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Odds and ends one should know

  1. What is the therapeutic level of:
    digoxin?
    0.5 - 2.9 ng/ml
  2. What is the therapeutic level of:
    lithium?
    0.8 - 1.4 mEq/L
  3. What is the therapeutic level of:
    dilantin?
    10 - 20 mcg/dl
  4. What is the therapeutic level of:
    theophyline?
    10 - 20 mcg/dl
  5. What is the therapeutic level of:
    magnesium sulfate?
    4 - 8 mEq/dl
  6. What is the normal range for an adult heart rate, at rest?
    60 - 100 bpm
  7. What is the normal range for a newborn heart rate?
    120 - 160 bpm
  8. What is the normal range for an adult respiratory rate?
    12 - 20 respirations per minute
  9. What is the normal range for an adult blood pressure?
    110 - 120/60 - 90
  10. What is the normal range for a newborn blood pressure?
    65/41
  11. What is the normal range for temperature?
    • 98.6° F - 100.4° F
    • 36° C - 38° C
  12. The antidote for warfarin is __________.
    vitamin K (aquamephyton)
  13. The therapeutic range for coumadin (warfarin) is....
    1.5 - 2 times the control for PT, PTT tests
  14. International normalizing ratio (INR) should be 1 - 2 prior to medication.  What should it be after medication?
    2 - 3
  15. The antidote for heparin is....
    protamine sulfate.
  16. When taking levenox (enoxaparin), check the....
    platelat count
  17. The amount of amniotic fluid just before birth is....
    500 - 1200 mL
  18. Defense mechanisms often used by clients during stressful situations:
    compensation
    devlop attributes to take the place of more desirable ones
  19. Defense mechanisms often used by clients during stressful situations:
    conversion reaction
    emotional distress triggers physical symptoms
  20. Defense mechanisms often used by clients during stressful situations:
    denial
    not dealing with an event or feeling
  21. Defense mechanisms often used by clients during stressful situations:
    displacement
    emotions intended for one person are transfered to another person instead
  22. Defense mechanisms often used by clients during stressful situations:
    projection
    attributing one's unacceptable feeling to another person
  23. Defense mechanisms often used by clients during stressful situations:
    rationalizaion
    placing fault on another person to make onself not responsible
  24. Defense mechanisms often used by clients during stressful situations:
    reaction formation
    expressing feelings that are actually the opposite of one's true feelings
  25. Defense mechanisms often used by clients during stressful situations:
    regression
    returning to a previous state of development in order to feel secure
  26. Defense mechanisms often used by clients during stressful situations:
    sublimation
    channeling unacceptable behaviors into acceptable behaviors
  27. Defense mechanisms often used by clients during stressful situations:
    suppression
    consciously forgetting unwanted memories
  28. What is the expected temperature range of a newborn?
    • 36.5° - 37.5° C
    • 97.7° - 99.5° F
  29. Hypothermia...
    body temperature below 35° C (below 95° F)
  30. What is a pulse deficit?
    • A pulse deficit – An apical rate faster than the radial rate.
    • With dysrhythmias, the heart may contract ineffectively, resulting in a beat heard at the apical site with no pulsation fel tat the radial pulse point.
  31. What are we measuring when we measure respiratory rate?
    Ventilation:  The exchange of oxygen and carbon dioxide in the lungs.
  32. What are we measuring when we use a pulse oximetry?
    • Diffusion – The exchange of oxygen and carbon dioxide between the alveoli and the red blood cells.
    • Perfusion – The flow of blood to and from the pulmonary capillaries.
  33. What is the expected respiratory rate of a newborn?
    30 - 60 bpm
  34. If you find your client has hypoxemia (O2 rate below 90%) you should do the following in what order?

    __ Suction as needed and if ordered.
    __ Assess for signs of hypoxemia
    __ Confirm that the sensor probe is properly placed.  Correlate the pulse rate on the oximeter with the client’s radial or apical pulse. Confirm that the oxygen delivery system is functioning and that the client is receivingthe prescribed amount of oxygen.
    __ Remain with the client and provide emotional support to decrease anxiety.
    __ Place the client in semi-Fowler’s or Fowler’s position to maximize ventilation. Encourage deep breathing.  Check for hyperthermia. 
    __ Assess/monitor vital signs. Report significant findings to the provider. 
    • 1.  Confirm that the sensor probe is properly placed.  Correlate the pulse rate on the oximeter with the client’s radial or apical pulse. Confirm that the oxygen delivery system is functioning and that the client is receivingthe prescribed amount of oxygen.
    • 2.  Place the client in semi-Fowler’s or Fowler’s position to maximize ventilation. Encourage deep breathing.
    • 3.  Suction as needed and if ordered.
    • 4.  Assess for signs of hypoxemia.  Check for hyperthermia.
    • 5. Assess/monitor vital signs. Report significant findings to the provider.
    • 6.  Remain with the client and provide emotional support to decrease anxiety.
  35. What is pulse pressure?
    Pulse pressure is the difference between the systolic and the diastolic pressure readings.
  36. Pharmacokinetics refers to ....
    .... how medications travel through the body.
  37. How much fluid is injected for a TB skin test?
    0.1 mL or 5 tubercilin units
  38. What is a positive TB test?
    15 mm in persons with no know risks.
Author
golfdiva
ID
199490
Card Set
Odds and ends one should know
Description
Some other info that is good to know for the nclex
Updated

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