1. 4 y/o with hemoplhillia, what kind of activity. (eto po nasa prio naming ni Dra.

, pero my naibang option po) a. b. c. d. Rollerskating in the sidewalk Playing in the jumping garden Tricycle with helmet Playing soccer with kneepads

Ulcerative colitis Cervical cancer ESRD Seizure precautionsilan beses po to bumalik sakin na SATA

-eto po, I parang tama po ata yung letter B kasi po I was given a prio after..

5. Dubutamine compu.. 5mcg/kg/ml weight 185lbs. stock 500/500

2. Client has full thickness burns 8% what body part is important to consider? a. b. Two anterior and dorsal palms Two anterior palms

6. Pt with dual disorderpsyche ko po to sa dating my update, lumabas din po sa akin luckily nabasa ko nap o sa net kung ano yun: parang ganito po yung choices

c. Two palm length of the client measured in the forearm d. Two palm length of the nurse measured in the clients forearm

a. Treat the psychological symptoms first and then the drug dependency b. Treat the dependency first then the symptoms

c. Treat both dependency and the psychological disorder d. D ko po matandaan

3. Neuro po: dami pos akin SCIs example question po.. the patient has c5 injury, the nurse understands that the priority nursing care would be: a. Allowing the client to go to the bathroom without assistance b. c. d. Allowing the client to eat without assistance Allowing the client to undress by himself Nakalimutan kop o yung isa b. Allow the client talk with the same age of the same situation c. Allow the client to play with fire drill with friends---parang ganito po yung dating ng question d. detail Allow the client to talk about what happened in 7. Pedia.. 8 yrs old after a traumatic fire, what would be the best a. Allow the client to draw the fire

4. SATA questions: sorry po hindi ko matandaan yung mga exact na nakalagay pero mostly po mga s/sx lahat: Endocarditis Osteoporosis Hypothyroidism

8. Drugs: mga A/E po yung mga binibigay na choices Straterra

Hyperthyroidism Clozapine DVT Parnate PAD PRILS---

OLOLS SARTAN Fosamax--a. b. c. Levonox shempre po remain upright early in the morning

-turn on suction 12. Cardiohindi po sinabi na heart block pero ang sabi po is the client had two absent ventricular contraction a. after breakfast b. I will lie down after after drinking c. 13. D ko nap o maalala Pericarditisreportable?? Muffled heart sound Dizziness Pain when lying at the bed Defib Asa choice po ang pacemaker

Dopamine a. St. johns wortmild depression b. Celexa c. Amiodarone---ang tanong po ditto best time hala d ko po alam kelan RHYTHMOL---ayun!! Hindi ko po to alam nung ngexam ako Sildenafil Q: action Symmetrel Tacrine Haldol Motrinhay, iruprofen lang pala to--- wala po kasi

d. Eto po naguguluhan talaga ko sa tanong nay an kasi lahat reportabledizziness lang ang natatandaan ko pinaka reportable cguro.. waah.. 14. Cardiac cath.. reportable?

15. Standard precaution--- eto po ang mga lumalabas sakin everytime mgeencounter ako ng correct understanding Lahat po ng binigay sakin dito maching type.. e.g. a. surgical mask for RSV b. gloves for clostridium deficille

Protonix c. gown for measles 9. Rheumatoid arthritis which of the following would be reported to the physician1st question pero hindi kop o maalala yung choices 16. MG---Baclofen best taken daw po--- in the morning after breakfast or after getting out of bed yung tanong 10. a. b. Client has 8 PVCs in the past hour: Notify physician 17. MSang tinatanong po dito is when is the best time to take the meds para daw po mgmaintain ng daily activities: a. 11. Client had seizure while in the ER: SATA b. c. 18. Morning-to finish all the household chores Before eating--D ko nap o matandaan iba Nursing issues: d. particulate mask for HIV

-Bed rails up -tongue depressor

Orthodox jewish Mormons SDA Mexican American

a. b.

Copy what you are doing Has a collection of stamps

2. During cardiac catheterization, it is important for you to do which of the ff? a. NPO for 8 hours Assess for allergies to seafood

--puro po diet ang tanong b. 19. a. b. c. d. Pedia: 8 y/o task: Collecting stickers Riding tricycle ----a. It is given to counteract the side effect of Prolixin (d ko po sure,hehe) b. Advise to take it in the morning to prevent insomnia 4. a. b. 21. priority Blood and immunemy mga sicle cell crisiso2 c. d. 22. IDA 5. What do you expect to see in a patient with Hypercalcemia? 23. AML a. b. 24. Respi--- CPAP c. Abdominal cramping Paresthesia Skeletal muscle weakness e. DVT (SATA) Edema Warmth Purpura Petechiae Bruising

3. A patient with psychosis is prescribed Artane, which of the ff would be a correct health teaching about the prescribed medicine?

20. Cohorting.. dami po.. but pedia to pedia ang lumalabas and sari saring sakit

*yan na po lahat ng natandaan ko, basta po pag pedia puro developmental po.. lalo na yung mga after trauma po lagi, then cohorting, delegationtapos neuro pinakamarami po is SCIs t1, t8, c5, puro functionality ng tao tinatanong po. ESRD, ewan ko po bat puro ita tanong sakin mapa SATA, PRIO, 1st assess, reportable sadly wala po ako mashado endo, maternal, GI- ulcerative colitis saka colon cancer..yan po lhat.. waah.. wala nap o ako maicip pero I hope maka help po.. thank you po.. lalo na to all my mentors, talagang ng bigay ng time sakin sila---- etc.!!! hehe hindi pwde yun!! Sa mga makakabasa nito na student who will take the exam, Godbless.. and pray pray pray pray.. nothing is impossible just have faith.. Updates: June 11, 2010 1. 8 year old child, what to expect?

6. What to see in a patient with Pheochromocytoma? a. b. 7. a. Bradycardia Diaphoresis Hypothyroidism? Increased cholesterol level

8. Atorvastatin (Lipitor), which of the ff indicates a correct understanding? a. b. I will take it in the morning I will have my annual eye exam

9. Patient with Na level of 120 meq/L. What type of IVF to infuse? a. b. D5W c. LR

c. d.

Ask the patient to flex the neck while swallowing Provide with sips of water every after swallowing (tama po ba ung last?) Patient with Spinal cord injury, realistic goal? C6 injury able to feed self C7 injury able to dress self C4 injury able to turn from side to side every 2 (nabaliw lang ako maam,haha) Purpose of skeletal traction? Keep bones aligned until healed What to advise for a patient with insomnia

.3 NaCl d. .45 NaCl (Ms.,wala po akong idea,hehe)

16. a.

10. A client who is homeless and a substance abuser. What will be your priority to include in the healthcare plan? a. Help client to acknowledge denial on being a substance abuser b. Provide information on Community Services for the homeless c. Assess mental status (Ms,

b. c. hours 17. a. 18.

d. Provide with a well-balanced meal naloka po ako dito, 5mins ko ata tinitigan to) 11. Dysthymic disorder?

a. Read a novel or watch television to aid in sleeping b. c. waking Perform aerobics one hour prior to bedtime Provide a consistent schedule for sleeping and

a. Alternating feeling of hyperactivity and depression b. Chronic feeling of depression hula hoo! haha) 12. a. b. c. d. 13. a. 14. a. b. c. RSV precaution (SATA) Wear a heap-filter mask Place in a Negative pressure room Remove gloves before leaving clients room (Hula

19. a.

Normal for an elderly It takes an hour for me to sleep

b. When I wake up after a 3 hour sleep, i find it hard to sleep again 20. RN floated from MS department to Pediatric unit, which client to assign? a. 10 year old with cystic fibrosis 13 year old with Reyes syndrome (pang pedia lng po ba ung reyes?..) How to prevent medication error (SATA) Correct about Hepatitis (SATA)

Provide with own BP cuff for clients use b. What do you expect in a patient with Peritonitis? Rigid, board-like abdomen Which is incorrect? Symmetrel for a patient with Influenza A Heparin for a patient with DVT 24. Librium for a patient with alcohol withdrawal (nde ko rin po alam kung tama) Liquid oxygen Updates - April 27, 2010 Review and master the ff: Prioritization, Delegation Assignment by La Charity Triage: internal & external 21. 22.

23. Adalimumab (Humira), (SATA) (grabe maam, parang out of this world, SATA pa daw eh! Haha!)

15. In caring for a patient with dysphagia, which of the following is/are correct? a. b. Assist patient in a sitting position before eating Provide patient with a straw

Precautions/Infection Control: VRE Shigella Scabies Hepatitis B and Hepatitis C Delegation: for CNA SATA s/sx:

a. menu + skim milk I chose this, dapat low fat b. menu + whole milk c. and d. obvious na fatty foods What to expect on the ABG result of an Elderly? Respiratory Alkalosis (they are in numerical values, I chose this coz mas madami silang CO2 na inilalabas.plus the fact na dalawa ang respiratory acidosis sa choices so out na yun)

Addisons Laryngitis Physical and physiological changes among elderly or Aging process Myocarditis Endocarditis BPH particularly the description of the voiding pattern Eg. Feeling of not yet emptied after voiding

Medical-Surgical: Dysphagia a. flex the neck on swallowing (I chose this, im not sure..pwede din yung B but this is more safer) b. use straw when drinking liquids (tanda ko kasi dapat thick liquids eh kaso may straw,hahaha! Para walang hassle A na lang) Huntington's disease, what to expect? - eg. Jerky movements Pulmonary Embolism s/sx SCI on T6, what to expect? facial flushing (an autonomic dysreflexia s/sx) Post total hip replacement, what to follow up? I feels that I am running out of breath. COPD, what to follow up? - low O2 sat Hypoparathyroidism give Ca supplement Addisons weigh the patient daily when taking Prednisone TIA use of thrombolytics Cardiac Tamponade underwent pericardiocentesis. If it is effective, what to expect? absence of muffled heart sounds a pt with pre hypertension, what statement needs immediate intervention? a report of abdominal pain radiating to the back Risk factors of CAD Emo (remember the Es) Post Chemotherapy complains of sore throat, what order will be the priority? have a culture and sensitivity of the throat Sickle Cell Anemia HT when having a vacation we will have rest periods of every 2hrs as I drive the car. (sabi kasi ano daw ang correct statement ng mother kasi plan nilang magbakasyon ng anak niya w/ sickle cell anemia) Evisceration, what to do? cover with gauze soaked in normal saline Gouty arthritis low purine diet Pancreatitis diet

Maternal & Child: Cystic Fibrosis nsg management or HT 4 ang questions ko jan di ko na po tanda eh Myelomeningocele HT Full term newborn what to expect? SIDS prevention or HT MMR vaccine Contraindicated with allergy to eggs Post partum complications Drugs: - the structure of the question iswhat doctors order needs to follow-up? (check the route, dose and the patient or the disease it is given for.sometimes they adjunct two drugs on one disease) - nsg considerations Diazoxide C/I with hyperinsulinism Enoxaparin give only thru SQ Meridia (brand name) Terazosin Irbesartan Plavix rd Digoxin DOC for 3 degree heart block; wof: hypokalemia -triptan adverse effects Symmetrel Concerta administer before going to school Nicorette chewing gum and nitroglycerin Protonix incorrect if mixed with applesauce (dapat take it with out food) Fludrocortisone check sodium level - Needs immediate intervention? a. Vardenafil erection for the past 4 hours (I chose this coz in a matter of short time prone siya na magschemia then magnecrosis) b. Lisinopril with dry hacking cough for 48hrs -my other unknown drugs di ko na po tanda, bumagyo sa akin ng drugs!tsktsk Diagnostics/Procedures/Equipments: Post Esophagogastroduodenostomy WOF bloated abdomen (kasi may trauma so possible bleeding) Post Colonoscopy WOF bleeding s/sx rectal bleeding CPAP indications for using

PEG Tube nursing consideration A pt w/ post implanted defibrillator 2 hrs ago. What statement is the correct understanding of the health teachings? (my last question kaya super tanda ko siya!hahaha) a. avoid soccer sports until next month (NO contact sports!!!) b. avoid tight fitting clothes in the incision site I chose this coz the procedure was just 2hrs ago so the focus is the incision site and tight fitting clothes is really contraindicated) c. out na, kasi not connected d. resched MRI scan (NO MRI!!!) Hypothermia blanket, how will you know if it is malfunctioning? - the fever does not subsides (they will give you the abnormal temperature) Abdominal Assessment auscultation first then palpation (remember the IAPP) BUN for fluid volume deficit or dehydration CBC procedure what to expect of an 8 year old pt a. a prick on your finger will be done and you can hold my hand (the nurse) during the procedure b. use of a needle in your arm, theres pain but it will be away immediately I chose this coz an 8y/o pt can already understand and has already good judgement and the procedure is done on the arm not on the finger) Glycosylated Hemoglobin Psyche: Therapeutic Communication eg. Sit with the client High risk for suicide major depressed patient (the choices is thru diff. statement of diff. patients) Primary caregiver wants to take over the responsibility of caring the patient, how will you assess? - Readiness and his coping ability UPDATES: MAY 31, 2010

2. A client who will undergo CT scan of the head with contrast medium ano ang indication that the patient understand the procedure? a. I will be sedated papasundo sa husband after the procedure b. NPO for 8 hrs prior to the procedure

c. I should stop metformin a day before the procedure Ans: C. NPO pag abdomen.. METFORMIN is contraindated sa patient with CRF, ischemia, and contrast medium

3. A patient with DM type1 what will notify the physician? Forgot the choices pero ang sagot ko ung may pH of 7.2 kc diba possible na metabolic acidosis which is ABG ng patient with DKA

4. a. b.

AAA what to notify? Pulsation on the abdomen Flank pain

Ans: AAA+ Pain= impending rapture! Hahaha thanks Sir Pascual

5. Patient with right leg lang ang pwedeng mag weight bearing ano ang correct teaching? a. Left crutch and right leg sabay ifoforward then right leg and lift crutch naman b. Left leg and left crutch sabay ifoforward then right leg and right crutch c. Left crutch then right leg then right crutch the left leg naman d. Ifoforward ang both crutch followed by the right leg then the left leg Ans: D.. hahaha di ko alam why basta eto ung nafeel kong isagot e hehehe

1. A nine month old infant who has iron deficiency anemia anong food ang dapat ipakain? A. B. C. Cereal fortified with iron Give a minimum of 32oz of milk a day Give iron supplement with milk

Ans: A hahaha kasi ang milk at iron ay hindi friends.. nyahaha

6. gamit. a. na

Patient using walker.. pano ang tamang pag

Tapos tadtad ng prio.. as in puro prio talaga number 30+ pa lang ata or early 40s puro prio na.. so magbasa ng La Charity..^_^ March 16, 2010- 9am 1. 2. Amphetamine- take 6 hours before sleeping Soma- decrease pain and muscle spasm

Advance the walker 6 inches tapos ung patient

b. Advance the walker tapos ung patient pag pantay na sila ning walker tatangalin nung patient ung both hands nya sa walker c. Ililift ng patient ang walker while walking

3. SATA- addisons, co sleeping, CVA, inform consent (nkalimutan yung iba) 4. Ordered response- abdominal assessment (void, lie, inspect, auscultate, percuss, palpate)

Ans: A.. parang pinaka ok na sagot e.. hahaha

7. May ECG strip e.. A. Fib xa tapos ung tanong anong complication daw ang makukuha sa ganung klaseng ECG tracing.. a. b. Hypertension

5. Infection control- memorize lahat ng airborne,droplet, contact 6. 7. ABG correct understanding EMG-needles will be inserted into muscle

Sinus arrhythmia 8. Crutches further teaching- resting on axillae while walking 9. Allopurinol-increase OFI

ANS: B.. diba sabi ni sir pascual 90% nagkakaron ng dysrythmias.. 8. a. Assessment sa lungs Titignan ang AP diameter by looking in front

10. Sign of fluid volume excess sa TPNhyperglycemia 11. Pt. With nephrotic syndrome sign n effective ung treatment- pinili q decrease periorbital edema 12. 13. 14. Psyche therapeutic communication Delegation- nurse to LPN/LVN Floaters- Psyche nurse to ER

b. Ascultate the lung field using the bell on one side of the lung then on the other side c. Lalagay ung thumb m sa may spinal cord the spread ung fingers tapos painhale ung patient to assess for symmetry Ans: C.. tamang assessment un diba?haha OTHERS: Therapeutic Communication Substance abuse Nizoral- what to notify the physician SATA- hypothyroidism Cushing- ano ang changes stated by the patient Precaution sa MRSA Care sa patient with MRSA Precaution: heap C and smallpox GBS Insulin alog

Wala akong computation pero mdaming drugs ung iba kakaiba tlg..The rest puro health teaching and prio.. sana nakatulong to khit konti.. Gudlak sa mga susunod..

MAR.10,2010 my update: nhoz unang tanong sakin eh ACE!! hehe! who needs further teaching? -"it's ok to have edema!" tpos prio, napakadami..buti na lang close kami ni Linda kaya medyo ok naman cguro..

meds: Indomethacin, Morphine, steroids, pyridium (PAINridium)..tapos meron pa dko matandaan eh..sayang nga di lumabas yung bacloPAIN! SATA: (gaya ng pinagpray ko! hehe!) hyperthy,hypothyroidism 2x pero iba ng choices, Addisons,cushing, tapos Hypomagnesemia, tapos IMPETIGO(contact precaution yung isa protection sa nurse, tpos yung isa transporting the client), tpos HIV patient prevent infection (handwashing, fresh flowers), tapos what to expect sa hepatic cirrhosis, SIADH...di ko na matandaan eh, meron kasi ko 4 and 3 sunod sunod na SATA from 16-19 yata yun.. tapos sa 30's yung isa.. safety: >both hands on handle of walker from standing to sitting down, >prio:who to see first? a.)bipolar on manic phase patient shouting b.)patient who says "even if you're God, i wont do it" -eto sagot ko eh kasi baka kung anu na sinasabi ng isip nya! hehe! pero di ko sure kung tama.. > what to expect sa TEF/esophageal atresia: excessive salivation >EMG:I may feel a little discomfort because needles will be used..mali ako dito eh! di ko nabasa nasa update pala! >what supports diagnosis of retached retina? floaters and description ng curtain vision hehe >what to report sa hepB? sagot ko i can see large veins in my stomach, (kala ko kasi AAA),tpos nakita ko sa update my wife told me i speak slowly(hepatic enceph) yun pala tama, hehe! >how to assess bronchial breath sound? auscultate in front of trachea >what to expect in 3 yr old child? sagot ko tie shoelaces kasi autonomy??! >patient with low self-esteem,what to include in planning? -sagot ko low level task in which the patient can succeed,,parang ganun.. >what to expect in a patient with acute gastritis? >what to include in teaching for pre ERCP patient? di ko lam eh,sagot ko pa nga dito you might have sore throat after procedure!! hehe! wla kasing absent gag reflex eh,tpos yung isa naman NPO 2 hours prior,.dko matandaan yung isa baka yun pa tama! hehe! basta tanong nyo na lang din..:) >what to report post liver biopsy? a.) pulse 130,bp 96/54 b.)patient on L sidelying pos'n muntik na ko maloko nito!!

report pala kaya yung a sagot ko! >correct understanding on Pt. with Gonorhea? i will contact my sexual partners for check up.

>yan lang natandaan ko eh.. basta harapin si Linda, few days before daanan nyo yung updates, pero wag kabisaduhin..kasi naiiba choices and way ng pagtanong..and syempre Pray lagi na sana lahat tayo makapasa na! imagine what can God not give us when he gave up his only son for us?? sabi nga sa Edsa,"pray hard,it works!" =)

Haayyiiihh eto po mga updates ko.. pasenxa na sa sobrang dami e2 lang naalala q.. helf!!

- What do you expect to see in a patient with partial thick burn? a.eschar b. blisters (1 question ko to..yan lang naalala kong choices.. ehehe)
st

- What is the ABG value for a px with GBS? ( literal na ABG values ang choices.. ehehehe)

- You are a psyche patient and as u enter the room you saw 2 patients with schizophrenia that are having sex. What would you do? a.document b.tell them that they should stop what they are doing c.inform the heatlth care team (promise nagising ako sa tanong na to.. ehehehe..)

- Who among the ff. patients would be at higher risk to develop CAD? *INFECTION CONTROL a. a male px with low cholesterol and high LDL b. a male px 15% over body weight with normal cholesterol and low HDL c. a female px who has asthma with low cholesterol and high LDL *CLOSTRIDIUM DIFFICILE (eto ang di ko makalimutan xe tinadtad ako ng tanong about ditto!! Grrrrrrrrrrrrrrrrrrr) *floaters* MS- OB Pedia MS Psyche nurse MS *topics* GBS ADDISONS CUSHINGS HYPOTHYROIDISM HYPERTHYROIDISM HYPOPARATHYROIDISM HYPERPARATHYROIDISM HYPERPITUITARISM HYPOMAGNESEMIA Pag aralan ninyo mabuti:inuulit ko, I memorize ninyo by heart, by memory, by kidney, by pancreas, by your stomach.he he he.in short, kabisaduhin and I internalize ninyo: a. b. c. d. cushings addisson hyper/hypothyroidism s/sx:sata hyper/hypoparathyroidism manifestations: sata SIR BRI, SUPER THANKYOU PO SA PAG GUIDE NYO SAKIN MULA SIMULA HANGGANG MATAPOS EXAM KO SUPER BLESSINGS PO TALAGA KAYO SAMIN GODBLESS!!! GUYZ, ALWAYS PRAY PO.. DONT FORGET THAT WITH GOD EVERYTHING IS POSSIBLE!!! pray before and after the exam goodluck and GODBLESS!! LAHAT!! SUPER DAMI!!!

(mostly po SATA about Health teaching at what assessment ang question)

Prioritization sobrang,sobrang, sobrang dami!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Delegation konti lang!!

*meds* PRIL SARTAN MYCIN DM meds (bgo kea d q maalala) (memorize nyo turo ni sir bri!!!..SIR BRI SUPER THANKYOU PO TALAGA!!!)

Zafirlukast when to take 8 mo.old child food may be given choices: crackers, hotdog, from high fat to low fat milk, forgot the last choice.(konti lang sa pedia, and ob) Computation ng dobu-dopa.sobrang dami!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (di ko ito masyado pinag aralan, akala ko di lalabas)

Legal liabilities - re: a.clients self determination b. false imprisonment infection control - sobrang, sobrang, sobrang dami!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (Review nyo yung binigay ni man dreenah)

a.

mrsa what to put on/wear

ung acid-base imbalance.ex. bigyan na kayo ng mga values.ng pO2, HCO3,,pH, etc. ang tanong,ano Nx intervention ang dapat mong gawin?nakakabaliw! psyche: u saw 2 psyche Pts making ger-ger, what will you do? 4 point gait, how will you teach patient? s/sx ng increased ICP Pharma, medyo marami din. Pril, sartan, olol, Bumex, prednisone, Pasensya na kayo, konti lang na I contribute ko, kc sa sobrang dami ng questions sa akin, di na ako tumitingin sa counter/time kung ilan/what time na.basta hinintay ko na lang mag shut down.

double birth wt - my answer kasi closest? triple birth wt 11. Aids, Hiv - infection control, cohorting 12. Hepa D & Hepa E 13. Siadh - ssx 14. DI - ssx 15. Peritonis 16. Peritonial Dialysis 17. Mech Vent High alarm - patient needs suctioning ? 18. Metoprolol not to give to - answer ko pt with asthma 19. Client w/ right Bell's Palsy drooping of eyelids right sided paralysis - my answer no movement of tongue 20. DIC 21. Patient more prone to ulceration 22. Activity for Schooler 23. 3-way lumen - correct teaching when there is plaque formation on tube 24. Post Thyroidectomy assessment 25. Pedia around 5-6 questions

_______________________________________________ February 5, 2010 9:00 Metamucil (psyllium) sata: -Increase oral fluid intake -red brown urine -s/e abdominal cramping forgot the two choices.. CVA client, what to ask in assessment?Sata are there any family member who had a heart attack when was you last cholesterol check do you have HPN or DM what is the best instruction when delegating assignment to a NA? -help the client with MS in feeding -assist the client with parkinsons in ambulating to the bathroom and the hallway -patient post op 1 day ago, have him sit first at the edge of the bed before helping him stand--- eto sagot ko kasi ininstruct ng mbuti nung RN yung NA.. - yung isang option, pang rn na yun. What will you delegate to a NA? SATA -patient post CVA 2 days ago needs help in feeding and is advancing to a pureed diet--- di ko sinama to kasi I think kelangan muna iassess nung RN kung kaya na itolerate ng patient yung pureed diet.. -post hip arthroplasty, needs assistance in ambulating somadecrease pain anzemet (dolasetron)nausea neutropenic precaution, what is correct

UPDATES Feb 2010 1.pt w/ hyperthyroidism what to expect: periobital edema fatigue palpitations - my answer weakness 2. Infection control - Impetigo - Sata 3. Alzheimer's - safety sa client - 3 questions 4. Client with Migraine- what to avoid - Sata 4. External Disaster - prio 5. Psych - Therapeutic Comm for Manic, Major Depression 6. Spironolactone - teaching 7. Cefotan 8. Risperdal 9. Enoxaparin 10. Pedia client @ 5month weight should be approximately: 25% birth wt 50% birth wt

my spouse will clean the litter box and gardening eto answer ko I will throw my silk flowers Measles- airborne precaution What to clarify to md? Cardiogenic shock -morphine IV now -trendelenburg -dopamine IV ERCP, what to report post ercp SATA EGD, what to report post EGD SATA What will support the diagnosis of hyponatremia headache- my answer positive trousseau dizziness 2 y/o, what to suggest to the mother cutting shapes using blunt scissors playing with someone stacking blocks what is an example of a break in the confidentiality informing the clients adult children in other state regarding their mothers discharge status informing the crisis counselor of the client of the liver biopsy status of the client nursing dx IDDM, glycosylated Hgb of 11% -risk for injury -activity intolerance -ineffective coping -ineffective compliance of therapeutic regimen- my answer correct teaching of MDI- 2 in away if not using spacer Which drug would the nurse question? Prozac for client with bulimia seroquel for client with schizophrenia Buspar for client with OCD ****** for client with Parkinsonsmy answer kasi the rest are correct and im not familiar sa gamut n un.. sickle cell manifestationjaundice Xigris, wof? Increase crea or bun ung sagot ko.. Alcohol abuse, what to report -vomiting and insomnia -abdominal bloating and constipation -dizziness huntingtons diseasegenetic counseling sequencing abdominal assessmentvoid, lie down then IAPerPal SATA Co sleeping SATApinili ko sila lahat i. It will increase the incidence of SIDS ii. Minimize the childs night time awakenings iii. You need to lower the temp of your room than usual if your child is co sleeping with parents

iv. Promotes closeness to sibling that are co sleeping Psych patient with major depression and states: Some day things will be fine a. Are you planning to kill yourself? b. What do you mean about fine? tandaan lahat ng mga diseases under airborne, droplet and contact!!

_______________________________________________ Updates Eto po lng ung naalala ko ung iba di ko na maalala pero pg meron ako maalala isend kop o agad. Computation ng meds dobutamine. What to bring to a patient under neutropenia precaution a. b. c. d. Flowers Apple Apple sauce Toss salad

Risk Factor for Bladder Cancer and Stomach Cancer SATA: Hypo/Hyper thyroidism s/sx

Which of the following drugs should you question.. may diagnosis na binigay.. then dun sa upper left na portion may click ka para makta ung mga vital sign, lab result, history ng patient etc.. same ng la charity part 3 Answer ACE drugs kasi BP 98/60 hypotensive na patient

Ace Inhibitor drugs to be reported and correct health teaching Persistent dry cough

Infection Control RSV gloves and gown Cohorting ng same organism 12.04.09 Updates Hypothyroidism S/Sx Hyperthyroidism S/Sx- SATA Cohorting Staldol** Eldepryl**

Flexeril** answer is not the usual to decrease pain Droplet, Contact, Airborne prec. HIV, AIDS Statin dont give on pt. with Hepa. Flova** Liver biopsy wrong statement post-op remain on left side-lying Toddler appropriate play/activity Trache care correct sterile technique Pril persistent cough for 2 weeks GBS ABG analysis- set of lab values are given then identify which is the ABG result for GBS Menieres S/Sx SATA Seroquel** health teachings Flexxor** Normal findings for a 58 y.o client Therapeutic communication Nasa updates** Are you thinking about hurting yourself? Which patient should the nurse DISHARGE in order to have a vacant bed Litigation situations are given a. Nurse charting.. b. Nurse suspected & told other staff that a patient is involved in drugs Prio: pt. with asthma had pulmonary function test 80% 30 mins. Ago Pt. undergone thyroidectomy what to w.o.f if parathyroid is damaged School age appropriate activity Chest tube indicates that is functioning properly? Prio: a. lung ca with hyponatremia c. Pt. with hepatitis spiderweb-like in abdomen Community- Nurse received a call- who needs care first? Abdominal assessment: ask pt. to void first School nurse: need to send home first? a. Infection with yellow crusting in eyes b. Child with bright red lesions c. Fighting with other children d. Child falls Delegation: Pedia nurse floated to MS ward Abnormal finding for 3 y.o? a. BP- 94/57 b. PR- 100 c. RR- 23 Bumex- what to ff.up before admin.? c.2x urination @ night d.dizzy when getting up from bed too quickly CPR correct procedure: how many inches is the correct depth of compression Liothyronine** not the S/E- health teachings COPD health teaching Diet

Pt. with continuous NGT feeding- correct procedure Romberg test- correct instruction by the nurse on how to perform Mech vent: low pressure alarm- check connection High pressure alarm- obstruction Scoliosis- health teaching Clostridium.. MRSA VRSA Diltiazem- check for calcium levels? Wrong statement: pt. with Type 1 IDDM taking pioglitazone Breast cancer risk: Age of menarche? Family history of Ovarian Ca? Safety- stay calm & stay with the pt. GBS- respi. Failure Pt. with implantable pacemaker a. Airport- ask for manual inspection? SIADH & DI kaloka po questions dit0- super haba ng situation kaya di ko na tlga matandaan MRI Medicines that are not compatible to give to the pt. Computation: Dobutrex, Garamycin BT: stop infusion pt. develops hives & pruritus Expected on Aplastic anemia Neutropenic prec Hemophilia- health teachings Bago po sa paningin ko- dami ganito sa exam ko : Given ung situation & questionthen click na word Exhibit w/c is on the upper left part ng screen. Pag click nun meron appear na window with the pts vs, ecg result, utz, u/a CBC, cxr result, electrolytes, etc. Naalala ko lng na question is- what drug should not be given to the pt. based on the findings given?

Guys sorry sobrang late na nito.

FEBRUARY 11, 2010 9 A.M.

1.

which of the following requires follow up before doing Mantoux test? a. Night sweat b. Green sputum c. Negative rubeola titer d. BCG being given

2.

gastrostomy tube(cyclic feeding)- irrigate

3. 4. 5.

what to observe on anorexa nervosa and hepatic encephalopathy Cardiac Assessment of extra heart sounds (position) who to see first: a. pneumonia with cofusion b. lobectomy with 100ml dark drainage

21. 22. 23. 24. 25. 26. 27.

HIV Hypothyroidism Hyperthyroidism Hyperparathyroidism Hypoparathyroidism hypercalcemia hypocalcemia (DIET) high calcium low phosphorus.

a. b.

Multiple Sclerosis reporting blurry of vision Fractured feur with chest rash

* PASENSYA NAPO KAYO NDE KO NA MATANDAAN YUNG MGA CHOICES DUN SA IBANG MGA QUESTIONS SOBRANG DAME KASI :P *

6.

which of the following shows normal situational transition?

GOODLUCK SA MGASUSUNOD PO NA MAGEEXAM February 24, 2010 @ 9:00 AM 1. 2. Soma given for: muscle spasm -correct Baclofen effect: decrease pain -correct

a.my spouse, one of my sibling and close friend died within the past year, im next b. I let my children to do the grocery and to go to the bank becoz I dont wanna leave home. c. since retirement, I stayed at home watching tv and wait for my spouse to come home.

Anti-Parkinsonian drug, needs further teaching? I can take meds with cheese and crackers (Tyramine) 4. What to expect in patient with HypoMg? SATA a. Chvosteks sign b. Trousseau's sign c. Cullens d. Homans What to expect in px with SIADH? a. Bradycardia b. Lethargy Px taking Prednisone, what to expect? SATA a. Increase serum glucose b. Increase WBC c. Increase serum Na d. Increase platelet Advance Directives, proper understanding Which to see first: a. Post op px with UO=150 ml for the past 4 hours b. Px who underwent cholecystectomy 24h ago with 100ml drainage for the past 16 hours Clozaril: regular monitoring of CBC (aggranulocytosis)

3.

7.

Meds: Enoxaparin

Diclofenac Plendil (felodipine) Azythromycin Glipizide 6. 8. 9. 10. 11. 12. 13. 14. 15. 16. Cognitive therapy negative reconstructive no delegation madaming priority to assess first Contact precaution airbourne precaution droplet precaution No computation menieres disease- etiology unknown what to expect : Iron Deficiency Anemia, hemolytic anemia, DKA 17. Floaters from MS-PEDIA,PEDIA-MS,OB-MS. 5.

7. 8.

SATA: (madugo sobrang dame) 18. addisons disease 19. DM1 20. Clostridium difficile

9.

10. Px taking STATIN, needs further teaching?

a. b. c. d.

Will report to my doctor if I experience muscle tenderness -correct Will take med in PM correct Will wear sunglasses and protective clothing when I go out Will decrease Tyramine intake

11. Niacin: WOF facial flushing

12. Gave birth 24 hours ago, needs further assessment: a. Fluctuating HR from 50 to 60 (this is really how I saw it) b. Diaphoresis c. Palpable supra-pubic bulge 13. Amniocentesis position: supine 14. Memorize Precautions! -This will save your life. 15. Bone Marrow Biopsy preparation 16. Px who will undergo CABG, correct px understanding: a. I will be asked to bear down as catheter is being inserted -PTCA b. Chest pain during insertion is expected PTCA c. Puncture sit will be monitored for bleeding and infection after procedure -PTCA 17. Px with central line suddenly experiences DOB, SOB. What to do? a. Slow IV b. Auscultate breath sounds c. Place on left trendelenburg d. Notify MD 18. Correct assessment: a. auscultate bronchial breath sounds over trachea b. percuss right lung first then left lung 19. Px on neutopenic precaution, correct px understanding: a. I will monitor my temp every hour b. I will remove silk flowers in our bedroom (artificial flowers) -incorrect c. I will ask my husband to clean the cat litter box everyday 20. Best source of Iron: a. Cup of cranberries b. A cup of yoghurt c. 1 medium potato with skin d. 2 carrots

21. Post surgery, which to remove first: a. Gloves b. Goggles c. Surgical mask d. gown 22. Px on Morphine, needs further teaching: a. I may experience fever and anorexia if I stop taking medications b. I may take anti-emetic when I experience nausea c. I may experience abdominal cramps and diarrhea when taking this drug constipation 23. Expected to find in px with Hypo/hyperthyroidism, Addisons, Cushings (Not necessarily SATA) 24. Correct px understanding of newborn care at home: a. I keep my breastmilk in the ref for up to 24 hours before giving to my baby b. I put my baby lying on his stomach on my lap and rub his back to calm him 25. Post Transsphenoidal Hypophysectomy. Priority: a. Assess mustache dressing for bleeding b. Monitor urine Sp. Gravity c. Provide frequent oral hygiene 26. Etiology of Menieres Disease: a. Unknown b. Hereditary c. Bacterial infection 27. (Psychiatric) Px with dual diagnosis. Correct understanding: a. Treat substance abuse before psychiatric disorder. b. Treatment include both pharmacologic and behavior modification --I dont have a clue what this is! 28. How to prevent osteoporosis? a. Include weight bearing in exercise b. Avoid contact sports to prevent fracture 29. What question is a priority to identify high risk for Gonorrhea? Saunders a. How many sex partners have you had for the past year? b. Are you using any form of contraceptive? c. Are you currently sexually active? 30. Informed consent, correct understanding: SATA a. Nurse explains procedure to px before signing consent

b. c. d.

Nurse asks px to demonstrate what was taught to the px before signing as a witness Nurse may sing as witness A written document stating risks and complications of procedure is provided to px

e.SATA: -HIV -AIDS -Asthma -Chemo -Hypothyroidism f.NO COMPUTATION

a.PRIO: Give drugs first? 1. psychotic patient with delusion 2. severe depression with suicide ideation 3. patient with anxiety who is agitated 4. patient with bipolar manic phase Who to see first? 1. post colectomy with abdominal cramping 2. patient post bone marrow transplant with diarrhea 3. patient with cast 30 mins. Ago with muscle spasm 4. patient chemo with n/v b.THERAPEUTIC COMMUNICATION: - Paranoid schizophrenia - borderline c.DRUGS: -dexamethasone -viramune (HIV drug) -Liothyronine -indomethacin -selegiline -aricept -eskalith - Azythromycin -ACE - calcium channel blockers - Sartan d.TOPICS: -Transcranial Doppler study -Quality management -heart sounds -SIADH -huntingtons -ALS -AFP -Bone scan -Acute gastritis -contact and airborne precaution -Floaters (ob to ms; pedia to ms)

g.EXHIBIT QUESTION- 1 lang

NCLEX updates

I took the exam last Feb. 15, 2010. (9:00 a.m)

My first question was about pril drugs,,, ACE inhibitor.. ang saya ko nung nabasa ko yung question

SATA

1. 2. 3. 4. 5. 6. 7. 8.

Cushings Disease DI URINE SPECIFIC GRAVITY, OSMOLARITY Manifestation of hyponatremia Normal Aging Process Mineares disease, s/sx DKA Co-Sleeping IMPAIRED NURSE A. MOOD SWINGS B. Refuses patient assignment.

Yung questions ko about delegation eh hindi lang basta may 4 choices kundi nasa SATA.

Patient with scoliosis wearing braces,, needs to follow up,,, sagot ko eh I am glad I can remove my braces at night

ERCP- what to monitor after 3 hours a. sore throat b. absence of gag reflex

NIACIN drug,,,what to report, may choice dun na facial flushing, may nabasa

kasi ako na article about niacin and flushing kaya FLUSHING ang sagot ko, check nyo na lang. Tapos sa cohorting cohorting madami din mga tatlo siguro

Statin (needs further teaching) ang sagot ko the client uses sunblock and long sleeves. (din ako sure) kasi yung ibang choices parang tama naman.

INFLUENZA

Tapos nakakawindang pa ang haba ng mga choices, How will you teach your patient using crutches in going up the stairs. Ayusin mo in order assume tripod position

May big words din silang ginagamit like BOISTEROUS, ROARING actually parang loud/noisy lang yan. Sa mineares disease yan ginamit.

A. B. C. D.

transfer the weight of the body to the crutch Assume a tripod position transfer the weight of the crutch to the body rest the feet and crutch on the stairs. Parang ganyan yung statement,,,, WALA AKONG COMPUTATION, pero ang daming SATA.. siguro more than fifteen, di ko lang matandaan yung iba. Pati mga drugs di ko matandaan ,,,, kasi panibago sa pandinig.

Aralin ang rubeola, meningococcal pneumonia, kung alam mo yung mga transmission precaution alam mo na ang sagot.

How to uscultate the heart a. Kung diaphragm ba tapos sitting b. O bell tapos sidelying (eto ang sagot ko)

Eto lang yung mga natatandaan ko, tapos nag stop na ako at 75.

GOODLUCK SA MGA SUSUNOD. Sana makatulong etong mga isi-share ko,,,

How to assess the abdomen.. yung sequence UPDATES Dec 2009 * "statin"drug what to report? - muscle weakness

How to care for a patient with RSV

a. b. c.

surgical mask during transportation heap filter mask remove gloves before exiting the room,

* myelomeningocele - latex * delegation about sa newly graduate RN * further teaching about liver biopsy after the procedure left side ... * manifestation of AIDS

How to care for client with measles. Always close the door?

Bone scan preparation

* s/sx of hypothyroidism -SATA * s/sx of hyperthyroidism-SATA

* a patient with addison's disease.What to expect? * how to ambulate using a 4 pt.gait *sign of infiltration - erythema on site *form of negligence *which to expect in pt. with hypothyroidism? - periorbital edema * post thyroidectemy w/c to report? * low pressure alarm, correct understanding by the nurse * best statement by the nurse to a pt with peripheral arterial occlusive disease *psychiatric unit.w/c should be assessed first? * w/c statement indicates correct understanding about "good samaritan law"" *SATA: decreased WBC (neutropenic precaution) *SATA: Infection control and correct understanding *SATA:principles nurse should do in computerized nursing documentation *battery and negligence * psyche: borderline and bipolar * geriatric : normal aging process * spinal nerves * SATA :TPN * cohorting * hemodialysis * proper use of cane 14. i. ii. 15. 1. Infection control Airborne MTB-HZ Droplet DROPLETISM Most at risk of having breast cancer i. Menarche at 9 years old ii. Menopause at 50 iii. First child born at age of 22 iv. Diagnosed with fibrocystic breast At risk for std 13. 11. 9. 8. 7. 5. 4.

i. ii.

Multiple sex partner Herpes simplex 1

6.

10.

12.

16.

2.

17.

Drug Aderal (for adhd) correct understanding i. Ill take it at least six hours before bedtime EMG what should the nurse instruct the pt. i. You will feel a little discomfort as the NEEDLES are inserted EMG which of the following incates correct understanding by the patient i. I may feel a little discomfort because needles will be used SATA hypomagnesemia (s/sx) i. (+) Cullens sign ii. (+)Homan sign iii. (+)Trousseu sign iv. (+)Chvostek sign v. (+) turners sign Cushings which is expected i. Muscle wasting (thin extremities) ii. Yellow striae (mali dapat purple striae) iii. Hypoglycemia (dapat Hyperglycemia) iv. Hyperpigmentation (addisons disease) What should be delegated to NA i. Ask the nursing assistant to give cheese cubes to patient with Addisons Risk for Abuse i. A child with cerebral palsy living with both parents Patient with erythema migrans what disease is associated with this? i. Lymes Disease Quality improvement control (nasa La Charity ata to or anywhere sa assessment pero di ko alam sagot basta sinagot ko yung may simultaneously to all facilities wahahahahah) Which to remove first? (twice to lumabas sakin yung isa TB yung isa Impetigo) i. Gloves (I choose this for both) ii. Gown iii. Mask iv. Goggles SIADH which is usually observed Bradycardia (eto sagot ko mali) Lethargy (eto tama s/sx of fluid overload kasi dapat) SIADH i. Decreased serum osmolality ii. Increased serum osmolality (D.I) Sickle cell which is usually observed i. Smooth, sore, tongue (pernicious) ii. Jaundice (eto po sagot ko kinutuban ko lang po!) iii. Nakalimutan ko na po kulang po ito Safety which is to ff up i. Smoke detector placed outside the kitchen.

3.

ii.

18. 19. 20.

21.

22. 23. i.

24.

25.

26.

27.

28.

29.

30. 31. 32.

Uses cane to go in and out of the bath tub O O iii. Water heater is set @ 43 C (109.4 F) Dobutamine effectiveness i. Increase urine output Anzemet (DolaSETRON) i. For nausea SATA amniocentesis i. Let the patient void prior to the procedure ii. Instruct patient NPO for 8 hours iii. Let the patient position on her side during the procedure iv. Ask for allergies v. The procedure will last for 30 mins Metered dose inhaler correct teaching i. Put mouth piece two to three inches away from mouth if spacer is not used ii. Be sure to have three puffs for 1 minute iii. Wash with warm and soapy water every 10 days Steroid use (health teaching) Which among the following is incorrect Olol for patient with migraine (may same question daw na kagaya nito sa lacharity di ko matandaan) AFP purpose i. To detect spina bifida ii. To detect downs syndrome Verapamil what potentiates the drug i. Grapefruit juice ii. St. johns worth Prio School nurse i. 14 y/o with scrotal pain started 30 mins ago 1 hour Post cataract extraction which needs immediate follow up i. Pain unrelieved by NSAIDS Patient with HEPA B, nurses immediate concern i. My wife told me that I often had slurred speech ii. My skin is yellow SATA Co sleeping i. It will increase the incidence of SIDS ii. You need to lower the temp of your room than usual if your child is co sleeping with parents iii. Promotes closeness to sibling that are co sleeping Correct teaching AV fistula i. Permanent Robust patient which is expected? i. 40 mmHg pulse pressure AIDS correct understanding SATA i. I will not use the razor that my wife is using ii. I cannot carry and kiss my children

iii. iv. v. 33.

34.

35.

36.

37.

38.

39.

40.

I will use condom for even for oral sex My wife has to clean the litter box I will eat fresh green salads even in between meals Scoliosis need further teaching i. I cant wait to sleep to remove my brace ii. I will remove my brace to do sit ups (eto po sagot ko kasi lumbar spine po affected nung scolio) Coumadin needs further teaching i. I enjoy lettuce and tomato on my vegetable garden How to assess extra heart sound? (huwaaaaaaaaaaaaaaaaaat?) i. Ask the patient to lean forward and use the bell to auscultate at the back base of thorax ii. Right sternal margin nd iii. Use bell @ 2 intercostal space Alzheimers patient wanders night what should the nurse do? i. vest restrain ii. have a relative to stay with the patient patient had 2 previous surgeries and is scheduled for another on (I forgot the procedure) states that I already had it done successfully twice and I dont think I can make it this time i. what made you think of that? ii. it seems that youre hopeless a woman arrived at ED with contusions and several bruises. i. Its obvious that youre hurt can you tell me what exactly happened ii. Most women are abused by their husband because blah blah blah SATA 20 month old suspected deafness what will the nurse observe? i. Prefers to play alone ii. Speaks in a low soft voice iii. Unintelligible sounds iv. Uses gesture to communicate Newborn baby of a 13 year old mother dx with TEE. The doctor asked the nurse to obtain a consent, whom should the nurse ask to sign the consent? (wahahah nung binasa ko to sabi ko mali na nurse ang kumuha ng consent dapat doctor! witness lang ang nurse. binasa ko ulit yung tanong after ko basahin yung choices di pala yun ang issue. Echuserang frog!) i. father of the newborn ii. 13 year old mother (emancipated minor) iii. Parents of the 13 year old mother

41. Tapos lumabas ulit sakin yung situation kailangan nang pirmahan what should the nurse tell the 13 y/o mother i. Well wait for your parents ii. You are john hancock the consent needs to be notarized due to your age iii. If you understand it then sign it 42. Immediate attention colostomy after 1 week i. Excoriation of skin ii. Dark red stoma iii. Smell of flatus coming out from stoma iv. Small bleeding spurt from stoma (dun po ako naalarm sa spurt) 43. Cataract i. Blurring of vision 44. Correct care for stage 3 ulcer sacrum i. Elevate head of bed 45O to relieve pressure ii. Use pressure caution when patient wants to sit up iii. Place transparent dressing iv. Use sheep skin v. Put all soiled gauze into plastic and into trash can Moral lesson (kailangan na nating isama sa ating tropa si la charity habang nagrereview saka dont take unanswered updates for granted. We (students) have to do our part. WE DO HAVE THE RESPONSIBILITY/ OPPORTUNITY TO RESEARCH FOR THE ANSWERS)

a. b. c.

10. 11.

12. 13.

14.

15.

16. 17. 18.

UPDATES Nov 11-09 1. 2. SATA: DM Risk factors, Cushings, Addisons, Hypo and Hyperthyroidism Liothyronine-which indicates effectiveness? a. Bradycardia b. Weight loss c. Improvement in mental... d. Restlessness EGD what should you question post-op Shark attack: Assess incision site Patient taking dexamethasone: I will wear sunglasses when I go out. Infection control, which is correct: a. Put particulate mask in patient with TB while being transported to X-ray b. Mix MRSA patient with patient that has the same causative agent. PRIL: Avoid taking sodium substitute Amphetamine, watch out for? Patient with HIV states, I am so tired, my life is useless, I am going to die anyway. 19. 20.

21.

3. 4. 5. 6.

22. 23. 24. 25. 26.

7. 8. 9.

27.

Refer to support group Why are you tired? What is the specific cause that makes you feel tired? d. Do you think you are dying? PRIO: Patient who had undergone cardiac cath with 360ml drain in 2 hrs. Pyridium: a. Decreased bacterial count in the urine b. Decreased pain in urination Risperidone: give to patient with hallucinations Health teaching: School nurse, who will you send home first? a. Staph infection w/ crusting in the eyes b. Child with bright red lesions c. Fighting with other children Hypomagnesemia (SATA) a. Positive Trosseau b. Positive Chvostek c. Positive Turners d. Positive Homan e. Positive Cullen Confidentiality, which will be reported / needs intervention? a. Tell manager that client is undergoing crisis. b. Tell family that the client is planning to disinherit them c. Tell the child of the patient what care should be given to them d. Tell NA to assist the client What should be delegated to the NA: Give cheese cube to client with Addison. Nifedipine, what to question. Which should you question? a. Captopril for patient with hypertension b. Nitates taken 1 dose per day c. zepam for seizure d. Isosorbide for patient with angina Reynauds disease, BEST teaching: a. Relaxation technique & smoking cessation Multiple sclerosis, what to teach? a. Assist in hot bath b. Bed rest c. Put bed at semi-fowlers while eating Floater Medsurg to OB a. Post-op C/S with PIH b. Baby with Tetralogy of Fallot c. Post C/S with full term baby Infection control: MRSA, Scabies, TB AIDS with TB: Place patient in a (-) pressure room Scabies: what to wear Scabies: Should have own BP cuff Scoliosis w/ brace w/c will require follow-up? a. I will wear loose clothes over brace b. I cant wait to sleep to remove my brace c. I remove my brace when I sit up d. I avoid lifting heavy things Cor Pulmonale (SATA)

28.

29.

30.

31. 32.

33.

a. Dyspnea b. Clubbing of finger nails c. Green productive, mucous cough d. Antero-posterior rising of chest cavity e. Pettechiae Drugs for asthma a. Corticosteroid b. Leukotrene antagonist c. Bronchodilator A patient who will undergo lumbar puncture, which of the following should you question? a. My husband will bring 3 pillows to make me comfortable. Which assessment can be observed in a patient with dehydration? a. Hematuria b. Hematocrit 36% c. Creatinine 0.8 d. BUN 28 ug/dL Flu vaccine: what to assess a. Allergy to eggs Client with paranoid thinks he is the son of the US president. During interaction, he began to have hallucinations again. a. Stop the session b. Divert the interaction c. Ignore hallucination DM risk: a. 20% overweight Body Mass b. GDM c. Hypertension d. Health history of DM e. Glucocorticoids

2. Isolate family members until TB is ruled out Correct statement: TB patient with particulate mask to be transported to the xray room School Nurse to advise patient to go home : With yellow crust in eye -conjunctivitis (update) Cushings Manifestation : Striae (update) Postmenopausal with high cholesterol Teaching: Do weight bearing exercises (update) Teaching for AV Fistula (update) School Nurse : Assess First 14/16? year old who reported scrotal pain 30 minutes ago Anorexia : Behavioral Manifestation 1. Finishes all homeworks, chores 2. Wears tight paisley clothing 3. Likes to be around friends always Health Teachings Therapeutic Communication with Psych patients Exhibit Pernicious Anemia: What to question 1.Vit. B12 IM everyday 2. Ferrous Sulfate (oral) every 6 hours SATA Heparin Administration Blood Transfusion Decreased WBC Teachings (Neutropenic Prec.) Drugs for Asthma (update)

November 5, 2009 Anzemet (Dolasetron) for nausea Risperidone for Schiz administer first (update) Clozaril effectiveness of the drug Dopamine with CHF effectiveness of the drug Indocin decreased pain (update) GBS expected ABG values Pericarditis Hypothyroidism manifestation Food low in Magnesium Which appropriate snack to give 1.peeled apples with traction 2.cheese cubes with Addisons Infection Control : Correct Understanding Tuberculosis questions HIV most at risk Mantoux test Active patientwhat to do? 1. Invite family members to be tested

Nov4 Sata : addisons, cushings, hypomagnesemia Sata: pt wid constipation. Wat to include in patients care: >increase OFI >increase fiber in diet XCBR while having constipation Xtake laxative daily Sata: lung cancer (see updates) Infection control: impetigo, measles..basta alamin lang MTV-Hz, DROPLETISM- buhay ka na -pril: avoid salt substitutes -pril: C/I patient with CHF Pyridium: decrease pain in urination What medication should you administer first?

1.

2. 3.

Risperidone to a client with paranoid schizo exhibiting hallucination and paranoid delusions. Antidepressant to client with suicidal/severe depression Aprazolam to a client exhibiting manic gestures