-15 mins decrease joint mobility and ROM symptoms of acute appendicitis --------- Correct Answer -------- RLQ pain continuous anorexia, n/v rebound tenderness and gaurding prevent abdomen pressure by not coughing sneezing or breathing deep increased c-reactive protein is a sign of what? --------- Correct Answer -------- infection what is an advantage of having an insulin pump? --------- Correct Answer -------- blood sugras wont go way up and down they will stay at more of a steady rate. you stil have to test your blood sugar when you have this SSRIs --------- Correct Answer -------- sexual dysfunction watch our for what organ when taking acetaminophen? --------- Correct Answer -------- LIVER 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 90/129 what is wound evisceration? --------- Correct Answer -------- total sepration of woudn layers with internal organs protruding thru what to do it evisceration happens --------- Correct Answer -------- stay calm and remain wih them notify HCP make them NPO cover wound with saturdated dressings to not dry out place in low fowlers ith knees flexxed assess vitals every 15 position during a thoracentesis --------- Correct Answer -------- upright sitting pisition on side of bed, leaning forward over bedside table, arms on pillows meperedine (Demerol) is contraindicated for sickel cell crisys --------- Correct Answer -------- sickle cell crisis cause excrutiating pain and they need large dose of narcotics. PCA pump is th best method with morphin or dilaudid --------- Correct Answer -------- HIV precautions- blood borne so STANDARD PRECAUTIONS are good unless you anticipate splashing body fluids in that case youd wear a gown --------- Correct Answer -------- if asked to float to a unit with things unfamilari, you cant refuse. but you can clarify the skils that you are unable to perform --------- Correct Answer -------- how to improve oxygenation flow? --------- Correct Answer -------- high fowlers and take slow deep breaths if clients cant tolerte ACE inhibitors for their cough or hypotension symptoms, they can swith to ARBs lke valsartan ot losartan --------- Correct Answer -------- remember that kids under 2 have shorter Eustachian tubes therefore more prone to respirator infections that nay cause otis media --------- Correct Answer -------- exposure to smoke, pacifiers, and drinking from a bottle when lying down are all causes what is a barium enema --------- Correct Answer -------- lower GI series used to visualize the colon outlined by contrast to detect polyps, ulcers, tumors, etc barium enema teaching pre op --------- Correct Answer -------- -take a cathartic to empty stool from colon -CLD the day before for bowel prep and prevent dehydration- avoid red or purple -dont eat or drink 8 hours before test -may feel abdom cramping during test 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 91/129 barium enema post op teaching --------- Correct Answer -------- -expect chalky white stool (this is the contras) -take a laxative MIlk of Magnesia to expel stol -drink plenty of fluids and eat high fiber with injuries and a cane and going upstairs, always hold cane on the STRONG side and move can before moving weak leg --------- Correct Answer -------- when walking stairs use the neumonic, up with the good and down with the bad --------- Correct Answer -------- clients with total knee replace,ent usually bare full weight by discharge --------- Correct Answer -------- atrial pacemaker spikes before P waves and ventricular pacemaker spikes before QRS complexes --------- Correct Answer -------- assess implanted pacemakers for electrical capture of the heart rhythm but also mechanical capture of the heart rate by getting a central pulse like the APICAL pulse --------- Correct Answer -------- this is to make sure that the pacemaker that is producing a rhythm actually corresponds with the body and giving a pulse therefore pumping blood thru the body nausea is a side effect of some opioids --------- Correct Answer -------- what is a Holter monitor --------- Correct Answer -------- heart monitors that we have at work, keep a diary of activities and any symptoms experienced and dont bathe or shower sodium intake leads to fluid retention --------- Correct Answer -------- if you restrict sodium this leads to a decrease in water retention if a patients has CHF and they are continuing to eat salt (sodium) diet, then this will lead to water retention --------- Correct Answer -------- morphine can do what to the urine output? --------- Correct Answer -------- decrease general rule of thumb for egaging in swxal activity in cardiac clients --------- Correct Answer -------- climb 2 flights of stairs without symptms then youre good what number of weeks is considered term? --------- Correct Answer -------- 37 GTPAL --------- Correct Answer -------- G number of tmies pregnant T carried to term 37 weeks or later P preterm delivered 20-36 weeks 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 92/129 A abortions- ending before 20 wks L currently living children patiets with alzheimers (and other forms of dementia) may wander or get lost so its important to take precautions i the home like --------- Correct Answer -------- place locks above or below eye level bc they lose their peripheral vision, alrms on doors, disguising the doors, childproof dorrknobs. you want to take precautions to PREVEnt them actually leaving, not just what youd do if they leave remember not to choose answers with words like "never" and "always" --------- Correct Answer -------- practice resiliance by coming up with coping skills like deep breathing exercises --------- Correct Answer -------- electroconvulsive therapy ECT --------- Correct Answer -------- -a treatment for MDD with psychotic features or when patients are highly suicidal and are not responsing to meds and need imeedaite treatent to keep them safe where they cant wait for meds -electrodes applied to scalp causeing a brief convulsion -general anesthesia and muscle relaxant given -common side effects after? confusion and memory loss incentive sprometry --------- Correct Answer -------- remember *I for INHALE incentive spirometry steps --------- Correct Answer -------- sit upright, exhale and seal lips tight on mouthpiec, inhale, hold breath, then exhale LOWER UTI --------- Correct Answer -------- remember FUB frequency, urgency, burning a UTI bacteria can ascend from the bladdder and go to the kidney where you get pylonephritis and have n/v, fever, chills , flank pain, and costovertebral angle tenderness. need prompt treatment bc this could lead to sepsis --------- Correct Answer -------- UPPER UTI would be affecting kidneys --------- Correct Answer -------- in regards to delegation, the RN should escort a disgruntled family member off the unit and not delegate this to UAP --------- Correct Answer -------- assess for drugs that a pregnant client has had in the last 4 hours if they are in labor bc the baby might be born with respiratory depression --------- Correct Answer -------- justice is tretaing all clients failry without bias --------- Correct Answer -------- veractiy is telling thr truth --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 95/129 what is anormal after a cystocscopy --------- Correct Answer -------- pink tinged urine, frequency, dysuria, abdom discomfort, bladder spasms the herb black cohosh is uses for --------- Correct Answer -------- menopausal hot flashes gestational diabetes --------- Correct Answer -------- new onset of elevated bp at 20 or more weeks without proteinuria pre eclalpsio --------- Correct Answer -------- new elevated bp aat 20 or more weeks adn proteinuria HA, visual disturbances, facial swelling gentamycin --------- Correct Answer -------- ototoxicity liver biopsy during and after --------- Correct Answer -------- patient supine with right arm above head during after, right side lying and pillow under puncture site. the idea is to place pressure on th pincute site thats why you lie on right side recal irrigation and enema position --------- Correct Answer -------- left side lying for gravity flow natural direction of the colon during the first 24 hours after amputation, the residual limb is not elevated but can be supported by pillowa. elevate foot of bed. patient can be put in prone twice day for 20- 30 mins --------- Correct Answer -------- position after a vascular graft of extremity --------- Correct Answer -------- keep extremity straight and bed rest for 24 houra cardiac cath position --------- Correct Answer -------- femoral approach- bed rest 4-6 hrs and client can turn from side to side. keep extremity straight and hob no more than 30 deg rule of thumb positon respirator and cardiac patients with elevated HOB --------- Correct Answer -------- pad position --------- Correct Answer -------- dont raide legs above heart level like you would for veins/edema head njury --------- Correct Answer -------- fowlers or high to reduce ICP LP positioning --------- Correct Answer -------- during side lying, fetal knees up after supine 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 96/129 total hip replacement --------- Correct Answer -------- avoid extreme internal and external rotation, use abduction pillow!! so that legs dont turn AWAY from each other. tell them not to cross legs trochanter rolls --------- Correct Answer -------- prevent legs from turing out wilms tumor (kindye on the tumor) important instructions --------- Correct Answer -------- do not palpate the abdomen goal to reduce ICP is to reduce metabolic demands --------- Correct Answer -------- hyperventilate before suctioning --------- Correct Answer -------- ways to reduce ICP --------- Correct Answer -------- elevate HOB maintain head/neck in neutral midline position give stool softener manage pain/fever cal dark quiet environment give oxygen hyperventilate before suctioning dont suction too much (not longer than 10 scds) as this increases ICP in PAD, elevating your legs causes more pain so dont do it --------- Correct Answer -------- how many cm is the complete dilation to birth? --------- Correct Answer -------- 10 cm do not suction when inserting a ctherter --------- Correct Answer -------- 100% oxygen before suctioning on MV --------- Correct Answer -------- what to do whn the high pressure alarm on he MV sounds? --------- Correct Answer -------- suction risks for colon cancer? --------- Correct Answer -------- family hx if you have ibd, crohns, or ulcerative colitits diet high in red meat obesity alcohol smoking nutrients in cows milk --------- Correct Answer -------- calcum and vitamin D not vit k, iron, or fiber for tuburculosis, an induration of >1 indicates you have a TB infection --------- Correct Answer -------- 25 /2 /2024 10:02 م 2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 wi… about:blank 97/129 after found positve, more tests ar needed to see if its latent TB where its noncontagious, or active TB where its contagious thru the air --------- Correct Answer -------- latent vs active TB --------- Correct Answer -------- asymptomatic/cant spread vs symptomatic and can spread a posotive reaction to a TST indicated infection only. furhther testing is needed to see if its active therefore contagious --------- Correct Answer -------- dopamine --------- Correct Answer -------- increases heart rate and increases blood pressure the lower the IV catheter guage number, the larger the bore --------- Correct Answer -------- 14 guage (large bore) --------- Correct Answer -------- for giving fluids/drugs in prehisputal emergecy setting or for hypovolemic shock 18 guage --------- Correct Answer -------- somwhat stable adults needing large amounts of fluid or blood 20-22 guage --------- Correct Answer -------- sufficient for giving general IV fluids an meds to adults 24 guage --------- Correct Answer -------- childrne and elderly with frail veins sepsis should be treated immediately by getting blood cultures then antibiotic bc it lead to septic shock then multi organ dysnfuction --------- Correct Answer -------- expected side ffects of lithium --------- Correct Answer -------- droswniess, weight gain, dry mouth, gi upset lithium and sodium are closely related in the body so keep their levels normal --------- Correct Answer -------- lithium toxicity occurs with dehydration and hyponatreima so why should you do if taking? --------- Correct Answer -------- drink lots of fluid (2 L?) per day and get adequate salt. and dont take nsaids or thiazide when prioritixng care esp in a disaster, remember life over limb --------- Correct Answer -------- cheyne strokes breathing --------- Correct Answer -------- not a good sign. concerning in a TBI. tachypnea breathing followed by a gradual decrease that eventually results in apnea. this breathing cycle repeats. often seen in a pt dying