Pathophysiology

Disease-by-disease nursing priorities, labs that flag it, expected meds, complications, teaching.

116 posts

Patho

Burns: NCLEX Priorities

Rule of nines, Parkland formula, phases of burn care, and why airway comes first.

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Spinal Cord Injury and Autonomic Dysreflexia on the NCLEX

Injury levels and function, neurogenic shock, and the autonomic dysreflexia emergency sequence.

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Compartment Syndrome on the NCLEX

The 6 Ps, pain out of proportion, positioning, and the fasciotomy window.

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Fat Embolism vs Pulmonary Embolism on the NCLEX

Petechiae, timing after long-bone fracture, and why the treatments differ.

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Traction and Cast Care on the NCLEX

Skin vs skeletal traction, weights hang free, neurovascular checks, hot spots.

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Hip Replacement Precautions on the NCLEX

Posterior precautions: no flexion past 90, no crossing, no internal rotation. Abduction pillow.

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Osteoporosis on the NCLEX

Risk factors, T-scores in plain language, bisphosphonate teaching, fall prevention.

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Gout on the NCLEX

Acute vs chronic management, colchicine and allopurinol timing, diet triggers.

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Rheumatoid Arthritis vs Osteoarthritis on the NCLEX

Symmetry, morning stiffness duration, systemic signs, and the med ladder for each.

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Lupus (SLE) on the NCLEX

Findings, flares, sun protection, medication overview, pregnancy considerations.

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Meningitis: NCLEX Priorities

Bacterial vs viral, Kernig and Brudzinski signs, droplet precautions timing, LP care.

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Bell's Palsy vs Stroke on the NCLEX

The forehead rule, eye care, and honest reassurance.

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Glaucoma vs Cataracts on the NCLEX

Open vs closed angle, eye drop teaching, and the post-op cataract rules.

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Meniere's Disease and Vertigo on the NCLEX

The triad, the low-salt diet, fall safety during attacks, med basics.

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BPH and TURP on the NCLEX

CBI management, expected vs emergency bleeding, and TURP syndrome basics.

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Appendicitis and Peritonitis on the NCLEX

McBurney's point, rebound tenderness, why no heat or enemas, rupture signs.

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SIADH vs Diabetes Insipidus on the NCLEX

The classic water-balance comparison: labs, urine, and treatment of each.

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Thyroid Storm vs Myxedema Coma on the NCLEX

The two thyroid emergencies: triggers, findings, and priority order for each.

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Alcohol Withdrawal and CIWA on the NCLEX

Withdrawal timeline, CIWA scoring, benzodiazepines, thiamine before glucose.

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Opioid Withdrawal on the NCLEX

COWS scoring, symptoms vs alcohol withdrawal, MAT with methadone and buprenorphine.

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Delirium vs Dementia on the NCLEX

Onset, course, attention, reversibility: the classic comparison, plus nursing priorities.

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Eating Disorders on the NCLEX

Anorexia vs bulimia findings, refeeding syndrome, meal supervision rules.

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PTSD on the NCLEX

Symptom clusters, grounding during flashbacks, nursing approach, medication overview.

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Personality Disorders on the NCLEX

Clusters A, B, C, borderline splitting, staff consistency, boundary setting.

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Serotonin Syndrome vs NMS on the NCLEX

Cause, onset, clonus vs rigidity, and treatment for the two hyperthermic drug emergencies.

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Autism and ADHD on the NCLEX

School-age presentations, care approaches, stimulant basics.

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Preterm Labor on the NCLEX

Preterm labor risk factors, tocolytic drugs and their cautions, and why betamethasone matters.

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PROM vs SROM on the NCLEX

Rupture of membranes: PROM, PPROM, and SROM, nitrazine and fern testing, infection surveillance, and cord prolapse risk.

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Placenta Previa vs Abruption on the NCLEX

Painless vs painful bleeding, why previa forbids vaginal exams, and the nursing priorities for each.

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Newborn Jaundice and Phototherapy on the NCLEX

Physiologic vs pathologic jaundice, kernicterus risk, and the phototherapy nursing care checklist.

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Hyperemesis Gravidarum on the NCLEX

Hyperemesis vs morning sickness, the electrolyte pattern, and nursing care priorities.

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Pyloric Stenosis on the NCLEX

Projectile nonbilious vomiting, the olive mass, hypochloremic metabolic alkalosis, and pyloromyotomy care.

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Intussusception on the NCLEX

Currant jelly stools, sausage-shaped mass, episodic pain, and the air enema that both diagnoses and treats.

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Kawasaki Disease on the NCLEX

CRASH and burn findings, IVIG plus aspirin treatment, and why coronary aneurysms drive everything.

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Febrile Seizures on the NCLEX

Simple versus complex criteria, what parents should and should not do, and the reassurance script.

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Otitis Media on the NCLEX

Acute otitis media findings, antibiotic decisions, tympanostomy tubes, and the parent teaching that prevents it.

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Hirschsprung Disease on the NCLEX

No meconium in 48 hours, ribbon stools, enterocolitis danger, and pull-through surgical care.

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Cleft Lip and Palate on the NCLEX

Feeding techniques, repair timing, post-op positioning, and protecting the suture line.

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Spina Bifida on the NCLEX

Occulta vs meningocele vs myelomeningocele, pre-op sac care, the latex allergy link, and folic acid prevention.

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Hydrocephalus and VP Shunts on the NCLEX

Increased ICP signs by age, post-op shunt care, and how to spot malfunction and infection.

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Wilms Tumor on the NCLEX

The do-not-palpate rule, presentation, staging basics, and pre- and post-nephrectomy nursing care.

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PKU (Phenylketonuria) on the NCLEX

Newborn screening rules, the diet for life, aspartame warning, and maternal PKU teaching.

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Heart Failure: NCLEX Priorities

HF for NCLEX: left vs right, pulmonary vs systemic congestion, BNP, ACE/ARB + beta-blocker + diuretic, daily weights.

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Atrial Fibrillation: NCLEX Priorities

AFib for NCLEX: rate vs rhythm control, anticoagulation, CHA2DS2-VASc, cardioversion considerations.

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Myocardial Infarction: NCLEX Priorities

MI for NCLEX: STEMI vs NSTEMI, MONA, troponin, door-to-balloon, post-MI care.

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Hypertension: NCLEX Priorities

HTN for NCLEX: BP categories, first-line drugs, lifestyle, treatment goals.

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Hypertensive Crisis: NCLEX Priorities

Hypertensive urgency vs emergency, target reduction rate, drug selection.

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Infective Endocarditis: NCLEX Priorities

Endocarditis recognition: fever + new murmur, Janeway, Osler, Roth, blood cultures.

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Pericarditis: NCLEX Priorities

Pericarditis: positional chest pain, friction rub, ST elevation, tamponade signs.

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Valvular Heart Disease: NCLEX Priorities

Aortic and mitral stenosis vs regurgitation: murmurs, symptoms, management.

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Cardiomyopathy: NCLEX Priorities

Dilated, hypertrophic, and restrictive cardiomyopathy. HCM as sudden death cause in young athletes.

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Cardiogenic Shock: NCLEX Priorities

Cardiogenic shock: low CO, high SVR, pulmonary congestion. Inotropes, intra-aortic balloon pump.

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COPD: NCLEX Priorities

COPD: barrel chest, pursed-lip breathing, low-flow O2 (CO2 retainer), tripod position, inhaler ladder.

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Asthma: NCLEX Priorities

Asthma: triggers, peak flow, stepwise treatment, status asthmaticus, never LABA alone.

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Pneumonia: NCLEX Priorities

CAP vs HAP vs VAP, atypical organisms, antibiotic selection, vaccine prevention.

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Tuberculosis: NCLEX Priorities

TB: airborne precautions, PPD/IGRA, RIPE treatment, latent vs active.

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Pulmonary Embolism: NCLEX Priorities

PE: Virchow's triad, sudden dyspnea, anticoagulation, thrombolytics for massive PE.

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ARDS: NCLEX Priorities

ARDS: low tidal volume ventilation, prone positioning, PEEP, refractory hypoxemia.

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Pneumothorax: NCLEX Priorities

Spontaneous vs tension pneumothorax, chest tube management, tracheal deviation.

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Cystic Fibrosis: NCLEX Priorities

CF: thick mucus, pancreatic enzymes, chest physiotherapy, CFTR modulators.

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Ischemic Stroke: NCLEX Priorities

Ischemic stroke: FAST recognition, tPA window, NIHSS, swallow eval before PO.

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Hemorrhagic Stroke: NCLEX Priorities

Hemorrhagic stroke: BP control, no anticoagulation, ICP management.

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Seizures: NCLEX Priorities

Seizure types, safety during seizure, status epilepticus, post-ictal care.

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Multiple Sclerosis: NCLEX Priorities

MS: relapsing-remitting, fatigue, heat sensitivity, DMTs.

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Parkinson's Disease: NCLEX Priorities

Parkinson's: tremor, rigidity, bradykinesia, postural instability. Levodopa, carbidopa, dyskinesias.

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ALS: NCLEX Priorities

ALS: upper and lower motor neuron signs, progressive weakness, respiratory failure, BiPAP, riluzole.

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Guillain-Barré Syndrome: NCLEX Priorities

GBS: ascending paralysis post-infection, respiratory monitoring, IVIG/plasmapheresis.

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Myasthenia Gravis: NCLEX Priorities

MG: ptosis, diplopia, fatigability, pyridostigmine, myasthenic vs cholinergic crisis.

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Increased ICP: NCLEX Priorities

Increased ICP signs (Cushing's triad), management (HOB, mannitol, hyperventilation), pitfalls.

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GERD: NCLEX Priorities

GERD: lifestyle, PPI ladder, alarm symptoms requiring endoscopy.

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Peptic Ulcer Disease: NCLEX Priorities

PUD: H. pylori vs NSAID, gastric vs duodenal pain pattern, complications, triple therapy.

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Inflammatory Bowel Disease (Crohn's vs UC): NCLEX Priorities

Crohn's vs ulcerative colitis: location, pattern, complications, treatments.

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Cirrhosis: NCLEX Priorities

Cirrhosis: ascites, varices, encephalopathy, lactulose, paracentesis.

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Viral Hepatitis: NCLEX Priorities

Hep A, B, C, D, E: transmission, vaccination, treatment.

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Pancreatitis: NCLEX Priorities

Acute pancreatitis: GET SMASHED causes, Cullen and Grey Turner, Ranson criteria, NPO + IV.

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Bowel Obstruction: NCLEX Priorities

SBO vs LBO: pain pattern, vomiting, distention, NG decompression, surgical indications.

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GI Bleed: NCLEX Priorities

Upper vs lower GI bleed: melena vs hematochezia, transfusion thresholds, EGD/colonoscopy.

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Acute Kidney Injury (AKI): NCLEX Priorities

AKI: pre-renal vs intrinsic vs post-renal, BUN/creatinine ratio, contrast nephropathy.

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Chronic Kidney Disease (CKD): NCLEX Priorities

CKD stages, dialysis indications, anemia, mineral bone disease, ACE/ARB protection.

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Dialysis Basics: NCLEX Priorities

Hemodialysis vs peritoneal dialysis: how each works, fistula care, peritonitis signs.

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UTI and Pyelonephritis: NCLEX Priorities

UTI vs pyelonephritis: uncomplicated vs complicated, antibiotic choices, teaching.

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Kidney Stones: NCLEX Priorities

Renal calculi: types, pain management, hydration, prevention by stone type.

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Fluid and Electrolyte Review: NCLEX Priorities

Hyponatremia, hypernatremia, hyperkalemia, hypokalemia, hypocalcemia: signs, causes, treatment.

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Diabetes Mellitus Type 1: NCLEX Priorities

T1DM: insulin types, sick day rules, hypoglycemia, DKA prevention.

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Diabetes Mellitus Type 2: NCLEX Priorities

T2DM: stepwise treatment, lifestyle, A1c targets, complications.

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DKA: NCLEX Priorities

DKA: triad, fluid + insulin + K+ replacement, when add D5.

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Hyperosmolar Hyperglycemic State (HHS): NCLEX Priorities

HHS: profound hyperglycemia, dehydration, no/minimal ketones, slow correction.

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Hyperthyroidism: NCLEX Priorities

Graves' disease, thyroid storm, methimazole/PTU, beta-blocker for symptoms.

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Hypothyroidism: NCLEX Priorities

Hashimoto's, levothyroxine timing, TSH monitoring, myxedema coma.

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Addison's Disease: NCLEX Priorities

Adrenal insufficiency: fatigue, hyperpigmentation, hyperkalemia, adrenal crisis.

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Cushing's Syndrome: NCLEX Priorities

Cortisol excess: moon face, buffalo hump, central obesity, hyperglycemia.

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Anemias Overview: NCLEX Priorities

Iron-deficiency, B12, folate, sickle cell, quick patterns and treatments.

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Sickle Cell Crisis: NCLEX Priorities

Vaso-occlusive crisis: pain control (opioids), hydration, O2, infection workup.

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Leukemias Overview: NCLEX Priorities

ALL, AML, CLL, CML: who gets what, key treatments, neutropenic precautions.

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Lymphomas: NCLEX Priorities

Hodgkin vs non-Hodgkin: Reed-Sternberg, staging, treatment patterns.

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Thrombocytopenia: NCLEX Priorities

ITP, HIT, TTP: causes, bleeding risk, platelet transfusion thresholds.

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DIC: NCLEX Priorities

Disseminated intravascular coagulation: bleeding + clotting simultaneously, treat underlying.

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Neutropenic Precautions: NCLEX Priorities

ANC threshold, private room, no fresh flowers, neutropenic fever protocol.

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Chemotherapy Nursing Priorities for NCLEX

Chemo: side effects by class, extravasation, anti-emetics, neutropenia.

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Pre-eclampsia: NCLEX Priorities

Pre-eclampsia: BP + proteinuria, severe features, magnesium sulfate, delivery as cure.

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Gestational Diabetes: NCLEX Priorities

GDM: screening 24-28 weeks, diet first, insulin if uncontrolled, macrosomia risk.

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Postpartum Hemorrhage: NCLEX Priorities

PPH: 4 Ts (Tone, Trauma, Tissue, Thrombin), fundal massage, oxytocin, methergine.

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Breastfeeding: NCLEX Priorities

Latch, supply, mastitis, jaundice, medications and breastfeeding.

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RSV Bronchiolitis: NCLEX Priorities

RSV: wheezing in infants, contact + droplet precautions, supportive care, palivizumab prophylaxis.

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Croup: NCLEX Priorities

Croup: barky cough, stridor, racemic epinephrine, dexamethasone.

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Epiglottitis: NCLEX Priorities

Epiglottitis: tripod, drooling, do NOT examine throat, emergency airway.

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Sepsis in Pediatrics: NCLEX Priorities

Pediatric sepsis: fluid bolus 20 mL/kg, antibiotics within 1 hour, vasopressors.

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Congenital Heart Defects: NCLEX Priorities

Acyanotic vs cyanotic CHDs: ASD, VSD, PDA, ToF, transposition.

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Failure to Thrive: NCLEX Priorities

FTT: organic vs non-organic causes, feeding history, social assessment.

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Major Depressive Disorder: NCLEX Priorities

Depression: SSRI first-line, suicidality assessment, ECT for refractory.

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Bipolar Disorder: NCLEX Priorities

Bipolar I vs II, mania safety, lithium, valproate, mood stabilizers.

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Schizophrenia: NCLEX Priorities

Positive vs negative symptoms, antipsychotics, EPS, NMS, therapeutic communication.

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Anxiety Disorders: NCLEX Priorities

GAD, panic, social anxiety, PTSD: SSRI, CBT, benzo cautions.

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Pressure Injury Staging and Wound Care

Stage I-IV, unstageable, deep tissue injury, dressing selection.

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Skin Infections (Cellulitis, MRSA): NCLEX Priorities

Cellulitis vs abscess vs necrotizing fasciitis: recognition, antibiotic selection.

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Fractures: NCLEX Priorities

Compartment syndrome (6 Ps), fat embolism, traction, weight-bearing status.

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