NCLEX RN review

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Author:
twntwo
ID:
88720
Filename:
NCLEX RN review
Updated:
2011-06-01 20:04:29
Tags:
NCLEX RN
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Description:
general review
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  1. Stages of grief
    • Denial
    • Anger
    • Barganing
    • Depression
    • Acceptance
  2. Hematocrit normal range
  3. Hemoglobin normal range
  4. WBC normal range
  5. RBC normal range
  6. platelet normal range
  7. Calcium normal range
    • 8.5-10.5
    • < 8.5 = Trousseau's sign (BP cuff, arm spasm)
    • < 8.5 = Chvostek's sign (facial tap -> twitch)
  8. BUN normal range
  9. indicates kidney function
  10. creatinine normal range
  11. indicates kidney function
  12. ABGs
    • pH - 7.35 to 7.45
    • PCO2 - 35 to 45
    • HCO3 - 22-26
    • (release excess CO2 by hyperventilating, retain CO2 by hypoventilating)
  13. PT, PTT, INR
    • PT and INR are for coumadin
    • PTT is for heparin
  14. calcium and phosphate relationship
    calcium and phosphate have an inverse relationship
  15. Foods high in potassium
    • green leafy veggies
    • OJ
    • bananas
  16. How to administer insulin?
    • Insulin - 90 degrees
    • (other SQ at 45 degrees)
  17. Mandatory reporting for:
    • Child abuse
    • Elder abuse
    • Disabled abuse
  18. Cannot delegate to UAs:
    • Assessment/evaluation
    • Teaching
    • Invasive/sterile procedure
  19. Cannot delegate to LPNs:
    • Assessment
    • Planning
    • Teaching
  20. Antidote for narcotic-induced respiratory suppression:
    • Narcan
    • 0.1mg-0.4mg over 2-3 minutes
  21. cytomegalovirus (CMV)
    • a tretrogenic infection that HIV patients are prone to
    • pregnant nurses may choose not to care for those patients
    • (also prone to pneumonia, TB, meningitis, Karposki's sarcomas)
  22. Antivirals to treat HIV
    • AZT
    • Epivir
    • Viramune
    • Viracept
  23. Flow rate of an IV
    • (Volume to be infused) x (drop factor)
    • (time in minutes)
  24. ROME
    respiratory opposite, metabolic equal
  25. Respiratory acid/alka
    • respiratory acidosis - COPD, resp depression
    • respiratory alkalosis - caused by hyperventilation
  26. Metabolic acid/alka
    • metabolic acidosis - Ketoacidosis
    • metabolic alkalosis - vomiting, burns
  27. Stages of shock
    • Initial - agitation, hypoxemia
    • Compensatory - decreased cardiac output -> decreased urinary output
    • Progressive - low BP, weak pulse
    • Irreversible - lower BP, organ failure
  28. Positions for shock
    • High Fowlers: cardiogenic and pulmonary edema
    • modified Trendelenburg: hypovolemic, vasogenic, septic
  29. Vasopressors and vasodilators
    Vasopressors and vasodilators require weaning
  30. DIC
    • shock -> widespread clotting -> widespread hemorrhage
    • D-Dimer test
    • treat with Heparin infusion
  31. Acute respiratory distress syndrome (ARDS)
    • alveoli filled with fluid; lungs have O2, but can't use it d/t no gas exchange
    • treat with PEEP
  32. Normal ECG
    • QRS complex <0.11 seconds (ventricular depolarization)
    • ST segment (ventricular repolarization)
    • PR interval 0.12-0.2 seconds (impulse travels through SA node)
  33. Lung sounds
    • crackles = rice crispies
    • rhonchi = course
    • wheezing
  34. COPD
    • chronic bronchitis: cyanosis, low CO2, crackles/rhonchi/exp wheezes
    • emphysema: barrel chest; pursed-lip breather; can get air in, can't get it out; quiet breath sounds or wheezes
    • compensatory polycythemia
  35. Crepidus aka subcutaneous emphysema
    • crackling sensation around chest tube insertaion site
    • small amount is normal, mark with sharpie
  36. Dysphagia
    difficulty swallowing
  37. TB drugs
    • Isoniazid (INH therapy)
    • Rifampin
    • (liver toxicity)
  38. Lung lobes
    • 2 left lobes
    • 3 right lobes ~ right side of heart has the tricuspid valve
  39. Acute renal failure
    • oliguric phase
    • diruetic phase
    • monitor K, Na, BUN, creatinine and weight
  40. Digoxin toxicity
    • visual disturbances, N/V, arrhythmias, HR <60bpm
    • esp. in kidney pts
  41. Stages of chronic kidney disease
    • early - polyuria
    • late - oliguria, hematuria, proneinuria
    • end - anuria
  42. Treatment for chest pain
    • M.O.N.A.
    • morphine
    • oxygen
    • nitrates (HA, HOTN)
    • aspirin

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