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Monday, June 23, 2008

Kaplan NCLEX Trainer Notes 2

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Hemophilia is a sex-linked disorder. A mother who is a carrier has a 50% chance of passing the faulty X chromosome to her daughter, while an affected father will always pass on the affected gene to his daughters. A son cannot inherit the defective gene from his father.

There are two main types of hemophilia. If you have hemophilia A, you have little to no clotting factor VIII (8). About 9 out of 10 people with hemophilia have type A. If you have hemophilia B, you’re missing or have low levels of clotting factor IX (9).

Pincher grasp present at nine months of age

Posterior fontanels closed by two to three months

Phobias involves projection and displacement.

An infant with fetal alcohol syndrome will have a small head circumference, low birth weight and underveloped cheekbones.
Hydromorphone hydrochloride (Dilaudid) is a narcotic analgesic used for moderate to severe pain, monitor vital signs frequently.

Chlorpromazine hydrocloride (Thorazine) extrapyramidal side effects includes akathisia (motor restlessness), dystonias (protrusio of tongue, abnormal posturing), pseudoparkinsonism (tremors, rigidity), dyskinesia (still neck, difficulty swallowing)

1 grain (gr) = 60mg

Right upper quadrant pain to diagnose cholecyctitis

Tremors, elevated temperature and pain symptoms are indicative of an alcohol-related problem

Long term use of ceftriaxone sodium (Rocephin) can cause overgrouth of organisms; monitoring of tongue and oral cavity is recommended.
Client with hypothyroidism are very sensitive to narcotics, barbiturates and anesthetics

When performing a Rinne tests, the stem of a vibrating tuning fork is held against the mastoid bone until the child indicates that she can no longer hear the sound. Then the tuning fork is moved in front of the auditory canal.

Clomiphene citrate (Clomid) induce ovulation by changing hormonal effects n the ovary. It alters estrogen and stimulating follicular growth to produce a mature ovum.

Naproxen sodium (Naprosyn) is an NSAID used as analgesic; side effects include headache, dizziness, GI distress, pruitus and rash. Assess the patient for fluid retention and dizziness.

Cortisol is responsible for converting proteins and fat into glucose; is also an antiflamatory agent.

Verapamil (Isoptin) is indicated for the treatment of supraventricular tachycardias, so the client's heart rate should be checked prior to administration

Breastfeeding mothers are advice to increase their caloric intake because milk productions requires an increase of 500 calories per day.

Digoxin increases the force of myocardial contraction.

Pacemaker increase the cardiac output; acts to regulate cardiac rhythm.

Quinidine prevent premature ventricular contractions (PVCs); antiarrhythmics

Lasiz prevent systemic overload; diuretics

With lead poisioning, milk provides a large amount of vitamin D; vitamin D optimizes depoosition of lead in the long bones; purpoase of the treatment is to remove lead from the blood and soft tissues.

An intravenous pyelogram (IVP) is an x-ray examination of the kidneys, ureters and urinary bladder that uses contrast material.

SIDS is a support group of parents who have had an infant die from sudden infant death syndrome

SHARE is a support group for parents who have lost a newborn or have experienced a miscaarriage

RESOLVE is a support group for infertile clients

CANDLELIGHTERS is a support group for families who have lost a child to cancer

Accurate intake and output is the best indicator for fluid status.

Taken from Kaplan NCLEX Training Explanation 1

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