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NCLEX V
NCLEX info
59
Nursing
Undergraduate 4
08/22/2013

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Cards

Term
side effect of platelet transfusion
Definition
severe chills
Term
TPN bags
Definition
do not shake; rock n roll
Term
CD4 T-cell count
Definition
<180 bad
Term
poor PD flow
Definition
usually related to constipation
Term
position for PD
Definition
low Fowlers
Term
position for change of tubing of central line
Definition
supine, so insertion site is below level of the heart
Term
pulmonary artery wedge pressure
Definition
4-12 mm Hg; elevated -> mitral regurgitation, left sided failure, hypervolemia, shunt
Term
phosphorus
Definition
2.5-4.5
Term
NG tube patient positions
Definition
  • insertion: high Fowlers
  • gastric lavage: left side
  • feedings or decompression: semi Fowlers
  • never: supine
Term
Cushing's triad (high ICP)
Definition
bradycardio, HTN, widened pulse pressure
Term
unequal pupils of any kind
Definition
herniation
Term
GCS
Definition
  • 13-15 with 15 min of unconsciousness: minor head injury
  • 9-12: moderate head injury
  • 8 and below: severe head injury
Term
when to do chest physiotherapy
Definition
at least 1 hr prior to meals; or 2 hrs after a meal; give albuterol prior to CPT
Term
most common cause of croup
Definition
viruses
Term
therapeutic ox sat level
Definition
95%-100%
Term
pacifier & SIDS
Definition
use pacifier for sleeping; reduces SIDS
Term
stool & output
Definition
stool is included in output; 1 g = 1 mL
Term
excess fluid volume & vitals
Definition
HTN, tachy, tachypnea
Term
weight gain in infants
Definition
>30 g (1 oz) per day is fluid overload
Term
contraindications to varicella vaccine
Definition
steroids (reduce immune system); severe febrile illness; blood products in last 3-11 months (this is for all live virus vaccines incl MMR); immunocompromised (chemo)
Term
suction time for child
Definition
no more than 5 sec
Term
scoliosis curves
Definition
20-40% require treatment; 40%+ may need surgery
Term
how to measure oral meds for infants
Definition
needless syringe
Term
status epilepticus
Definition
seizes past 30 min; intubate
Term
gastroenteritis & fluids
Definition
do not give IV fluids with potassium until it is sure the pt is voiding; otherwise hyperkalemia
Term
child in cast for developmental dysplasia of the hip
Definition
may still walk and do normal activities
Term
balloons for an infant
Definition
balloons are a choking hazard; also do not string toys across  bed after 5 mo
Term
membership in prof. specialty organizations
Definition
provides access to EBP
Term
test to diagnosie TB
Definition
QuantiFERON-TB Gold from fresh heparinized whole blood
Term
paradoxic chest movement
Definition
flail chest
Term
acute COPD exacerbation
Definition
hypoxia, memory impairment, behavior, personality changes
Term
supraclavicular pain
Definition
referred from diaphragm
Term
stairs carpeting
Definition
reduces risk of falling; also colored tape
Term
IV vein for older clients
Definition
radial vein of the inner arm
Term
basilic vein of the hand
Definition
should be avoided because it can become dislodged
Term
irritability when infant held after procedure
Definition
may be increased ICP; should be consolable
Term
uric acid crystals in urine
Definition
expected with urolithiasis
Term
parents do not want best treatment for child
Definition
contact hospital ethics committee
Term
withdrawal from opioids
Definition
chills & rhinorrhea, muscle pain, abdominal cramps
Term
cocaine withdrawal
Definition
excessive sleeping, depression
Term
normal bowel sounds
Definition
5-35 per min
Term
S3 heart sound
Definition
left-sided heart failure; auscultate at apex of heart
Term
CN II
Definition
vision
Term
CN VIII deficits
Definition
maintain on bedrest; vestibulocochlear nerve
Term
CN IX
Definition
ability to swallow; glossopharyngeal
Term
AV fistula
Definition
ascultate q4hr for a bruit
Term
hyperkalemia treatment
Definition
insulin causes K to go back into cells
Term
povodine-iodine (Betadine)
Definition
toxic; do not apply to wounds
Term
enteral feeding for infant
Definition
do not exceed 10 mL/min; taping NG tube to cheek is OK; should be less than 25% of the feeding in residual before starting
Term
neutropenic assessments
Definition
IV sites q4hr; WBCs q24 hrs; mouth q8hr; change IV tubing q24 hr
Term
Thorazine side effect
Definition
urinary retention
Term
pulsus paradoxus
Definition
sign of cardiac tamponade
Term
irradiated areas
Definition
should be washed with mild soap and water
Term
gastric lavage
Definition
lie on left side; 150-300 mL of water or saline
Term
1st step in auditing process
Definition
establish the benchmark
Term
atrial fibrillation
Definition
no P waves; irregular ventricular response; (tachy)
Term
stage II pressure ulcer
Definition
partial thickness skin loss
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