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    Remar Review Quick Facts For Nclex 2019 Nclex Nursing Resources

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    Gg Quick Facts for NCLEX<« kenknkn Author, Educator, Mentor’ | Regina M. Callion CEO, MSN, RN Scannet d with CamScanner A Message from the Author quick Facts for NCLEX® is by far our best-selling NCLEX® Study Guide and the foundation of the reMar Review Comprehensive Self Study Program! This study guide is designed to give you Core Content in a simple, easy-to-understand, “no nonsense” structure that will help you quickly identify your strengths and analyze areas of weakness. With Quick Facts, you will immediately begin to comprehend many of the major areas of Core Content that are essential to Pass NCLEX® RN & PN. YOUR SUCCESS IN NURSING Your success in nursing is determined by your ability to think, plan, decide, and take-action based ‘on knowing the fundamental practices of the field. These same skills are necessary when preparing to take NCLEX®. The stronger you are with the fundamentals, the faster you will learn how to critically think. With Quick Facts as your primary study guide, you are on the right track to achieve the same types of results as our students who have passed NCLEX® and are now living out their dreams, Whether you're starting nursing schoo! tomorrow or graduated years ago, | want to encourage you to stay focused on your goals. Let’s put pride to the side, cast away doubt, feelings of inadequacy, and anything that does not support this one effort here and now. | have personally beaten the odds and have helped thousands of nurses just like you to do the same. I've created several resources to help you along this journey including my NCLEX Online Boot Camp that you can join by visiting ReMarReview.com and exclusive access to the ReMar Nurse NCLEX Study Group on Facebook with a worldwide community of ReMar Nurses that have used the same resources to pass NCLEX! 1 know that studying for NCLEX can be challenging. My goal isto help you study the content and make this process as simple as possible. f you have any questions as you study I want you to contact me directly, my email is Regina@ReMarReview.com. Stay focused; put faith over fear and continue to invest in yourself because YOU CAN, YOU WILL, and YOU MUST Pass NCLEX! 1a M. Callion MSN, RN www.ReMarNurse.com Get All Social @ ReMarReview BAe eS Scanned with CamScanner ° The ReMar Review Quick Facts for NCLEX' Copyright © 2020 by Regina M. Callion ition may be reproduced, distributed, or transmitted in, ing photocopying, recording, or other electronic or mechanical methoas form ne vot the publisher, except inthe case of brief quotations embodied in cnet mmercial uses permitted by copyright law. Critica, All rights reserved. No part of this publica or by any means, includi the prior written permis: reviews and certain other nonco} First Printing, 2010; Revised 2012, 2014, 2015, 2017, 2018, 2019, 2020 ISBN: 0-9968856-1-7 S.M.C. Medical Media Ordering information: re available on quantity purchases by educational institutions, not-for. Quantity sales- Special discounts a1 contact the publisher at the address above, profits, corporations, associations, and others. For details, Orders by U.S. & International trade bookstores and wholesalers. Please contact ReMar Review: Tel: 855-625-3966, Email us: Support@ReMarReview.com or visit www.ReMarNurse.com *NCLEX, NCLEX-RN, NCLEX-PN are registered trademarks of the National Council of state Boards of Nursing, Inc. (NCSBN). NCSBN is not affiliated with ReMar Review or this educational publication. 4 Scanned with CamScanner How to use Quick Facts for NCLEX® Believe me when | tell you that you need to know everything in this book and memorize it from cover to ‘over! There is no skipping around with Quick Facts, everything is essential! « i i i they go! Be sure to review nurses call Quick Facts their NLEX Bible because they take it EVERYWHERE they Ina fook mltipl times before testing as you need to know this content ike the back of our hand Finally, no matter how much pressure you feel about this test, keep your total study times under three hours each ge rer ln nrg ho, ou ming oo npata orm f.B conserk Quick Facts Study Calendar = 110) ‘QF pages. 11-20 OF pages. 21-20 QFPharmacology QF Pharmacology Only QF Pharmacology GF Pharmacology ‘Alergy Medications Anticonvulsants ARDS Sections 1.8 2 Beta Blockers Analgesics Antidotes or “Antibiotics ‘Antineoplastics Aceinhibitors | Re-Review Challenging Calcium Channel Blockers ‘Anticoagulants fAntiParkinsons | Anti-Arrhythmics Areas studied OF pages. 31-40 ; GF pages.4150 OF pages. 51-60 ‘QF Pharmacology ‘QF Pharmacology ‘QF Pharmacology QF Pharmacology QF Pharmacology Phenothiazines Digoxin GI Medications ral Antidiaber Respiratory Atypical Psych drugs Nitrates Insulins Natural Alternatives Benzodiazepines Tomes Diuretics Maternity ‘SSRIs ~ Cc : Sections 3&4 ~ MAOIs ‘or Review challenging areas OF pages. 61-64 OF pages. 65-73, ES eS OF pes. 73-79 OF pe 80 nicl skits neat skits inet Sts __ Questions ar Pharmacology Section 1 — section Continue to review diffiutt (Ttssytab values section _—seations —Rovew ators seas trom erie eeee Math Section 3 from each week. = ec Plan to take Practice Exam at a _ lend of Quick Facts! a NES NUNES | peer You do with you practice exam? Remember the purpose ofthe practice exam sto access your content knowledge and NCLEX Aree UME int, Hyou did wel that's awesome. You have a firm gipon the content that you hove come oe last 23 SERA book that you's a ew times blore testing. art stress itenough that you need to ‘memorize this book cover to cover before testing for NCLEX. be thinking about scheduling your test or adding our comprehensive NCLEX review program with the lin Toe Nz Your test or adding our comprehensive NCLEX review program with the NCLEX Online Comprehensive NCLEX Imemationause, "SHES fu 0 Su weeks if you are testing forthe fst time and six to eight weeks as @ repeattester or nthe flowing page wl share with you my NCLEX Stuy Calendar for our ‘Comprehensive six-week NCLEX review program. Scanned with CamScanner pre-Test Questions quick Facts for NCLEX ex preparedness. Cirle the correct answer. Yes ge you crrent NC . oe is shot et 08 . a resring 3d. as ster to change a battery it a - jo 4. knowin opt rowing uP re are acermediate insulin togethe mW 2% Gn aclient wih “00 NOt vasa nde request a ™ TS to 4. Can Grinking 6-8 cups of coffee cause constipation: % z flu virus. PS ‘ The cause of epigiottitis isthe to i The cau ctne stega remove medication (2 an ampule. ws ae _ cist an HINER OU HET Ty — cca TART —— haw yale rower tnnaine bee rca tor Ne psHS oS OOF OTE review program, follow out dai study calendar on ne seta oe eat bag asaya eA cooert rowed. vr vs Ye Ys4 V5.1 6.18 _ ReMar NCLEX PLANNER Page swe begin this phase of your nursing journey | want to welcome Yo) into the ReMar Nurse family. My goa foryay ae evra. First, we'll teach you the fundamental nursing content that you need to know to create a stro foundation for NCLEX. my goals to help you become an amazing nurse with the ability to reach the highest eee Beyond the content, aeyoing profesion This fs nursing, and thsis what it means to be a ReMar Nurse ‘Take a moment to complete this page 2s you plan for the joumey ahead and the necessary adjustments that you will need to make in order to reach your nursing goals ! Name: Date: Twill pass NCLEX by doing these 4 things: L 2 s 4. Why I need to pass NCLEX: ‘What are my 3 biggest barriers to ‘studying for NCLEX? 1 2 3. "To become more productive, | am willing to sacrifice: Today | am grateful for: ——i Scanned with CamScanner TABLE OF CONTENTS ‘amessage fom the Author wneud How to use Quick Fats ~ ‘Quick Facts Pre-Test Questions IV ReMar NCLEX PLANNER Page. IV ‘Quick Facts Study Calendar I 180. ere ‘pectytaleyte Beinn ‘eld Reflux (GERD) ‘Acquired immunodeficiency Bells Pay Benign Prostate Hyperplasia Buerger’s Disease Cerebrovascular Accident (CVA)1B (Chronic Obstructive Pulmonary Disord an .20 Chronic Renal Fallure vnsnm-20 ‘compazine (Prachiorperatine).21 ConticosteroiSanminnnnn 2h (Cranial Nerves enn Hyperbtiubinemia. Huntingtons Disease. Immunizations Tailammatory Bowel Disease... 31 Incentive Spiromety Increased Intracranial (10). instillation of Ear Medication: Intravenous Ther—py on ‘Maslow’s Hierarchy of Needs..36 Mastectomy sovnennnnnnnnnnns 37 ‘Medication Administration 37 Meniere's Syndrome. Meningts nnn Mongolian spots Multiple Sclerosis (8). "Munchausen Syndrome. Myasthenia Gravis... Myocardial infarction (MI) son 80 Neomyein Sulfate at Neuroleptic Malignant Syndrome Pacemakers. Pancreatitis (Acute) Paracentesis Parkinson's DIse88€ wenn 8 Peptic Ulcer Disease. 49 Peripheral Arterial Disease (PAD) Pheochromocytoma. Phiebits.. Plaget’s Theory of Cognitive Development nm Placenta Previa vs. bruptio. Starting an Sterile Technique Tardive Dyskinesia Total Parenteral Nutrition Tracheostomy. ‘The Transgender Client ‘Wimethoprim-Sulfamethoxazole - 61 TubercUOsts (TB) nnn 62 Ulcerative COM nnn 62 Vitamins 62 Von Gierke’s Disease. 63 Wilson's disease. tra Stuff (Religion). Protective Geet wn CLINICAL SKILLS SECTION see 6S PHARMACOLOGY SECTION Allergy Medications. TV. Drugs to Know. Lets Do Math — Answers! [Next Gen Practice Exam. NCLEX Practice Exam Ansorers 115 [BEFORE YOU TEST nee S19 Scanned with CamScanner ABO What is the ABO antigen system? he ett Classes o¢ What part of the blood is classified? eee blond Cells are ‘What other blood is compatible with Type A? Type Aoro ‘What other blood is compatible with Type B? Type Boro ‘What other blood is compatible with Type 0? Type 0 Only ‘What other blood is compatible with Type AB? Type A, B, oro Acetylsalicylic Acid What is another name for acetylsali Aspirin What is the indication to give acetylsalicylic acid? Mild to moderate pain Does aspirin increase or decrease Increase the effects of methotrexate? What is methotrexate used for? Chemotherapy agent & theumatoid arthritis Acid Reflux (GERD) What is the primary symptom? Heartburn (pyrosis) ‘What test confirms GERD? Barium swallow fluoroscopy ‘What malfunction allows reflux in GERD? Lower esophageal sphincter What is the client teaching? ee antacids, avoid lying flat after meals Acquired Immunodeficiency Syndrome What isthe virus that causes AIDS? Human immunodeficiency Virus (HIV) How is HIV transmitted? Sexual intercourse Direct contact with ier bblood/body fluids (body semen, breast milk) Scanned with CamScanner what are symptoms of HIV? ows the presence of HIV ‘confirmed? What is the sereening test? ‘what confirms the screening test? How does HIV attack the body? What is so important about T-lymphocytes? What is another name for T-lymphocytes? ‘Why is the CD4 count important? ‘What is a normal CD4 count? ‘What is the normal CD4 count in a client with HIV? Ifa client’s CD4 count is below 200, client is.at risk for what? List some opportunist fections. Whatis the goal of HIV medications? ‘The most important medication to know is__ Fever, weight loss, night sweats, diarthea, fatigue ‘Screening is done FIRST to see if HIV antibodies are present. The test is performed to specifically identify the HIV antibodies. ELISA HIV differentiation assay ‘Western Blot is no longer used. ttattacks the immune system by destroying T-lymphocytes. The virus also rapidly self- replicates. T cells help immune system to recognize and fight pathogens. D4 cells The lower the CD4 count, the more damage the virus has done tothe body. 500-1500 Anything at or above 500, dient is considered in good health. If below 200, HIV has progressed to AIDS. Opportunistic infections -Oral pharyngeal canidida Infection (mouth fungus) -Kaposi’s sarcoma (skin cancer) -Pneumocystis pneumonia Cytomegalovirus (blindness) -Meningitis To interfere with the virus replicating Zidovudine Scanned with CamScanner HIV? Which isolation precautions are used wit! How do the precautions change with AIDS? What are teaching points for parents who have a child with HIV? Universal precautions Patients do not have 4, anyone they have iy everyone as if they are in ie lFthe client has alow cog, risks opportunistic info Implement Private room Reverse isolation RN wears gloves, gown, mask when in direct coy blood or body fluids ts tion: Betas, ntact i ~ Clean up body fluid/ bloog with 10:1 water/ bleach ratio, ~Get al immunizations except lives ones such as (MIM, varicella, & oral potions) ~ Feed high-calorie & protein di Use gloves to change diaper, Acute Renal Failure ‘What is the definition of acute renal failure (ARF)? ‘What are some possible causes of ARF? ‘There are three phases; what are they? During the oliguric phase, what will you see? ‘What two electrolytes will be elevated? ‘The diuretic phase second; what will you see? What does recovery phase mean? What are the nursing interventions? What is the best diet for a client with ARF? Sudden loss of kidney function to excrete toxins and reguiate fluids and electrolytes. Infection, obstruction, shock Oliguric, diuretic, and recovery This phase lasts one to two weeks low urine output <4 hyperkalemia, hypertension, elevated BUN/creatinine fluid overload Sodium and phosphate Urine output slowly retuts hypokalemia, hypotension, The kidneys are recovering, ‘through a slow process. Wis output increases and BU! normal, Daily weights, strict! a0s treat the causes of renal fai and diuretics. n High carbs and low protein. Scanned with CamScanner Adams-Stokes Syndrome ‘Where is the complication located? what will the client experience? ‘What will the nurse see on the EKG? Is there adequate tissue perfusion during the attacks? What is the treatment? What oral medications can be given after surgery? Addison’s Disease What is the cause? What are some of the major symptoms? ‘What color is the skin of a client with Addison's disease? Will this client be overweight? Will the serum blood glucose levels be high or low? Will the serum potassium levels be high or low? What isthe treatment? Allergies ts allergic to latex may also be allergic to which foods? What standard hospital equipment contains latex? What allergy is contraindicated for IV contrast dye? This is a heart problem, Sudden attacks of syncope & Fainting. Seizures may also be present. Asystole or ventricular arrhythmias, No there will be no tissue perfusion. The client will need an internal pacemaker via surgery. Digoxin A low production of hormones by Adrenal gland. (glucocorticoids & mineralocorticoids.) Lethargy, weakness, weight loss Bronzed color {hyperpigmentation) No weight loss is common Low, so will the sodium levels. High Lifelong glucocorticoid therapy. Bananas, kiwi, chestnuts Blood pressure cuffs, gloves, stethoscopes, _tourniquets, BAND-AIDs, and indwelling catheters lodine/shelfish allergy Scanned with CamScanner ‘What are the major complications of having an amputation performed? What is the positioning for post-op care? -AKA (above the knee) amputation -BKA (below the knee) amputation ‘What should you encourage? Amputation Infections, skin break phantom limb conti Dai ractures, "ig Elevate first 24 hours, then position twice daily to hip f Flexion. Preven Elevate foot of bed frst 2¢ then prone position twice dai: prevent hip flexion. . Expressing feelings about isting feltinanarea thathas | ‘What is phantom limb pain? P been amputated Anemias Type of Anemia Signs Treatment ‘Aplastic Anemia Decreased erythrocytes Blood transfusions Bleeding mucous membranes Bone marrow ‘Thrombocytopenia transplantations Tron Deficiency Anemia ow hgb, het Tron supplements Pallor, fatigue, Dietary changes tissue hypoxia Tachycardia *most common during pregnancy Vitamin B 12/Pernicious Pallor, “beefy red tongue” fatigue, | Cyanocobalamin (vtan* ‘Anemia paresthesia B12) Injections Dietary changes Sickle Cell Anemia See Table of Contents | Aneurysm ‘True or false? An aneurysm is a dilation formed True | at a weak point on the wall of an artery. What are the symptoms of aneurysms Most aneurysms inside inside the body? body have no sym ‘What sound would be heard on auscultation? Ablowing bruit ‘ ‘infection What are some of the risk factors? arteriosclerosis. infecto" Kine 6 A Scanned with CamScanner what isthe treatment for an aneurysm? what are the signs ofa ruptured aneurysm? Listimportant NCLEX teaching points. Anorexia Nervosa ‘The primary symptom of illness is? ‘What is the perception of the body? ‘Atwhat age does this disease occur? What is the usual personality type? What isa major cardiac complication of anorexia? Whats a major gynecological complication of anorexia? ‘What treatment is involved in recovery? Appendicitis 'scommonly seen in what age range? Whats the classic sign of appendicitis? What are some other signs/symptoms? \ocalized tenderness is found where? ‘What are the tests to determine appendicitis? w hats the treatment for appendicitis? ‘Surgery - depends on size Strict blood pressure control with medications ‘Severe pain, N/V, tachycardia, decreased LOC, hypotension Avoid straining, lifting, or exerting, take medications on schedule, report severe back/ flank pain Starvation Distorted ‘Adolescent Perfectionist, _overachievers, low esteem Archythmias Amenorrhea Small, frequent meals with counseling and milieu therapy 10-30 years old ‘Acute right lower abdominal pain Loss of appetite, nausea, vomiting, low-grade temperature McBurney’s point Complete history and physical exam with WBC count (it will be elevated) Immediate surgery to remove appendix, 1V antibiotics, Semi- Fowler's position; NPO to rest stomach Scanned with CamScanner What is the general treatment for any acute NPO status, no, abdominal pain? abdomen, as distention, 1V fig thong PY heat on Arterial Blood Gas ‘Where are most samples drawn from? Radial artery in the ‘wrist How long should pressure be applied to the S minutes site after collecting a sample? Which test should be performed before Allen's Test collecting an ABG on a client? Asperger's Syndrome This syndrome is a form of ? Autism The treatment focuses of Communication/client social skills ‘An obstructive airway disease caused by Spasms, inflammation and of the bronchioles? What are the signs of asthma? SOB, tachycardia, expiratory wheezes, and possibly a cout ‘When will the client experience the cough? Atnight What is the primary treatment goal? To identify allergen Which medications work best for treatment? en Corticosteroids bronchoistos leukotriene modifiers Metered dose inhalers Which should you give first—the steroid or Bronchodilator bronchodilator—when treating asthma? What are leukotriene modifiers? ‘They are drugs usedto bit chemical leukotrien, reduces inflammation. Scanned with CamScanner **STEPS TO USE A METERED DOSE INHALER** NNCLEX Teaching Question Remove the cap. shake the inhaler well before use Breathe out, away from your inhaler. veer Remove the inhaler ° «if patients cannot tolerate a bitter taste or are en spinse mouth after each dose to prevent thrush, Autonomic Dysreflexia autonomic dysreflexia occurs in clients with what kind of injury? What can cause autonomic dysreflexia? Why is autonomic dysreflexia so serious? What is the most common cause? What are the signs of autonomic dysreflexia? What should be done during an episode? What is the treatment? Bell’s Palsy Bell's palsy affects which cranial nerve? What does the client with Bell's palsy Suffer from? What is the treatment for Bell’s palsy? erg the inhaler to Your mouth, lace itin mouth between the teeth and close mouth around it eee fo breathe in slowly. Press the top of your inhaler once and keep breathing in slowly untl you have taken afull breath (three to five seconds). from your mouth and hold your breath for about 10 seconds, then breathe out. pperiencing side effects, they may need a spacer. "Client should wait only one minute between each puff. Spinal cord injury (7-6 or above) ‘stimuli such as a full bladder ‘or fecal impaction Life threatening due to clients becoming extremely HYPERTENSIVE Urinary obstruction Increase in BP 40mm Hg, headache, bradycardia, blurred vision, sweating Place client in high Fowler's (1*) Check for bladder distention. Loosen restric it Removal of the stimuli Client needs to void or have bowel movement Cranial nerve #7 Temporary facial paralysis that affects chewing, eating, and closing the eyes = Wear an eye patch at night - Use artificial tears = Wear glasses to protect the eye ‘steroids to reduce edeme / swelling Scanned with CamScanner Benign Prostatic Hyperplasia (BPH) BPH is caused by, ? Because the prostate blocks the urethra opening, ‘what will clients feel and see when they urinate? Who usually gets BPH? What is the best way to assess for BPH? What is the common surgical treatment for BPH? How is a TURP performed? ‘After the procedure, what is the client at risk for? All clients will geta___ before a TURP. What are the three lumens for? ‘What will the doctor order to be done after a TURP? ition? What is the goal of the bladder Will an incision be made during the irrigation? What type of fluid is used to irrigate the bladder? What color should the urine be? During CBI what must the client be monitored for? If bladder spasms occur, give or 2 ‘The best position for this client post-op is? List some discharge instructions. 10 “The cause is unknown, enlargement of the pronst #30 sate aan Straining to urinate, decreased urine stream fecing Me they he all the time, dribbling urine ‘Urine flow ‘Men usually > 50 Rectal exam, physician wi pea-sized nodule Meaty Transurethral resection of the prostate (TURP) A scope goes through the pens and removes parts of the prostate Bleeding; monitor for hemorthage ‘Three-way (lumen) Foley catheter Inflating the balloon, inflow of solution, and outflow of urine Continuous Bladder Irigation (C3) Reduce / prevent blood clot No, irrigation will be done using the indwelling catheter. Isotonic sterile saline Light pink Bladder distention, Fuid oerou4 ‘Hyponatremia, and Blood los Belladonna/opium suppestore cr oxybutynin Lying flat because siting WP puts pressure on the bl s Drink two to three liters ae daily, No lifting or traning red clots are present ME Do kegel exercises t0 sens! pelvis muscles a? Scanned with CamScanner pads es Blood Administration hat must be received before a transfusion is started? what blood type is considered universal and can be used for all other donors? What blood type is considered the universal recipient and can receive all blood? What is the most common infection spread through blood transfusions? inorder to determine donor compatibility, what must be done? What must be done to determine a client's baseline before starting the transfusion? What size IV gauge must the client have? How many nurses confirm the unit of blood? How long after blood is removed from blood bank's refrigerator do you have to start it? How long must you stay with the client after transfusion is started? How many mls are in one unit of packed red blood cells? What are the signs of an adverse reaction? What do you do if an adverse reaction occurs? Why must you run blood at a slow rate? ‘What drug is also used to treat anemia because itincreases red blood cell production? Clients taking Epoetin alfa should be monitored for what? Signed written consent Type O Negative Type AB Posi Hepatitis B ‘Type and cross match Take vital signs 186 with a filter needle 2 30 minutes 15 minutes About 250 mL Restlessness, nausea, hives, e S08, fever, chills, back pain F ‘Stop blood and run the normal saline that hangs with blood, do vitals, notify the physician and blood bank. Make sure urine and blood cultures are done. Because running blood fast can cause fluid overload i Epoetin alfa wg a Hypertension and seizures ial Scanned with CamScanner Blood Pressure ‘What is blood pressure? What s the recommended blood pressure? ‘What are the top and bottom values? pefine the terms: systolicand diastolic pressure. Which value determines if person has HTN? What are the risk factors for hypertension? What are the physical signs of hypertension? How can the size of the blood pressure cuff affect blood pressure reading? What are some other factors that alter blood pressure? What is pulse pressure? What is the mean arterial pressure? Before you give a blood always check = Hold the medication if systol stol orheartrateis les than ns ssthan_ ‘What classes of medications are used for HTN HTN? 2 The force of blood flowing through the arteries, 120/80 systolic and diastolic pressure Systolic — Pressure while heart beats Diastolic - Pressure while heart rests Diastolic - if the pressure ofthe heart is elevated at rest, they HTN is present. African American, — obesity, anxiety, diabetes, smoking Blurry vision, headache, chest pain; but remember that HTN is called a silent KILLER because most people don’t have symptoms. If it is too small, the BP will the be higher than it really is. iit is too big, the BP will be lower than it actually is. Position, caffeine, anxiety, aciviy The difference between systolic and diastolic numbers Diastolic pressure (+) pulse pressure; this value be greater than 60. pd shoud Blood pressure and pulse = 100, 60 jut Diuretics, beta blockers: 2 channel blockers, vasodl Scanned with CamScanner ha: ? wns that end in “pril” are edicatio ‘ce inhibitors correct heart failure by, isan adverse reaction seen with the use of ee AcE Inhibitors. sens of angioedema are? iso have a persistent, nagging Clients may al: whic s more dangerous in angioedema: 2 cough OF of the lips and mouth? Medications that end in “olol” are ti-hypertensive medications Clients who take ant hod to avoid falling? should be taught what meth What herbal medication is used to lower BP? Clients taking anti-hypertensives should avoid hot showers, baths, and weather. True or false? Whats the best diet for a hypertensive client? Breast Feeding Breast feeding moms will often feel what while feeding the baby? This is due to the release of? Whats the best way to burp a baby? What are the benefits of breastfeeding? 8 Doyau remember how HIV attacks the body? iN4 13 after load. Ace inhibitors Decreasing - they also promote vasodilation by inhibiting the production of angiotensin. ‘Angioedema ‘swelling of the lips and mouth Cough ‘Swelling of the lips and swelling mouth may indicate laryngeal angioedema. A compromised airway is the priority. Beta blockers Sit in a chair or at a bedside for 30 minutes after taking medication to adjust to a lower circulating blood pressure. Garlic ‘True. These things can cause dizziness. Low-sodium, low-fat DASH diet Abdominal cramps Prolactin and oxytocin While he/she is sitting up Passive immunity, quicker weight loss in mother after birth, increase in bonding, ‘economically low cost Scanned with CamScanner ReMar NCLEX PLANNER Page — Two awesome things that happened today: — ) 1. = Struggles Ihave encountered while studying: di 2. ; Possible solutions for these struggles: 1 2 Tam proud that: | Tomorrow will be a great day because: SS You will never change your life until you change something you do daily. Your daily routine is the bases of your success! Buerger’s Disease (Thromboangiitis Obliterans) ‘This disease is the obstruction and inflammation Hands and feet of blood vessels mainly where? Clients present with what symptoms? Pale, blue, cold hands and fet, ‘they may tingle or be painful, Who is most at risk for this disease? Males who smoke or chew: 'tobiaceo What are the treatment goals? There is no cure, only symptom control; teach client to stop smoking, dress appropriatelyft the weather, and try to reduc life stressors. Bulimia Nervosa ‘What is the eating cycle involved? Eating binges followed by purgié wa re te able to see physical changes Client usually remains ata loss? ° Normal weight Besides purging, what other methods are Used to lose weight? Vomiting, enemas, drugs (speed), diuretics, diets, * pills. Tooth decay, electrolyte imbalances, ulcers, @ archythmias ‘What are the medical coy ; implications Associated with bulimia Nervosa? 4 Scanned with CamScanner sefety is a concern in clients with pulimia nervosa because of Uist the treatment goals. Burns What are the two age groups most at risk for suffering a burn injury? What are the four types of burns? Ifthe face/neck has been burned, what is the nursing priority? * Classification of Burns* 4 degree (Superficial partial thickness) 2° degree (Deep partial thickness) 3% degree (Full thickness) What is the formula used to determine fluid replacement for the first 24 hours? Whats the Parkland formula? How much of this fluid do you give in the first eight hours? How much fluid do you give for the second eight hours? How much fluid do you give for the third eight hours? Should you burst a blister? ‘What is the best route for pain meds? What diet is appropriate for burn clients? What isa common electrolyte problem in clients with burns? Due to Prolonged stress, clients are at risk for what type of ulcers? ‘What medication should be given before dressing changes? 15 Suicidal thoughts Encouraging talking, safety and assessing suicidal potenti establishing a diet plan, supervision during mealtime, and antidepressants may be prescribed. Children and elderly Chemical, electrical, thermal radiation Airway obstruction Skin pink/red, painful (e.g, sunburn) Skin red/white, blisters, swelling Skin black/brown, edema, all layers of skin burned, grafting needed Parkland formula 44m oF LR x wt. (ka) x96 of body burn % of total volume % of total volume %of total volume No v High calorie, high protein Hypokalemia or hyperkalemia; Both can be seen in clients with burns. Curling’s ulcers Pain medication Scanned with CamScanner Cancer rue or false? Cancer is an abnormal growth of cells. II travels from the original When the cancer cel bd called? location to a new place, what is it ‘What acronym is used to describe the warning signs of cancer? What do the letters stand for? What are the two ways to describe a tumor? Whatis the difference between the two? What are the three types of radiation treatment? ‘What precautions must be taken for a client receiving radiation treatment? ‘What is the most dangerous type of ra What additional precautions must be taken for clients receiving sealed internal radiation? Ifa client's sealed internal implant falls out. (e.g., cervical implant), what should you do? Chemotherapy works by destroying the cell__. ‘What are the side effects of chemotherapy? 16 True - growth of uncontrolled alls 5 Metastasis CALU.TLO.N. ‘Change in bowel or bladder ‘Any sore that does not hea ‘Unusual bleeding/discharge Thickening in breast Indigestion ‘Obvious change in wart [Nogging cough or hoarseness By grading or staging Grading describes a tumor by the cells. Staging describes the progression of a tumor by the clinical symptoms. External unsealed; internal sealed; and internal Private room/bathroom Limit visitors, rotate nursing staff who provide care, place sign at door and bedside Sealed internal radiation because a solid radioactive implant i placed inside the tumor All body fluids are radioactive; us" use hazardous clean up loves! gown. Pick it up with long-handle forceps and put it in @ container. lead wall Nausea, anore? sterility, decreased marrow and platelets Scanned with CamScanner why is Reglan (metoclopramide) given? igalopecia from chemotherapy permanent? isthe sterility from chemotherapy permanent? Clients with cancer will also need ‘ Whatare neutropenic precautions? What is Filgrastim? When is the best time to do a breast self-exam? When is the best time to do a self-testicular exam? ifaclient has had a mastectomy, can you take a blood pressure on the affected side? List some other post-mastectomy client education tips. Cataracts What are the signs of cataracts? How are they treated? During surgery, what is done? ‘After surgery, will vision be corrected? After surgery, what is the main concern? v7 To reduce nausea No, itis temporary. Yes Neutropenic precautions Strict hand washing No visitors who are sick No children No raw food, no live plants No free-standing water Drug used to treat neutropenia; monitor WBCs Once a month however these are no longer recommended. The same day each month No IV or BP Elevate affected extremity, no initial exercise after surgery, encourage positive self-i y/white lens Painless, blurred vision No treatment until vision is severely impaired The cataracts are removed and a new lens may be implanted. Only ifa new lens is placed. If no lens is placed, the client will need glasses/contacts. To check for hemorrhage of the eye. Place client in semi- Fowler's position Scanned with CamScanner What do you tell clients to avoid? How should the post-op client sleep? Foods containing must not be eaten. In Celiac’s disease, malabsorption of occurs. What foods contain gluten? ‘The client's abdomen is often ‘What does the client's stool look like? The best food substitutes are and. Cana client ona gluten free diet have cookies, spaghetti, or waffles? What is another name for celiac disease? Celiac Disease Coughing, sneezing, bending over at the waist, strainin rubbing eye, or crying. No lifting greater than five pounds. Sleep on unaffected side or, ig surgery was on both eyes, sleey on back. Use eye shield at night to protect eye. Gluten (This is a protein.) Fats B.R.O.W. (barley, rye, oats, wheat) Distended ‘Smelly, pale, bulky; expect lots of gas with some diarrhea. Corn, rice No all these products have grain in them. Celiac sprue Cerebrovascular Accident (CVA) Define the term CVA. The three most common causes of CVA are. What are the signs of a CVA? What is the difference between CVA, and Transient Ischemic Attack (TIA)? Reduction of cerebral blood flow and oxygen causing brain cell damage. Embolism, hemorrhage, thrombus Client complains of headache, Nausea, nuchal rigidity, HTN, slow bounding pulse, Cheyne-Stokes respirations, speech changes, facial droop TIAis a temporary period of Neurological deficit. It has similar signs as a CVA, but th? symptoms will all resolve. Scanned with CamScanner what is agnosia? Expressive aphasia occurs when . inthe left hemisphere is affected, youwill see weakness on the__side, isthe right hemisphere is affected, youwillsee weakness on the___ side. remember to place the client’s belongings on the side. ‘The tests used to determine a CVA are? Patients with hemorrhagic stroke are at increased risk for which complication? What are the nursing assessments? What complication of the eyes can a client witha CVA have? What is the activity level for this client? How should the room environment be? How do you position the CVA client? Why would a thrombolytic be given? Do not give thrombolytics if the cause is_. What other medications may be prescribed to treat a CVA? Do anti-coagulants like Coumac dissolve clots? and aspirin 19 Inability to use an object correctly Client cannot communicate Properly (Aphasia can be expressive or receptive) Right Left Unaffected CT, EEG, & Cerebral Arteriography Seizures due to possible bleeding In the cerebral cortex. Monitor vital signs, neuro checks, watch for seizures, monitor for increase in cranial pressure, check ability to swallow Corneal abrasions (Lacrimal glands will not produce secretions) Strict bed rest Quiet, peaceful, with objects within reach on unaffected side Turn q two hours on unaffected side, 20 minutes on affected side, make sure to elevate affected extremiti To dissolve a clot Hemorrhage Anti-hypertensive, anti-coagulants (not for hemorrhage stroke!) and anti-convulsants No, they only thin the blood; they do not dissolve clots. Scanned with CamScanner Chronic Obstructive Pulmonary Disorder ‘What are the three disorders that make up COPD? ‘What are the signs/symptoms of COPD? ‘What would the ABG of a client with COPD show? ‘What does the chest of a client with COPD look like? ‘What would the fingers of a client with COPD look like? Due to SOB with activity clients may experience because of difficulty eating. Why must you assess the amount of 02 your COPD client receives? Aclient with COPD should not receive 02 by NC greater than To control SOB, the __ _—__ __ technique should be taught. Asthma, bronchitis, emphysen, SOB with activity, wheezing, Productive cough, cyanosis Hypoxemia Barrel chest Clubbed Weight loss C.0.P.D'ers keep a high level of CO2 in their blood; breathing i controlled by this fact. Pursed lip breathing Chronic Renal Failure Chronic renal failure is progressive and irreversible. True or false? What are possible causes of CRF? What signs/symptoms would clients show? What is uremic frost? Where would you see this frost? What are the nursing interventions for chronic renal failure? Clients may need with waste removal. to assist 20 True Hypertension, frequent infections, DMI, renal/urinary obstruction Decreased urine output, hypertension, decreased urine specific gravity, fluid overload. Urea crystals that come through the skin with perspiration Face, underarms, groin; teach client to wash skin with plain w2 Mosificaton of det, give et, anti-hypertensives, mit BUN & creatinine, daily weie! Dialysis — Scanned with CamScanner what is the best diet for CRF? High carb, low protein; the goal of this diet is to provide energy while decreasing protein metabolism. Compazine (Prochlorperazine) ‘compazine belongs to which class of antipsychotics? ‘is drug in smaller doses can be used as an antiemetic, which means it suppresses. and Iwill make you so avoid driving and operating heavy machinery. ‘The routes of administration are IV, IM, PO. Which route lasts longest? ‘Aswith all anti-psychotic drugs, clients must be monitored for reactions. What are extra-pyramidal reactions? What class of medications can be given to decrease extra-pyramidal reactions? hat herbal medication is contraindicated with Prochlorperazine? Corticosteroids Most corticosteroids end in . What are some examples of corticosteroids? ‘What are the primary functions of corticosteroids? ‘What should you teach clients about stopping Corticosteroid therapy? What must be monitored while a client is taking steroid? Corticosteroids may cause symptoms of _- Corticosteroids will also delay healing. 2a Phenothiazines Nausea, vorniting Drowsy IM (deconate form) Extra-pyramidal Dystonia, tardive dyskinesia, akathisia (Benztropine) Kava Kava -ONE Dexamethasone, cortisone, prednisone To decrease inflammation and hormone replacement To gradually decrease use; don’t abruptly stop Potassium level, glucose @ level, and! and 0's Cushing's syndrome. Wound Scanned with CamScanner If the client is NPO for surgery should you still give the steroid? Yes, during surgery, stress and illness in the body increas, need for corticosteroids, inallog situations, do not take sta ‘empty stomach. "OS oy Cranial Nerves Know what they are and what they do. ‘What nerve What it controls Olfactory Sense of smell Optic Vision Ml Oculomotor IV Trochlear Eye movement Vi Abducens: \V Trigeminal Sensations of the face Vil Facial Expressions of the face Vill Acoustic Hearing and balance 1X Glossopharyngeal ‘Gag.and swallow X Vagus ‘Gag and parasympathetic Xi Spinal Accessory Back and neck muscles XII Hypogiossal ‘Tongue ‘The client is unable to shrug his shoulders; which nerve is dysfunctional? Aclient is unable to smell his morning coffee; which nerve is dysfunctional? A clientis unable to distinguish between salty and sweet tastes; which nerve is dysfunctional? CN X1 Accessory CN 1 Olfactory CN VII facial Crohn’s Disease Crohn's disease is an of the bowels. Can Crohn’s disease be cured with surgery? Crohn's disease affects the digestive tract from the mouth to anus. True or false? What are the symptoms of Crohn's disease? Excessive diarrhea will cause what electrolyte imbalance? What foods should be avoided and why? Crohn's disease can lead to what kind of cancer? 22 Inflammation No, symptoms frequently will reoccur. True ‘Abdominal pain, diarrhea, weieht loss Hypokalemia Dairy products and hieh be ‘meal, which may worsen dia Colon Scanned with CamScanner tment goals? ye the treat what Cushing’s Syndrome unat isthe cause? iat are some major symptoms? whats the skin ofa client with cushing’s syndrome like? wit this client be overweight? wil the serum blood glucose levels be high or low? |willthe serum potassium levels be high or low? What is the treatment? Cystic Fibrosis Inqystic fibrosis, the are affected. How does cystic fibrosis abnormally change mucous gland secretions? or exocrine glands What are the two systems most affected by gpstic fibrosis? Whatis the most accurate test for cystic fibrosis? What are other ways to diagnose cystic fibrosis? H iow tees Poor absorption of fat in the digestive nge the appearance of stool? en with each meal to help >? Wi "the absorption of nutrients, Matis ‘the most appropriate dict for eystic fibrosis? 23 > Drugs and nutrition to reduce inflammation A high production of hormones by ‘Adrenal gland. (Glucocorticoids) Buffalo hump, moon face, hirsutism lethargy, weakness, weight gain Fragile & bruises easily. Yes weight gain is common. High, so will the sodium levels. Low so will the calcium. Possible hypophysectomy, Or adrenalectomy then Lifelong glucocorticoid therapy. Mucous-producing ‘The mucous will become thick, Sticky, and cause obstructions. Respiratory mucous gets trapped in the lungs. Digestive- mucous blocks the pancreas and digestive Enzymes, making the absorption of nutrients very difficult. Sweat test - the chloride level will be >60 mEq/L Chest x-ray, stool analysis, pulmonary function test It causes steatorrhea (greasy, foul-smelling, pale stool) Pancreatic enzymes High calorie, high protein Scanned with CamScanner is a common technique used to clear thick mucous from the lungs. This is important for Preventing respiratory infections. ‘What should parents who already have a child with cystic fibrosis do before having another child? Postural drainage They should get genetic counseling because cystic fibrosis is hereditary, Diabetic Teaching Which type of diabetes is controlled mostly by diet and exercise? Which type of diabetes is controlled mostly by insulin? What should you teach diabetics about foot care? Ifa diabetic vomits after taking PO ar iabetic, ‘medication what should they do? How often should a diabetic get an eye exam? What is i sulin lipodystrophy? Do you need to aspirate if injecting insulin SQ? What is the primary injection site for insulin? Exercising blood glucose. Alcohol, oral contraceptives, aspirin, and MAOI blood glucose. Infection, dehydration, stress, and surgery glucose. blood What do you give when your client is hypoglycemic and UNCONSCIOUS? Insulin pumps that are wearable mimic which organ? 24 ‘Type Il diabetes mellitus Type | diabetes mellitus Have MD cut toenails; cut toenails straight across, Inspect feet daily for sores Keep skin clean and dry. Monitor blood sugar and do not repeat dose. The medication may have been absorbed. Yearly; diabetes can cause retinopathy. It is the result of not rotating $0 insulin injection sites. If the cient injects the same place repeatedly, a fatty mass will appear, decreasing insulin absorption in that area. Teach injection site rotation. No Abdomen, Lowers Lower Increase Glucagon (IV or 1M) Pancreas Scanned with CamScanner patisthe insulin used in the wearable inulin pump? Regular or short-acting w soften is the insertion site changed when Every 2 to 3 days wearing an insulin pump? ne insulin delivered continuous or intermittent? Continuous ist should clients be advised not to do ‘Smoke or drink alcohol vite wearing an insulin pump? Digoxin is digoxit i failure is digoxin prescribed? To treat heart " and arrhythmias Digorinis a Bescon slycoside ‘Always hold digoxin if the heart rate is less than__. 60 What is the therapeutic blood range? ‘What are the signs of digoxin toxicity? ‘Seeing yellow spots, nausea, vomiting, and abdominal pain Howis digoxin toxicity treated? Dose willbe lowered; in severe cases, give activated charcoal or Digiband. Passing NCLEX is very important but so is your mental health, if you want to get the most out of this ) program you need to pace yourself. It’s time to get up and move. Research shows that sitting for more than three hours a day can shorten your life by up to two-years! At 8 least every hour, stand up, stretch, do some yoga or K jumping jacks, or take a walk, and breathe deeply. Schedule meals to relax and unwind with friends; don't just inhale food while studying. Get on social media-Facebook, twitter, Instagram Send me an email to let me know how things are going to, Regina@ReMarReview.com Watch a 30-minute TV program Read a NON- NURSING book for 20 minutes 25 Scanned with CamScanner retics What are the three ways a diuretic can be given? Why are diuretics prescribed? When should clients take this medication? Why should clients take retics during this time? ‘What should clients be monitored for? Loop and Thiazide diuretics inhibit which electrolytes? Furosemide isa diuretic. Thiazide diuretics are contraindicate allergic to? clients is an osmotic diuretic used to reduce ICP. Because Osmitrol decreases intracranial pressure, it can also be used to treat . Mannitol crystallizes at room temperature; you will need a needle to draw up. Spironolactone isa sparing diuretic. Because Spironolactone helps the body retain potassium, the client is at risk for? Ifyour client's K+=3.0 and Lasix and Spironolactone are both ordered, how would you proceed? To accurately measure urine output, a client________ maybe given. 26 PO, IV, IM Chronic heart failure Fluid overload Renal failure In the morning to prevent nocturia. If taken in the evening, clients yi bbe going to the bathroom allright Dehydration, Low k+ hyponatremia, and weight loss Potassium, sodium, chloride Loop Sulfa drugs Osmitrot Glaucoma Filter Potassium Hyperkalemia Only give the spironolactone The potassium is low and Las will only create more K+ loss Indwelling (Foley) _cathete" Scanned with CamScanner Domestic Violence what are signs of domestic violence in children? hat two factors are play an Important part indomestic violence. 1s of neglect in children? what are: When a victim of rape shows no emotion or feelings after an attack, what is this called? ‘What are the stages of domestic violence in an intimate relationship called? Should a rape victim take a shower before coming to the hospital for treatment? Ifa client comes into the hospital afraid for their life due to domestic abuse, should the nurse suggest they don’t go home? What is sexual abuse by a family member called? Frequent bruises or burns, shrinking back when an adult approaches, & hitting others. Power and control ~The abuser sees the victim as a possession. Stealing food, lack of dental care, poor hygiene, poor schoo! attendance, stating no one’s home. Controlled pattern response Honeymoon stage, build-up of stress, anger, beating, and then reconciliation. No physical evidence may be washed away. Yes the nurse should help the dlient explore other housing options. Incest Donning Sterile Gloves NCLEX PRO-TIP (Know this information by heart) Gather all the necessary supplies. Wash and dry hands. Place package on dry waist-high surface Open package using outer one-inch mai Place glove on dominant hand. i, With two fingers on non-dominant hand, pick up cuff of first glove. Slide gloved fingers into the cuff of the other sterile glove. Place non-dominant hand into the glove, making sure not to touch the outside of the glove. With both hands gloved, touch only sterile area to adjust for comfort. facing gloves toward you. a Scanned with CamScanner Epiglottitis What is the epiglottis and what does it do? What is the cause of epiglottitis? Is this a virus or bacteria? ‘Whatis the usual age of children who get epiglottitis? ‘What are the signs of epiglottitis? ‘What will the child look like during an episode of epiglottitis? Can epiglottitis be treated at home? When assessing the airway can you use ‘a tongue depressor or tongue blade? 'f the child cannot breathe, what might be done? ‘What medication will be given to treat epiglottitis? Genital Herpes How is genital herpes spread? ‘What are the symptoms for males? ‘What are the symptoms for females? Are these lesions aways present onthe body? Mflesions are Presentina ina pregnant wor should she deliver? ae ‘What triggers outbreaks of genital herpes? 28 It isa lap of skin at the base. of the tongue. It opens and closer during breathing. Haemophilus influenza Bacteria 2-5 years old 3D’s (Drooling, Dysphagia, Dysphonia [no voice]) Sitting upright; tongue protruding, Drooling, shallow, rapid breathing No, the child must go to ‘The hospital immediately, NO, NEVER put anything in the mouth to assess! Intubation Antibiotic therapy By getting the H. influenza vaccine During sexual contact or birth Painful, vesicular lesions Painful, vesicular lesions No, they come and go. C-section Stress, anxiety, high emotions Every six months No cure. Acyclovir Scanned with CamScanner oc ReMar NCLEX PLANNER Page | irat two NCLEX topics are the most difficult for you right now? i L a. ai ways can you increase your knowledge in those areas? 1 ai was the biggest lesson you learned this week? ‘na scale of 1-10, how happy were you this week and why? Today lam grateful for: Reaching your goals is not about working all day without a break. It is about being intentional with your time and where you spend it. Glaucoma How does glaucoma affect vision? Blurry and tunnel vision noted. There will be halos around light. This condition can be acute or chronic due Increased intraocular pressure to ——_Isthe simple, painless procedure Used to measure intraocular pressure. ‘What are the two types of glaucoma? Which one is painful? Sate the class of drug used to constrict ‘the pupil and let aqueous humor flow. ive an example of a miotic? Why might diuretics be given to clients With glaucoma? Tonometry Open angle and closed angled Closed angle is painful but itis ot the most common of the two Miotics Timolo or pilocarpine To decrease aqueous humor production Scanned with CamScanner What diuretic is usually prescribed? Never give _ because they dilate the pupil. If surgery is required, what should you monitor for post-operatively? ‘What post-op teaching should be done? What is considered an elevated serum bilirubin level? ‘What will a newborn's skin look like? ‘Why does the How does jaundice spread? What is the treatment for increased bilirubin levels? What are the nur for phototherapy? interventions What kind of disease is this? Which organ is most affected? What are symptoms of the What age is most affected? Is there a cure? Hyperbilirubinemia jn and sclera turn yellow? Huntington’s Disease 30 Osmitrol because it osmotic diuretic an No crying, or rubbing eyes Serum levels higher than 12me/dl. Jaundice -a yellow pigment usually seen on first day of life Because bilirubin is yellow, Head to toe Phototherapy Baby should be 18 inches under lights. Nothing but diaper on, remember to cover eyes. Turn off lights every 8 hrs. for 15 mins Monitor temp turn q 2 brs. Inherited disorder ‘The brain as neurons die which control various body movements. Uncontrolled movement called Chorea, behavior changes Impaired judgement and cognition. 30to 50 No, the disease will get progressively worse. —d Scanned with CamScanner Immunizations ato yougetat each age? ‘irth Hep B #1 months Hep B #2, DTap, Hib, IPV, PCV q months ‘Ail Z-month immunizations exceptHepB months ‘All 2-month immunizations 2 months MMR #1, Hib, PCV, varicella some resources Say Hep B #2 can be given at 1 month. tetanus and diphtheria are optional vaccinations; what isthe earliest age they can be given? ‘What is a booster ‘shot? What are the side effects of immunizations? What medication should be given for these effects? Never give___ to children experiencing these effects. When should the meni ‘vaccination be given? Manadult woman receives an MMR shot, what should you teach her? How soon can a child get the influenza vaccination? Dow give MIR if the client is allergicto__or_. Do not give the influenza vaccination if the lent isallergicto___- What is active immunity? What is passive immunity? 2months ‘An additional dose of vaccination to increase effectiveness. Low-grade fever, tenderness, swelling at the site, child may become irritable ‘Acetaminophen Aspirin Before going to college Wait three months before pregnancy Not until six months Eggs or Neomycin Eggs Stimulating the body to produce ‘antibodies by giving a vaccine Antibodies that are formed In another body but passed down for short-term use (eg,, breast milk) Inflammatory Bowel Disease ‘Two primary types ‘Crohn’s Disease Ulcerative Colitis “Anywhere in the digestive tract from mouth to | Primarily colon anus 3-4 semi-soft stools, no blood Bloody diarrhea Anorexia, Fistulas Weight loss Associated with smoking Non-smokers ‘Anti-inflammatory steroids 'NPO Status - bowel rest Surgery will not help; disease will reoccur ‘Anti-inflammatory steriods NPO Status - bowel rest Surgery to remove affected area 31 Scanned with CamScanner Incentive Spirometry Incentive spirometry isa method of __ that helps maximize lung inflation, Instruct the client to place tightly around the mouth piece. Incentive spirometry is used after surgery to prevent__. Deep breathing Lips Atelectasis Increased Intracranial Pressure (ICP) ‘What is the normal intracranial pressure range? ‘What are the common causes of ICP? What do you assess? This is the earliest sign of ICP. The client often appear? What will bat s physically present with? Late Ns Of ICP are? Client may complain Fg How will the vital signs appear with ICP? ‘What is widening pulse pressure and howis it related? ‘What is Cushing's Triad? Initiate Precautions. Elevate head of bed to? What medications will be Brescribed? 32 5-15mm Hg, Trauma, hemorrhage, edema tumors Level of conscious ((tdecreases as ICP increases.) Decreased level of consciousness Restless, agitated, complaining of headaches Bulging fontanelles Unilateral pupil dilation, Hypertension or hypotension bradycardia Projectile vomiting without nausea 8/P (up), Temp (up), Resp (up then down), Heart rate (up) When systolic blood pressure goes UP and diastolic continues to go down so that they become further apart (e.g,, 135/40 is a bad sign!) Three things: widening pub? Pressure, Cheyne —_stokes Fespirations, and bradycardia Seizure 10 to 30 degrees, to promote Jugular venous outflow Anticonvulsants Blood pressure medications Corticosteroids Diuretics Scanned with CamScanner nt not to__» 4 OF Strain, cough, or sneeze lie ellthe dl

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