Questions and Answers
Do you delegate what a patient can eat?
False
Which of the following are symptoms of Addison's Disease? (Select all that apply)
Which of the following are symptoms of Cushing's Syndrome? (Select all that apply)
Do not give potassium without adequate ___
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Elevate veins and dangle ___
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What does APGAR stand for?
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Which conditions require Airborne Based Precautions? (Select all that apply)
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Which of the following are included under Droplet Precautions? (Select all that apply)
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Which of the following are symptoms of Skin Infections? (Select all that apply)
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After a lumbar puncture and oil-based myelogram, the patient should lie in a flat, ___ position.
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Position the patient with heat stroke ___ with legs elevated.
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What should the patient be positioned on after myringotomy?
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What intervention should you perform for a woman in labor with un-reassuring fetal heart rate?
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What medication is used for pancreatitis?
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What is a symptom of Myasthenia Gravis?
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During an ________ crisis, a positive reaction to Tensilon will improve symptoms.
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Study Notes
Delegation and Patient Care
- Do not delegate tasks related to a patient's dietary needs; focus on evaluation, assessment, and education.
- Ensure the patient's safety and understanding of their nutritional choices.
Endocrine Disorders
Addison's Disease
- Symptoms include hyponatremia, hypotension, decreased blood volume, hyperkalemia, and hypoglycemia.
Cushing's Syndrome
- Characterized by hypernatremia, hypertension, increased blood volume, hypokalemia, and hyperglycemia.
Potassium and Patient Monitoring
- Do not administer potassium without adequate urine output to prevent complications.
Patient Positioning
- Elevate veins and dangle arteries for optimal circulation.
- After myringotomy, position the patient on the side of the affected ear for recovery.
- Post-thyroidectomy, place the patient in low or semi-Fowler's position, supporting the head, neck, and shoulders.
APGAR Assessment
- Evaluate newborns using the APGAR system assessing Appearance, Pulse, Grimace, Activity, and Respiration.
Infection Control Precautions
Airborne Precautions
- Required for Measles, TB, and Varicella (chickenpox).
Droplet Precautions
- Implemented for sepsis, scarlet fever, pneumonia, and influenza.
Contact Precautions
- Used for multidrug-resistant infections, respiratory infections, and skin infections like conjunctivitis.
Emergency Interventions
Air Embolism
- Symptoms: chest pain, difficulty breathing, tachycardia, pale/cyanosis, impending doom. Intervene by positioning patient on the left side.
Unreassuring Fetal Heart Rate (FHR)
- Symptoms: late decelerations, decreased variability, fetal bradycardia. Position on left side, administer oxygen, stop pitocin, and increase IV fluids.
Post-Operative Care
- Positioning for tube feeding with altered level of consciousness (LOC) should be right-side lying with an elevated head.
- After lumbar puncture, maintain supine position for 4 to 12 hours to prevent headaches.
Dosage and Medications
- Monitor medication administration closely for conditions like pancreatitis, using Demerol.
- For Myasthenia Gravis, symptoms worsen with exercise, improve with rest.
Electrolyte Imbalances
- Hypokalemia presents with muscle weakness and dysrhythmias; encourage potassium-rich foods.
- Hyperkalemia symptoms include muscle weakness and ECG changes; consider the MURDER acronym.
Thyroid Disorders
Myxedema and Grave's Disease
- Myxedema shows slowed functions, cold sensitivity, and dry skin.
- Grave's Disease leads to increased activity, heat sensitivity, and fine hair.
Thyroid Storm
- Characterized by increased temperature, pulse, and hypertension.
Gastrointestinal Conditions
- To prevent dumping syndrome after gastric surgery: eat in a reclined position and avoid fluid intake during meals.
- Diarrhea leads to metabolic acidosis; vomiting results in metabolic alkalosis.
Neurological Complications
- Autonomic Dysreflexia presents with severe headache and hypertension; immediately elevate the head.
- Monitor for Neuroleptic Malignant Syndrome symptoms such as hyperpyrexia and increased muscle tone.
Pediatric Conditions
- For infants with spina bifida, keep in a prone position to protect open sac.
- Position infants with cleft lip to prevent trauma during feeding.
Antipyretics and Analgesics
- Digoxin administration requires pulse check; hold if under 60 beats per minute.
Miscellaneous Conditions
- Pheochromocytoma leads to hypertension and hyperglycemia; stress avoidance is critical.
- Distinguish between Addisonian crisis symptoms: confusion, abdominal pain, and extreme weakness.
Key Drug Facts
- PTU is utilized to prevent thyroid storm.
- Timolol is prescribed for glaucoma.
- Amphojel treats GERD but monitor for constipation.
Each of these notes provides critical insights into nursing considerations, medication management, and patient care protocols across diverse medical scenarios.
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Description
This quiz consists of essential NCLEX flashcards based on Mark Klimek's materials. It covers important medical conditions like Addison's Disease and Cushing's Syndrome, along with key nursing interventions and patient care priorities. Test your knowledge to prepare for the NCLEX exam effectively.
