Nle - Cgfns - Nclex Review Materials 1

NLE / CGFNS / Nclex Review Materials 1 1. CERVICAL CANCER 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 CANCER 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 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 • D’ Increase ICP • Evidence of Frontal Bossing • Failure to thrive • Irritability • High-pitched cry