KAPLAN NCLEX REVIEW

Study online at quizlet.com/_etna8

1. ... ... 15. assessment fatigue, weakness, osteoporosis (remember

findings in too much glucocorticoids), muscle wasting,
2. 1.Assessment findings for 1.Reddish macule
Cushing's cramps, edema, increased blood pressure,
Impetigo becomes honey colored
syndrome purple skin striations, hirsutism, depression,
crusted vesicle, then
decreased resistance to infection, moon
2.what organisms cause impetigo? crust, pruritis,
face, buffalo hump, obesity (trunk), mood
2. caused by staph,
swings, masculinzation in females, blood
3.how to remove impetigo? strep
sugar imbalance
3. loosen scab with
Burrow's solution 16. assessment diplopia+ptosis
compress, remove findings in Impaired speech + dysphagia
gently. myasthenia respiratory distress
gravis periods of remission/exacerbation
3. 1.what is the reason for 1.the liver is unable to
physiological jaundice clear the billirubin from 17. assessment -uneven gluteal folds and thigh creases
the blood findings of pt (deeper on affected side)
2.when does it occur? with -limited abduction of the hip with pain
2.occurs after 24 hours, developmental -unequal knee height with thigh flexion
3. how long does it last? peaks at 72 hours dysplasia of -Ortolani's sign-placing infant on back with
the hip flex legs will yield a clicking sound on
3.lasts 5-7 days abduction of the legs
-in older child, shortened limb on affected
4. accumulation of CO2 is danger respiratory failure and
side
sign of cardiac arrest
-delays in walking, limp, lordosis, waddling
5. ACE inhibitors promote retention potassium gait in older child
of
18. associative preschool children
6. active peptic ulcer disease is a thrombolytic play in which
contraindication for ___ therapy there are no
7. after administering DPaT 48 hours group goals
immunization, fever is expected and there is
within often a leader
is played at
8. after a hemorrhoidectomy, it is urinary retention
what age
important to assess for
because of swelling 19. at what age 1-3 months
(edema) in the tissues or does infant lift
a spasm of the pelvic head up 45
muscles. degrees when
in prone
9. after a total join replacement of if the leg is outwardly
position
the hip, if the leg is positioned rotated
____, it indicates dislocation of 20. at what time of after breakfast to reduce appetite-
prosthesis the day should suppressant effects
ritalin be
10. after kidney transplant, what is a tenderness over the
administered?
sign of rejection? kidney
oliguria 21. basic dumping syndrome
edema and weight gain guidelines to
teach client
11. after total joint replacement of position of abduction
post-
the hip, how should the leg be for 2-3 months
gastrectomy
position to avoid dislocation
are measures
12. amount of dialysate outflow is to be the same or exceed to prevent
inflow
22. the best mode synchronized intermittent mandatory
13. anxiety and fatigue are pain distracters to wean client ventilation (SIMV) which allows for
14. aspirin contraindicated for pt with bleeding disorders from ventilator spontaneous breaths at his own rate and
is tidal volume between ventilator breaths
23. beta blockers should NOT be given 90/60 36. Dawn phenomena abnormally high levels of glucose
if blood pressure is lower than upon awakening in the morning
Hurst
37. Decerebrate client is stimulated, and teeth
24. beta blockers should NOT be given 60 bpm posturing clench and the arms are stiffly
if pulse is less than extended, adducted, and
Hurst hyperpronated. The legs are stiffly
extended with plantar flexion of the
25. birth weight doubles by how old 5-6 months
feet.
26. a bruit heard over the abdominal aneurysm is present
aorta indicates Hurst
27. burns on the abdomen, face, neck, severe edema, which 38. describe how to use client swallows air and then
and chest result in could cause airway esophageal speech eructates it while forming words
restriction following a total with the mouth
28. by which cranial nerve is Meniere's cranial nerve VIII laryngectomy
disease diagnosed? 39. directions for deep 1. taking three deep breaths
29. catatonic schizophrenia causes animation and a breathing and 2. holding the incision
sudden loss of tendency to remain coughing after 3. and then coughing
motionless in a abdominal surgery
stereotyped position includes

30. clients who present with diabetic dehydrated 40. dissociative disorders sudden or gradual disruption in the
ketoacidosis, are severely ____ characterized by integrative functions of identity,
(related to fluid status) Hurst memory, or conciousness,

31. color of dialysate outflow is clear, light yellow 41. do clients no

expected to be contaminated with
radiation pose a risk therefore, its okay to treat client
32. common side effects of osteoporosis
to medical personnel? before "decontamination process."
prednisone low serum potassium
fluid retention
however, must still wear protective
hyperglycemia
gear while caring for pt
hypernatremia
42. do not give a penicillin
33. continuous, high pitched musical asthma-->caused by
cephlosporin to a
sounds heard on expiration are narrowed bronchioles
patient with ___ allergy
common in
43. do not give Naproxyn aspirin
34. cooperative play in which there are school age children
to a patient with ___
organized rules, and
allergy Naproxyn is an NSAID
leader/follower relationship is
played at what age 44. during a crisis such as through consistency of the rituals
hospitalization, what is and routines at home
35. Cranial nerves 1. olfactory
important for children
Oh! Oh! Oh! To Touch And Feel 2. optic
to establish a sense of
Virgin Girls Vag And Hymen 3. oculomotor
security?
4.Trochlear
5. trigeminal 45. during client care for standard
6. abducens cutaneous anthrax,
7. facial what kind of
8. vestibulocochlear precaution should be
9. glossopharyngeal observed?
10. vagus 46. early signs of tingling of fingers, toes, and lips.,
11. accessory/spinal decreased calcium tremors.
12. hypolglossal
47. early signs of lithium toxicity N/V 62. high purine foods organ meats, meat soups, gravy,
slurred speech increase incidence anchovies, sardines, fish, seafood,
LOOK UP ALL SIGNS OF muscle weakness of gout; what foods asparagus, spinach, peas, dried
LITHIUM TOXICITY have high purine legumes, wild game
48. edema is a manifestation of malnutrition--> decreased 63. hold sulfonureas for 100
protein serum protein levels blood sugar under
cause fluid to move into Hurst
interstitial space.
64. hormone lifelong
49. fixed and dilated pupil neurological emergency replacement for
represents a addisons disease
may be (time
50. Flagyl used to treat what? intestinal amebiasis,
frame)..
trichomoniasis,
inflammatory bowel 65. how do you measure Measuring the client from 3-finger
disease client for use of widths below the axilla to 6 inches
crutches lateral to the client's heel correctly
51. for a patient taking epoetin hematocrit increases by
measures a client for crutches
alpha, the likelihood of more than 4 points in 2
hypertension and seizures weeks
Hurst
increase if
66. how is cystic fibrosis autosomal recessive trait meaning
52. for a pregnant patient with fall because of decrease in
inherited? both parents carry a recessive trait
diabetes, after she gives birth, insulin requirements
for the disease
her blood sugar will
67. how is Dupuytren inherited autosomal dominant trait
53. for woman just diagnosed 2 years following diagnosis
contracture
with Lupus, it is recommended
contracted
that she wait how long before
she gets pregnant? 68. how long does it 3-7 days
take for symptoms
54. frequent use of nasal sprays vasoconstriction that
of viral conjunctivitis
to relieve allergic symptoms causes atrophy of nasal
to resolve?
can result in membranes cause a
decreased integrity of 69. how low is it as low as 20%. below 18 is significant
blood vessels acceptable for the finding
hematocrit of a
55. the frontal lobe controls voluntary activity,
postpartum client to Hurst
concentration, motivation,
be
ability to plan and problem
solving (personality) 70. how many pounds 2.5 -5
should pt gain in (1-3 kg)
56. Gentamicin is nephro- toxic
first trimester of
57. glargine is what kind of long acting-with no peak pregnancy
insulin?
71. how many times a 5-8 times
58. harsh, grating sounds heard friction rub common in day should a
during inspiration are___ and inflamed pleura or newborn infant
common in pericarditis void?
59. head injury within ___ (time 3 months, thrombolytic 72. hydralazine direct acting vasodilator
frame) is an absolute hydrochloride
contraindication for ____ (Apresoline) is a
therapy HYdralazine=HYpotension -->way to
60. heat indicates pressure and what does it do? remember decreases BP fast
fast acting antihypertensive
61. Herpes zoster (shingles) is chickenpox
also:
contagious to anyone who
relaxes smooth muscle
has not had
73. if abdominal wound dehisces, low fowler's with legs bent 86. in cold/cough preparations, alcohol
the best position for the up to abdomen to relieve they contain ___ which is
patient would be pressure from wound contraindicated with the use
of Antabuse
74. if beta blocker is discontinued life threatening
abruptly, what can occur? dysrhythmias, hypertension, 87. in C-Section, compared to in c-section, less narcotic is
or myocardial ischemia. general surgery, what is the used to avoid cross of med
difference in pre-op over placenta to baby
75. if pregnant pt, after receiving on the side with legs flexed
medication?
epidural, experiences
hypotension, what position 88. Indomethacin (Indocin) is in NSAID
should the pt be placed in? which class of meds?
76. if taking zantac once a day, bedtime 89. in droplet precautions, uncessary
take it at what time gowns are
77. Impulsive behavior, right side 90. infant with pyloric stenosis is lethargy, dehydration,
Disorientation to person, expected to display which malnourishment
place, and time, are findings?
associated with which side of "child is fussy and seems to
brain? be hungry all the time"
78. in a child with PKU, the child enzyme necessary to 91. in flaccid bladder, we want we want to promote acidic
lacks convert phenylalanine to to promote what kind of urine to prevent UTI and
tyrosine urine? and why? stone formation.
79. in a crisis situation, it is establishing coping
therefore, what kind of the drinks:
important to methods used in the past
drinks should the patient
80. In a patient who has an osmotic laxative, and consume? prune juice
ileostomy, ____ are enteric coated capsules-- cranberry juice
contraindicated >cannot be absorbed in GI tomato juice
system
92. ingestion of what can cause vitamin containing foods
81. in asians, best place to assess posterior hard palate false negative readings in (such as orange)
for jaundice is hemocult test?
82. In babinski reflex for adult curl for adults Hurst
and babies, the toes fan for <12 mo 93. in myxedema coma the body slow down
83. in case of prolapsed cord, (with position changes, we systems
which position would be best are trying to prevent or 94. in order to promote rest in to explain to them what is
for pt. to assume? promote something.) an elderly client, it is best going on with their care, and
show them how to ask for
In this case, we want to help if needed
prevent placing pressure on
umbilical cord. if pt feels isolated and
unable to attain help if
in order to do so, we put needed, patient cannot rest
put the patient on her back, well
with the foot of the bed
95. in pt with mononucleosis, 3 months
elevated (trendelenberg)
avoid direct contact with
84. in children with type 1 fatigue and bed wetting saliva for about
diabetes, what do we expect
to see?
85. in clients with dementia, routine, reinforced, and
schedules should be repeated. flexibility in
schedule can cause
confusion
96. Interactions with Theophylline Caffeine increases 110. lower GI series incudes rectum
CNS effects of sigmoid. descending,
theophylline transverse, ascending colon

phenobarbital and
phenytoin decrease this is barium enema!
levels of
111. manifestations of depressed respirations
theophylline
myxedema coma (hypoxia, hypercapnia)
decreased CO
Cimetedine,
lethargy, stupor, coma
Ciproflaxin, and
hypothermia
floroquinolones
bradycardia, hypotension
increase theopylline
hyponatremia
levels
112. Medication Parlodel should with meals to avoid GI upset
97. in third trimester of pregnancy, if pt impending
be taken with, ___ and twice a day for 2-3 weeks
complains of epigastric pain, it is a convulsion
when how often for how
sign of
long
98. in type 1 diabetes, what do we polyphagia
113. moro reflex should 3-4 months
expect to see? polydipsia
disappear by what age
polyuria
weight loss 114. most common dysrhythmia with ventricular
complication following an types being most serious
99. in what sex, age and cultures does men over 50 years
MI is
Dupuytren contracture occur in? old, of scandinavian
or Celtic descent 115. multiple myeloma is best plain radiograph rather than
detected with a ___ rather nuclear scan such as bone
100. it is important that if patient is to Metformin
than __ imaging study. false negatives
undergo procedure with iodine (glucophage) -->can
could occur otherwise.
containing contrast, which cause renal failure
medication is held and why? 116. multiple sexual partners ovarian cancer
increases risk for
101. it is important that patient does not twist
___ after lumbar laminectomy 117. Narcotic analgesic is head injury bc it masks the
contraindicated in what signs of increased intrancranial
102. it is important to remember that hypoglycemia
kind of injury, because it pressure.
metformin does not cause
masks the signs of ____
103. KAYEXELATE is contraindic with ___ orange
118. neurogenic bladder results urinary retention
juice
in
104. ketoconazole is the drug of choice candidiasis
119. normal ALT 8-20 units/L
for
120. Normal AST 8-20 units/L
105. left hemisphere of brain controls speech, math skills,
analytical thinking 121. normal BUN 7-18 mg/dL

106. lispro is what kind of insulin? and rapid acting 122. normal creatnine .7-1.4 mg/dL
what is its onset of action 123. normal fasting blood 60-110
5-15 min glucose is
107. LOOK FROM PREVIOUS ... 124. normal hematocrit for 37%-47%
NOTECARDS BOUT NEPHROTIC females
SYNDROME
125. normal hematocrit for 42-52%
108. LOOK UP DELIRIUM VS DEMENTIA ... males
109. LOOK UP RIGHT VS LEFT CVA ... 126. normal hemoglobin for 12-16
SIGNS females
127. normal hemoglobin for 14-18
males
128. normal INR .7-1.8 150. peripheral neuropathy is a INH: administer pyridoxine
common side effect of
129. normal magnesium levels mg. 1.5-2.5
151. placenta previa is painless vaginal bleeding
normal phosphorous levels phsphrs. 2.5-4.5 characterized by
130. normal PT 11-12.5 sec 152. preoperatively for low in calcium high in
parathyroidectomy, what phosphorous
131. normal RBC for female 3.5-5.5
kind of diet is
132. normal RBC for male 4.3-5.9 recommended the KEY here is "PRE-
133. normal serum albumin levels 3.5-5 operatively."

134. Normal specific gravity 1.010-1.030 153. primary concern with postural hypotension
antipsychotic meds= in
135. NPH is what kind of insulin, and has intermediate-acting
regards to BP
a peak action of ___ and has peak action
of 6-12 hours 154. progressive systemic dysphagia and esophageal
sclerosis causes reflux
136. onset of Acute hemolytic reaction immediately
137. onset of anaphylactic reaction to immediate what foods should be avoid spicy foods, caffeine,
blood transfusion avoid and alcohol bc they stimulate
138. onset of febrile reaction to blood 30 min- 6 hr after gastric secretions -->thus
transfusion transfusion cause more esophageal reflux

139. onset of mild allergic rxn to blood during or up to 24 155. recurrent UTI's are an type 2 diabetes
transfusion hours after transfusion early sign of _____ in
adolescents
140. oral hypoglycemic agents are type 2 diabetics. bc
administered to type___ diabetes. they are able to 156. Regular insulin is what short acting
why? produce minimal amts kind of insulin and has an
of insulin onset of action of_ ___ onset of action 30-60 min

141. over how long of a period should 1-2 min 157. remember a very tactile stimulation --
Lasix be administered important factor for >imperative for infant's
infants is emotional development
142. over the counter medications hypertensive crisis
could cause ____ if taken with 158. remember that Compazine incompatible
MAOI's. Hurst should be considered
_______in a syringe with all
143. parallel play in which kids play toddler other medications
side by side is seen at what age?
159. remember that in NCLEX independent
144. patients on lithium should increase fluid intake to 2500- lnd, we want to keep
their daily 3000 ml /day patient's, especially the
145. patients who are to under go sleep deprived elderly as _____ possible
electroencephalogram must be 160. renal diet should contain check on this.
EEG
161. required daily fluid for 100ml/kg
146. patients with lymphedema are at infection pediatric clients between
high risk for 0-10 kg
147. a patient who has an oral airway in patient responsivness 162. required daily fluid for 1000 ml + 50 ml per each kg
place can cough due to irritation of pediatric clients between
the airway and does not reflect 10-20 kg
148. patient with meningitis should be droplet 163. required daily fluid for 1500 ml + 20 ml per each kg
on what kind of precautions? pediatric clients between
149. patient with pertussis should be droplet precautions 20-70 kg
placed on ___ precautions with how with a spatial 164. rh compatibility problems Rh negative and conceives
much separation? separation of 3 feet occurs in woman who is with Rh + man
165. The risk factors venous stasis, injury to vessel wall, 175. symptoms of depression, disturbed sleep,
known as Virchow's hypercoagulability amphetamine restless, disoriented
triad include withdrawal
Hurst
176. symptoms of wheezing, dyspnea, chest
166. side effects of orthostatic hypotension, decreased anaphylactic reaction to tightness, cyanosis, hypotension
demerol include BP, bradycardia blood transfusion
167. side effects of extrapyramidal side effects 177. symptoms of N/V, tachycardia, course tremors,
Haldol include galactorrhea (excessive and barbiturate withdrawal seizures
spontaneous flow of milk)
178. symptoms of cocaine severe cravings, depression,
lactation
withdrawal fatigue, hypersomnia
gynecomastia
179. symptoms of early Hyper-alert, startles easily, and
168. signs of infection in fever, bloody, cloudy or frothy
withdrawal from alcohol anorexia, increased pulse, anxiety,
peritoneal dialysis dialysate return, drainage at access
tremors, insomnia, hallucinations
site,
180. symptoms of febrile chills, fever, flushing, headache,
169. signs of meningeal nuchal rigidity
reaction to blood anxiety
irritation kernigs sign-when hip flexed to 90
transfusion
degrees, complete extension of the
remember:
knee is restricted and painful
febrile=fever-->
fever=chills-->
Brudzinski's sign-attempts to flex the
chills, fever and flushing usually
neck will produce flexion at the knee
come together.
and thigh
anxiety will cause him a
opisthotonic position-extensor
headache!!
rigidity with legs hyperextended and
forming an arc with the trunk 181. symptoms of heroin runny nose, yawning, fever,
withdrawal muscle and joint pain, diarrhea
170. signs of overdose on client becomes excitable and
Doxepin (Sinequan) develops tremors 182. symptoms of nausea, increased ICP, headache,
are hyponatremia convulsions, lethargy,
apprehension, muscle twitching,
171. soft, high pitched crackles heard in pneumonia and
diarrhea, fingerprinting of the skin
interrupted sounds CHF
heard on inspiration 183. symptoms of Meniere's low sodium, no caffeine, nicotine,
are ___ and common disease is usually or alcohol
in controlled by adhering
to what kind of diet?
172. solitary play is seen infants
at what age? 184. symptoms of mild itching, urticaria, flushing
allergic reaction to
173. surgery within 3 thrombolytic
blood transfusion
weeks is a potential
contraindication for 185. To determine the heart small boxes between two R
___ therapy rate for a regular waves; 1,500 divided by the
rhythm, count the number of boxes between two R
174. symptoms of Acute -could be life threatening
number of waves equals the heart rate.
Hemolytic reaction anxiety, chills, fever, low back pain,
with blood tachycardia, hypotension, chest 186. Toxic signs of GI distress(nausea, vomiting,
transfusion: tightness or pain, flushing, Theophylline diarrhea), restless, dysrythmia,
tachypnea, nausea, hemoglobinuria, seizures, confusion, headache,
vomiting flushing, tachycardia,
187. treatment of SIADH fluid restriction, administration of
A Fat Cholo Faked (Low back pain) includes demeclocycline, and treatment of
Thinking He Could Trick His Nurse's hyponatremia.
Vagina
188. the triad of meningitis nuchal rigidity, headache,
photophobia
189. The typical hypokalemia and metabolic alkalosis 200. what are examples of Busulfan (Myleran)
electrolyte Hurst antineoplastic meds? Chlorambucil (Leukran)
abnormaly Cisplatin platinol -AQ
associated with cyclophosphamide (cytotoxan)
bulimia is,
201. what are fetal side tachycardia
effects to terbutaline hypoglycemia
and which type of
acid/base 202. what are late signs of increased temperature
imbalance? Increased ICP changes in vital signs

190. tyramine should MAOI, can cause hypertensive crisis

"late signs" indicates the pressure
be avoided with
has INCREASED severely.
use of __ because
"INCREASE" icp= "INCREASE" temp
it can cause __
+ vital sign changes!
191. upon assessment deep, low pitched rumbling sounds
203. what are late signs of cyanosis
of breath sounds heard primarily on expiration-->caused
respiratory distress? use of accessory muscles (such as
in a pt with by mucus in airways
intercostal retractions)
chronic
bronchitis, what is 204. what are maternal tachycardia
heard? side effects to nervous
terbutaline tremors
192. uterine JUST know it!
headache
contractions are
possible pulmonary edema
not affected by
multiple sclerosis
Terbutaline=Tachycardia. (T=T)
193. waxy flexibility is abnormal posturing, associated with when your nervous, you have fast
___ and associated catatonic schizophrenia HR, and you shake, and you get a
with __ headache
194. what are leukemia 205. what are measures to -lie down for 30 min after eating
antineoplastic multiple myeloma prevent dumping -drinking fluids between meals as
meds used for? syndrome opposed to with meals
-reducing intake of carbs and fiber
195. what are fatigue, weakness, dehydration,
-eat smaller, more frequent meals
assessment decreased BP, hyperpigmentation,
-antispasmotic
findings in decrease resistance to stress, alopecia,
Addison's weight loss, pathological fractures, 206. what are side effects **bone marrow suppression
disease? depression, lethargy, emotional liability of antineoplastics **stomatitis (occurs 5-10 days after
start of med)
196. what are fatigue, decreased serum
alopecia
assessment albumin/transferrin/gamma globulin,
N/V
findings in glossitis, "spoon" fingernails-->
gonadal suppression
anemia? koilonychica, pallor, exertional dyspnea,
renal tox
impaired cognition
ototoxicity
197. what are -visual deviation of the eye
assessment -diplopia
findings with -child tilts head or squints to focus
strabismus
198. what are classic bright flashes of light and client stating
symptoms of that portion of visual field is dark
detached retina?
199. what are early changes in pupil size, shape, or
signs of reactivity
increased ICP
icP for pupil. -->size, shape, reactivity
207. what are side effects of headache (HAT PALS) 218. what does crisis finding the client's inner
hydralazine hydrochloride angina intervention focus on? strengths to deal with the
(Apresoline) tachycardia problem at hand
palpitations
219. what does Ma Huang contains ephedrine and can be
sodium retention
contain, and who can it dangerous for pts with HTN
anorexia
be dangerous for?
lupus like syndromes
(sore throat, fever, muscle 220. what does Metformin reduces the production of
aches, rash) do? glucose in the liver by
suppressing glucogenesis --> it
208. what are signs of adverse severe hypotension and
increases the muscles glucose
reaction to procanamide? bradycardia
uptake and use
209. what are signs of disequilibrium N/V, changes in LOC,
221. what does upper GI esophagus
syndrome? seizures, agitation
series include stomach
210. what are signs of viral extreme tearing, redness, duodenum
conjunctivitis? foreign body sensation- upper portion of jejunum
HIGHLY CONTAGIOUS
222. what happens in adrenal hormones such as
211. what are some manifestations lethargy Addison's disease? In mineralcorticoids,
of hypothyroidism sensitivity to cold other words, what is the glucocorticoids, and androgen
dry skin pathophysiology of are hypo-secreted -->
weight gain Addison's?
depression leads to:

"everything slow's down" -decreased sodium--

>dehydration
212. what are the correct actions in -take twice as long to
-decreased blood sugar--
pursed lip breathing exhale as it took to inhale
>insulin shock
-pretend you are whistling
-increased potassium--
as you breathe out
>metabolic acidosis + arrhythmia
-tighten stomach muscles
-decreased blood volume -->
as you finish breathing
shock
out to sqeeze out all the
air 223. what happens in adrenal hormones such as
Cushing's disease? In androgens, mineralcorticoids,
213. what are the early signs of few days of fever,
other words, what is the and gluccocorticoids are hyper-
mumps? headache, muscle aches,
pathophysiology of this secreted.-->
malaise, anorexia,
disease
swelling of salivary
leads to:
glands (possible earache)
214. What body system or hormone Antidiuretic hormone. increased sodium and water
should you consider in cancer? retention
in other words, what hormone Therefore, with cancer, increased blood volume -->
does cancer secrete more of? SIADH is considered to increased BP
be an issue decreased potassium-->
215. what class of meds is antineoplastics metabolic alkalosis + shock
Adriamycin in? increased blood sugar--
>ketoacidosis
216. what disease processes is diabetes, gout, arthiritis,
Dupuytren contracture alcoholism 224. what is a classic sign of loss of acuity of vision
associated with cataracts?

217. what does a Swanz-Ganz the pulmonary artery 225. what is a classic sign of loss of peripheral vision
catheter measure? wedge pressure, which is glaucoma?
an indirect measure of the
left ventricle
226. what is a hypothyroidism 239. what is too rapid of a decrease in BUN and
complication of disequilibrium circulating fluid volume-->may result in
radioactive Iodine syndrome? cerebral edema and increased ICP
therapy for
240. what is slow progressive contracture of the
hyperthyroidism?
Dupuytren palmar fascia causing flexion of the
227. what is a favorable 2 or more FHR accels of 15 bmp contracture fourth and fifth fingers;
non stress test lasting at least 15 seconds in a 20 min
241. what is severe depression and catatonic
outcome? interval
electroconvulsive conditions with failed attempts at other
228. what is a major optic neuritis with reduced visual therapy used for? treatment
adverse effect of activity
242. what is imodium antidiarrheal
ethambutol? lessened ability to see green could be
an initial sign 243. what is caused by Legionella pneumophila
and what would be Legionnaires' which is found in warm, stagnant water,
its initial sign? disease. such as hot water tanks, and spread by
aerosolized routes from the
229. what is a a papule like lesion in the vaginal area
environmental source to the client
manifestation of
primary syphillis turns into a painless ulcer 244. what is swelling (usually in the legs) caused by
lymphedema lymph accumulating in the tissues in the
230. what is an adverse lactic acidosis: manifested by drowsy,
affected areas.
rxns of metformin hyperventilation, muscle pain
and what are its 245. what is muscular weakness produced by
manifestations? myasthenia gravis repeated movements, which is relieved
by rest
231. what is an bleeding varices
esophagogastric 246. What is life threatening condition that occurs if
tube used for myxedema hypothyroidism is not treated
coma?
232. what is an Ewald large, orogastric tube designed for
tube? rapid lavage. insertion can cause 247. what is unexplained chronic fatigue with
gagging and vomiting, and suction neurasthenia? nervousness, anxiety, and irritability
must be available for reduction of 248. what is consists of muscle rigidity, fever,
aspiration risk neuroleptic autonomic instability, and cognitive
233. what is a non looks for acceleration in FHR in malignant changes such as delirium
stress test relationship to fetal activity. syndrome
Hurst
234. what is a normal 8-10
biophysical profile 249. what is normal 6-8 g/dL
score? serum protein

235. what is a treatment of esophageal varices 250. what is normal 4.5-6.5 mg/dL
Sengstaken- serum uric acid in
Blakemore tube men
used for? 251. what is normal 2.5-5.5 mg/dL
236. what is Asterixis? hand flapping, associated with liver serum uric acid in
and what organ disease women
disease is it a 252. what is nuchal neck stiffness
complication of? Hurst rigidity?
237. what is a very high providing adequate hydration 253. what is one of high pitched cry
priority in clients the first signs of
with sickle cell increased ICP in
crisis? infants? other signs include irritability, poor
238. what is chronic inflammation of the bronchi and feeding, increased occipital
bronchitis? bronchioles due to chronic exposure to other signs? circumference
irritants
254. what is abnormal stimulation to the hypothalmic 263. what is the earliest sign of ventricular gallop
SIADH? area of the brain, causing excessive heart failure
secretion of antidiuretic hormone
264. what is the leading cause prevention of alcoholism
(Vasopressin)
of preventable mental
255. WHAT IS surgery for parkinsons?? retardation in pediatric
stereotactic clients
pallidotomy
265. what is the leading cause immobility
256. what is visual axes are not parallel so the brain of problem with Buck's
strabismus receives two images traction?
257. what is the interferes with rapidly producing cell DNA 266. what is the med class of SSRI for OCD, and depression
action of Prozac? and what is it used
antineoplastic for
meds?
267. what is the most common chronic alcohol use
258. what is the decreases preload and afterload pressures, cause of hypomagnesemia
action of and cardiac workload.--> vasodilation and
268. what is the most common history of rheumatic fever with
morphine pooling of fluid in extremities-->also
cause of mitral valve a subsequent complication of
sulfate? provides anxiety relief
problems? carditis
259. what is the vasoconstriction-thus increases heart rate
269. what is the most frequent sepsis
action of and myocardial oxygen consumption
cause of DIC
nicotine?
270. what is Theophylline used relax the bronchial smooth
260. what is the .75-1.25 mg
for? and what is its class? muscle-->resulting in
appropriate
bronchodilation
oral loading admin over 24 hours in divided doses
dose for
class of methylxanthines
digoxin? and
how should it 271. what is the primary excessive mucous production
be symptom of chronic
administered? bronchitis?

261. what is the side lying 272. what is therapeutic level of 1-1.5 mEq/L
assumed lithium?
position for 273. what is the suggested wall 80-120 mmHg
epidural suction pressure for
patch? suctioning a
262. what is the (1) while standing in front of mirror with tracheastomy?
correct order arms at sides, inspect breast and nipples for 274. what is the therapeutic 5-15 mcg/mL
of completing asymmetry, changes, drainage (2) with range of Theophylline?
a self breast hands firmly into hips and bow slightly,
275. what is the tonicity of fluid hypertonic dialysate solution
examination examine breast and nipples (3) with pads of
instilled in peritoneal
fingers on left hand palpate the right breast
dialysis?
using light pressure that feels the tissue just
below the skin, medium pressure that feels 276. what is toxoplasmosis parasitic disease that is
the deeper tissue, firm that feels the tissue transmitted through feces of
closest to the chest wall and ribs; this cats who have eaten mice and
method feels all the breast tissue; then use animals.
the fingers of the eight hand to palpate the 277. what kind of diet is low fat
left breast; using a vertical pattern, the appropriate for pt high protein
preferred method, palpate the entire breast diagnosed with crohns low residue
from sternum outward including the Tail of disease non irritating
Spence under the arm high in calories
minerals
278. what kinds of diseases puts metabolic diseases 293. when should metformin be immediate release
client at risk for degenerative (diabetes, Paget's disease) taken? tablets 2x/day, w. bfast,
joint disease? and blood disorders and dinner.
(hemophilia)
and sustained release
279. what must be done before aspirate to ensure in
tablet 1x/day w dinner
injecting med with z track muscle and not blood
method vessel 294. when using pursed lipped never be held
breathing, breath should
what should not be done DO NOT massage
295. when you think of adrenal shock!! think of what
280. what reflects patient pt. responding to normal insufficiency + weakness, think happens in addisons
responsiveness in client who spoken voice. ___ disease
has an oral airway in place
Hurst
281. what should you monitor for in acute glomerulonephritis
Impetigo? 296. which foods can cause false rare meats, liver, poultry,
positive readings in a Hemocult turnips, broccoli,
282. what should you monitor for in dilute blood, concentrated
test? cauliflower, melons,
SIADH urine,
salmon, sardines,
disorientation/confusion,
horseradish
headache, vomiting.
283. what to do to correct dawn adjust bedtime snack, Hurst
phenomona evening diet, insulin dose,
297. which medication is the drug of lidocaine
and exercise to prevent
choice for Premature ventricular
early AM hyperglycemia
contractions occuring in excess
284. when administering Haldol, extrapyramidal side of 6-10 a min
monitor for ___ and effects
298. why are Congentin and Congentin is given to
immediately intervene
Thorazine given together? treat some of the side
285. when checking NG tube listen as air is introduced effects of Thorazine
placement, it is not into NG tube (such as parkinsonism)
appropriate to
286. when conducting an admission biopsychosocial approach Hurst
history for a psychiatric client, including a family system 299. with Addison's disease, what high protein
the admission should include assessment kind of diet should patient high carb
what information consume? high sodium
287. when injecting insulin, failure poor absorption of insulin, low potassium
to rotate sites results in which increases blood 300. with ambulatory record the event in the
sugar electrocardiography, if pt feels daily log
288. when is the communicability of immediately before and lightheaded, he should
mumps the greatest? after swelling begins 301. with a tracheostomy in place, no more than 20 mmHg
289. when is the hepatitis B vaccine 2 and 4 months the inflated cuff pressure should
repeated? be

290. when listening to heart second, right next to 302. With electroconvulsive therapy, NPO after midnight
sounds, aortic area is located sternal border. (i knew general anesthesia is given, so
in which intercostal space? this) pt should be

291. when placing a trochanter roll, from lateral aspect of of 303. with kidney stones, avoid foods oxalates such as
position hip to mid thigh that are high in spinach, asparagus, and
cabbage
292. when planning to do a liver supine with arms elevated
biopsy, what position is best over head so that the ribs 304. with meningitis, what can be a SIADH--> causing
for patient to be in? are elevated to allow possible complication by excess secretion of ADH
access to the liver abnormal stimulation of the
hypothalamic area of the brain?
305. with meningitis, which organisms are potentially responsible Haemophilus influenzae type b and Neisseria
meningitidis
306. with pyrazinamide what could occur? hyperuricemia resulting in acute gout symptoms such
as severe pain in big toe
**impt to d/c drug
normal uric acid=3.5-7.5
307. with Z track medication administration, what should be the site used? dorsal gluteal
308. a woman who has lupus, it is recommended that she be in remission for 5 months
how long before she conceives?