NCLEX study from Mark Klimek
Study online at https://quizlet.com/_caruc
1. Hyperthyroidism is also called: Grave's disease or hypermetabolism
2. Tip to remember Grave's disease s/s's: "Run yourself into the Grave" - everything is up ... diarrhea,
thin, hot, high BP, high HR, cold tolerance, hot intolerance
3. Treatment for Grave's disease: Radioactive Iodine, PTU (put thyroid under), surgically remove
4. Total thyroidectomy ... totals get: tetany, need lifelong hormone replacement
5. After thyroidectomy patients are at risk for: hypocalcemia, remember hypocalcemia is opposite
of the prefix and anything to BP so tetany, parasthesia
6. parathesia: numbness and tingling, first sign of electrolyte imbalance
7. Subtotal thyroidectomy ... subs get: storm
8. S/S of thyroid storm: Extremely high vital signs, hyperpyrexia, psychotic delerium
9. How to treat thyroid storm: give o2, lower temp to spare brain
10. Risks post op for total thyroidectomy: airway, hemorrhage for 1st 12 hours then for 12-48 hours
hypocalcemia leading to tetany
11. Risks post op for sub total thyroidectomy: airway, hemorrage for 1st 12 hours then for 12-48
hours thyroid storm
12. Hypothyroidism is also called: Myxedema or hypometabolism
13. S/S of mydexema: everything is down, constipation, heat tolerance, cold intolerance
14. Treatment for mydexema: give thyroid medications
15. Where to put the 5 ice packs to cool a thyroid storm patient: neck pits groin
16. If you cool a patient too fast what might happen?: Heart arrythmias
17. Never hold the hormone for what patient?: patient who is NPO with mydexema
18. Addison's disease easy way to remember: Add a Sone (sone = steroid)
19. Adrenal Cortex diseases easy way to remember: A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
20. Addison's disease is: undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock
very easily. STRESS can trigger.
21. Addison's disease treatment: give a steroid, chronic steroid therapy
22. Cushing's syndrome: Over secretion of adrenal cortex, too much hormone, too much steroid.
23. S/S of Cushing's syndrome: same as steroid use ... moon face, think cushman "I'm mad I have an
infection", high blood sugar, losing Potassium,
24. Treatment for Cushing's syndrome: Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
25. Donning PPE's order: Gown, Mask, Goggles, Gloves
, NCLEX study from Mark Klimek
Study online at https://quizlet.com/_caruc
26. Removing PPE's order: alphabetically inside the room
27. For airborne precautions the mask is removed where?: outside of the room
28. Avoid answers with what words for children 9 mths and younger?: build, sort,
stack, construct, make
29. Toddlers (1-3) work on: their gross motor skills (jump, hop, throw), NO fine motor, parallel play
30. Preschoolers (3-6) work on: fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
31. School age (7-11) work on: creative, collect, competitive
32. Best default order for click and drag order questions?: Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
33. Rarely if ever answer ...: call Doctor, NCLEX wants you to think critically
34. Creatinine lab values: same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about
35. INR lab values: 2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold
all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify
36. Potassium lab values: 3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare
to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
37. pH lab values: 7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes so goes the
patient
If bad vitals, call rapid response team
38. BUN lab values: 8-30 check for dehydration if elevated not a big deal, just be concerned
39. If a deadly or dangerous lab value is discovered AND they have symptoms
call the: rapid response team!
40. HgB lab values: 12-18 check for bleeding if low or high, if low prepare for tranfussion
41. HCO3 lab values: 22-26 if it is abnormal so what!
42. CO2 lab values: 35-45 if in the 50's assess respiratory status and have patient do pursed lip breathing, if in
60's considered deadly and respiratory failure, need intubated
43. Hct lab values: 36-54 thickness of blood if abnormal not too big of a deal, assess for dehydration
44. PO2 lab values: 78-100 this is only obtained from an ABG if low give O2 but if really low it is respiratory
failure give O2, prepare for intubation, call resp therapy and call Dr
Study online at https://quizlet.com/_caruc
1. Hyperthyroidism is also called: Grave's disease or hypermetabolism
2. Tip to remember Grave's disease s/s's: "Run yourself into the Grave" - everything is up ... diarrhea,
thin, hot, high BP, high HR, cold tolerance, hot intolerance
3. Treatment for Grave's disease: Radioactive Iodine, PTU (put thyroid under), surgically remove
4. Total thyroidectomy ... totals get: tetany, need lifelong hormone replacement
5. After thyroidectomy patients are at risk for: hypocalcemia, remember hypocalcemia is opposite
of the prefix and anything to BP so tetany, parasthesia
6. parathesia: numbness and tingling, first sign of electrolyte imbalance
7. Subtotal thyroidectomy ... subs get: storm
8. S/S of thyroid storm: Extremely high vital signs, hyperpyrexia, psychotic delerium
9. How to treat thyroid storm: give o2, lower temp to spare brain
10. Risks post op for total thyroidectomy: airway, hemorrhage for 1st 12 hours then for 12-48 hours
hypocalcemia leading to tetany
11. Risks post op for sub total thyroidectomy: airway, hemorrage for 1st 12 hours then for 12-48
hours thyroid storm
12. Hypothyroidism is also called: Myxedema or hypometabolism
13. S/S of mydexema: everything is down, constipation, heat tolerance, cold intolerance
14. Treatment for mydexema: give thyroid medications
15. Where to put the 5 ice packs to cool a thyroid storm patient: neck pits groin
16. If you cool a patient too fast what might happen?: Heart arrythmias
17. Never hold the hormone for what patient?: patient who is NPO with mydexema
18. Addison's disease easy way to remember: Add a Sone (sone = steroid)
19. Adrenal Cortex diseases easy way to remember: A in Adrenal stands for Addison's
C in Cortex stands for Cushing's
20. Addison's disease is: undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock
very easily. STRESS can trigger.
21. Addison's disease treatment: give a steroid, chronic steroid therapy
22. Cushing's syndrome: Over secretion of adrenal cortex, too much hormone, too much steroid.
23. S/S of Cushing's syndrome: same as steroid use ... moon face, think cushman "I'm mad I have an
infection", high blood sugar, losing Potassium,
24. Treatment for Cushing's syndrome: Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
25. Donning PPE's order: Gown, Mask, Goggles, Gloves
, NCLEX study from Mark Klimek
Study online at https://quizlet.com/_caruc
26. Removing PPE's order: alphabetically inside the room
27. For airborne precautions the mask is removed where?: outside of the room
28. Avoid answers with what words for children 9 mths and younger?: build, sort,
stack, construct, make
29. Toddlers (1-3) work on: their gross motor skills (jump, hop, throw), NO fine motor, parallel play
30. Preschoolers (3-6) work on: fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
31. School age (7-11) work on: creative, collect, competitive
32. Best default order for click and drag order questions?: Hold ..... med
Assess ..... what med does
Prepare ...... the correction
Call ..... or notify
33. Rarely if ever answer ...: call Doctor, NCLEX wants you to think critically
34. Creatinine lab values: same as lithium 0.6-1.2 Not a huge worry, not a dangerous lab to worry about
35. INR lab values: 2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold
all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify
36. Potassium lab values: 3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare
to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!
37. pH lab values: 7.35-7.45 if pH is in the 6;s VERY dangerous remember as the patient's pH goes so goes the
patient
If bad vitals, call rapid response team
38. BUN lab values: 8-30 check for dehydration if elevated not a big deal, just be concerned
39. If a deadly or dangerous lab value is discovered AND they have symptoms
call the: rapid response team!
40. HgB lab values: 12-18 check for bleeding if low or high, if low prepare for tranfussion
41. HCO3 lab values: 22-26 if it is abnormal so what!
42. CO2 lab values: 35-45 if in the 50's assess respiratory status and have patient do pursed lip breathing, if in
60's considered deadly and respiratory failure, need intubated
43. Hct lab values: 36-54 thickness of blood if abnormal not too big of a deal, assess for dehydration
44. PO2 lab values: 78-100 this is only obtained from an ABG if low give O2 but if really low it is respiratory
failure give O2, prepare for intubation, call resp therapy and call Dr
