RN Comprehensive Predictor 2023 Review

Comprehensive practice flashcards covering medical-surgical nursing, pediatrics, obstetrics, and mental health based on the RN Comprehensive Predictor 2023 exam materials.

Abdominal Assessment Sequence

The nurse should perform the physical examination steps in the following order: Inspection, Auscultation, Percussion, and Palpation (the final step).

Intussusception

A pediatric condition characterized by intermittent severe abdominal pain (causing the child to draw their knees to their chest), a palpable oblong mass in the right upper quadrant, and stools containing blood and mucus.

Opioid Intoxication

Clinical findings include shallow breaths, slurred speech, confusion, and pupillary constriction; treated with naloxone.

Newborn Hypoglycemia Risk Factors

Risk factors include prematurity, maternal diabetes, and hypothermia.

Heart Failure Assessment Findings

Common clinical signs include the presence of an $S3$ gallop, bilateral lung crackles, and $+3$ bilateral lower extremity edema.

Hypernatremia Treatment

The nurse should plan to administer a hypotonic IV solution, such as $0.45\%$ sodium chloride.

Morphine Toxicity

A life-threatening complication characterized primarily by bradypnea (respiratory depression).

Coarctation of the Aorta

A congenital heart defect where an expected clinical finding is weak femoral pulses compared to upper extremity pulses.

Increased Intracranial Pressure (ICP) Interventions

Nursing actions include providing a quiet environment, maintaining the head of the bed at a $30$ degree angle, and administering stool softeners to prevent straining.

Warfarin Monitoring

The laboratory test used to determine if the dose of this medication is within the recommended target range is the INR.

Varicella School Re-entry

A child with varicella can return to school once the lesions have crusted over.

Pulmonary Artery Wedge Pressure (PAWP)

An elevation in this pressure measurement is an indicator of left ventricular failure.

Narcissistic Personality Disorder

A personality disorder characterized by a preoccupation with aging and a need for admiration.

Patient Self-Determination Act

A law stipulating that a client has the right to refuse medical treatment, even if it is recommended by health care providers.

Nitroglycerin Topical Ointment

Instruction for application includes spreading the ointment in a thin, even layer rather than massaging it into the skin.

Laparoscopic Cholecystectomy Postoperative Care

To alleviate abdominal distention caused by carbon dioxide use during surgery, the nurse should assist the client to ambulate.

Preeclampsia Findings

Expected findings include increased protein in the urine, severe headache, and facial/extremity edema.

Endometritis

A postpartum infection characterized by uterine tenderness, a fever (e.g., $38.2^{\circ} C$), and moderate amounts of foul-smelling lochia.

Magnesium Sulfate Toxicity Antidote

The nurse should administer calcium gluconate IV if the client displays signs of magnesium toxicity.

Compartment Syndrome Early Indicator

The child is at highest risk if they report paresthesia, such as a mild "tingling" sensation in the affected limb.

Post-Tonsillectomy Hemorrhage

A frequent clinical sign indicating bleeding is frequent swallowing or clearing of the throat by the child.

Pulse Deficit Measurement

Determined by measuring the client's apical pulse while another nurse simultaneously measures their radial pulse.

Disulfiram

An alcohol use disorder medication that requires the client to avoid all over-the-counter medications or products containing alcohol.

Latex Allergy Cross-Reactivity

Individuals with this allergy should avoid specific foods including bananas, kiwi, and chestnuts.

Acute Chest Syndrome

In clients with sickle-cell anemia, manifestations such as substernal retractions indicate this life-threatening complication.