(Mensy) P 1 of 8

Hints from Exam Cram NCLEX-PN

Question

Answer

Sodium:

135-145 mEq/L

Potassium:

3.5-5.5 mEq/L

Calcium:

8.5-10.9 mg/L

Chloride:

95-105 mEq/L

Magnesium:

1.5-2.5 mEq/L

Phosphorus:

2.5-4.5 mg/dL

RBC:

4.5-5.0 million

WBC:

5,000-10,000

Platelet.:

200,000-400,000

Hgb:

12-16 gms women; 14-18 gms men

HC03:

24-26 mEq/L

C02:

35-45 mEq/L

Pa02:

80%-100%

Sa02:

> 95%

Glucose:

70-110 mg/dL

Specific gravity:

1.010-1.030

BUN:

7-22 mg/dL

Serum creatinine:

0.6-1.35 mg/dL (< 2 in older adults)

LDH:

100-190 U/L

CPK:

21-232 U/L

Uric acid:

3.5-7.5 mg/dL

5-2.0 ng/ml Lithium: 0.5 mEq/L Dilantin: 10-20 mcg/dL Theophylline: 10-20 mcg/dL Heart rate: 80-100 Respiratory rate: 12-20 Blood pressure: 110-120 (systolic).0 mg/dL Protein: 6.6° FHR: 120-160 BPM FHR Variability: 6-10 BPM. 60-90 (diastolic) Temperature: 98. Contractions: normal frequency 2-5 minutes apart Contractions normal duration < 90 sec. R = reflexes APGAR scoring done at 1 and 5 minutes APGAR scoring: 0 for absent.8-1.4-5.(Mensy) P 2 of 8 Triglyceride: 40-50 mg/dL Total cholesterol: 130-200 mg/dL Bilirubin: < 1. Contractions intensity < 100 mm/hg. A = activity.0 g/dL Digoxin: 0. Amniotic fluid: 500-1200 ml (nitrozine urine-litmus paper green/amniotic fluid-litmus paper blue).2-8.1 g/dL Albumin: 3. APGAR meaning A = appearanceP = pulses. 1 for decreased. G = grimace. and 2 for strongly positive .

Administer oxygen. herpes.) FAB 9—Folic acid = B9 B stands for brain (decreases the incidence of neural tube defects). Decelerations are classified as Earky. They are caused by head compression. . 2. push IV fluids. and syphyllia. Variable decelerations can occur anytime during monitoring of the fetus. Decelerations are _______________findings abnormal on the fetal monitoring strip. stop the infusion. The vein carries oxygenated blood. The intervention is to change the mother's position. 4. Variable and Late Early decelerations Begin prior to the peak of the contraction and end by the end of the contraction. 3. Turn the client hypotension after an epidural on the left side..(Mensy) P 3 of 8 AVA: The umbilical cord has two arteries and one vein (Arteries carry deoxygenated blood. if pitocin is infusing. There is no need for intervention if the variability is within normal range (that is. stop the infusion. They are caused by cord compression. if pitocin is infusing. These are caused by uteroplacental insuffiency. and TORCHS syndrome in the neonate A combination of diseases including toxoplasmosis. The intervention is to change the mother's position. Stop pitocin if infusing. If anesthesia: hypovolemia is present. STOP-This is the treatment for maternal 1. the client should begin taking B9 three months prior to becoming pregnant. Pregnant nurses should not be assigned to care for the client with toxoplasmosis or cytomegalovirus. rubella (German measles). apply oxygen. cytomegalovirus. ap Late decelerations Occur after the peak of the contraction and mirror the contraction in length and intensity. there is a rapid return to the baseline fetal hear Variable decelerations Are noted as V-shaped on the monitoring strip.

(Mensy) P 4 of 8 Coumadin (sodium warfarin) PT: 10-12 sec. The antidote for Heparin is protamine sulfate. The antidote for Coumadin is vitamin K. Genitalia = 1% Arab American cultural attributes Females avoid eye contact with males. they avoid icy drinks when sick or hot/cold drinks toget Asian American cultural attributes They avoid direct eye contact. therefore. occur. Heparin/Lovenox/Dalteparin PTT: 30-45 sec. Muslims (Sunni) refuse organ donation. believe in the "hot-cold" theory Native American cultural attributes They sustain eye contact. Mexican American cultural attributes They might avoid direct eye contact with authorities. they generally do not prefer cold drinks. feet are considered dirty (the feet should be touched last during assessment). may prefer care from the tribal shaman rather than using western medicine. (control). Back = 18% . Legs = 36% (18% each) . the bleeding time with mediication should be: The control (for anticoagulants) is the premedication bleeding time. most are very emotional during bereavement. . most Arabs do not eat pork. Therapeutic level: It is important to maintain a bleeding time that is slightly prolonged so that clotting will not 1 1/2-2 times the control. they might refuse circumcision. Rule of nines for calculating TBSA for burns Head = 9% . they usually refuse organ donation. blood and organ donation is generally refused. males make most of the decisions. Arms = 18% (9% each) . (control). most decisions are made by males. touch is accepted if done by same-sex healthcare providers. believe in the "hot-cold" theory of illness. they might refuse organ donation.

(Mensy) P 5 of 8 Jehovah's Witness No blood products should be used Hindu No beef or items containing gelatin Jewish Special dietary restrictions. ice. and fluid restricted to intake = output + 500 ml Gout diet Low purine. observe for signs of infection. the pH is below normal and the C02 is elevated. and HC03 up: respiratory acidosis pH down. omit poultry ("cold chicken") medication for acute episodes: Colchicine. maintenance medication: Zyloprim Heart healthy diet Low fat (less than 30% of calories should be from fat) ROME (respiratory opposite/metabolic equal) is a quick way of remembering that: in respiratory acid/base disorders the pH is opposite to the other components. in respiratory acidosis. C02 down. and elevate extremity) . low sodium. the components of the lab pH down. and HC03 down: metabolic acidosis pH up. C02 up. C02 down. In metabolic disorders. medications include cortisone preparations. as is the HC03 (respiratory opposite). use of kosher foods Renal diet High calorie. Treatment for spider bites/bleeding RICE (rest. Treatment for the client with Cushing's: restrict sodium. For example. Treatment for the client with Addison's: increase sodium intake. low potassium. compression. and HC03 up : metabolic alkalosis Addison's and Cushing's are diseases of the __________________ system involving endocrine either overproduction or inadequate production of cortisol. low protein. C02 up. and HC03 down: respiratory alkalosis pH up. high carbohydrate.

Polar (cold) Hip fractures commonly: hemorrhage Femur fractures are at risk for: fat emboli Profile of gallbladder disease Fair. For disaster triage. open wounds. Choose the most critical client to assign to the______such as the client who has RN recently returned from chest surgery. hydration. circulation) For hospital triage. can monitor clients feeding tubes. For room assignments. Pallor. Pulselessness. insert urinary catheters and The PN. apply restraints. fat. breathing. oxygen. discontinue with IVs. forty. five pregnancies. .(Mensy) P 6 of 8 Treatment for sickle cell crises HHOP (heat. Where nonskilled care is required. or chest tube drainage. and sutures. diarrhea. Remember the ___________________ when answering questions choices that ask who would you see first. drains. flatulent (actually gallbladder disease can occur in all ages and both sexes) Delegate sterile skills such as dressing changes to the: RN or LPN. you can delegate the stable client to the: nursing assistant. Clients who are being discharged should RN have final assessments done by the: IV therapy. Paresthesia. like the RN. Cs (airway. care for the client with a ________________ or__________________ life-threatening illness or injury first. pain medications) Five Ps of fractures and compartment syndrome—These are symptoms of fractures and compartment syndrome: Pain. B. A. choose to triage first those clients who can: be saved with the least use of resources. do not coassign the post-operative client with clients who have: vomiting.

trifluoperazine (Stelazine). enalapril (Vasotec). MD. ganciclovir (Cytovene. quinapril (Acupril). chlordiazepox-ide (Librium). hydroxyzine (Vistaril). Genoptic). Physician The ____ or the _________ nurse can pronounces client dead. Prednisolone). Mymethasone. Prednisol. Fortovase). lorazepam (Ativan). abacavir (Ziagen). Meticorten. lisinopril (Zestril). lovastatin (Mevacor). amikacin (Amikin) Benzodiazepine drugs: Clonazepam (Klonopin). Deltasone. cidofovir (Vistide). fluphenazine (Prolixin) Glucocorticoid drugs: Prednisolone (Delta-Cortef. dexamethasone (Decadron. Orasone. Selestoject. promethazine (Phenergan). ramipril (Altace) Beta adrenergic blockers: Acebutolol (Monitan. captopril (Capoten). moexipril (Univas). Apo-Atenol. kanamycin (Kantrex). prochlorperazine (Compazine). prednisone (Apo-Prednisone. Betnesol). streptomycin (Streptomycin). hospice Angiotensin-converting enzyme inhibiting agents: Benazepril (Lotensin). Sectral). Alcomicin. Metaproterenol). pravastatin . propanolol (Inderal) Anti-infective drugs: Gentamicin (Garamycin. esmolol (Brevibloc). betametha-sone (Celestone. fosinopril (Monopril). Rhotral. ritonavir (Norvir). Dexon. NovaAtenol). Nebcin). indinavir (Crixivan). Deronil. tobramycin (Tobrex. diazepam (Valium). Dalalone). Panasol-S). cortisone (Co Antivirals: Acyclovir (Zovirax). flurazepam (Dalmane) Phenothiazine drugs: Chlopromazine (Thorazine). RN. fluvastatin (Lescol). saquinavir (Invirase. metaprolol (Alupent. neomycin (Mycifradin).(Mensy) P 7 of 8 The ___ and the __________ institute seclusion protection. atenolol (Tenormin. Vitrasert) Cholesterol-lowering drugs: Atorvastatin (Lipitor).

valdecoxib (Bextra) Histamine 2 antagonist drugs: Cimetidine (Tagamet).(Mensy) P 8 of 8 (Pravachol). pantopra-zole (Protonix). famotidine (Pepcid). nizatidine (Axid). dalteparin sodium (Fragmin) Schedule I drugs Research use only (example LSD) Schedule II drugs Requires a written prescription (example Ritalin) Schedule III drugs Requires a new prescription after six months or five refills (example codeine) Schedule IV drugs Requires a new prescription after six months (example Darvon) Schedule V drugs Dispensed as any other prescription or without prescription if state law allows (example antitussives) Antacids Reduce hydrochloric acid in the stomach Antianemics Increase red blood cell production Anticholenergics Decrease oral secretions Anticoagulants Prevent clot formation Anticonvulsants Used for management of seizures/bipolar disorder Antidiarrheals Decrease gastric motility and reduce water in . rabeprazole (AciPhex) Anticoagulant drugs: Heparin sodium (Hepalean). rantidine (Zantac) Proton pump inhibitors: Esomeprazole (Nexium). lansoprazole (Prevacid). candesartan (Altacand). simvas-tatin (Zocar). rosuvastatin (Crestor) Angiotensin receptor blocker drugs: Valsartan (Diovan). telmisartan (Micardis) Cox 2 enzyme blocker drugs: Celecoxib (Celebrex). enoxaparin sodium (Lovenox). losartan (Cozaar).

which may be physical. emotional.(Mensy) P 9 of 8 bowel Antihistamines Block the release of histamine Antihypertensives Lower blood pressure and increase blood flow Anti-infectives Used for the treatment of infections Bronchodilators Dilate large air passages in asthma/lung disease Diuretics Decrease water/sodium from the Loop of Henle Laxatives Promote the passage of stool Miotics Constrict the pupils Mydriatics Dilate the pupils Narcotics/analgesics Relieve moderate to severe pain tort litigation in which one person asserts that an injury. or financial. negligence harm that results because a person did not act reasonably malpractice prefessional negligence slander character attacked and uttered in the presence of others assault act in which there is a threat or attempt to do bodily harm battery unauthorized physical contact . occurred as a consequence of another's actions or failure to act.