Mark Klimek NCLEX Must Know Leave the first rating Students also studied Terms in this set (126) Science MedicineNursing Save Mark Klimek Lecture Outlines 602 terms fergie8918Preview NCLEX Review questions (Mark K) 353 terms panda_power213 Preview NCLEX study from Mark Klimek 292 terms andilyn72Preview NCLEX 110 term kan Practice questions for this set Learn1 / 6Study using Learn For cord compression, place the mother in the ........position because this removes pressure of the presenting part off the cord. (If her head is down, the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed......Do you delegate what a patient can eat?No!! You evaluate, assess, and teach the patient Choose an answer 1 TRENDELENBERG; cover it with sterile saline gauze to prevent drying of the cord and to minimize infection 2 LATERAL; elevate the legs to reduce blood flow to the cord 3 SUPINE; apply pressure to the abdomen to stabilize the baby 4 SITTING; monitor closely for any signs of distress Don't know?
Addison's DiseaseHyponatremia Hypotension Decreased blood volume Hyperkalemia Hypoglycemia Cushing's SyndromeHypernatremia Hypertension Increased blood volume Hypokalemia Hyperglycemia Do not give potassium without adequate....urine output Elevate veins and dangle....arteries APGARAppearance ( all pink, pink and blue, blue) Pulse ( > 100, < 100>
Skin InfectionsVaricella zoster Cutaneous diptheria Herpes simplex Impetigo Ppediculosis Scabies Air embolismchest pain difficulty breathing tachycardia pael/cyanotic sense of impending doom
intervention: turn patient to the left side
Woman in labor with Un-reassuring FHRLate decels decreased variability fetal bradycardia
Intervention: turn on left side and give O2, stop pitocin, increase IV fluids
Tube Feeding w/ Decreased LOCPosition the patient on the right side ( promote emptying of the stomach) with the HOB elevated to prevent aspiration During Epidural Punctureposition patient in the side lying position After lumbar puncture and oil based myelogram Pateitn should lie in a flat supine position to prevent headache and leaking of CSF fluid Patient with Heat Strokepatient should lay flat with legs elevated During Continuous bladder Irrigationthe catheter is taped so leg should be kept straight No other positioning restrictions After Myringotomyposition on side of the affected ear after surgery After Cataract Surgerypatient will sleep on the unaffected side with a night shield for 1-4 After Thyroidectomyposition the patient in low or semi-fowler's, support the head, neck, and shoulders Infant with Spina BifidaPosition prone ( on abdomen) so that sac does not rupture Buck's Traction (skin traction)Elevate the foot of the bed for counter traction After Total Hip Replacementdon'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 Prolapsed CordKnee chest Trendelenburg
Infant with Cleft Lipposition on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position To Prevent Dumping Syndrome( post-operative ulcer/ stomach surgeries) eat int reclining position, lie down after meals for 20-30 minutes ( also restrict fluids during meals, low CHO and fiber diet, small frequent meals) Above Knee AmputationElevate for first 24 hours on pillow, position prone daily to provide for hip extension Below Knee Amputationfoot of bed elevated for first 24 hours, position prone daily to provide for hip extension Detached RetinaArea of detachment should be in the dependent postion Administration of EnemaPosition patient in left side-lying ( sim's) with flexed knee After Supratentorial Surgeryincision behind the hairline elevate HOB 30-45 degrees After Infratentorial Surgeryincision at the nape of the neck position the patient flat and lateral on either side During internal radiationon bedrest while implant in place Autonomic Dysreflexia/ Hyperreflexiapounding headache profuse sweating nasal congestion goose flesh bradycardia hypertension Place the client in sitting position ( elevate HOB) first before any other implementation Treatment for Shockbedrest with extremities elevated 20 degrees. knees straight, head slightly elevated (modified Trendelenberg) Head Injuryelevate HOB 30 degrees to decrease ICP Peritoneal Dialysis when outflow is inadequateturn pt from side to side BEFORE checking for kinks in tubing Lumbar PunctureAFTER the procedure, the client should be placed in the supine position for 4 to 12 hrs as prescribed What medication do you use for pancreatitis? Demorol; b/c it causes cause less spasm of the M. sphincter ampullae hepatopancreaticae (sphincter of Oddi)