Exam (elaborations)
Nclex High Yield review exam A+ latest 2024 updated
- Course
- Institution
Nclex High Yield review exam A+ latest 2024 updated
[Show more]
Seller
Follow
a_plus_work
Reviews received
Content preview
Nclex High Yield Review A+ 2024DI NO ADH NOTES
Specific gravity Low High
Serum sodium High Low “FOA”
LOA/Seizures
Serum High Low
osmolality
H&H High Low One main cause of siadh
sm cell lung cancer
Tx: Desmopressin Hypertonic saline Correct sodium slowly to
0.3% NS prevent CPM central
pontine myelinolysis aka
locked in syndrome
PPE DONNING reverse, mask OFFING abc order
2nd
Gown Gloves
Mask/respirator Goggles
Goggles/face shield Gown
Gloves Mask
Isolation precautions
Standard
o Hand hygiene
o Gloves
o WHO:
All pts
Risks of contact w/fluids
Contact
o Direct physical contact
Standard precautions + Gown
o WHO:
MRSA
VRE
C-Diff
Droplet
o Transmission
Droplets from sneezing or coughing
o Standard precautions + Surgical Mask
o WHO:
Meningitis
Pertussis
Influenza
Airborne “MTV”
o Transmission
, Nclex High Yield Review A+ 2024
Breathing – airborne particles
o Standard precautions + N95 Respirator or Hood
o WHO:MTV
Measles
TB
Varicella
MMR-measles-mumps-rubella vaccine is a live vaccine &contraindicated in
pregnancy due to the risk of teratogenic effects to the fetus. Clients should get
vaccine in the postpartum period. Avoid preg for at least 1-3 months after
immunization.
Indirect Coombs Testscreens for Rh sensitization in Rh-negative mothers. If the test
results are positive, the fetus and subsequent pregnancies are at risk for serious
complications.
o Rh immune globulin (eg, RhoGAM) given at 28 weeks’ gestation & w/in 72
hrs postpartumas well as any time there is maternal trauma.
Autonomic dysreflexia (spinal cord injuries of T6 & above at risk) uncompensated
sympathetic nervous system stimulation.
o Classic signs include hypertension (up to 300 mm Hg systolic)
o throbbing headache
o diaphoresis above the level of injury
o bradycardia (30-40/min)
o piloerection ("goose bumps"), flushing, and nausea.
life-threatening immediate intervention to prevent complications (eg, hypertensive
stroke, seizures).
most common cause bladder irritation due to distention client needs to be
catheterized or the possibility of a kink in the existing catheter must be assessed. Bowel
impaction can also be a cause; a digital rectal examination should be
performed. Constrictive clothing should be removed to decrease skin stimulation.
Notify HCPalpha-adrenergic blocker or an arteriolar vasodilator (eg, nifedipine) may
be prescribed.
HA associated w/autonomic dysreflexia, typically due to severe hypertension & often
resolve after BP has been treated.
Elevate HOB 45 degrees or high Fowler's to lower BP.
NSAIDs (eg, indomethacin, ibuprofen, naproxen, ketorolac)
o Nephrotoxicavoid in clients with kidney disease should not take a
different/other NSAID meds at same time.
Addison’s Assessment MnemonicUnder-secretion of adrenal cortex rarest endocrine
disorder
Hyper-pigmented skin (very tan/look healthy)bronze/tan
Don’t adapt well to stress
Low BP & Low glucose = shock
o TX: steroids glucocorticoids, end in -SONE
, Nclex High Yield Review A+ 2024
prednisone
methylprednisone
S- Sugar and sodium low
T- Tired and muscle weakness
E- Electrolyte imbalance of high potassium & high calcium
R- Reproductive change
O- lOw blood pressure
I- Increased pigmentation of the skin
D- Diarrhea and nausea, Depression
Cushing’s Assessment Mnemonic Over-secretion of adrenal cortex
S/S of steroids same as S/S of Cushing’s
o Moon face
o Hirsutism -excess hair
o Central/truncal obesity
o Gynecomastia man boobs
o Buffalo hump kyphosis
o Atrophy of extremity muscles
o Retain Na & Water
o Hypokalemia
o Striae stretch marks (purplish)
o HYPERglycemia high serum glucose
o Bruise easily
o Easily irritable
o Immunosuppressed
TX: if primary or secondary tumor need to get rid of tumorAdrenalectomy
(bilateral removes all), which ends up causing Addison’s
Labs check cortisol & ACTH
S- Skin fragile
T- Truncal obesity with small arms
R- Rounded face
E- Ecchymosis, Elevated blood pressure
S- Striae on the extremities and abdomen (Purplish)
S- Sugar extremely high
E- Excessive body hair especially in women, Electrolytes imbalance: hypokalemia
D- Dorsocervical fat pad (Buffalo hump), Depression
Milieu Therapy providing a therapeutic and social environment
ICP in clients w/ increased ICP, HOB should be elevated 15 to 30 degrees & the head placed
at midline to promote venous outflow.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78121 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now