SATA (Select all that applies) Questions in NCLEX 1

1. CERVICAL CA

Risk Factors:

• African- American/ Native women

• Behavior (Sexual promiscuity)

• Chronic instrumentation of cervix

• Disease –STD

• Early age of Sex

• High Parity

• Poor Hygiene

• Low economic status

• Multiple sexual partners

• Partner with Prostate CA

Sx:

• Post-coital bleeding

• Painful sex

• Menstrual irregularities

2. OVARIAN CA

Risk factors:

• Ovarian dysfunction

• Vaginal use of talcum powder

• Alcohol

• Race - White women & family history

• Infertility

• Age - Peak=5th decade of life

• Nulliparity

• Genetic predisposition

3. DM FOOT CARE

• Meticulous care to feet

• Wash feet with warm water not hot & dry

• Can use lotion but No lotion in between toes

• Wear socks to keep feet warm

• Avoid thermal baths, heating pads

• Do not soak feet

• Inspect feet daily

• Do not treat corns, blisters

• Wear loose socks and no barefoot

• Change into clean cotton socks daily

• Break in new shoes gradually

• Use emery board

• Do not smoke

• Do not wear same pair of shoes 2 days in a row

• Check shoes for cracks before using...[cont.]

4. BLOOD TRANSFUSION REACTION

• Transfusion Reactions

Hemolytic Reaction

Allergic Reaction

• Circulatory Overload

• Septicemia

• Iron Overload

• Hypocalcemia

• Disease Transmission

• Hyperkalemia

• Citrate Intoxication

5. HYPERTHYROIDISM

• Soft smooth skin & hair

• Mood swings

• HPN

• Diaphoresis

• Intolerance to heat

• PTU drug to block thyroid synthesis

6. LUNG CA

• Bronchogenic Carcinoma

• 1st leading cause of death

• From asbestos, bacterial invasion, cigarette

• Sx: Nagging cough, hoarseness of voice, dyspnea, diminished breath sounds

7. SX OF PARKINSONS

• Tremors, akinesia, rigidity

• Weakness, “motorized propulsive gait

• Slurred speech, dysphagia, drooling

• Monotonous speech

• Mask like expression

• Teach ambulation modification: goose stepping walk (marching), ROM exercises

• Meds—Artane, Cogentin, L-Dopa, Parlodel, Sinemet, Symmetrel

• Activities should be scheduled for late morning when energy level is highest

• Encourage finger exercises.

• Promote family understanding of disease intellect/sight/ hearing not impaired,

8. ACUTE PANCREATITIS

• Abdominal Pain severe –acute sx

• Complication : Shock,Hypovolemia

• Limited fat & protein intake

9. CAST CARE

Don’t rest on hard surface

Don’t cover until dry 48+ hours

Handle with palms of hands not with fingers

Keep above level of heart

Check for CSM

10. HYDROCEPHALUS

• Anterior fontanel bulges & nonpulsating

• Bones of head separated (cracked pot sound)

• Check for sun-setting eyes

• Increase ICP

• Evidence of Frontal Bossing

• Failure to thrive

• Irritability

• High-pitched cry

[get this widget]