LPN Mark Klimek

LPN Mark Klimek

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NCLEX: Mark Klimek - Lecture 12 (Pr...

37 terms TinyEarthlingPreview ATI com 198 term h_tr Do not read into the questionnever assume anything that has not been specifically mentioned and do not add extra meaning or history to the question NCLEX land is set at Utopian General Hospitalyou have all the time, resources, and staff you need least invasive to most invasiveleast restrictive to most restrictive-restraints rarely a good option Avoid absolutesalways, never, must Assess first before implementingassess unless in distress Priority goes to assessment on patient nad not with equipment auscultate FHR before checking monitor First time doing something for patientnurse does it-including VS If a patient is an adultfamily options can be ruled out unless patient is incompetent Asked about the FIRST option, thinkIf i can only do one action and then I have to go home, what would the outcome be?Therapeutic communicationreflect feelings and provide correct information Do not say why or that youunderstand An answer that delays care is usually wrongreassess in 15 mins, monitor for symptoms continuing

Interventions for wellnesshealthy nutrition, regular exercise, proper weight, rest, avoiding harmful chemicals such as nicotine and risk taking behaviors-no seatbelt If two answers are the exact opposite,one is usually the answer If two or three answers are similarnone are correct always look for the umbrella optionbroad universal statement If you have never heard of an answer, do not eliminate it work around it if you can safely eliminate all the other answers, that is the answer. If you are down to two answers and you know the other answer is right, do that one.Actual problems beforepotential DO NOT LEAVE THE PATIENTthink safety DO NOT do somethingyou always have to do something If the question is about endorsementalways report anything new or different to the next shift One select document ifthe assessment is normal Put patients with the same or similar diagnosis in the same room clean vs dirty Never increase patients tocatch up Answer SATA asT or F for each one Rephrase the question in your own wordsunderstand what it is asking If you cannot determine the topic of the question, read all the answer choices to help you understand the problem look for patterns Try not to determine the answer beforereading the answer NCLEX uses answers that scream pick me but are wrong More often than not,pain will not be your answer except with compartment syndrome Try to focus on thehere and now as much as possible Positioning questionsyou are trying to prevent or promote-think of the outcome Questions that say ESSENTIALthink safety If you don't know a word,break it down in medical terms

Make an educated guesschoose answer with most information When in doubt, thinksafety systemic before localLife before limb acute beforechronic actual beforepotential Maslow's-physiological beforepsychological Recognizes trends ofdeterioration Airborne MTVM - Measles

T - TB

V - Varicella private room, negative pressure with 6-12 pressure air exchanges/hr, mask, N95 for TB Contact Mrs. Wee -MRSA -VRSA -RSV -Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staphylococcus) -Wound infections -Enteric infections (Clostridium difficile) -Eye infections (conjunctivitis)

Management: gown, gloves, goggles, private room

Nurse with localized herpes zoster can care for patients who are not immunocompromised and lesions are covered.

DROPLET: "SPIDERMAn"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 (door open, 3ft distance) Skin Infections VCHIPSV - varicella zoster C - cutaneous diphtheria H - herpez simplex I - impetigo P - pediculosis S - scabies Impetigocaused by staph or strep untreated can cause acute glomerulonephritis Periorbital edema indicates poststreptococcal glomerulonephritis Order of PPE donninggown, mask, goggles, gloves Order of PPE doffinggloves, goggles, gown, mask Avian influenzastart O2 therapy-initial action SOB, diarrhea, abdominal pain, epistaxis Institute airborne and contact precautions catheters the most commonhealth care acquired infection remove asap Nurse working with infants but beimmunized against pertussis Ventilator bundleHOB 30-45 daily assessment for extubation daily oral care with chlorhexadine solution Chlohexadine used to preventCLABSI-central line associated bloodstream infections No pee, no kDo not give potassium without adequate urine output Elevateveins