Hyperthyroidism is also called - correct answer Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's - correct answer "Run yourself
... [Show More] into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
Treatment for Grave's disease - correct answer Radioactive Iodine, PTU (put thyroid under), surgically remove
Total thyroidectomy ... totals get - correct answer tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for - correct answer hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
parathesia - correct answer numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get - correct answer storm
S/S of thyroid storm - correct answer Extremely high vital signs, hyperpyrexia, psychotic delerium
How to treat thyroid storm - correct answer give o2, lower temp to spare brain
Risks post op for total thyroidectomy - correct answer airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany
Risks post op for sub total thyroidectomy - correct answer airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called - correct answer Myxedema or hypometabolism
S/S of mydexema - correct answer everything is down, constipation, heat tolerance, cold intolerance
Treatment for mydexema - correct answer give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient - correct answer neck pits groin
If you cool a patient too fast what might happen? - correct answer Heart arrythmias
Never hold the hormone for what patient? - correct answer patient who is NPO with mydexema
Addison's disease easy way to remember - correct answer Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember - correct answer A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
Addison's disease is - correct answer undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
Addison's disease treatment - correct answer give a steroid, chronic steroid therapy
Cushing's syndrome - correct answer Over secretion of adrenal cortex, too much hormone, too much steroid.
S/S of Cushing's syndrome - correct answer same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium,
Treatment for Cushing's syndrome - correct answer Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
Donning PPE's order - correct answer Gown, Mask, Goggles, Gloves
Removing PPE's order - correct answer alphabetically inside the room
For airborne precautions the mask is removed where? - correct answer outside of the room
Avoid answers with what words for children 9 mths and younger? - correct answer build, sort, stack, construct, make
Toddlers (1-3) work on - correct answer their gross motor skills (jump, hop, throw), NO fine motor, parallel play
Preschoolers (3-6) work on - correct answer fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
School age (7-11) work on - correct answer creative, collect, competitive
Best default order for click and drag order questions? - correct answer Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
Rarely if ever answer ... - correct answer call Doctor, NCLEX wants you to think critically
Creatinine lab values - correct answer same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about
INR lab values - correct answer 2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify
Potassium lab values - correct answer 3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
pH lab values - correct answer 7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes so goes the patient
If bad vitals, call rapid response team
BUN lab values - correct answer 8-30 check for dehydration if elevated not a big deal, just be concerned
If a deadly or dangerous lab value is discovered AND they have symptoms call the - correct answer rapid response team!
HgB lab values - correct answer 12-18 check for bleeding if low or high, if low prepare for tranfussion
HCO3 lab values - correct answer 22-26 if it is abnormal so what!
CO2 lab values - correct answer 35-45 if in the 50's assess respiratory status and have patient do pursed lip breathing, if in 60's considered deadly and respiratory failure, need intubated
Hct lab values - correct answer 36-54 thickness of blood if abnormal not too big of a deal, assess for dehydration
PO2 lab values - correct answer 78-100 this is only obtained from an ABG if low give O2 but if really low it is respiratory failure give O2, prepare for intubation, call resp therapy and call Dr
O2 sat lab values - correct answer 93-100 pulse ox, if under 93 assess resp status and give O2
BNP lab value - correct answer less than 100 is normal, good indicator of CHF, edema, if elevated assess s/s of CHF
NA lab values - correct answer 135-145, if a change in LOC then evaluate for fall/safety risk
WBC lab values - correct answer 5000-11000 if low assess for infection
CD4 count less than 200 equals - correct answer AIDS
Neutropenic precautions (low WBC) - correct answer strict handwashing, avoid crowds, private room, low bacteria diet (no raw or undercooked), no water that has been standing longer than 15 min, vital signs Q4H
Platelets lab value - correct answer 150000-400000 if lower than 90000 bad if lower than 40000 REALLY bad, if they sneeze they could die. Called thrombocytopenia
Bleeding precautions - correct answer no venipuncture, injection or IV, if necessary use small guage, handle patient gently, use drawsheet, no razor, no toothbrush, blow nose gently, no aspriin, no rectal temp, no hard foods
RBC lab values - correct answer 4-6 million abnormal doesn't really matter
Reason for laminectomy - correct answer treat nerve root compression
S/S of nerve root compression - correct answer Pain
Parasthesia (numbness & tingling)
Paresis (muscle weakness)
Cervical - correct answer Diaphram and Arms affected, breathing, respiratory pattern
Thoracic - correct answer Abd muscles and gut affected, ability to cough
Lumbar - correct answer Bladder and legs affected, when did they last void, are they distended
#1 post op answer for spinal problems is - correct answer log roll patient
Activity post op spinal issue - correct answer do not dangle
stand, walk, lie down w/o restricitons
limit sitting to 30 min at a time
Post op complications for cervical spinal surgery - correct answer pneumonia
Post op complications for thoracic spinal surgery - correct answer pneumonia (no cough), paralytic illeus (gut shuts down)
Post op complications for lumbar spinal surgery - correct answer urinary retention
How long does temporary restrictions usually mean? - correct answer 6 weeks (driving, lifting, etc.)
Nagele's Rule - correct answer 1st day of last period + 7 days - 3 months
Weight gain during pregnancy - correct answer 28 lbs plus or minus 3 lbs
1st trimester weight gain - correct answer 1 lb/month or 3 lbs for 1st trimester
2nd/3rd trimester weight gain - correct answer 1 lb/week
Easy way to calculate appropriate weight gain during pregnancy - correct answer The week number minus 9 so if 12 weeks pregnant 12-9=3 lbs. not allowed to be off by more than 2 lbs.
Fundal Height - correct answer not palpable until 12 weeks, 2nd and 3rd trimesters week gestation 20-22 in cm so at the navel is 20 weeks
Positive signs of pregnancy - correct answer xray, ultrasound, auscultation of fetal HR on doppler 10 weeks, examiner (not the mother) palpates fetal movement
Probable signs of pregnancy - correct answer blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign
Chadwick's sign - correct answer Cervical color changes to Cyanosis See all the CCCCCC's!
Goodell's sign - correct answer Cervical softening
Hegar's sign - correct answer Uterine softening
All changes in cervix and vagina occur in what order? - correct answer alphabetical order
Pattern of Office Visits for prenatal care - correct answer once a month until 28 weeks, once every 2 weeks until week 36, once a week until delivery or week 42 when induction is scheduled
Pregnancy hemoglobin - correct answer normal is 12-18, first trimester falls to 11 which is okay, second trimester falls to 10.5 which is okay and then third trimester falls to 10 also okay
Easy way to remember station - correct answer has it made it through the "tight squeeze" (ischial spine) no then its a negative, yes then its a positive, 0 station is when it's at the ischial spine
Presenting part is 99% of the time the - correct answer head
What is bad as far as Lie? - correct answer Transverse is bad, vertical is good, parallel is good
Stage 1 of L&D - correct answer Labor - thinning and opening, has 3 phases, Latent, Active, Transitional, nothing to do with the baby just the cervix, no baby at the end of labor
Stage 2 of L&D - correct answer Delivery - pushing the baby out
Stage 3 of L&D - correct answer Placenta delivery
Stage 4 of L&D - correct answer Recovery (1st 2 hrs after delivery of placenta), considered unstable patient, stop the bleeding in stage 4
Memorize 1st stage 2nd phase of L&D then you know the rest - correct answer Active phase
CM dilated 5-7 cm
CXN Freq 3-5 min
Duration 30-60 sec
Intensity moderate
Contractions should not be longer than ____ seconds or closer than every _____ minutes. - correct answer 90, 2
Prolapsed cord - correct answer OB emergency, baby will die if you don't do something
What to do with prolapsed cord - correct answer Push then position! Push head off cord then position in knee/chest of trendelenburg (head down)
Lithotomy position - correct answer on back with knees drawn up [Show Less]