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Saturday, June 7, 2008

Kaplan NCLEX Trainer Notes 1

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Phenytoin (Dilantin) is an anticonvulsant medication

Chlorpromazine (Thorazine) is more likely to be used PRN when a client is experiencing agitation associated with schizophrenia.

Heparin is not pass on through breast milk.

Metoclopramide hydrocloride (Reglan) stimulates motility of upper GI tract, contraindicated with possibel hemorrhage of GI tract, used to treat nausea of chemotheraphy.

Dexamethasone (Decadron) - oral steroids have ulceragenic properties and need to be administered with meals
Babinski reflex disappear approx. one year

Extrusion reflex disappears between three and four months of age

Fetal heartbeat can be heard at 12 weeks

Appearance of any decelerations of the fetal heart rate (FHR) during NST shoudl be immediately evaluated by the physician

Impetigo is a superficial bacterial skin infection most common among children 2 to 6 years old.

Increased systolic pressure and widenng pulse pressure indicates increased intracranial pressure.

Docusate sodium (Colace) is a stool softener

Levodopa (Larodopa) reduces the rigidity and tremors, which facilitates mobility for the client
A salem sump tube is inserted for gastric immobility, to drain gastric contents in drug overdosage for gastric lavage or for initial enteral feeding to allow monitoring of feed absorption

Diabetic acidosis - fruity breath odor

Diabetes insipidus (DI) is a condition characterized by excretion of large amounts of severely diluted urine, which cannot be reduced when fluid intake is reduced. It denotes inability of the kidney to concentrate urine.

Dissociative Identity Disorder is a psychiatric diagnosis that describes a condition in which a single person displays multiple distinct identities or personalities, each with its own pattern of perceiving and interacting with the environment

Client receiving cyclophosphamide (Cytoxan) usually develop alopecia four to five weeks after starting treatment

When irrigating the ear, Water that is too cool can elicit dizziness when it comes into contact with the tympanic membrane

Muscle weakness and lethargy are signs of hypokalemia which can occur on the 3rd day after a burn; hypokalemia is caused by diuresis.
Diabetic ketoacidosis is frequently associated with dehydration; fluids should be encourage.

Garamycin (Gentamycin) adverse reaction includes ototoxicity.

Extreme tearing, redness, foreign body sensation are symptoms of viral conjunctivitis; highly contageious; children restricted from school until sympthoms have resulved, 3 - 7 days

Librium (antianxiety) medication is pharmacologically similar to alcohol; is used effectively as a substitute for alcohol in decreasing doses to comfortably and safely withdraw a client from alcohol dependence.

Expectorating thick yellow mucos is indicative of pneumonia.

When administering soapsuds enemas, hold the irrigation set 12-18 inches; too high causes rapid distention and pressure in intestine causing rapid expulsion of solution, poor defecation, damage to mucouse membranes.

Normal potassium is 3.5 - 5.0 mEq/L

Rebound hyperglycemia = Somogyi effect

Meningism is the triad of nuchal rigidity, photophobia (intolerance of bright light) and headache

Placenta produces hormones that make the cells insulin-resistant; as pregnancy progresses, these hormones increases; if insulin requirement is decreased, this indicateds that the placenta is not functioning appropriately

When inserting subclavian triple lumen catheter to be used for TPN, position the client in supine with the client's head low and turned away from the insertion site-- produces dilation of nect and shoulder vessels, amking entry easier and preventing air embolus

Clients with meningitis are placed on droplet for at least 24 hours

Any time the pulse rate drops below the preset rate on the pacemaker, the pacer is malfunctioning; the pulse should be maintained at a minimal rate set on the pacemaker

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