NCLEX-RN Study Review – 35 pages

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  • Published: 2015
  • ISBN-13: 35 pages
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NCLEX-RN Study Review (page 1)

DO NOT delegate what you can EAT! E – evaluate
A – assess
T – teach

addisons= down, down down up down cushings= up up up down up

addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia

No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion

A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)

R= respirations (strong cry, weak cry, absent)

TRANSMISSION-BASED PRECAUTIONS:

AIRBORNE

My – Measles
Chicken – Chicken Pox/Varicella Hez – Herpez Zoster/Shingles TB

or remember…
MTV=Airborne
Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles

Private Room – negative pressure with 6-12 air exchanges/hr Mask, N95 for TB

DROPLET

think of SPIDERMAN!
S – sepsis
S – scarlet fever
S – streptococcal pharyngitis P – parvovirus B19

P – pneumonia
P – pertussis
I – influenza
D – diptheria (pharyngeal) E – epiglottitis

R – rubella
M – mumps
M – meningitis
M – mycoplasma or meningeal pneumonia An – Adenovirus

Private Room or cohort Mask

NCLEX-RN Study Review (page 2)

CONTACT PRECAUTION

MRS.WEE
M – multidrug resistant organism
R – respiratory infection
S – skin infections *
W – wound infxn
E – enteric infxn – clostridium difficile E – eye infxn – conjunctivitis

SKIN INFECTIONS VCHIPS
V – varicella zoster
C – cutaneous diphtheria H – herpez simplex

I – impetigo
P – pediculosis S – scabies

1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) –> turn pt to left side and lower the head of the bed.

2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) –> turn on left side (and give O2, stop Pitocin, increase IV fluids)

3. Tube Feeding w/ Decreased LOC –> position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)

4. During Epidural Puncture –> side-lying

5. After Lumbar Puncture (and also oil-based Myelogram)–> pt lies in flat supine (to prevent headache and leaking of CSF)
6. Pt w/ Heat Stroke –> lie flat w/ legs elevated

7. During Continuous Bladder Irrigation (CBI) –> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.

8. After Myringotomy –> position on side of affected ear after surgery (allows drainage of secretions)

9. After Cataract Surgery –> pt will sleep on unaffected side with a night shield for 1-4 weeks.

10. After Thyroidectomy –> low or semi-Fowler’s, support head, neck and shoulders.
11. Infant w/ Spina Bifida –> position prone (on abdomen) so that sac does not rupture 12. Buck’s Traction (skin traction) –> elevate foot of bed for counter-traction

13. After Total Hip Replacement –> don’t sleep on operated side, don’t flex hip more than 45- 60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.

14. Prolapsed Cord –> knee-chest position or Trendelenburg