NCLEXreviewers part 3

Created by NCLEX-RN2012 

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L/S ratio

the ratio of lecithin phosphatidyl choline to sphingomyelin, a bench parameter used to determine infant lung maturity and predict the infant's ability to survive without developing respiratory distress.

fetal lungs

___ are considered to be mature when the L/S ratio reaches 2:1; twice as much lecithin as sphengomyelin, done w/an amniocentesis.

hypersomnolence

sleep disorders consisting of need for excessive amounts of sleep or causing extreme drowsiness when awake

ascites

accumulation of serous fluid in peritoneal cavity

osteogenesis imperfecta

...

Parkland formula

According to the ___ for a burn victim who is recieving IV therapy of lactated Ringer's, states he needs to recieve 3/4ths of calculated fluid volume w/in 16hrs of the burn injury and the remain 1/4th of volume should infuse over the last 8 hrs.

obesity

Obstructive biliary tract disease and gallbladder disease are often assoc w/___.

diabetes insipidus

The client w/craniocerbral trauma is at risk for ___ due to trauma of the pituitary gland and would show s/s of a decreasing specific gravity of 1.004 to confirm this.

ventriculoperitoneal shunt

A ___ is used to remove excess cerebrospinal fluid from the ventricles of the brain in clients w/hydrocephalus. The presence of cerebrospinal fld would indicated by a positive glucose.

ominous

(adj.) unfavorable, threatening, of bad omen

Cushing's disease

The primary nursing dx for the client with ___ is Potential for Infection since elevated levels of cortisol can suppress the inflammatory response.

chocolate pudding and gelatins

The Dr ordered a urine speciman for vanillymandelic acid (VMA) levels (a test done to detect pheochromocytoma, an adrenal tumor) in a client w/severe hypertension. Which foods would interfere w/ VMA test results?

pheochromocytoma

a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine , which is usually benign and characterized by hypertension, headaches, palpitations, diaphoresis, chest pain, and abdominal pain; surgical removal of the tumor is the most common treatment; can be fatal if untreated

adrenal tumor

Vanillymandelic acid is a test done to detect pheochromocytoma, an ___ that often leads to malignant hypertension. Collection of a 24-hr urine is required for a VMA level. Coffee, tea, bananas, cocoa & vanilla products, ASA, and meds containing ASA should be eliminated for 2 days before the test, as well as the day of the test.

baked fish, peas, carrots, sponge cake and skim milk

Which of the following selections would be best for the client w/gallbladder disease?

Kaposi's sarcoma

___ lesions are multifocal leasions w/reddish purple discoloration or nodules that commonly appear on the lower fornix or eyelid.

cytomegalovirus retinitis

Retinitis and vasculitis, with lesions that produce widespread destruction of retinal and choroidal structures. Virus infection: occurs in infants and immunosupressed adults, as in AIDS.

entropion

inward turning of the rim of the eyelid

retinitis pigmentosa

Progressive disease of the eye that results in the retina becoming hard (sclerosed), pigmented (colored), and atrophied (wasting away). There is no known cure for this condition, a progressive degeneration of the retina that affects night and peripheral vision.

hyperventilation

A client admitted w/a severe head injury following an MVA is placed on a ventilator and ___ is maintained. The primary reason for maintaining ___ is to promote cerebral vasoconstriction and decrease cerebral blood flow.

rales

adventitious breath sounds

congestive heart failure

A client is recieving blood and develops adventitious breath sounds. The nurse knows to report this immediately as this can indicate the development of ___.

cystic fibrosis

Clients with ___ are unable to absorb fat-soluble vitamins. Water-soluble preparations of the fat-soluble vitamins are given dly.

papule

A solid mass, small, elevated skin lesion on the skin up to 0.5 cm - 1.0cm in diameter [e.g., a nevus (mole)]

macule

flat, discolored area that is flush with the skin; birthmark or freckle

plaque

A dry lesion.

wheal

Superficial, raised, transiet, and erythematous; slightly irregular shape due to edema (fluid in the tissue) or could be well-circumscribed lesion. Ex: mosquito bite, allergic reaction, dermographism

renal agenesis

interruption in the normal development of the kidney resulting in absence of the kidney; may be unilateral or bilateral

oligohydraminios

___ is the situation of lower-than-normal amounts of amniotic fluid. The obstetric client is determined to have ___, which fetal anomaly is assoc w/this condition?

pupils are constricted

A client is admitted to the ER w/reported heroin intoxication. Which of the following signs is consistent w/opiate use?

pupils dilated

A client is admitted to the ER w/opiate overdose. The nurse knows that because the ___ that this is the results of cerbral anoxia.

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