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NCLEX PREP
NCLEX PREP 2012
132
Nursing
Undergraduate 2
04/24/2012

Additional Nursing Flashcards

 


 

Cards

Term
Dilantin
Definition
anti-seizure
S/E- Hirsutism, diplopia
No alcohol or antihistamines
notify dentist
Term
PTU
Definition
TX for hyperthyroidism
S/E- Decrease WBC
Helps increase attention span
Term
Wellbutrin
Definition
Depression Stimulant
S/E insomnia
Term
Prednisone
Definition
Wait to get vaccines until treatment is complete
Term
Fosamax
Definition
tx-Osteoporosis
remain upright for 30 minutes after medication administration
Take on Empty Stomach- 30 min. before breakfast
Term
augmentin
Definition
do not give to a patient with renal disease
Term
Tagamet
Definition
tx-gerd
S/E- headache, constipation
Increase risk of pneumonia- report green sputum to provider
Term
Prostigmin
Definition
tx-Myasthenia Gravis
S/E- Pupil contraction
S/E - diarrhea
Term
Gold salts
Definition
tx- RA
4-6 MONTHS OF THERAPY FOR SIGNS OF RELIEF
Report stomatitis- sign of toxicity
once a week im injections
Term
Gentamicin
Definition
aminoglycosides-
can cause hearing loss
Term
Elavin
Definition
-amitriptyline
s/e- constipation
urinary retention
Term
Digoxin
Definition
0.5-2
Term
Lasix
Definition
Potassium sparing diuretic
S/E- lightheaded/dizzy
hearing impairment
Palpitations
constipatiob
hypokalemia
hypomagnesium
Term
Lisinopril
Definition
Ace Inhib.
S/E cough- report to provider
insomnia
unpleasent taste in mouth
Term
enalapril
Definition
Vasotec- Ace Inhib.
Causes K retention- Hyperkalemia
Term
Iron
Definition
take on an empty stomach
Term
Lidocaine
Definition
tx- PVC'S
Term
Tamoxifen
Definition
breast CA tx
s/e- menstrual irregularities/hotflashes/vaginal diacharge
Term
Procrit
Definition
tx-anemia
hypertension and seizure csution
Term
Captopril
Definition
Take 1 hour before meals
tid-heartfailure
watch K level
Term
Chrons
Definition
Diet low in fiber
Term
Magnesium
Definition
1.7-2.2
Term
Tensilon Test
Definition
used with a pt dx with Myasthenia Gravis
Term
aptt
Definition
40 sec x 1.5-2= 60-80
Term
Glomerulonephritis
Definition
Protein in Urine
Limit strenuous activity
monitor BP
Term
Fluid Overload
Definition
Hypertention
Jugular vein Distention
Term
02 Toxicity
Definition
shallow respirations
Term
Ruptured Appendix
Definition
rigid, board like abd
absent bowel sounds
increase temp
wbc- 21,500
Term
albumin
Definition
3.5
Term
Active labor
Late Decels
Definition
Position change
Iv fluid bolus
02
d/c oxytocin
notify provider
Term
cardiac output and urinary output
Definition
correlated
Term
clozapine
Definition
S/E- extreme salivation
Increase hyperglycemia
dry mouth
Term
Day two after an MI
Definition
leukocytosis and fever
Term
Portal HTN
Definition
ascites
right sided HF
Chirrosis
Term
Bronchial Breath Sounds
Definition
loud, harsh, high pitched
heard over trachea, bronchi
Term
P wave
Definition
<.12 sec
depolarization of atria
preparation for contraction
Term
PR Interval
Definition
.12 to .2 sec
time for impulse to spread from atria to ventricles
Term
QRS Complex
Definition
0.04 to 0.11 sec
depolarization of ventricles
Term
ST Segment
Definition
-0.5 and +1.0 mm below and above the baseline
-Completion of ventricular depolarization
Term
QT interval
Definition
up to 0.43 sec
electrical systole
Term
U wave
Definition
sometimes follows T wave may indicate hypokalemia
Term
CK-MB
Definition
normal- 0.7
occurs 4-6 hous after acute ischemic event
peaks- 18-24 hours
Term
Crackles
Definition
popping, cracking, bubbling, moist sounds on inspiration
Term
Rhonchi
Definition
rumbling sounds on expiration
Term
wheeze
Definition
High pitched musical sound during both inspiration and expiration(louder)
Term
pleural friction rub
Definition
dry, grating sound on both inspiration and expiration
Term
ABG'S
Definition
PH- 7.35-7.45
PaCo2- 35-45
HCO3- 22-26
Term
S1
Definition
systolic phase begins with the first heart sound, the closure of the mitral and tricuspid valves.
Term
S2
Definition
The diastolic phase begins with the second heart sound, the closure of teh aortic and pulmonic valve
Term
RBC
Definition
MALE- 4.5-6.2
FEMALE-4.2-5.4
Term
H&H
Definition
40-54% Male
37-47% Female
Term
WBC
Definition
5,000-10,000
Term
Platelets
Definition
150,000-450,000
Term
Calcium
Definition
4.5-5.5
Increase- resp. acidosis, chronic hepatic disease
decrease- GI malabsorption, alkalosis, burns, diarrhea
Term
Potassium
Definition
3.5-5
Increase- acidosis, anemia, anxiety, asthma, burns, hypoventilation
decrease- gi suction, vomiting, diarrhea, bradycardia, colon cancer, crohns
Term
Sodium
Definition
135-145
increase- chf, dehydration, DI, diaphoresis, HTN, vomiting
decrease- GI malabsorption, diarrhea, acites, burns, dm
Term
Chloride
Definition
97-107
increase- alcoholism, resp. alkalosis, anemia, fever, head traums
decrease- met. acidosis, burns, edema, Gi loss
Term
U. Colitis
Definition

age 15-35

50-70

bleeding/diarrhea(bloody, pus 2-3 per/d)

dehydration/electrolyte imbalance

left sided abdominal pain

fever, weight loss, anemia, >hr, dehydration

increase rest, fluids, electrolytes, blood replacement

meds: prednisone

remicade-antibix

Imuran-immunosuppressive

azulfidine- anti infective

Bentyl-anticholinergic

immodium

>calories, fluid, protein, calories

no milf and decrease roughage

surgery-ileostomy, kock pouch

>risk for colon ca, f&e imbalance, toxic megacolon, perforation, bleeding

 

 

Term
lumbar puncture
Definition

needle inserted into subarachnoid space b/w L3 and S1

measures CSF

contraindicted with pts with >icp

knee chest position

monitor for post procedure headache

strict asepsis, standard precaution

lie flat 4-12 hours after

ice, neuro check, increase fluid

monitor for numbness and tingling

Term
Cardiac Output
Definition

volume of blood heart beats per min.

heart rate x stroke volume =CO

Term
hyperparathyroidism
Definition
the presence of excess parathyroid hormone in the body resulting in disturbance of calcium metabolism with increase in serum calcium and decrease in inorganic phosphorus, loss of calcium from bone, and renal damage with frequent kidney-stone formation
Term
Burn lab priority
Definition

BUN

 

Term
Increase in Pulmonary Embolisms
Definition
Vena Caval Interuption
Term
Ototoxic Medications
Definition

Aminoglycosides

Antimycobacterials

Thiazide

Loop Dieretics

Antineoplastics

Term
Right Sided Heart Failure
Definition

Peripheral Edema

Weight Gain

Fatigue

JVD, Ascites

a condition in which the heart is unable to pump blood at an adequate rate or in adequate volume

Term
TPN
Definition

Hypertonic dextrose solution

change tubing q 24h

Term
Pulmonary Embolism
Definition
Sudden Dyspnea, tachypnea
Term
Shock
Definition
pallor, rapid pulse, rapid respiration, reduced total blood volume, and low blood pressure and that is caused usually by severe especially crushing injuries, hemorrhage, burns, or major surgery
Term
Pneumothorax
Definition
Sudden Sharp Pain
Term
Birth Control Caution these Meds
Definition

Dilantin

Tegretol

Ampicillin

Tetracycline

Term
Hyperkalemia
Definition

Cramps

Cardiac Arrest

Term
Hypokalemia
Definition

Muscle Weakness

Dysrhythmias

Term
ICP
Definition

Crushings Triad

increased bp

decrease hr

widened pulse pressure

tx-mannitol

lasix

Term
Chrons Diet
Definition

High Protein

High Calorie

Low residue

Meds- Sulfaslazine, steroids, anti-mobilty

 

Term
Hypocalcemia
Definition

Muscle Cramps

Positive Trouseau Positive Chovstek

Term
HyperCalcemia
Definition
Muscle Weakness
Term
Pancrentitis
Definition

LUQ Pain, back, flank pain

increase lipase and amylase

Term
Left sided Heart Failure
Definition

tachycardia

cool extremities

Pulmonary Congx

Dyspnea

Fatigue

Term
Glomerulonephritis
Definition

Immune/ Inflammatory Disease

R/T Beta Strep A

sxs: hematuria, proteinuria, hypoalbumin, dark urine, Increase Bun and Creatanine

tx: Steroids, antibiotics

Term
tx for Decals
Definition

Change Position

Increase Fluid

Stop Pitocin

02

Notify MD

Term
Chirrosis
Definition

RUQ PAIN

fatigue, n/v, jaundice, itching, esoph. varices

increase ALT/AST

low albumin

med- lactulose

Term
Heart Failure Treatment
Definition

Cardizem, Digoxin, Lasix

decrease sodium

Term
Cholecystitis
Definition
avoid eggs and cheese
Term
Thyroid Storm
Definition

Rapid HR

Increase Temp

Chest pain

SOB, Anxiety, irritability, disorientation, increase sweating, weakness

Term
Ischemia
Definition

 

* Failure of the S-wave to return to the isoelectric line

Term
Hypoglycemia
Definition
  • diaphoresis; cold, clammy skin
  • anxiety, tremor, slurred speech
  • weakness
  • nausea
  • mental confusion, personality changes, altered level of consciousness
  • headache
Term
Hyperglycemia
Definition
  • elevated ketone levels - cause sweet odor to breath (may also have odor of someone drinking alcohol)
  • metabolic acidosis - Kussmaul's respirations, flushed appearance, dry skin
  • thirst
  • polyuria
  • drowsiness
  • anorexia, vomiting
  • may lead to shock and coma
  • usual causes:
Term
Nephrotic Syndrome
Definition

Edema, weight gain, proteinuria,

diet: High Protein, Low Salt, Decreased Fluid

an abnormal condition that is marked especially by deficiency of albumin in the blood and excess excretion of protein in the urine due to altered permeability of the glomerular basement membranes

Term
Neuroblastoma
Definition
One of the most common signs of neuroblastoma is increased abdominal girth. A report that the clothing is tight around the abdomen is significant, and should be responded to with additional assessments
Term
Biofeedback
Definition
Biofeedback is a widely used and effective method to manage urinary incontinence, with rehabilitation of the pelvic floor muscles the treatment goal
Term

Laprascopic Choleystectomy

Caution for

Definition
Right upper quadrant pain could be from a retained gallstone or bile duct injury; severe post-operative pain in the right upper quadrant is a medical emergency after a laparoscopic cholecystectomy.
Term
Caution in Reyes Syndrome
Definition
An altered level of consciousness that would be a decreased level suggests increasing intracranial pressure related to cerebral edema
Term

Caution for_

with hemodialysis

Definition
Confusion and irritability are signs of renal encephalopathy secondary to elevated levels of BUN and creatinine in the blood.
Term

Peritoneal Dialysis

running slow

Definition
Slow dialysate instillation may be due to a partially obstructed tube or catheter. Assessment for bruit or headache and hypertension are appropriate for hemodialysis situations, not peritoneal dialysis.

 

Term

Pneumococcal Pneumonia

&

Brown- Foul Smelling Sputum

Definition
Foul smelling and tasting sputum signals a risk of a lung abscess. This puts the client in grave danger since abscesses are often caused by anaerobic organisms. This client most likely would need a change of antibiotics
Term
Caution with Brain Injury
Definition
Hypotension and Hypoxia
Term
Extracellular Fluid Volume Deficit
Definition
Kidneys maintain fluid volume through adjustments in urine volume. When clients are dehydrated the kidney will conserve fluid and the urine output will be decreased
Term
SIDS
Definition

95% OF CASES

before 6 month of age

Term
Uterine Atony
Definition

Massage Fundus

IV access

Pitocin

Cath

Prepare for Surgery

Term
PUD and Dizziness
Definition

Dizziness with PUD may indicate hemorrhage

Emergency

Term
Partial Rebreather
Definition
rebreath some of the carbon dioxide to balance the acid-base imbalance
Term
Early sign of cerebral palsey
Definition
criss cross legs
Term

Priority

pt has pneumonia, sepsis, and dm

Definition

02

blood cx

iv line

antibiotic

glucose monitoring

Term

Ten year old and

development

Definition
Logical thinking
Term
If a family member is concerned about the patient
Definition
observe for yourself
Term
Pronestyl
Definition
antiarrhythmic
Term

pnemonia

caution

Definition
decreased chest wall expansion
Term

icp

position

Definition
low-fowlers
Term
 most common immunization with a reaction
Definition
Dtap
Term
Pulmonary Assessment
Definition

Inspect

Auscultate

Palpate

Percuss

Term

older adult and

antihistamine

reaction

Definition
confusion
Term
8 th month communication
Definition
immitation of sound
Term

pts blood pressure drops

hr increases

Definition
Postural hypotension, a decrease in systolic blood pressure of more than 15 mm Hg and an increase in heart rate of more than 15 percent or more than 20 beats above the baseline usually accompanied by clinical findings such as dizziness indicates volume depletion, inadequate vasoconstrictor mechanisms, and autonomic insufficiency. After having the client force fluids for one to two hours the BP and HR needs to be rechecked for changes.

 

Term
Amphojel
Definition
Aluminum binds phosphates that tend to accumulate in the client with chronic renal failure due to decreased filtration capacity of the kidney. Antacids such as Amphojel or Basogel are commonly used to accomplish a decreased serum phosphate.

 

Term
Mitral valve heard where?
Definition

5th intercostal space

midclavicular line

Term

Antidepressants

SSRI &N

Definition

EX: Cymbalta

Effexor

Block or delay the reuptake of serotonin and norepinephrine > in the levels >mood

tx:depression, anxiety, panic disorder

Nausea is the most frequent side effect

risk for bleeding with nsaid and anticoagulants

Term
Minerals/Electrolytes/pH Modifiers
Definition

Ex: Calcium Carb

Magnesium Sulfate

Potassium Bicarb

Potassium Citrate

correct imbalances

prevent crystals from forming in the urine

tx pre-eclampsia

Calcium Carbonate-cost effective take with food

with K-lyte stay upright for 30 min-drink slowly

 

 

Term
Antidiabetic
Definition

Regular Insulin- Humulin/Novolin -

Short acting-Short- covers meals eaten within 30-60 min

Novolog/humalog- Rapid-

Rapid- Cover meals eaten at the same time as injection

Lantus -long-acting- covers full day

NPH- Itermediate- covers about half of the day overnight and usually combined with rapid or short acting

 

 

 

 

Term
Bronchodilators
Definition

beta agonist(short acting)-albuterol

combined inhaled steroid and long lasting beta agonist- symbicort/advair/epinephrine

anticholinergics-atrovent/spiriva

Leukotrine synthesis inh-singulair

relax bronchial smooth muscle, making airway larger

short- rescue

long-daily

broncho then steroid

rinse mouth after steroid

 

 

Term

alzheimer's client who is agitated

nuring intervention

Definition

decrease environmental stimuli, approach in a calm non demanding manner

distracting

reach out touch, hold a hand, put an arm around the waist to maintain physical contact

Term

right sided weakness

bed-chair

Definition

inform about procedure

position chair on clients strong side

secure and maintain safety

have client use stong arm to grab arm chair

keep body weight forward and then pivot

assist client to sit when back of legs touch the chair

Term

Tagamet

Caution with which dx?

Definition

confusion

cns medication

Term
antidote for cholinergic overdose
Definition
atropine
Term
allopurinol increases the effects of....
Definition
oral anticoagulants
Term
Standards of Care
Definition

legal guideline

defined in nurse practice acts

law defines standards of care that the nurse must follow

used to measure nursing conduct in a malpractice lawsuit

used to determine whether the nurse acted as any reasonably prudent nurse under the same or similar conditions

Term
Droplet Precautions
Definition

diptheria

rubella

pharyngitis

pneumonia

scarlet fever

pertussis

mumps

plague

Term
Contact Precations
Definition

scabies

hsv

rsv

Term
Prolonged PT
Definition

use soft toothbrush

use electric razor

monitor secretions for blood

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