NCLEX

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em1277
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270714
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NCLEX
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2014-05-25 00:29:40
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NCLEX
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NCLEX
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  1. ADH
    Antidiuretic hormone
  2. AML
    Acute myelogenous leukemia
  3. APC
    Atrial Premature contraction
  4. ASD
    Atrial septal defect
  5. BPH
    Benign prostatic hypertrophy
  6. BUN
    Blood, Urea, Nitrogen
  7. Ca
    Calcium
  8. CA
    Cancer
  9. CAPD
    Continuous ambulatory peritoneal dialysis
  10. CC
    Chief complaint
  11. CPK
    Creatine Phosphokinase
  12. CRP
    C reactive protein
  13. DIFF
    Differential blood count
  14. DOE
    Dyspnea on exertion
  15. D/W
    Dextrose in water
  16. ECT
    Electroconvulsive therapy
  17. ESRD
    End stage renal disease
  18. FUO
    Fever of undetermined origin
  19. GH
    Growth hormone
  20. GSC
    Glascow coma scale
  21. Hg
    Mercury
  22. HLA
    Human leukocyte antigen
  23. Hz
    Hertz
  24. ICS
    Intercostal space
  25. JRA
    Juvenile rheumatoid arthritis
  26. Cranial nerve I
    Olfactory - Smell
  27. Cranial nerve II
    Optic- vision acuity
  28. Cranial nerve III
    Occulomotor - Eye function
  29. Cranial nerve IV
    Trochlear - Eye function
  30. Cranial nerve V
    Trigeminal - Face movement
  31. Cranial nerve VI
    Abducens - Eye function
  32. Cranial nerve VII
    Facial - facial expression, forehead, taste anterior tongue
  33. Cranial nerve VIII
    Vestibuloccular - Auditory acuity, balance and postural responses
  34. Cranial nerve IX
    Glossopharyngeal - Taste
  35. Cranial nerve X
    Vagus - cardiac, respiratory reflexes
  36. Cranial nerve XI
    Spinal accessory -
  37. Cranial nerve XII
    Hypoglossal - motor function of tongue
  38. Normal white blood cell count
    5,000 - 10,000mm³
  39. Increased ESR rates can indicate what
    Inflammation
  40. Majority of hospital acquired infections caused by?
    Staphyloccocus Aureus
  41. Airborne diseases
    TB, Shingles, Chicken pox (varicella), measles
  42. Droplet precautions diseases
    Group A Strep, Pertussis, Pneumonia, rubella, mumps
  43. Contact precautions diseases
    MRSA, Cdiff, herpes, scabies, excessive wound drainage, Hep A
  44. TB S/S
    • Night sweats
    • Progressive fatigue
    • Nausea
    • Anorexia/weight loss
    • Low grade fever
    • Coughing blood tinged sputum
  45. Treatment for TB
    • INH (Isoniazid), Rifampin
    • Isolation 2-4 weeks or 3 negative sputum cultures
    • 6-9 months drug therapy
  46. 5 P's of Labor
    • Passenger
    • Passageway
    • Powers 
    • Position
    • Psyche
  47. Mechanisms of labor
    • Engagement
    • Descent
    • Flexion
    • Internal rotation
    • Expulsion
  48. Late decelerations
    • Bad
    • Can be a sign of neonate hypoxia
    • Turn woman on side and apply oxygen
  49. Variable decelerations
    • Can be caused by compressed umbilical cord
    • Reposition woman
  50. BUBBLE-HE
    • Postpartum assessment
    • B-Breast U-Uterus B-Bladder B-Bowels L-Lochia E - Episiotomy H- Homan's sign (legs) E -Emotions
  51. Lochia type
    • Rubra - red, 1-3 days
    • Serosa - Pink to brown, 3-7 days
    • Alba - Creamy white, after day 10
  52. 4 stages of Piaget's theory
    • Sensorimotor (0-2)
    • Preoperational (2-6)
    • Concrete operations (7-10)
    • Formal operations (11 - adult)
  53. Erikson's 8 stages
    • Trust vs. mistrust (birth - 18 mo)
    • Autonomy vs shame & doubt (18 mo - 3yrs)
    • Initiative vs. guilt (3-5)
    • Industry vs. inferiority (6-11)
    • Identity vs. role confusion (12-18)
    • Intimacy vs. isolation (18-40)
    • Generativity vs. stagnation (40-64)
    • Integrity vs. despair (64-death)
  54. Growth in first year
    • Weight doubles by 6 mo, triples by 1 year
    • Length grows by 50%
    • By 1 year head circumference equals chest circumference
    • Posterial fontanel closes 6-8 weeks
    • Anterior fontanel closes 12- 18 months
  55. Where to start auscultating in abdomen
    RLQ
  56. Glascow coma EYES
    • 1 = no response
    • 2 = speech
    • 3 = pain
  57. Glascow coma - VERBAL
    • 1 = no response
    • 2 = incomprehensible sounds
    • 3 = Inappropriate words
    • 4 = disoriented but converses
    • 5 = oriented and converses
  58. Glascow coma - motor
    • 1 = no response to painful stimulus
    • 2 = extension to painful stimulus (decerebrate)
    • 3 = abnormal flexion to painful stimulus (decorticate)
    • 4 = withdrawal from painful stimulus
    • 5 = purposeful movement to painful stimuli
    • 6 = obeys verbal command for movement
  59. Pnuemonic for cranial nerve impulses
    Some say marry money but my brother says big business makes money
  60. Safest time for fetus to administer analgesics
    dilated between 4-7 centimeters
  61. Fight or flight response
    • ↑ cardiac output
    • ↑ HR
    • ↑ Respirations
    • Dilated pupils
    • ↓ urine output
    • Nausea, vomiting, diarrhea
  62. Therapeutic lab values for lithium
    0.8 - 1.2 mEq/L
  63. Lithium overdose S/S
    • nausea
    • vomiting
    • diarrhea
    • drowsiness
    • muscle weakness
    • tremor
    • lack of coordination
    • blurred vision
    • tinnitus
  64. Normal lab value - Chloride
    95 - 105 mEq/L
  65. Normal arterial and venous bicarbonate
    • Arterial: 22-26 mEq/L
    • Venous: 24-30 mEq/L
  66. Normal phosphate level
    2.8-4.5 mg/dL
  67. Normal sodium and S/S of imbalance
    • 135-145 mEq/L
    • <125 mental confusion, hostility, hallucinations
    • excess: hypertension, anasarca (generalized edema)
  68. Normal calcium level & S/S of imbalance
    • 8.5 - 10.5 mg/dL
    • hypercalcemia: weakness, paralysis, decreased deep tendon reflexes
    • hypocalcemia: tetany, muscle tingling, twitching
  69. Normal magnesium level and s/s of imbalance
    • 1.5 - 2.5 mEq/L
    • hypermagnesemia: lethargy, slower heart conduction, paralysis, slurred speech, nausea, vomiting, muscle weakness
    • hypomagnesemia: mood and cardiac irritability, muscle tingling, tetany, twitching
  70. Reversible causes of urinary incontinence
    • D.r.i.p.
    • Delrium
    • restricted mobility
    • infection/inflammation/impaction
    • Pharmaceuticals
  71. "PRILS"
    • Ace inhibitors (Lisinopril)
    • Causes dilation of blood vessels, lowers blood pressure
  72. "SARTANS"
    • Angiotensin reception blockers (ARBs)
    • (Losartin, valsartin)
    • lowers blood pressure
  73. "TRIPTANS"
    Treatment of acute migraine
  74. "STATINS"
    Lower LDL cholesterol
  75. "DIPINES"
    Calcium channel blockers
  76. "PRAZOLES"
    • Proton pump inhibitors
    • (reduction of gastric acid production)
  77. "AZOLES"
    Antifungals
  78. "CYCLOVIRs"
    Antivirals
  79. Maslow's heirarchy of needs
    • #1: Physiological (breathing, food, water)
    • #2: Safety
    • #3: Love/belonging
    • #4: Self esteem
    • #5: Self actualization
  80. 5 rights of medication distribution
    • right dose
    • right patient
    • right time
    • right route
    • right drug
  81. 1 grain = how many mg?
    60 mg
  82. 1 gram = how many grains?
    15 grains
  83. 30 mL is equivilent to?
    • 1 ounce
    • 2 tablespoons
    • 8 drams
  84. Do not crush medication that ends with?
    • CR
    • CD
    • LA
    • SR
    • XL
    • XR
    • XT
  85. Warfarin antidote
    vitamin k
  86. Monitor what blood level when taking ACE inhibitors?
    Potassium because it can cause hypokalemia
  87. S/S Hyperkalemia
    • irregular heartbeat
    • bradycardia
    • ECG may show 
    • Peaked T wave, depressed P wave, wide QRS complex
  88. Normal PCO2
    35-45 mmHg
  89. Increase in Neutrophils can mean what?
    Infection by bacteria or fungus
  90. Increase in Lymphocytes can mean what?
    Viral infection or tumor
  91. S/S of digitalis toxicity and common cause
    • anorexia
    • nausea
    • vomiting
    • blurred vision
    • cardiac arrythimias

    Low potassium
  92. DO-ABLE mneumonic for heart failure interventions
    • Diuretics
    • Oxygen
    • Ace inhibitors
    • Beta Blockers
    • Low sodium diet
    • Exercise
  93. Treatment for pulmonary edema
    • MDOG
    • Morphone
    • Diuretics
    • Oxygen
    • Gases (blood)
  94. Prehypertensive
    • Systolic 120-139
    • Diastolic 80-89
  95. Management of Afib
    • ABCD
    • Anticoagulants
    • Beta Blockers
    • Cardioversion
    • Digoxin
  96. 6 P's of arterial occlusion
    • Paresthesia
    • Pain
    • Paralysis
    • Pallor
    • Pulselessness
    • Poikilothermia (coldness)
  97. Most specific elevated lab value indicating MI
    Troponin
  98. Signs of stroke - FAST
    • Facial droop
    • Arm drift (eyes closed arms held out in front.  Does one arm drift?)
    • Speech - difficulty understanding and speaking
    • Time
  99. Normal specific gravity
    1.010 - 1.030
  100. Normal sodium
    135 - 145
  101. Normal calcium
    9 - 11
  102. Normal magnesium
    • 1.3 - 2.1
    • Critical <0.5 or >3
  103. Normal chloride
    95 - 105
  104. Normal PcO2
    35-45
  105. Normal HGB (hemoglobin)
    12-15
  106. Normal HCT (Hemocrit)
    36-45
  107. Normal platelets
    150,000 - 450,000
  108. Normal RBC's
    3.2 - 5.2
  109. Normal digoxin
    • 0.5 - 2.0
    • Toxic >2.5
  110. Normal lithium
    0.5 - 1.2
  111. Myesthenia gravis
    • Wosens with exercise, improves with rest
    • Tensilon test to diagnose
    • Cholinergic crisis - when too much medication is given
  112. Mannitol
    Osmotic diuretic.  Given with head injury
  113. Severe diarrhea can cause
    Metabolic acidosis
  114. Severe vomiting can cause
    Metabolic alkalosis
  115. Specific gravity of <0.010
    • Hypervolemia -
    • s/s: bounding pulse, SOB, dyspnea, crackles, peripheral edema
    • put in semi-fowlers
  116. MAOI's used for depression
    all have ar sound in the middle
  117. Vistaril
    • for anxiety and itching
    • Given commonly for pre-op. 
    • Dry-mouth
  118. Sinemet
    • Given for Parkinsons
    • Causes drowsiness
    • may turn body fluids reddish brown
  119. Cogentin
    For parkinson's and extrapyramidal effects
  120. Bactrim
    • Antibiotic
    • Don't take if allergic to sulfa drugs
    • diarrhea is common side effect
    • drink plenty of fluids
  121. Mucomyst
    Antedote for tylenol
  122. Dilantin
    • For seizures
    • Therapeutic level 10-20
  123. VEAL CHOP
    • V:ariable decelerations - C:ompressed cord
    • E: arly decelerations - H: ead compression caused
    • A: ccelerations - O: K, not a problem!
    • L: ate decelerations - P: lacental inefficiency
  124. Sources of potassium
    citrus fruits, bananas, potatoes
  125. 1 tablespoon = to?
    • 3 teaspoons
    • 15 mL
  126. 1 oz is = to?
    30 mL
  127. Med of choice for vTach
    lidocaine
  128. Med of choice for asystole
    Atropine
  129. Med of choice for CHF
    Ace inhibitor
  130. Med of choice for status epilectus
    Valium
  131. Drugs ending in -ide
    Probably a diuretic
  132. Therapeutic function of supine position
    Avoids hip flexion, which can compress arter
  133. Therapeutic function of dorsal recumbent
    Supine with knees flexed; more comfortable
  134. Therapeutic function of side lateral
    Allows drainage of oral secretions
  135. Therapeutic function of fowlers
    Increases venous return; allows maximal lung expansion
  136. Tube feeding residual less than ? should be returned to stomach to maintain electrolyte balance?
    150 mL
  137. RhoGHAM is given why?
    Prevents maternal circulation from developing antibodies
  138. Most common complication of tube feeding
    Diarrhea

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