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NCLEX-RN Clinical Discrimination Pairs – Shock, Respiratory, OB, Endocrine, Neuro Flashcards

Master 11 clinical discrimination pairs – shock, respiratory, ob, endocrine, neuro concepts for the NCLEX-RN.

Question

What are the hallmark hemodynamic changes (BP, HR, CVP) and skin assessment findings in Hypovolemic Shock?


Question

A client hospitalized for a myocardial infarction develops tachycardia, hypotension, and tachypnea. Which assessment finding most specifically indicates the client is developing cardiogenic shock rather than hypovolemic shock?


Question

Describe the skin appearance and pulse pressure characteristics in the early (hyperdynamic) phase of Septic Shock.


Question

Select the key distinguishing clinical feature for each respiratory condition:


Pulmonary Embolism presents with. Pneumothorax is distinguished by on the affected side. Pneumonia typically presents with.

Question

What are the specific blood pressure and renal criteria required to diagnose Preeclampsia?


Question

A client with severe preeclampsia begins to have a tonic-clonic seizure (eclampsia). What is the nurse's priority action?


Question

What does the acronym HELLP stand for in the context of obstetric complications?


Question

Distinguish between the symptoms of Placenta Previa and Abruptio Placentae:


Placenta Previa is characterized by bleeding. Abruptio Placentae presents withbleeding and a uterus.

Question

A client with Graves' disease presents with a temperature of 104°F (40°C), tachycardia (140/min), and severe agitation. The nurse recognizes these as signs of Thyroid Storm. Which medication class is prioritized to block the sympathetic nervous system effects?


Question

What are the priority clinical manifestations associated with Myxedema Coma?


Question

A client with a T4 spinal cord injury reports a sudden, pounding headache and has a BP of 210/110 mmHg. What is the nurse's FIRST action?