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Monday, October 13, 2008

Nclex RN Review: Passing Nclex

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1. S/S delusional thought patterns => suspiciousness and resistance to therapy

2. Use of neologism (new word self invented by a person and not readily understood by another) =>associated with thought disorders

3. Age and weight are VERY important to know after a child has ingested a toxic substance

4. Child with celiac disease can eat corn, rice, soybeans and patatoes (gluten free)

5. Anaphylactic rx => administer epinephrine first, then maintain an open airway. (Not the other way around)

6. Client with asthma => monitor peak of airflow volumes daily. Pulse ox after!!!!

7. DKA pt => a HCT of 60 (way high...) (extreme dehydration) would be more critical than a pH less than 3! (Fluids first...)

8. Assess for abdominal distention after placement of a VP shunt! (You know why right?)

9. GFR is decreased in the initial response to severe burns, with fluid shift occuring. Kidney fct must be monitored closely or renal failure may follow in a few days

10. Vomiting => metabolic alkalosis (loss of stomach acid content)

11. Diarrhea => metabolic acidosis (loss of bicarbonate)

12. COPD => respiratory acidosis (CO2 retention)

13. Anxious client => hyperventilation can cause respiratory alkalosis. A paper bag will help. (Increase CO2) Right?

14. Client with low H&H after splenectomy => the initial priority is REST due to the inability of RBCs to carry O2

15. Mild to moderate diarrhea in a child => maintain a NORMAL diet with fluids to rehydrate the poor child

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