NCLEX Review Concepts

NCLEX Review Concepts ScienceMedicineNursing MurseRN Save mark klimek Teacher 229 terms natbelPreview Top 30 nclex meds 32 terms jmvohs32Preview

NCLEX EXAM PREVIEW

110 terms kandykat1012Preview Fundam 35 terms me What is the "Scope of Practice" for a UAP detail?•Activities of daily living •Performing personal hygiene and skin care (oral care, bathing) •Linen change •Routine, stable vital signs (measuring and obtaining blood glucose levels) •Documenting I&O's (urinary, drainage) • Performing passive and /or active range-of-motion exercises •Positioning What is the "Scope of Practice" for a LPN detail?•Monitoring RN findings •Reinforcing already taught education •Routine procedures (e.g., catherization) •Most medication administrations •Ostomy care •Tube patency & enteral feeding •Specific assessments* (e.g., lung/bowel sounds & neurovascular checks) *Don't get tricked LPN's cannot perform any blood or chemotherapy transfusions that is only done by an RN

What is the "Scope of Practice" for a RN detail?•Clinical assessment •Initial and discharge client education •Clinical judgment •Imitating blood transfusion *use the acronym PACET when trying to determine RN delegation Planning Assessing Collaboration Evaluation Teaching What is Naegel's formula?the last menstrual period minus 3 months plus 7 days e.g., the clients last menstrual period was September 7th....According to Naegele's rule, the expected date of delivery is June 14th.A perineal pad that is saturated in ____ hour(s) indicates heavy/excessive bleedings?<1>

What are the differences between true labor and false labor?Contractions

True labor:

-Regular intervals; frequency, duration, & intensity increase over time.-Contractions increase despite comfort measures.

False labor:

-irregular intervals; no increase in frequency, duration, or intensity; may dissipate over time.-Contractions may lessen or dissipate with comfort measures Cervical change

True labor:

-Increase in cervical dilation & effacement

False labor:

-No cervical change Myocardial infarction symptoms are different in females compared to their male counterparts, what are the things to look out for?They can be vague in female clients and can include nausea, Pain or discomfort in one or both arms, the upper back, neck, jaw or stomach.What are the solutions (isotonic, hypotonic, and hypertonic)?

Hypotonic solutions:

1/2 NS (.45%)

1/3 NS (0.33%)

1/4 NS (.225%)

D5W (once in the body)

Isotonic solutions:

Normal saline Lactated Ringers *D5W (Before administration) 5?xtrose in 1/4 NS

Hypertonic solutions:

3% saline 5% saline D10W D50W 5?xtrose in NS 5?xtrose in 1/2 NS 5?xtrose in LR

What are the different levels of infection precautions and what are the required PPE and rooms required?Standard precaution (lowest precaution) -gloves -Required for every patient when coming into contact with potential infectious material.Contact precaution -gloves & gown e.g., MRSA, CDIFF, and VRE Droplet precaution -gloves, gown, surgical mask, goggles, and face mask Airborne precaution (highest precaution) -gloves, gown, N95 mask, goggles, and face mask -Negative pressure room Immunocompromised rooms consist of a positive pressure room and typically involved droplet precaution according to hospital policies.What is the proper way to Don and Doft PPE in relationship to airborne precautions?When donning airborne PPE you should?When dofting airborne PPE you should?What are the 12 cranial nerves?

I. Olfactory: smell

II. Optic: vision

III. Oculomotor: eye movement & pupil constriction

IV. Trochlear: eye movement (in, down, laterally)

V. Trigeminal: chewing & face sensation

VI. Abducens: eye movement laterally

VII. Facial: face muscles, taste (2/3 anterior), spit and tears

VIII. Vestibulocochlear: hearing and balance

IX. Glossopharyngeal: gag reflex, 1/3 posterior taste

X. Vagus: swallowing, speech, gag reflex

XI. Accessory: neck muscles (shrugging)

XII. Hypoglossal: tongue movement

CN's 3,4, and 6 are tested together for eye movement deficits What is an indirect Coombs test used for?screens for Rh sensitization in Rh-negative mothers. If the test results are positive, the fetus and subsequent pregnancies are at risk for serious complications. Rh immune globulin (e.g., RhoGAM) is given at 28 weeks gestation and within 72 hours postpartum as well as any time there is maternal trauma.