2 Nclex - Lecture notes 2 NCLEX-PN Review (South Texas College)2025/2026

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what does chvostek's and trousseau's sign indicate? hypocalcemia what is the normal breathing sound? vesicular what is the most frequent site of bleeding in hemophilia? joints (causes joint ... destruction) what are the key signs of refeeding syndrome? rapid decrease of phosphorous, potassium, and magnesium normal troponin level <0.1 describe the symptoms of placental abruption abdominal pain, sudden dark-red vaginal bleeding and tachysystole the parkland formula is used to determine amount of fluid resusitation after a burn. What is the formula? 4ml x BSA(% burned) x kg(weight) (1/2 in first 8 hours) why is IVIG given for Kawasaki disease? prevent coronary aneurysms what are the therapeutic level for phenytoin? 10-20 when is cardioversion used? tachydysrhythmias (syncronized) when is pacing used? bradydysrhythmias (used until permanat pacemaker is in place) what are symptoms of hyperthyroidism? weight loss, fever, tachycardia, and sweating what are 5 symptoms of hypothyroidism? cold intolerance, constipation, weight gain, irregular periods, and difficulty concentrating what is a major adverse affect of anticonvulsants? Stevens-Johnson syndrome (rash, muscle/joint pain, or conjunctivitis) when to hold beta-blocker? pulse <60 what drugs end in -etine and -aline SSRIs what are the adverse affects of antibiotics that end in -mycin ototoxic and nephrotoxic benzodiazepines end in what?-pam how can dumping syndrome be prevented? low carb small meals and food and liquids 30 mins apart induration of >15 mm after a TB test indicates what? positive TB test what are 2 major adverse effects of tumor necrosis factor inhibitor? (biologic disease-modifying antirheumatic drugs) immunosuppression and infection what antipsychotic has a huge risk for agranulocytosis? Clozapine Downloaded by Morris Muthii (muthiimorris68@gmail.com) lOMoARcPSD|40307388 when should -Statins be taken? evening with food normal triglyceride levels <150 normal HDL level >60 normal LDL levels <100 how does septic shock differ from severe sepsis? hypotension refractory to fluids what is the criteria for SIRS? hyperthermia or hypothermia, pulse >90, respirations >20 and high WBC why are corticosteroids contraindicated in patients with latent TB? can convert to active TB what foods are high in iron? meat, shellfish, eggs, leafy greens and dried fruit (vitamin c helps with absorption) Elevated lymphocytes are seen when? viral infections and hematologic malignancies Elevated neutrophils are seen when? infection Elevated eosinophils are seen when? allergy a patient with 1 lobe pneumonia should be positioned how? good lung down what is the priority with bacterial meningitis? immediate antibiotic therapy (due to risk for increased ICP) what decreases iron absorption? dairy describe the diet prescribed for patients with ulcerative colitis low-residue, high protein and calorie, vitamins what is a major adverse effect of erythropoietin administration? HTN what is the initial treatment for supraventricular tachycardia? bear down (vagal maneuver) Phenylketonuria (PKU) is a congenital genetic disorder, what should the parents of a child with this be taught? low-phenylalanine diet (fruits and veggies), special formula and no meat, eggs or milk Meconium ileus is a classic symptom of what? cystic fibrosis what is amiodarone used to treat? v tach with a pulse what is adenosine used to treat? supraventricular tachycardia what is dopamine used to treat? symptomatic hypotension what is the only fluid that can be given with a blood transfusion? Downloaded by Morris Muthii (muthiimorris68@gmail.com) lOMoARcPSD|40307388 normal saline what would you hear if a patient had a VSD? holosystolic murmur describe Wernicke aphasia fluent speech, lacks meaning and comprehension describe Broca aphasia comprehend speech but have difficulties speaking what is administered to hyperkalemia patients to prevent life-threatening dysrhythmias and treats hypocalcemia? calcium gluconate Elevated creatine kinase (>15,000) indicates extensive muscle damage, indicating what that leads to kidney injury? Rhabdomyolysis Autonomic dysreflexia occurs with spinal injuries above what level? T6 what nutrient decreases chance for neural tube defects in pregnant women? folic acid (leafy greens and fortified cereals) what drug class should be avoided in the 3rd trimester, as it can cause premature closure of the ductus arteriosus? NSAIDs Bubbling is seen in which chamber of a chest tube drainage system would indicate a leak? water seal chamber where should there be continuous bubbling on a chest tube drainage system? suction control chamber what is the best indicator of adequate fluid resuscitation? urine output describe tasks that can be delegate to an LPN? (5) routine meds, ostomy care, focused assessments, monitoring RN findings and enteral feedings what is a priority assessment with a patient in Bucks traction? circulation and skin assessment every 2 hours what are 3 lab results indicating a sickle cell crisis? hemoglobin <10, elevated bilirubin and reticulocytes what are 4 common side effects of an ACE inhibitor (-pril)? dry cough, reflex tachycardia, increase potassium and angioedema what is the only type of insulin that can be given IV push? regular insulin what is the herbal supplement saw palmetto used for? BPH which 4 herbal supplements can increase bleeding risk? gingko biloba, ginseng, ginger and garli [Show More]

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