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NCLEX
Information from NCLEX practice questions
59
Nursing
Undergraduate 4
06/23/2013

Additional Nursing Flashcards

 


 

Cards

Term
1st action following bomb disaster while triaging
Definition
Ask those who can walk to move to a different area
Term
PE (pressure equalization) tube removal
Definition
As the child outgrows them, they usually fall out on their own in 1-2 years
Term
pneumococcal vaccine
Definition
one time, all adults over 65; revaccinate if received before 65 over 5 years ago
Term
acute laryngotracheobronchitis
Definition
croup; use mist tent
Term
crib gym
Definition
strung across crib; remove once infant can sit upright
Term
C. diff intervention
Definition
  • eat yogurt
Term
folic acid food source
Definition
broccoli
Term
widened QRS
Definition
hyperkalemia
Term
immunizations for HIV kids
Definition
receive all immunizations on schedule
Term
Koplik spots
Definition
sign of rubeola (measles)
Term
chancre
Definition
red, circumscribed, crusty lesion of lip; sign of syphilis
Term
dialysis disequilibrium syndrome (DDS)
Definition
cerebral edema
Term
signs of hypocalcemia
Definition
prolonged QT interval; tetany; seizures; tingling; numbness; abdominal cramps; hypotension
Term
causes of hypocalcemia
Definition
decreased parathyroid function; chronic renal disease; diarrhea; massive blood transfusions
Term
cause of flattened T wave
Definition
hypokalemia
Term
why cleft palate is repaired at 12-18 mo
Definition
to avoid language difficulties; need adequate growth of palate before repair
Term
SIADH
Definition
water intoxication, hypervolemia; do fluid restriction, hypertonic saline, Lasix
Term
how to introduce a new system to the staff
Definition
have a staff meeting & invite comments
Term
contact precautions
Definition
gloves to touch something in the room; gown if patient contact
Term
teeth & fontanel at 18 months
Definition
12 teeth, fontanels closed
Term
12 month old characteristics
Definition
anterior fontanel not closed, asks for mama & dada, afraid of strangers, 6 teeth, can drink from a cup
Term
drinking well from a cup
Definition
9 months
Term
ability to say two words
Definition
12 months
Term
stranger anxiety
Definition
8 months
Term
sitting unsupported
Definition
8 months
Term
24 months characteristics
Definition
dentition about complete; able to speak in 2 word phrases
Term
which side of patient to place wheelchair for transfer
Definition
on the stronger side
Term
inital blood glucose goal of therapy for DKA
Definition
200 mg/dL
Term
tetralogy of Fallot
Definition
cyanotic congenital heart condition; causes elevated H&H
Term
common cause of hearing aid whistling
Definition
excessive ear wax (also ear infection, malfunction, poor seal, volume too high)
Term
1st step in reporting child abuse
Definition
notify charge nurse (chain of command)
Term
leading cause of death from skin cancer
Definition
malignant melanoma; exposure to sunlight increases risk; blue, black, tan, irregular; metastasizes readily
Term
basal cell carcinoma
Definition
pearly papule with raised, indistinct borders, slow growing skin tumor, pale/flaky, from sunlight
Term
flight of ideas
Definition
client will switch topics mid-sentence or inappropriately
Term
clang association
Definition
speech pattern driven by sound of words, such as rhyming
Term
word salad
Definition
unintelligible speech, sentence construction meaningless
Term
loose association
Definition
disordered language that represents disordered thought
Term
infants born to HIV-positive mothers
Definition
infants will test positive at first due to maternal antibodies, but only 10-25% will actually have HIV; noninfected infants will seroconvert to HIV negative by 15 months
Term
therapeutic play/play therapy
Definition
  • 1 on 1 interaction between child & nurse
  • makes unmangageable situations manageable through symbolic representation, allowing the child to learn to cope
  • child transfers feelings to objects
  • example: allowing children to play with medical toys to overcome their fear
Term
example of fear of body mutilation
Definition
preschooler wants bandage over bruise to prevent body parts from coming out
Term
late decelerations
Definition
  • placental insufficiency, impaired exchange
  • interventions: change position, give mom O2, increase IV fluids, maybe caesarean
Term
active labor
Definition
contractions q2-3min lasting 30-90 seconds
Term
IV infiltration intervention
Definition
elevate the arm
Term
epistaxis intervention
Definition
apply cold cloth to bridge of nose; do not lean head back; do not lie down
Term
conflict resolution
Definition
bring groups together
Term
evacuating for a bomb threat
Definition
  • ask ambulatory clients to leave
  • move unstable clients last
Term
adrenal insufficiency & surgery
Definition
poor stress response, so will need lots of corticosteroids, which will inhibit wound healing
Term
kernicterus
Definition
bilirubin encephalopathy; need phototherapy and/or sunlight
Term
chronic renal failure diet restrictions
Definition
  • protein
  • saturated fat
  • sodium
  • potassium
  • magnesium
  • phosphorus
  • want low protein high carb to prevent ketosis
Term
early decelerations
Definition
  • normal
  • from birth canal walls pressing on head
  • place in lateral position
Term
chronic renal failure labs
Definition
  • hyperkalemia (report)
  • hypocalcemia (OK if no symptoms)
  • hypoalbuminemia (OK if no ascites, weakness)
  • anemia (OK if no symptoms)
Term
crib mobile
Definition
should be removed at 4 mo
Term
blood glucose monitoring during illness
Definition
q3hr; often rises even with reduced eating
Term
myelomeningocele intervention
Definition
latex allergy band
Term
ventriculoperitoneal shunt
Definition
will require replacement in a few years; does not cause excess urine or ascites
Term
gastric pH
Definition
below 4.0
Term
LATCH
Definition
lower anchors & tethers child safety seat system; does not require using the seat belt
Term
padding in car seats
Definition
do not use padding or blankets; may compress & leave space
Term
cooling blanket
Definition
YES!
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