NCLEX-RN Study Guide: Essential Concepts and Practice Questions, Exams of Nursing

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NCLEX-RN Study Guide exam questions

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DO jNOT jdelegate jwhat jyou jcan...EAT j(Acronym) j- jANS ✓✓ -Evaluate, jAssess, jTeach UAP's jcan jnot jbe jdelegated: j- jANS ✓✓ -EAT, jmeds, jand junstable jpatients LPNs jcannot jbe jdelegated: j- jANS ✓✓ -Anything jrelated jwith jblood. 1 joz j= j? jmL j- jANS ✓✓ -30 jmL MAP jformula j- jANS ✓✓ -SBP+2(DBP)/ Normal jlevel jfor jCVP j- jANS ✓✓ -2 j- j 8 jmmhg Increased jCVP jcan jindicate j- jANS ✓✓ -Right jventricular jfailure jor jfluid jvolume jexcess Order jof jassessment j- jANS ✓✓ -1) jInspection

2. jPalpation
3. jPercussion
4. jAuscultation j(except jwith jthe jabdomen, jthis jis j#2) Blood jtype jO j- jANS ✓✓ -- jCan jreceive jfrom jO

• jCan jdonate jto jO, jA, jB, jAB,

Blood jType jA j- jANS ✓✓ -Antigen-A; jAntibody-Anti jB; jCan jreceive jfrom jA jor jO; jCan jdonate jto jA jor jAB Blood jtype jB j- jANS ✓✓ -- jReceive jfrom jB jand jO

• jCan jdonate jto jB jand jAB Blood jType jAB j- jANS ✓✓ -- jCan jdonate jto jO, jA, jB, jAB
• jCan jreceive jfrom jAB buck's jtraction j- jANS ✓✓ -knee jimmobility russell's jtraction j- jANS ✓✓ -a jsling jis jpositioned junder jthe jknee jwhich jsuspends jthe jdistal jthigh jabove jthe jbed j(femur jor jlower jleg) dunlap jtraction j- jANS ✓✓ -skeletal jor jskin bryant's jtraction j- jANS ✓✓ -children j<3 jy j<35 jlbs jwith jfemur jfx Infant's jdevelopment: j2-3 jmonths j- jANS ✓✓ -Turns jhead jside jto jside Infant's jdevelopment: j4-5 jmonths j- jANS ✓✓ -Grasps, jswitch j& jroll Infant's jdevelopment: j6-7 jmonths j- jANS ✓✓ -Sit jat j6, jwaves jbye-bue Infant's jdevelopment: j8-9 jmonths j- jANS ✓✓ -Stands jstraight jat j 8 Infant's jdevelopment: j10-11 jmonths j- jANS ✓✓ -Belly jto jbutt j(phrase jhas j 11 jletters) Infant's jdevelopment: j12-13 jmonths j- jANS ✓✓ -Twelve jand jup, jdrink jfrom ja jcup

Erikson's jStage: jInfancy j(0-18m) j- jANS ✓✓ -Trust jvs. jMistrust Development jof jtrust jbased jon jcaregivers Erikson's jStage: jEarly jchildhood j(18m-3yrs) j- jANS ✓✓ -Autonomy jvs. jShame j& jdoubt Development jof jsense jof personal jcontrol Preschool j(3-5yrs) j- jANS ✓✓ -Initiative jvs. jGuilt Development jof jsense jof purpose jand jdirective School jage j(6- j11yrs) j- jANS ✓✓ -Industry jvs. jInferiority Development jof jpride jin jaccomplishments Erikson's jStage: jAdolescence j(12-18yrs) j- jANS ✓✓ -Identity jvs. jRole jconfusion Exploration jof jindependence jand jdevelopment jof jself Erikson's jStage: jEarly jadulthood j(18- j40yrs) j- jANS ✓✓ -Intimacy jvs. jIsolation Development jof jpersonal jrelationships jand jlove Erikson's jStage: jAdulthood j(40- j65yrs) j- jANS ✓✓ -Generativity jvs. jStagnation Fulfilling jgoals jand jbuilding jcareer jand jfamily Erikson's jStage: jOlder jadult j(>65yrs) j- jANS ✓✓ -Integrity jvs. jDespair Looking jback jon jlife jwith jacceptance Parkland jformula: j- jANS ✓✓ -4ml/kg/%body jburned How jshould jyou jadminister jthe jfluids jwhen jutilizing jthe jParkland jformula? j- jANS ✓✓ -- j1st j8h: j1⁄2 jtotal jvolume j- j2nd/ j8h: j1⁄4 jtotal jvolume j- j3rd j8h: j1⁄4 jtotal jvolume What jdoes jit jcontrol? jCranial jNerve jI jOlfactory j- jANS ✓✓ -Smell jtest

What jdoes jit jcontrol? jII jOptic j- jANS ✓✓ -Visual jacuity jand jvisual jfields What jdoes jit jcontrol? jIII jOculomotor j- jANS ✓✓ -Pupil jconstriction jand jextraocular jmovements What jdoes jit jcontrol? jIV jTrochlear j- jANS ✓✓ -Extraocular jmovements: jinferior jadduction What jdoes jit jcontrol? jV jTrigeminal j- jANS ✓✓ -Clench jteeth jand jlight jtouch What jdoes jit jcontrol? jVI jAbducens j- jANS ✓✓ -Extraocular jmovements: jlateral jabduction What jdoes jit jcontrol? jVII jFacial j- jANS ✓✓ -Facial jmovement: jclose jeyes, jsmile What jdoes jit jcontrol? jVIII jAuditory j- jANS ✓✓ -Hearing jand jRomberg jtest What jdoes jit jcontrol? jIX jGlossopharyngeal j- jANS ✓✓ -Gag jreflex What jdoes jit jcontrol? jX jVagus j- jANS ✓✓ -Say j"ah" j- juvular jand jpalate jmovement What jdoes jit jcontrol? jXI jAccessory j- jANS ✓✓ -Turn jhead jand jlift jshoulders jto jresistance What jdoes jit jcontrol? jXII jHypoglossal j- jANS ✓✓ -Stick jout jtongue Don jPPE jOrder j- jANS ✓✓ -1. jHand jhygiene j2. jGown

3. jMask
4. jGoggles j5. jGloves Remove jPPE jOrder j- jANS ✓✓ -1. jGloves j2. jGoggles j3. jGown j4. jMask j5. jHand jhygiene

Hepatitis jtransmission: j- jANS ✓✓ -Consonants j(B, jC, jD):

• jBlood jand jbody jfluids. jVowals j(A, jE):
• jFecal jand joral. Airborne: jMTV j- jANS ✓✓ -Measles TB Varicella j(Chicken jPox/Herpes jZoster-Shingles) Droplet: jSPIDERMAN j- jANS ✓✓ -Sepsis Scarlet jfever Streptococcal jpharyngitis Parvovirus jB Pneumonia Pertussis Influenza Diphtheria j(pharyngeal) Epiglottitis Rubella Mumps Meningitis Mycoplasma jor jmeningeal jpneumonia jA(n)denovirus Contact: jMRS.WEE j- jANS ✓✓ -Multidrug jresistant jorganisms jRespiratory jinfection Skin jinfections j(*VCHIPS) jWound jinfection Enteric jinfection j(C. jdifficile) jEye jinfection j(conjunctivitis) Skin jInfections jPrecautions j- jANS ✓✓ -Varicella jzoster j Cutaneous jdiphtheria j Herpes jsimplex j Impetigo Pediculosis Scabies BUN jLab jValues j- jANS ✓✓ -5-20 jmg/dL Creatinine jLab jValues j- jANS ✓✓ -0.6-1.3 jmg/dL

Total jcholesterol jLab jValues j- jANS ✓✓ -140-199 jmg/dL HDL jLab jValues j- jANS ✓✓ -30-70 jmg/dL LDL jLab jValues j- jANS ✓✓ -<130 jmg/dL Albumin jLab jValues j- jANS ✓✓ -3.4-5 jg/dL Alanine jaminotransferase j(ALT): jLab jValues j- jANS ✓✓ -10-40 junits/L Aspartate jaminotransferase j(AST) jLab jValues j- jANS ✓✓ -10-30 junits/L Total jBilirubin jLab jValues j- jANS ✓✓ -<1.5 jmg/dL Hemoglobin jA1c: jLab jValues j- jANS ✓✓ -4%-5.9%: jnondiabetic <7%: jgood jdiabetic jcontrol j7% jto j8%: jfair jdiabetic jcontrol j

8%: jpoor jdiabetic jcontrol Hemoglobin jLab jValues j- jANS ✓✓ -Female: j12-15 jg/dL Male: j14-16.5 jg/dL

Hematocrit jLab jValues j- jANS ✓✓ -Female: j35%-47% Male: j42%-52% Platelets jLab jValues j- jANS ✓✓ -150,000-400,000 jcells/mm aPTT jLab jValues j- jANS ✓✓ -20-36 jsec, jdepending jon jtesting jmethod Therapeutic j(Heparin): j46-70 jseconds Prothrombin jtime j(PT) jLab jValues j- jANS ✓✓ -9.5-11.8 jsec

• jInternational jNormalized jRatio j(INR): jLab jValues j- jANS ✓✓ -2-3: jstandard jwarfarin jtherapy j 3-4.5: jhigh-dose jwarfarin jtherapy Erythrocytes j(RBC) jLab jValues j- jANS ✓✓ -4.5-5.0 jmillion/L Leucocytes j(WBC) jLab jValues j- jANS ✓✓ -4,500-11,000 jcells/mm3 j(Neutropenia j<1000/mm3 j/ jSevere jneutropenia: j<500/mm3) Potassium: jLab jValues j- jANS ✓✓ -3.5-5.0 jmEq/L Sodium jLab jValues j- jANS ✓✓ -135-145 jmEq/L Chloride jLab jValues j- jANS ✓✓ -98-107 jmEq/L Phosphate jLab jValues j- jANS ✓✓ -2.5-4.5 jmg/dL Magnesium jLab jValues j- jANS ✓✓ -1.6-2.6 jmg/dL Phosphorus: jLab jValues j- jANS ✓✓ -2.7-4.5 jmg/dL Calcium jLab jValues j- jANS ✓✓ -8.6-10 jmg/dL Digoxin jLab jValues j- jANS ✓✓ -0.8—2.0 jng/ml Lithium jLab jValues j- jANS ✓✓ -0.8—1.5 jmEq/L Phenytoin jLab jValues j- jANS ✓✓ -10—20 jmcg/dL Theophylline j(Aminophylline): jLab jValues j- jANS ✓✓ -10—20 jmcg/dL pH jLab jValues j- jANS ✓✓ -7.35—7.

HCO3 jLab jValues j- jANS ✓✓ -24—26 jmEq/L CO2 jLab jValues j- jANS ✓✓ -35—45 jmEq/L PaO2 jLab jValues j- jANS ✓✓ -80%—100% SaO2 j- jANS ✓✓ ->95% Food jsource jfor jFolic jacid j- jANS ✓✓ -green jleafy jvegetables, jliver, jbeef jand jfish, jlegumes, jgrapefruit jand joranges. Food jsource jfor jNiacin j- jANS ✓✓ -meats, jpoultry, jfish, jbeans, jpeanuts, jgrains. Food jsource jfor jVitamin jB1 j(thiamine) j- jANS ✓✓ -pork, jnuts, jwhole-grain jcereals, jlegumes. Food jsource jfor jVitamin jB2 j(riboflavin): j- jANS ✓✓ -milk, jlean jmeats, jfish, jgrains. Food jsource jfor jVitamin jB6 j(pyridoxine): j- jANS ✓✓ -yeast, jcorn, jmeat, jpoultry, jfish. Food jsource jfor jVitamin jB12 j(cobalamin): j- jANS ✓✓ -meat, jliver. Food jsource jfor jVitamin jC j(ascorbic jacid): j- jANS ✓✓ -citrus jfruits, jtomatoes, jbroccoli, jcabbage. Food jsource jfor jVitamin jA: j- jANS ✓✓ -liver, jegg jyolk, jwhole jmilk, jgreen jor jorange jvegetables, jfruits. Food jsource jfor jVitamin jD: j- jANS ✓✓ -fortified jmilk, jfish joils, jcereals.

Food jsource jfor jVitamin jE: j- jANS ✓✓ -vegetable joils, jgreen jleafy jvegetables, jcereals, japricots, japples, jpeaches. Food jsource jfor jVitamin jK: j- jANS ✓✓ -green jleafy jvegetables, jcauliflower, jcabbage. Food jsource jfor jCalcium: j- jANS ✓✓ -broccoli, jcarrots, jcheese, jcollard jgreens, jgreen jbeans, jmilk, jrhubarb, jspinach, jtofu, jyogurt. Food jsource jfor jChloride j- jANS ✓✓ -salt. Food jsource jfor jIron j- jANS ✓✓ -bread jand jcereals, jdark jgreen jvegetables, jdried jfruits, jegg jyolk, jlegumes, jliver, jmeats. Food jsource jfor jMagnesium j- jANS ✓✓ -avocado, jcanned jwhite jtuna, jcauliflower, jcooked jrolled joats, jgreen jleafy jvegetables, jmilk, jpeanut jbutter, jpeas, jpork, jbeef, jchicken, jpotatoes, jraisins, jyogurt. Food jsource jfor jPhosphorus j- jANS ✓✓ -fish, jnuts, jorgan jmeats, jpork, jbeef, jchicken, jwhole-grain jbread jand jcereals. Food jsource jfor jPotassium j- jANS ✓✓ -avocado, jbanana, jcantaloupe, jcarrots, jfish, jmushrooms, joranges, jpork, jbeef, jveal, jpotatoes, jraisins, jspinach, jstrawberries, jtomatoes. Food jsource jfor jSodium j- jANS ✓✓ -American jcheese, jbacon, jbutter, jcanned jfood, jcottage jcheese, jcured jpork, jhot jdogs, jketchup, jmilk, jmustard, jprocessed jfood, jsoy jsauce, jtable jsalt, jwhite jand jwhole-wheat jbread. Food jsource jfor jZinc j- jANS ✓✓ -eggs, jleafy jvegetables, jmeats, jprotein-rich jfoods. Auscultation jlocation jfor jaortic jsound j- jANS ✓✓ -Right j2nd jintercostal jspace Auscultation jlocation jfor jpulmonic jsound j- jANS ✓✓ -Left j2nd jintercostal jspace

Auscultation jlocation jfor jERB's jpoint j- jANS ✓✓ -(S1, jS2) jLeft j3rd jintercostal jspace Auscultation jlocation jfor jMitral jsound j- jANS ✓✓ -Left j5th jintercostal, jmedial jto jmidclavicular jline Crackles j- jANS ✓✓ -High jpitched jand jheard jduring jinspiration. jNot jcleared jby jcough. jDiscontinuous. jClinical jexamples jinclude jpneumonia, jheart jfailure, jasthma, jrestrictive jpulmonary jdiseases; jif jcoarse jcrackles: jpulmonary jedema jand jpulmonary jfibrosis jand jalso jin jpatients jterminally jill jwith jdiminished jgag jreflex. Rhonchi j- jANS ✓✓ -Rumbling, jcourse jsounds jlike ja jsnore. jHeard jduring jinspiration jor jexpiration. jMay jclear jwith jcoughing jor jsuctioning. jContinuous. jHeard jin jpatients jwith jchronic jbronchitis. Wheezes j- jANS ✓✓ -musical jnoise jduring jinspiration jor jexpiration. jUsually jlouder jduring jexpiration. jMay jclear jwith jcough. jContinuous. jHeard jin jpatients jwith jasthma. Pleural jfriction jrub j- jANS ✓✓ -Superficial, jlow jpitched, jcoarse jrubbing jor jgrating jsound j(two jsurfaces jrubbing jeach jother). jHeard jthroughout jinspiration jor jexpiration. jNot jcleared jby jcough. jHeard jin jpatients jwith jpleurisy. Ventilator jHigh-pressure jalarm: j- jANS ✓✓ -- jIncreased jsecretions jare jin jthe jairway.

• jWheezing jor jbronchospasm jis jcausing jdecreased jairway jsize. j- jThe jendotracheal jtube jis jdisplaced.
• jThe jventilator jtube jis jobstructed jbecause jof jwater jor ja jkink jin jthe jtubing.
• jPatient jcoughs, jgags, jor jbites jon jthe joral jendotracheal jtube.
• jClient jis janxious jor jfights jthe jventilator. Ventilator jLow-pressure jalarm: j- jANS ✓✓ -- jDisconnection jor jleak jin jthe jventilator jor jin jthe jpatient's jairway jcuff joccurs.
• jThe jpatient jstops jspontaneous jbreathing.

Chest jtube: jSuction jcontrol jchamber j- jANS ✓✓ -- jGentle jbubbling jindicates jthat jthere jis jsuction jand jdoes jnot jindicate jthat jair jis jescaping jfrom jthe jpleural jspace. Chest jtubes: jWater jseal jchamber j- jANS ✓✓ -- jWater joscillates j(up jas jthe jclient jinhales jand jdown jas jthe jclient jexhales).

• jIntermittent jbubbling jis jexpected jin ja jpatient jwith jpneumothorax.
• jContinuous jbubbling jindicates jan jair jleak jin jthe jchest jtube jsystem. Reversible jcauses jof jasystole j/PEA: j 5 jH's j- jANS ✓✓ -- jHypovolemia
• jHypoxia
• jHydrogen jions j(acidosis) j
• jHypo/Hyperkalemia
• jHypothermia Reversible jcauses jof jasystole j/PEA: j 5 jT's j- jANS ✓✓ -- jTension jpneumothorax
• jTamponade j(Cardiac)
• jToxins j(narcotics, jbenzos)
• jThrombosis
• jTrauma Naegele's jrule j- jANS ✓✓ -1st jday jof jthe jlast jmenstrual jperiod j+ j 7 jdays j- j 3 jmonths Ex) jSep j13th j- jSep j20th j- jJune j20th PREGNANCY jOUTCOME j- jGTPAL j- jANS ✓✓ -G j- jgravidity T j- jterm jbirths P j- jpreterm jbirths A j- jabortions jor jmiscarriages jL j- jcurrent jliving jchildren TORCH jINFECTIONS j- jANS ✓✓ -Toxoplasmosis Other j(Hepatitis, jSyphilis, jHIV) j Rubella Cytomegalovirus Herpes jsimplex

Which jtrimester jdo jTORCH jinfections jcause jthe jmost jdamage? j- jANS ✓✓ -1st jTrimester When jis jthe jRho jImmune jGlobulin? j- jANS ✓✓ -It jis jadministered j(IM jroute) jat j 28 jweeks jof jgestation jand jagain jwithin j 72 jhours jafter jdelivery.

• jIt jshould jalso jbe jadministered jwithin j 72 jhours jafter jpotential jor jactual jexposure jto jRh+ jblood jand jmust jbe jgiven jwith jeach jsubsequent jexposure jto jRh+ jblood. Which janticoagulant jis jteratogenic: jHeparin jor jWarfarin? j- jANS ✓✓ -Warfarin What jshould jbe jstarted j 3 jmonths jbefore jthe jwoman jbecomes jpregnant jto jdecrease jthe jincidence jof jneural jtube jdefects? j- jANS ✓✓ -Folic jAcid PREDISPOSING jCONDITIONS jFOR jDISSEMINATED jINTRAVASCULAR jCOAGULATION j(DIC) jIN jPREGNANCY j- jANS ✓✓ -- jAbruptio jplacentae
• jAmniotic jfluid jembolism
• jGestational jhypertension j
• jIntrauterine jfetal jdeath
• jLiver jdisease
• jSepsis What jclass jof jdrugs jare jused jto jstop jpreterm jlabor? j- jANS ✓✓ -Tocolytics What jmedications jare jconsidered jtocolytics? j- jANS ✓✓ -Indomethacin j(NSAID) Nifedipine j(Calcium jchannel jblocker) j Magnesium jsulfate Terbutaline 1st jstage jof jlabor j- jANS ✓✓ -Cervical jdilation
• jBegins jwith jonset jof jregular jcontractions jand jends jwith jcomplete jdilation. What jare jthe j 3 jphases jof jthe j1st jstage jof jlabor? j- jANS ✓✓ -- jLatent j(0-3cm)/
• jActive j(4-7cm)/
• jTransitional j(8-10cm) 2nd jstage jof jlabor j- jANS ✓✓ -Expulsion

• jBegins jwith jcomplete jdilation jand jends jwith jdelivery jof jfetus. 3rd jstage jof jlabor j- jANS ✓✓ -Placental
• jBegins jimmediately jafter jfetus jis jborn jand jends jwhen jthe jplacenta jis jdelivered. 4th jstage jof jlabor j- jANS ✓✓ -maternal jhomeostatic jstabilization
• jBegins jafter jthe jdelivery jof jthe jplacenta jand jcontinues jfor j1-4 jhours jafter jdelivery S/S jof jPLACENTA jPREVIA j- jANS ✓✓ -- jPainless jbright jred jvaginal jbleeding.
• jSoft juterus.
• jVaginal jexams jare jcontraindicated. S/S jof jABRUPTIO jPLACENTAE j- jANS ✓✓ -- jDark jred jvaginal jbleeding.
• jUterine jpain jand/or jtenderness.
• jUterine jrigidity. FETAL jACELERATIONS jAND jDECELERATIONS VEAL jCHOP j- jANS ✓✓ -Variable jdecelerations j= jCord jcompression Early jdecelerations j= jHead jcompression Accelerations j= jOkay! Late jaccelerations j= jPlacental jinsufficiency FETAL jHEART jRATE j- jANS ✓✓ -120-160bpm j(variability j6-10bpm) CONTRACTION jsigns j- jANS ✓✓ -2-5 jminutes japart jwith jduration jof j<90 jseconds jand jintensity jof j<100 jmmHg. Acronym jAVA jfor jumbilical jcord j- jANS ✓✓ -Artery

Vein Artery j (2 jarteries jand j 1 jvein) Normal jpostpartum jtemperature j- jANS ✓✓ -may jincrease jto j100.4oF jduring jthe jfirst j24h jpostpartum jbecause jof jdehydrating jeffects jof jlabor. jAny jhigher jelevation jmay jbe jcauses jby jinfection jand jmust jbe jreported. Normal jpostpartum jheart jrate j- jANS ✓✓ -may jdecrease jto j50bpm j(normal jpuerperal jbradycardia); j>100bpm jmay jindicate jexcessive jblood jloss jor jinfection. Normal jpostpartum jblood jpressure j- jANS ✓✓ -should jbe jnormal; jsuspect jhypovolemia jif jit jdecreases. Normal jpostpartum jrespiratory jrate j- jANS ✓✓ -rarely jchanges; jif jit jincreases jsignificantly, jsuspect jpulmonary jembolism, juterine jatony jor jhemorrhage. What jis jthe jacronym jSTOP jused jfor? j- jANS ✓✓ -This jis jthe jtreatment jfor jmaternal jhypotension jafter jan jepidural janesthesia: What jdoes jthe jacronym jSTOP jstand jfor? j- jANS ✓✓ -1. jStop joxytocin jif jinfusing.

2. jTurn jthe jclient jon jthe jleft jside.
3. jAdminister joxygen.
4. jIf jhypovolemia jis jpresent, jpush jIV jfluids. Pregnancy jcategory jof jdrugs: jCategory jA j- jANS ✓✓ -No jrisk jin jcontrolled jhuman jstudies Pregnancy jcategory jof jdrugs: jCategory jB j- jANS ✓✓ -No jrisk jin jother jstudies. Pregnancy jcategory jof jdrugs: jCategory jC j- jANS ✓✓ -Risk jnot jruled jout. Pregnancy jcategory jof jdrugs: jCategory jD: j- jANS ✓✓ -Positive jevidence jof jrisk.

Pregnancy jcategory jof jdrugs: jCategory jX j- jANS ✓✓ -Contraindicated jin jPregnancy. Pregnancy jcategory jof jdrugs: jCategory jN j- jANS ✓✓ -Not jyet jclassified ANTIBIOTICS jCONTRAINDICATED jDURING jPREGNANCY jACRONYM j- jANS ✓✓ - MCATO Acronym jMCATO j- jANS ✓✓ -Metronidazole* jhepatic jfailure Chloramphenicol jgray jbaby jsyndrome jAminoglycosides jototoxicity Tetracyclines jteeth jdiscoloration j& jliver jfailure jOthers jNitrofurantoin, jQuinolones j& jsulfonamides j*relatively jcontraindicated What jdoes jmagnesium jsulfate jdo jfor jpregnant jpatients? j- jANS ✓✓ -stops jpreterm jlabor jand jprevents jand jcontrols jseizures jin jpre-eclamptic jand jeclamptic jpatients. jIt jdecreases jthe jurine joutput, jdeep jtendon jreflexes, jrespiratory jrate jand jblood jpressure APGAR j- jANS ✓✓ -Appearance j Pulse j Grimace j Activity j Respiration APGAR jScoring jand jInterventions j- jANS ✓✓ -Score jinterventions: 8-10: jno jintervention jrequired jexpect jto jsupport jnewborn's jspontaneous jefforts. 4-7: jstimulate; jrub jnewborn's jback; jadminister joxygen, jrescore jat jspecific jintervals. 0-3: jrequires jfull jresuscitation; jrescore jat jspecific jintervals. 0-2 jin jall jcategories What jage jdoes jthe janterior jfontanel jclose? j- jANS ✓✓ -12-18 jmonths What jage jdoes jthe jposterior jfontanel jclose? j- jANS ✓✓ -Between jbirth jand j2- jmonths jof jage

Acronym jfor jsigns jof ja jpossible jheart jdefect jin jnewborns j- jANS ✓✓ -CORBIN CORBIN jacronym j- jANS ✓✓ -Color: jbluish jskin jor jextremities. O2: jlow jpulse joximetry jpercentage. Rhythm: jabnormal jheart jrate. Breathing: jheavy jor jlabored. Increase jin jsweat, jespecially jon jthe jforehead. Nursing: jtrouble jfeeding jand jbreathing jat jthe jsame jtime jor jpoor jappetite. COMPARTMENT jSYNDROME j- jANS ✓✓ -- jIt joccurs jwhen jexcessive jpressure jbuilds jup jinside jan jenclosed jmuscle jspace jin jthe jbody.

• jIt jusually jresults jfrom jbleeding jor jswelling jafter jan jinjury.
• jThe jdangerously jhigh jpressure jin jcompartment jsyndrome jimpedes jthe jflow jof jblood jto jand jfrom jthe jaffected jtissues. Causes jof jCompartment jSyndrome j- jANS ✓✓ -- jTrauma, jespecially jwhen jit jresults jin jshock.
• jAbdominal jsurgery, jparticularly jliver jtransplant.
• jBurns
• jSepsis.
• jSevere jascites jor jabdominal jbleeding.
• jPelvic jfracture.
• jVigorous jeccentric jabdominal jexercises j(i.e. jsit-ups jon ja jback jextension jmachine jin jweight jrooms). Five jPs jof jfractures jand jcompartment jsyndrome: j- jANS ✓✓ -Pain. Pallor. Pulselessness. Paresthesia. j Polar j(cold). FIVE jFs jOF jGALLBLADDER jDISEASE: j- jANS ✓✓ -Fair. Fat. Forty jy/o. Five jpregnancies. Flatulent. *But jit jcan joccur jin jall jages jand jboth jsexes.

Up/Downs jof jAddison's jDisease j- jANS ✓✓ -Down j- jHyponatremia Down j- jHypotension Down j- jHypovolemia Up j- jHyperkalemia Down j- jHypoglycemia Up/Downs jof jCushing's jDisease j- jANS ✓✓ -Up j- jHypernatremia Up j- jHypertension Up j- jHypervolemia Down j- jHypokalemia Up j- jHyperglycemia S/S jof jAddison's jDisease j- jANS ✓✓ -Dark jpigmentation Lowered jresistance jto jstress jFractures Alopecia Weight jloss jGI jdistress "Need jto jADD jhormone" S/S jof jCushing's jDisease j- jANS ✓✓ -Prone jto jinfection j Muscle jwasting jWeakness Edema Hypertension Hirsutism jMoonface/Buffalo jhump "Have jextra jCUSHION jof jhormones" Treatment jfor jAddison's jDisease j- jANS ✓✓ -Increase jNa jintake; jmedications jinclude jmineral jcorticoids. Treatment jfor jCushing's jDisease j- jANS ✓✓ -Decrease jNa jintake; jobserve jfor jsigns jof jinfection. What jis jparamount jin jmanaging jregarding jAddison's jDisease? j- jANS ✓✓ -Stress. j If jthe jadrenal jglands jare jstressed jfurther jit jcould jresult jin jAddisonian jcrisis.

What jis jthe jmost jimportant jassessment jparameter jin jAddison's jDisease? j- jANS ✓✓ -Blood jpressure. Disease jcan jcause jsevere jhypotension. S/S jof jAddisonian jCrisis j- jANS ✓✓ -nausea j& jvomiting, jconfusion, jabdominal jpain, jextreme jweakness, jhypoglycemia, jdehydration, jhypotension. What jshould jneutropenic jpatient jnot jhave? j- jANS ✓✓ -Vaccines, jfresh jfruits, jor jflowers Treatment jfor jspider jbites/bleeding. j- jANS ✓✓ -Rest. Ice. Compression. Elevate jextremity. Treatment jfor jsickle jcell jcrises j- jANS ✓✓ -Heat. Hydration. Oxygen. Pain jmedications. Patient jpositioning: jAsthma j- jANS ✓✓ -orthopneic jposition jwhere jpatient jis jsitting jup jand jbent jforward jwith jarms jsupported jon ja jtable jor jchair jarms. Patient jpositioning: jPost jbronchoscopy j- jANS ✓✓ -flat jon jbed jwith jhead jhyperextended. Patient jpositioning: jCerebral janeurysm j- jANS ✓✓ -high jFowler's Patient jpositioning: jHemorrhagic jstroke j- jANS ✓✓ -HOB jelevated j30* jto jreduce jICP jand jfacilitate jvenous jdrainage. Patient jpositioning: jIschemic jstroke j- jANS ✓✓ -HOB jflat

Patient jpositioning: jCardiac jcatheterization j- jANS ✓✓ -keep jsite jextended Patient jpositioning: jEpistaxis j- jANS ✓✓ -lean jforward Patient jpositioning: jPatient jpositioning: jAbove jknee jamputation j- jANS ✓✓ - elevate jfor jfirst j24hrs jon jpillow, jposition jon jprone jdaily jfor jhip jextension Patient jpositioning: jBelow jknee jamputation j- jANS ✓✓ -foot jof jbed jelevated jfor jfirst j24hrs, jposition jprone jdaily jfor jhip jextension Patient jpositioning: jtube jfeeding jfor jpatient jwith jdecreased jLOC j- jANS ✓✓ - position jpatient jon jright jside jto jpromote jemptying jof jthe jstomach jwith jHOB jelevated jto jprevent jaspiration Patient jpositioning: jPostural jdrainage j- jANS ✓✓ -Lung jsegment Patient jpositioning: jAir/Pulmonary jembolism j- jANS ✓✓ -turn jpatient jto jthe jleft jside jand jlower jHOB Patient jpositioning: jPostural jDrainage j- jANS ✓✓ -Lung jsegment jto jbe jdrained jshould jbe jin jthe juppermost jposition jto jallow jgravity jto jwork Patient jpositioning: jPost jlumbar jpuncture j- jANS ✓✓ -patient jshould jlie jflat jin jsupine jto jprevent jH/A jand jleaking jof jCSF Patient jpositioning: jContinuous jBladder jIrrigation j- jANS ✓✓ -catheter jshould jbe jtaped jto jthigh jso jlegs jshould jbe jkept jstraight Patient jpositioning: jAfter jmyringotomy j(small jpuncture jinto jear jdrum jto jrelieve jpressure/pus) j- jANS ✓✓ -position jon jthe jside jof jaffected jear jafter jsurgery j(Allows jdrainage jof jsecretions)

Patient jpositioning: jPost jcataract jsurgery j- jANS ✓✓ -patient jwill jsleep jon junaffected jside jwith ja jnight jshield jfor j1-4 jweeks Patient jpositioning: jDetached jretina j- jANS ✓✓ -area jof jdetachment jshould jbe jin jthe jdependent jposition Patient jpositioning: jPost jthyroidectomy j- jANS ✓✓ -low jor jsemi-Fowler's, jsupport jhead, jneck jand jshoulders Patient jpositioning: jThoracentesis j- jANS ✓✓ -Sitting jon jthe jside jof jbed jand jleaning jover jthe jtable j(during jprocedure); jaffected jside jup j(after jprocedure) Patient jpositioning: jSpina jbifida j- jANS ✓✓ -position jinfant jon jprone jso jthat jsac jdoes jnot jrupture Patient jpositioning: jBuck's jtraction j- jANS ✓✓ -elevate jfoot jof jbed jfor jcounter- traction Patient jpositioning: jPost jtotal jhip jreplacement j- jANS ✓✓ -don't jsleep jon joperated jside, jdon't jflex jhip jmore jthan j45-60* jand jdon't jelevate jHOB jmore jthan j45* jmaintain jhip jabduction jby jseparating jthighs jwith jpillows Patient jpositioning: jProlapsed jumbilical jcord j- jANS ✓✓ -knee-chest jposition jor jtrendelenburg Patient jpositioning: jCleft-lip j- jANS ✓✓ -position jon jback jor jin jinfant jseat jto jprevent jtrauma jto jthe jsuture jline; jwhile jfeeding, jhold jin jupright jposition. Patient jpositioning: jCleft-palate j- jANS ✓✓ -prone Patient jpositioning: jhemorrhoidectomy j- jANS ✓✓ -assist jto jlateral jposition Patient jpositioning: jHiatal jhernia j- jANS ✓✓ -upright jposition

Patient jpositioning: jPreventing jdumping jsyndrome j- jANS ✓✓ -eat jin jreclining jposition, jlie jdown jafter jmeals jfor j20-30 jmins j(also jrestrict jfluids jduring jmeals, jlow jfiber jdiet, jand jsmall jfrequent jmeals) Patient jpositioning: jEnema jadministration j- jANS ✓✓ -position jpatient jin jleft-side jlying j(sim's jposition) jwith jknees jflexed Patient jpositioning: jPost jsupratentorial jsurgery j(incision jbehind jhairline) j- jANS ✓✓ -elevate jHOB j30-45* Patient jpositioning: jPost jinfratentorial jsurgery j(incision jat jnape jof jneck) j- jANS ✓✓ -position jpatient jflat jand jlateral jon jeither jside Patient jpositioning: jIncreased jICP j- jANS ✓✓ -high jFowler's Patient jpositioning: jLaminectomy j- jANS ✓✓ -back jas jstraight jas jpossible; jlog jroll jto jmove jand jsand jbag jsides Patient jpositioning: jSpinal jcord jinjury j- jANS ✓✓ -immobilize jon jspine jboard, jwith jhead jin jneutral jposition; jimmobilize jhead jwith jpadded jC-collar, jmaintain jtraction jand jalignment jof jhead jmanually; jlog jroll jpatient jand jdo jnot jallow jpatient jto jtwist jor jbend Patient jpositioning: jLiver jbiopsy j- jANS ✓✓ -right jside jlying jwith jpillow jor jsmall jtowel junder jpuncture jsite jfor jat jleast j3hrs Patient jpositioning: jParacentesis j- jANS ✓✓ -flat jon jbed jor jsitting Patient jpositioning: jIntestinal jtubes j- jANS ✓✓ -place jpatient jon jright jside jto jfacilitate jpassage jinto jduodenum Patient jpositioning: jNasogastric jtubes j- jANS ✓✓ -elevate jHOB j30* jto jprevent jaspiration. jMaintain jelevation jfor jcontinuous jfeeding jor j1hr jafter jintermittent jfeedings.

Patient jpositioning: jPelvic jexam j- jANS ✓✓ -lithotomy jposition Patient jpositioning: jRectal jexam j- jANS ✓✓ -knee-chest jposition, jSim's, jor jdorsal jrecumbent Patient jpositioning: jDuring jinternal jradiation j- jANS ✓✓ -patient jshould jbe jon jbed jrest jwhile jimplant jis jin jplace Patient jpositioning: jAutonomic jdysreflexia j- jANS ✓✓ -place jpatient jin jsitting jposition j(elevate jHOB) jfirst jbefore jany jother jimplementation Patient jpositioning: jShock j- jANS ✓✓ -Modified jtrendelenburg Patient jpositioning: jHead jinjury j- jANS ✓✓ -elevate jHOB j30* jto jdecrease jintracranial jpressure Patient jpositioning: jPeritoneal jdialysis jwhen joutflow jis jinadequate j- jANS ✓✓ - turn jpatient jside jto jside jbefore jchecking jfor jkinks jin jthe jtubing. Patient jpositioning: jWater-based jdye jmyelogram j- jANS ✓✓ -semi-fowler's jfor jat jleast j8hrs Patient jpositioning: jOil-base jdye jmyelogram j- jANS ✓✓ -flat jon jbed jfor jat jleast j6- 8hrs jto jprevent jleakage jof jCSF Patient jpositioning: jAir jdye jmyelogram j- jANS ✓✓ -trendelenburg S/S jof jDiabetes jInsipidus j- jANS ✓✓ -- jLow jADH, jlow jwater jin jbody.

• jPolyuria.
• jHypernatremia.
• jHigh jhemoglobin, jhematocrit jand jserum josmolality jfrom jdehydration. Risk jof jDiabetes jInsipidus j- jANS ✓✓ -Hypovolemic jshock

Treatment jof jDiabetes jInsipidus j- jANS ✓✓ -DDAVP j(ADH) S/S jof jSyndrome jof jInappropriate jADH j(SIADH) j- jANS ✓✓ -- jHigh jADH, jwater jintoxication.

• jOliguria.
• jHyponatremia.
• jLow jserum josmolality.
• jWeight jgain. Risk jof jSIADH j- jANS ✓✓ -Seizures Treatment jfor jSIADH j- jANS ✓✓ -Fluid jrestriction Vitals jfor jelevated jICP j- jANS ✓✓ -BP j- jHigh HR j- jLow RR j- jLow Vitals jfor jshock j- jANS ✓✓ -BP j- jLow HR j- jHigh RR j- jHigh DKA jTreatment j(KING jUFC) j- jANS ✓✓ -K+. Insulin. Nasogastric jtube: jif jcomatose. Glucose: jonce jserum jlevels jdrop. jUrea: jmonitoring. Fluids: jcrystalloids. Creatinine: jmonitor jand jcatheterize. C3 jand jabove jinjury jeffect j- jANS ✓✓ -Unable jto jcare jfor jself, jlife-sustaining jventilator jis jessential. At jC6 jinjury jeffect j- jANS ✓✓ -May juse ja jlightweight jwheelchair; jfeed jself jwith jdevices; jwrite jand jcare jfor jself; jtransfer jfrom jchair jto jbed. At jC7 jinjury jeffect j- jANS ✓✓ -Can jdress jlegs; jminimal jassistance jneeded; jindependence jin jwheelchair; jcan jdrive jcar jwith jhand jcontrols.

at jT1-T4 jinjury jeffect j- jANS ✓✓ -Some jindependence jfrom jwheelchair; jlong-leg jbraces jfor jstanding jexercises. at jL3-L4 jinjury jeffect j- jANS ✓✓ -May juse jcrutches jor jcanes jfor jambulation. Function jof jFrontal jlobe j- jANS ✓✓ -Behavior, jintelligence, jmemory, jmovement Function jof jParietal jlobe j- jANS ✓✓ -Intelligence, jlanguage, jreading, jsensation Function jof joccipital jlobe j- jANS ✓✓ -visual jprocessing jand jspatial-orientation Function jof jcerebellum j- jANS ✓✓ -Balance, jswallowing, jbreathing, jheartbeat Function jof jtemporal j- jANS ✓✓ -speech, jvision, jhearing, jlong-term jmemory S/S jof jleft jside jCVA j- jANS ✓✓ -- jParalyzed jright jside jhemiplegia. j- jImpaired jspeech jand jlanguage. j- jSlow jperformance.

• jVisual jfield jdeficits.
• jAware jof jdeficits: jdepression, janxiety. j- jImpaired jcomprehension. S/S jof jRight jside jCVA j- jANS ✓✓ -- jParalyzed jleft jside jhemiplegia. j- jSpacial- perceptual jdeficits.
• jTends jto jminimize jproblems.
• jShort jattention jspan.
• jVisual jfield jdeficits.
• jImpaired jjudgement.
• jImpulsive.
• jImpaired jtime jconcept. S/S jleft jside jheart jfailure j(FORCED) j- jANS ✓✓ -Fatigue. Orthopnea. j Rales/Restlesness. jCyanosis/Confusion. j Extreme jweakness. j Dyspnea.

S/S jof jright jside jheart jfailure j(BACONED) j- jANS ✓✓ -Bloating. Anorexia. j Cyanosis/Cool jlegs. j Oliguria. Nausea. Edema. Distended jneck jveins. CHF jTREATMENT j(UNLOAD jFAST) j- jANS ✓✓ -Upright jposition. Nitrates. Lasix j(Furosemide). Oxygen. ACE jinhibitors. Digoxin. Fluids j(decrease). Afterload j(decrease). Sodium jrestriction. Test j(digoxin jlevel, jABGs, jK jlevel). Therapeutic jDiet: jAcute jrenal jdisease j- jANS ✓✓ -protein-restricted, jhigh jcalorie, jfluid-controlled, jNA jand jK jcontrolled. Therapeutic jDiet: jAddison's jdisease j- jANS ✓✓ -high jsodium, jlow jpotassium Therapeutic jDiet: jADHD jand jBipolar j- jANS ✓✓ -high-calorie jand jprovide jfinger jfoods Therapeutic jDiet: jAnemia j- jANS ✓✓ -high jprotein/iron/vitamins Therapeutic jDiet: jAtherosclerosis j- jANS ✓✓ -low jsaturated jfats Therapeutic jDiet: jBurns j- jANS ✓✓ -high jprotein, jhigh jcaloric, jincreased jvitamin jC Therapeutic jDiet: jCancer j- jANS ✓✓ -high-calorie, jhigh jprotein