Reviewer Bullets

 What does positive Chvostek Sign suggest?
 What effect does Midriatics have on clients

Hypocalcemia pupil? Dilatation
 Priority intervention in a Burn patient. Patent  Mcburney’s sign Right Lower Quadrant
Airway abdominal pain
 Best time to apply Elastic Stockings. Before  What is a Chancre? A painless lesion
the client’s get up from bed during the primary stages of syphilis
 Treatment of choice for Gonorrhea.  What is the best indicator of effective TPN.
Penicillin Wt. gain
 What is intractable pain? Pain that can’t be  Preferred site for Bone Marrow Aspiration.
relieve by drugs Ileac Crest, Sternum
 When is informed consent required? In any  Antidote for Heparin Overdose. Protamine
Invasive Procedures Sulfate
 How do Miotic medications reduce Intra  Definitive diagnostic test for Hodgkin’s
Ocular Pressure in clients with Glaucoma? Disease. Lymph node biopsy
By consisting the pupil and Increasing the  In Bell’s Palsy what causes the Unilateral
outflow of Aqueous Humor facial weakness or paralysis. Disturbance of
 What would the Widening Pulse pressure the Cranial Nerve VII
suggest? Increase ICP  Most common Blood transfusion reaction.
 Classic symptom of Pleuritus. Chest pain FEVER
that increases with respiratory movement  What side whould the Cane be carried.
 When a client is in shock, what cause cool, Unaffected side
pale, diahoretic skin? Diversion of blood  What food choices with a client in Coumadin
from the skin to major organs Limit? Green leafy vegetable
 Normal Capillary Refill. Less than 3  Symptoms of Hyperglycemia. Polyphagia,
seconds Polyuria, Polydipsia
 Cardinal signs of Toxic Shock Syndrome.  Symptoms of Hypoglycemia. Tremors,
Rapid onset of high fever Iritability, Diaphoresis, Tachycardia
 Classic sign of Peritonitis. Rigid or  In the morning before surgery after being
Boardlike abdomen NPO, what changes should be implemented
 What does a frotty blood tinged sputum regarding insulin administration? Lower
suggest? Pulmonary Edema dosage adjusted per Doctor’s order
 Advantages of Pursed Lip Breathing for a  How is Type 1 DM controlled? Diet,
client with Emphysema. It slows down Exercise, Insulin injections
respiration and prevents alveolar collapse  How is Type 2 DM controlled? Diet,
 Side effects of Anti Histamine medication. Exercise, Oral anti diabetic agents
Dry mouth, drowsiness, blurred vision  Treatment of choice for Diabetes Insipidus.
 How long will a post op client receive Desmopressin
general anesthesia via NPO? Until a gag  What do the Thyroid Hormones affect?
reflex is present and bowel sounds are Basal Metabolic Rate
heard in all four quadrants  Drug of Choice for treating Hypothyroidism.
 What does an elevated Prostate Specific Levothyroxin
Antigen (PSA) suggest? Benign Prostatic  Most serious complication of Synthroid.
Hypertrophy Cardiac arrhythmia, Tachycardia
 Most severe form of Hypothyroidism.  A patient is in the Anuric Phase of Renal
Myxedema Coma Failure, how much urine output would we
 Lab Test to diagnose Hypothyroidism. TSH have? Less than 100cc in 24hrs
and T4  A client is in the Oliguric Phase of Renal
 Symptoms of Hypothyroidism. Fatigue, Failure, how much urine output would we
cold, intolerance, wt. gain, constipation have? Less than 400cc in 24hrs
 Signs and symptoms of Addison’s Disease.  What is a Pulse deficit? The difference
Decrease serum glucose, weakness, dark between the Apical and Radial Pulses
skin pigmentation, low Na, high K taken at the same time
 Best diet for clients with Addison’s Disease.  When should postural drainage be done?
3 gram Na diet Before meals or 2-4 hours after meals
 Main objectives in the treatment of Diabetes  What is positive Kernig Sign? An attempt to
Insipidus. Adequate fluid replacement, flex the hip that results in painful spasms
vasopressin administration of the hamstring muscle (usually in
 Symptoms of Diabetes Insipidus. Polydipsia, Meningitis)
and large amount of urine output.  Most common location for Herniated Disc.
 What cause SIADH? Excessive secretion of L4 to L5, L5 to S1
Vasopressin  What is Valsalva Maneuver? Force
 Test used to diagnose Diabetes Insipidus. exhalation against a close glottis
Fluid deprivation test  Early signs and symptoms of alcohol
 What causes Addison’s disease? Deficiency withdrawal. Anxiety, tremors, insomnia
of Cortical Hormones  Main reason for pain in Angina. Ischemia of
 Signs and Symptoms of Addisonian Crisis. the Myocardium
Cyanosis. Fever. Deficiency of Cortical  What position should the Nurse place patient
Hormones with a Sengstaken-Blakemore tube? Semi
 What causes Cushing’s Syndrome? fowlers
Excessive Cortical Hormones  Intermittent Claudication. Pain in the leg
 Signs and Symptoms of Cushing’s during ambulation and is relieved with
Syndrome. High serum glucose, buffalo rest, usually a symptom of Arterial
hump, obese trunk, thin extremities, Insufficiency
edema, High Na, wt. gain  Common complication of Bladder CA.
 Major triggers of Thyrotoxic Crisis. Painless Hematuria
Infection, DKA  What does positive Trosseu Sign suggest?
 Other name for Thyrotoxic Crisis. Thyroid Hypocalcemia
Storm  Symptoms of Crohn’s Disease. Diarrhea,
 5 stages of dying. Denial, Anger, Abdominal Pain, Weight Loss
Bargaining, Depression, Acceptance  Why do we never administer Enemas to
 In a cardiac arrest, what is the usual dose of client suspected with appendicitis. Possible
Epinephrine? 1 mg IV push every 3-5 rupture of Appendix
minutes  How often Anchor Tape should in NG tube
 To orders to give Combination of regular and should be change. Daily
NPH insulin, how do we draw the mixture?  Primary complication
Draw the regular first, then the NPH

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 What does positive Chvostek Sign suggest?

 What effect does Midriatics have on clients

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