- Deal with patients rather than with machines.

NCLEX-RN NOTES

TIPS:

• Deal with patients rather than with machines.

- AVOID: never, always, must, “why?”, “I understand”.

• If 2 opposites (e.g. hyper-/hypo-), one is correct.
• Do not leave the patient alone.
• Choose physical over psychological.

- IDK the answer: pick the one with the most information.

ABC (except in emergencies, distress situations & CPR) Assessment vs. Implementation Acute vs. Chronic Stable vs. Unstable Expected vs. Unexpected Real vs. Potential Odd man out

DO NOT DELEGATE (PACET):

• Planning;
• Assessment (initial);
• Collaboration;
• Evaluation;
• Teaching.

 UAP’s cannot be delegated: “EAT”, medication & unstable

patients. LPN’s cannot be delegated anything related with blood and are assigned the most stable patients.

• tsp = 5 ml 1 pint = 2 cups (16 oz)
• tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz)
• oz = 30 ml 1 gr (grain) = 60 mg
• cup = 8 oz 1 kg = 2,2 lbs
• g = 1 ml (diapers) ºF = (ºC x 1,8) + 32

Temperature normal range: 98,6ºF ±1 (37ºC

±0,5)

MAP: (systolic + 2xdyastolic)/3

Normal: 70-105 mmHg (>60 mmHg)

CVP: 2-8 mmHg (CVP can indicate right 

ventricular failure or fluid volume overload)

ETHICS & LEGAL ISSUES

• is truth and is an essential component of a Veracity

therapeutic relationship between a health care provider and his patient.

• is the duty to do no harm and the duty to do Beneficence

good. There’s an obligation in patient care to do no harm and an equal obligation to assist the patient.

• is the duty to do no harm. Nonmaleficence

- litigation in which one person asserts that an injury Tort:

(physical, emotional or financial) occurred as a consequence of another’s actions or failure to act.

- harm that results bNegligence:ecause a person didn’t act

reasonably.

- professional negligence. Malpractice:

- character attacked and uttered in the presence of Slander:

others.

- act in which there is a threat or attempt to do bodily Assault:

harm.

- unauthorized physical contact. Battery:

CULTURAL CONSIDERATIONS

• African Americans
• Higher incidence of high blood pressure and obesity;
• gh incidence of lactose intolerance. Hi
• Arab Americans
• May remain silent about STIs, substance abuse, and mental

illness;

• After death, the family may want to prepare the body and

autopsy is discouraged unless required by law;

• Use same-sex family members as interpreters.
• Asian Americans
• ; Believe in the yin/yang “hot-cold” theory of illness
• Sodium intake is generally high because of salted and dried

foods;

• Usually refuse organ donation;
• May nod without necessarily understanding.
• Latino Americans
• Family members are typically involved in all aspects of

decision making such as terminal illness;

• May see no reason to submit to mammograms or

vaccinations.

• Native Americans
• Diet may be deficient in vitamin D and calcium because many

suffer t drink milk; from lactose intolerance or don’

• Obesity and diabetes are major health concerns.

RELIGIOUS CONSIDERATIONS

- : no blood products should be used. Jehovah’s Witness

- : no beef or items containing gelatin. Hindu

- ecial dietary restrictions, use of kosher foods. Jewish: sp

- no pork nor alcohol and sometimes no meat. Adventists:

- no pork nor alcohol; people with chronic illnesses Muslims:

and women that are pregnant, breast-feeding or menstruating don’t fast during Ramadan.

ORDER OF ASSESSMENT:

Inspection Palpation Percussion Auscultation

ABO BLOOD TYPE COMPATIBILITY

Blood Type Can receive from: Can donate to:

O O O, A, B, AB

A A, O A,AB

B B, O B, AB

AB O, A,B,AB AB

Abdomen:

1º Inspection 2º Auscultation 3º Percussion 4º Palpation