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Thursday, June 26, 2008

Kaplan NCLEX Trainer Notes 3

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Women need 1200-1500 kcal/day (men need 1500-1899 kcal/day); women need 15mg/day of iron (men need 10mg/day); with pregnancy 30mg required

Hemolytic reaction when tranfusing blood includes chills, headache, backache, dyspnea, cyanosis, chest pains, tachycardia, and hypotension.

Glycosylated Hemoglobin assay (BhA1c) test indates how well blood suger has been controlled during the past 6-8 weeks.

Primary goal of a reminiscing group for geriatric clients is to review and hsare their live experiences with the group members.

Symptoms associated with hypercalcemia are constipation, decreased reflexes, decreased muscle strength.

Miller-Abbott tube provides intestinal decompression; intestinal tube is often used for treatment of paralytic ileus

Promethazine hydrocloride (Phenergan) - nurse should check patency of the patient's vein; extravasation will cause necrosis.

Buerger's disease - digital sensitivity to cold; vasculitis of blood vessels in upper and lower extremities.

Continuous bladder irrigation (CBI) is necessary because it enables urine to keep flowing; prevents formation of clots that can lead to obstruction and spasm in the postoperative TURP client.
Pain related to a gastric ulcer occurs about one-half to one hour after a meal and rarely at night; is not helped by ingestion of food

To auscultate patient's right middle lobe (RML), RML is found in the right anterior chest between the fourth and sixth intercostal spaces.
Characteristics of Mania --- agitation, grandiose delusions, euphoria, difficulty concentrating

Characteristics of Sxhizonphrenia -- Paranoia, hallucinations, disturbed thought processes, hypervigilance.

Meniere's disease - Stand in front of the patient so that the client does not have to turn her head to see the nurse; by decreasing movement of the client's head, vertigo attacks may be decreased.

Use standard precautions is method of transmission is saliva, feces and blood; use contact isolation if fecal incontinence.

Play theraphy is suggested for children undergoing a stressful event because they have diffulty putting feelings into words; play is how they express themselves.

Normal PT 11-15 sec, normal Hgb male : 13.5-17.5 g/dl, female: 12-16 g/dl

Normal BUN 10-20 mg/dl, normal creatine 0.6-1.2 mg/dl

Normal Ca+ 4.5-5.3 mEq/L

Normal AST (SGOT) 8-20 U/L, normal ALT (SGPT) 8-20 U/L

Fluid challenge test is used to rule out dehydration as the cause of oliguria. Expected response after a fluid challenge on normally functioning kidneys is an increase in urine output; will occur if low urine output is due to dehydration; if it is due to acute renal failure, there will continue to be oliguria.

Normal specific gravitity is 1.010-1.030

Chlorpromazine (Thorazine) medication is contraindicated for the treatment of alcohol withdrawal symptoms; medication will lower client's seizure threshold and BP, causing potentially serious medical consequences.

Low intestinal obstruction, nurse would anticipate that the client's abdomen will be distended, nausea, vomiting; no stool, as motility distal to (below) the obstruction would cease

Why are we not using beef or pork insulin and only human insulin? Human insulin does nto cause the formation of antibodies because the protein structure is identical to your own.
Approx. 65% of AIDS clients demonstrate a progressive dementia staged according to severity of debilitation; late stage ois typified by cognitive confusion and disorientation.

Two major side effects of haloperidol (Haldol) is hematologic problems primarily blood syscrasia and extrapyramidal symptom (EPS)

Taken from Kaplan Nclex Trainer Explanation Test 2

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