Tips on NURSING LICENSURE EXAM

Fernando M. Lastrollo Jr

TIPS

COMPLICATIONS

DIETS

Diarrhea

DHN, meta acidosis

AGN

Low Na, low CHON

Leukemia

Infection, bleeding

Addison's

High Na, Low K

Addison's

Shock

Cushing's

Low Na, High K

Cushing's

Fluid overload (anasarca)

Pernicious anemia

Vit B12, monthly injection

Sickle cell anemia

MI, CVD

Sickle cell anemia

High fluids

Valvular disease

CHF

Angina

Low cholesterol

Gouty arthritis

Purine restrictions

ADHD, bipolar

Finger foods

Burns

High CHON, high Cal, high Vit

Bed sores

High CHON, high vit

DM

Well balanced

Dumping syndrome

Low CHO, dry diet, high CHON

Hepatic encephalopathy

Low Chon

Hepatitis

High CHON

Liver cirrhosis

Low chon

Hyperthyroidism

High cal, low residue

Hypothyroidism

Low Cal, low Cholesterol

Hyperparathyroidis m

Low Ca

Cystic Fibrosis

Permanent sterility

Gonorrhea

Pelvic Inflammatory Disease

Herpes and HPV

Cervix Cancer

Kissing's disease

Spleenic rupture

Meningitis

Auditory damage

Pancreatitis

Beta cells destruction

Phenylketonuria and Mental retardation Cretinism Polycythemia vera

MI, CVD

PIH and Preeclampsia

Abruptio placenta

Vomiting

Meta alkalosis

Hypoparathyroidism High Ca Meniere's Dse

Low Na

Cholecystitis

Low fat

Pancreatitis

Low fat

Phenylketonuria

Low phenylalanine

PIH

High CHON

Renal Failure

Low CHON, Na, K

Tonsilitis

Soft diet

Fernando M. Lastrollo Jr

TIPS

BEDSIDE

POSITIONING

Amputation

Tourniquet

AAA

High fowlers

Autonomic dysreflexia

Catheter

Air embolism

Trendelenburg, slightly left

CTT

Clamp, bottle, vasgauze

Appendicitis, unruptured

Position of comfort

CVA

Suction

High fowlers

Parkinson's

Suction

Appendicitis, ruptured Asthma

Orthopneic

Cardiac catheterization

Affected extremity extended

Casting

Elevate extremity

Cleft lip

Opposite side or supine

Cleft palate

Prone

CHF

High fowlers

CVA

Elevated OB or sidelying

Dumping Syndrome

Supine after meals

GERD

Upright position

Epistaxis

Leaning forward

Flail chest

Affected side on bed

Hemmoroidectomy

Side-lying

Hip replacement

Abduction of legs

Laminectomy, slip disk

Keep as straight as possible

Liver biopsy

Left during, right after

Lobectomy

Unaffected side down

Pneumonectomy

Affected side down

Lumbar puncture

Knee chest, flat on be dafter

Mastectomy

Elevate affected extremity

Myasthenia Gravis

ET, tracheostomy

Epiglotitis and Croup

ET, tracheostomy

Thyroidectomy

Tracheostomy, Ca

DVT and Ascites

Tape measure

Radium implant

Lead container, forceps

Sengstakenblakemore

Scissors

Tonsilectomy

Flashlight

Tracheostomy tube

Obturator and Hemostat

Fernando M. Lastrollo Jr

TIPS

POSITIONING Placenta previa bleed

Bed rest

Postural drainage

Segment to drain upwards

Prolapsed cord

LABORATORY DATA DM

Hyperglycemia

Hemophillia

Prolonged bleeding time

Hepatic encephalopathy

High BUN

Knee chest

Pulmonary edema

High fowlers

Hyperthyroidism

High T3, T4

Pyloric stenosis

Right side-lying

Hypothyroidism

Low T3, T4

Seizure

Side-lying, prone

Shock

Trendelenburg

Thrombophlebitis

Elevate extemity

Varicose veins

Elevate extemity

Thyroidectomy Tracheoesophageal fistula

Hypoparathyroidism Low Ca Hyperparahyroidism High Ca Liver cirrhosis

High SGPT, SGOT

Multiple myeloma

Low WBC, RBC, Platelet, High Ca

No flexion or hyperextension

MI

High Troponin, CK, LDH, SGOT

Upright

Pancreatitis

Hyperglycemia, high amylase

Polycythemia vera

High RBC

Renal failure

High BUN, Creatinine, Na, K, low Ca

LABORATORY DATA AGN

High ASO titer, BUN, creatinine

Leukemia

High WBC, low RBC and Platelet

Rheumatic Heart Dse

High ASO titer

Addison's

Low Na, glucose, high K

Meta acidosis

Low pH, low bicarbonate

Cushing's

High Na, glucose, low K

Meta alkalosis

High pH, high bicarbonate

HIV

(+) Elisa and western blot

Resp acidosis

Low pH, high CO2

Resp alkalosis

High pH, low CO2

Gouty arthritis

High uric acid

Rheumatoid arthritis High RF and ANA, high ESR Prostate cancer

High PSA

Colorectal cancer

High CEA

Cystic fibrosis

High NaCl on sweat

Fernando M. Lastrollo Jr

TIPS

HISTORY

INITIAL MANIFESTATION

AAA

Hypertension

Laryngeal cancer

Hoarseness

AGN

Sorethroat

Cataract

Blurred vision, glare

AIDS HIV

Multiple sexual partners

CHF

Dyspnea or edema

Breast cancer

1st child after 35

Congenital hip dislocation

Affected leg shorter

Cervical cancer

Herpes or HPV

Cystitis

Laryngeal cancer

Smoking, teacher

Burning upon urination

Cystic fibrosis / hirchsprung's

Meconium ileus

DM

Polyuria, polydpsia

GBS

Clumsiness

Cholecystitis

Intolerance to fatty foods

MS

Diplopia

Liver cirrhosis and Pancreatitis

Alcoholism

MG

Muscle weakness

Liver Failure

Personality change

PID

STD GERD

Heartburn after eating

Hypocalcemia

Tingling and muscle twitch

Hypokalemia

Parasthesia

Hypoxia

Restlessness

High ICP

Wide pulse pressure

Meniere's

Vertigo

Parkinson's

Pill rolling

Retinal detachment

Visual floaters

Tardive dyskinesia

Lip smacking

RHD

Sore throat

INITIAL MANIFESTATION AGN

Edema, tea colored urine

Alzeimer's

Memory loss, forgetfullness

Anemia

Fatigue

Sickle cell

Growth retardation

Angina

Chest pain

Arthritis

Morning stiffness

BPH

Low force and flow of urine

Bladder cancer

Painless hematuria

Breast cancer

Lump or mass

Cervical cancer

Painless vaginas bleeding

Esophageal cancer

Dysphaia