Complete Hurst Packet

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TABLE OF CONTENTS


Fluids and Electrolytes…………………………………………………………… 3

Acid-Base Balance……………………………………………………………….. 13

Burns………………………………………………………………….………….. 16

Oncology………………………………………………………………..………… 22

Endocrine…………………………………………………………………..…….. 38

Cardiac…………………………………………………………………..……….. 52

Psychiatric Nursing…………………………………………………………….. 71

Gastrointestinal………………………………………………………………….. 92

Neuro……………………………………………………………………………... 104

Maternity Nursing………………………………………………………………. 114

Respiratory………………………………………………………………..……… 139

Orthopedics………………………………………………………………………. 144

Renal……………………………………………………………………………… 150

Questions…………………………………………………………………………. 158

Final Thoughts…………………………………………………………………… 178

Evaluations………………………………………………………………………… 186

Table of Contents for CD…………………………………………………………..188

Pediatric……………………………………………………………………………..189




Hurst Review Services 1

,Hurst Review does not condone the discussion of the NCLEX-RN exam post-
test. Thank you.



NOTICE TO FACULTY

All materials used during any Hurst Review Services seminar are copyrighted
and are not for use without the sole permission of Marlene Hurst in any form or
fashion.

This material is not intended for lecture use by any School of Nursing without
permission.


NOTICE TO STUDENTS

If you are a student who has obtained this book from a past participant of my
workshops . . . . .SHAME, SHAME, SHAME!!!

Please understand that this book is written to accompany the live or video
lectures presented in the class itself or my Internet Tutorials.

This book is only an outline of what is needed to pass NCLEX.

I hope you will join me in a live or video class or on the Internet to reap the
full benefits of my materials.

General Class Information

- Please turn off ALL cell phones and pagers.

-This class MAY NOT be recorded in any manner.
(This included tape recording or videoing.)

-Class Time: 8AM-4PM
* Please note that each class is presented in a particular sequence if your
instructor completes the material for that day, you may get out prior to 4 PM.




Hurst Review Services 2

, FLUID VOLUME EXCESS: HYPERVOLEMIA

Define: too much volume in the __________________ _________________

l. Causes:


a. CHF: heart is__________, CO__________, decreased__________ perfusion, UO__________
*the volume stays in the _________________ _______________

b. RF: Kidneys aren't____________________

c. Alkaseltzer

Fleets enemas All 3 have a lot of_______________

IVF with Na

d. Aldosterone (steroid, mineralocorticoid)

Where does aldosterone live?

-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume ______

** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1._________________________
2._________________________

**Disease with too little aldosterone:
1._________________________




Hurst Review Services 3

, e. ADH (anti-diuretic hormone)

Normally makes you retain or diurese?

Retain? _________________________

2 ADH problems

Too Much Not enough


Retain Lose (diuese)


Fluid Volume _________ Fluid Volume __________


SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus


Urine Urine


Blood Blood

*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down

ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head
injury, sinus surgery, transphenoidal hypophysectomy

*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin
or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.




Hurst Review Services 4