{"id":120707,"date":"2023-10-01T16:55:20","date_gmt":"2023-10-01T16:55:20","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120707"},"modified":"2023-10-01T16:55:22","modified_gmt":"2023-10-01T16:55:22","slug":"nur-101-evergreen-valley-college-nclex-study-guide-easy-to-remember-facts-to-help-you-perform-better","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/01\/nur-101-evergreen-valley-college-nclex-study-guide-easy-to-remember-facts-to-help-you-perform-better\/","title":{"rendered":"NUR 101 > Evergreen Valley College, Nclex-Study-Guide, Easy to remember facts to help you perform better."},"content":{"rendered":"\n

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\u2026
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
1<\/p>\n\n\n\n

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<\/p>\n\n\n\n

    \n
  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.<\/li>\n\n\n\n
  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)<\/li>\n\n\n\n
  3. Tube Feeding w\/ Decreased LOC –> position pt on right side (promotes emptying of the
    stomach) with the HOB elevated (to prevent aspiration)<\/li>\n\n\n\n
  4. During Epidural Puncture –> side-lying<\/li>\n\n\n\n
  5. After Lumbar Puncture (and also oil-based Myelogram)–> pt lies in flat supine (to prevent
    headache and leaking of CSF)<\/li>\n\n\n\n
  6. Pt w\/ Heat Stroke –> lie flat w\/ legs elevated<\/li>\n\n\n\n
  7. During Continuous Bladder Irrigation (CBI) –> catheter is taped to thigh so leg should be
    kept straight. No other positioning restrictions.<\/li>\n\n\n\n
  8. After Myringotomy –> position on side of affected ear after surgery (allows drainage of
    secretions)<\/li>\n\n\n\n
  9. After Cataract Surgery –> pt will sleep on unaffected side with a night shield for 1-4
    weeks.<\/li>\n\n\n\n
  10. After Thyroidectomy –> low or semi-Fowler’s, support head, neck and shoulders.<\/li>\n\n\n\n
  11. Infant w\/ Spina Bifida –> position prone (on abdomen) so that sac does not rupture<\/li>\n\n\n\n
  12. Buck’s Traction (skin traction) –> elevate foot of bed for counter-traction<\/li>\n\n\n\n
  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.<\/li>\n\n\n\n
  14. Prolapsed Cord –> knee-chest position or Trendelenburg
    2<\/li>\n\n\n\n
  15. Infant w\/ Cleft Lip –> position on back or in infant seat to prevent trauma to suture line.
    While feeding, hold in upright position.<\/li>\n\n\n\n
  16. To Prevent Dumping Syndrome (post-operative ulcer\/stomach surgeries) –> eat in
    reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low
    CHO and fiber diet, small frequent meals)<\/li>\n\n\n\n
  17. Above Knee Amputation –> elevate for first 24 hours on pillow, position prone daily to
    provide for hip extension.<\/li>\n\n\n\n
  18. Below Knee Amputation –> foot of bed elevated for first 24 hours, position prone daily to
    provide for hip extension.<\/li>\n\n\n\n
  19. Detached Retina –> area of detachment should be in the dependent position<\/li>\n\n\n\n
  20. Administration of Enema –> position pt in left side-lying (Sim’s) with knee flexed<\/li>\n\n\n\n
  21. After Supratentorial Surgery (incision behind hairline) –> elevate HOB 30-45 degrees<\/li>\n\n\n\n
  22. After Infratentorial Surgery (incision at nape of neck)–> position pt flat and lateral on
    either side.<\/li>\n\n\n\n
  23. During Internal Radiation –> on bedrest while implant in place<\/li>\n\n\n\n
  24. Autonomic Dysreflexia\/Hyperreflexia (S&S: pounding headache, profuse sweating, nasal
    congestion, goose flesh, bradycardia, hypertension) –> place client in sitting position (elevate
    HOB) first before any other implementation.<\/li>\n\n\n\n
  25. Shock –> bedrest with extremities elevated 20 degrees, knees straight, head slightly
    elevated (modified Trendelenburg)<\/li>\n\n\n\n
  26. Head Injury –> elevate HOB 30 degrees to decrease intracranial pressure<\/li>\n\n\n\n
  27. Peritoneal Dialysis when Outflow is Inadequate –> turn pt from side to side BEFORE
    checking for kinks in tubing (according to Kaplan)<\/li>\n\n\n\n
  28. Lumbar puncture => AFTER the procedure, the client should be placed in the supine
    position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
    Demorol for pancreatitis, NOT morphine sulfate
    Myasthenia Gravis: worsens with exercise and improves with rest.
    Myasthenia Crisis: a positive reaction to Tensilon–will improve symptoms
    Cholinergic Crisis: caused by excessive medication-stop med-giving Tensilon will make it worse
    Head injury medication: Mannitol (osmotic diuretic)-crystallizes at room temp so ALWAYS use
    filter needle
    Prior to a liver biospy its important to be aware of the lab result for prothrombin time
    From the a** (diarrhea)= metabolic acidosis
    From the mouth (vomitus)=metabolic alkalosis
    Myxedema\/hypothyroidism: slowed physical and mental function, sensitivity to cold, dry skin
    and hair
    3<\/li>\n<\/ol>\n\n\n\n

    Graves\u2019 disease\/hyperthyroidism: accelerated physical and mental function; sensitivity to
    heat, fine\/soft hair
    Thyroid storm: increased temp, pulse and HTN
    Post-thyroidectomy: semi-Fowler\u2019s, prevent ncek flexion\/hyperextension, trach at bedside
    Hypo-parathyroid: CATS \u2013 convulsions, arrhythmias, tetany, spasms, stridor (decreased
    calcium), high Ca, low phosphorus diet
    Hyper-parathyroid: fatigue, muscle weakness, renal calculi, back and joint pain (increased
    calcium), low Ca, high phosphorus diet
    Hypovolemia \u2013 incrased temp, rapid\/weak pulse, increase respiration, hypotension, anxiety,
    urine specific gravity >1.030
    Hypervolemia \u2013 bounding pulse, SOB, dyspnea, rares\/crackles, peripheral edema, HTN, urine
    specific gravity <1.010; Semi-Fowler\u2019s
    Diabetes Insipidus (decreased ADH): excessive urine output and thirst, dehydration,
    weakness, administer Pitressin
    SIADH (increased ADH): change in LOC, decreased deep tendon reflexes, tachycardia, n\/v\/a,
    HA; administer Declomycin, diuretics
    Hypokalemia: muscle ewakness, dysrhythmias, increase K (raisins, bananas, apricots, oranges,
    beans, potatoes, carrots, celery)
    Hyperkalemia: MURDER \u2013 muscle weakness, urine (oliguria\/anuria), respiratory depression,
    decreased cardiac contractility, ECG changes, reflexes
    Hyponatremia: nausea, muscle cramps, increased ICP, muscular twitching, convulsion; osmotic
    diuretics, fluids
    Hypernatremia: increased temp, weakness, disorientation\/delusions, hypotension, tachycardia;
    hypotonic solution
    Hypocalcemia: CATS \u2013 convulsions, arrhythmias, tetany, spasms and stridor
    Hypercalcemia: muscle weakness, lack of coordination, abdominal pain, confusion, absent
    tendon reflexes, sedative effect on CNS
    HypoMg: tremors, tetany, seizures, dyrshythmias, depression, confusion, dysphagia; dig toxicity
    HyperMg: depresses the CNS, hypotension, facial flushing, muscle ewakness, absent deep
    tendon reflexes, shallow respirations, emergency
    Addison\u2019s: hypoNa, hyperK, hypoglycemia, dark pigmentation, decreased resistance to stress,
    fractures, alopecia, weight loss, GI distress
    Cushings: hyperNa, hypoK, hyperglycemia, prone to infection, muscle wasting, weakness,
    edema, HTN, hirsutism, moonface\/buffalo hump
    Addisonian crisis: n\/v, confusion, abdominal pain, extreme weakness, hypoglycemia,
    dehydration, decreased BP
    Pheochromocytoma: hypersecretion of epi\/norepi, persistent HTN, increased HR,
    hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, frequent bating and rest breaks,
    avoid cold and stimulating foods, surgery to remove tumor<\/p>\n\n\n\n

      \n
    1. Neuroleptic malignant syndrome (NMS):
      -NMS is like S&M;
      -you get hot (hyperpyrexia)
      -stiff (increased muscle tone)
      -sweaty (diaphoresis)
      -BP, pulse, and respirations go up &
      -you start to drool
      4<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      DO NOT delegate what you can EAT!E – evaluateA – assessT – teachaddisons= down, down down up downcushings= up up up down upaddisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemiacushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemiaNo Pee, no K (do not give potassium without adequate urine output)EleVate Veins; dAngle Arteries for better perfusionA= appearance […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-120707","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=120707"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120707\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120707"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120707"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}