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NCLEX-RN 2022 Questions and Answers
Delegation✔✔ Right Person, Right Task, Right Circumstance, Right Communication, Right Supervision
AP's: vitals and ALDs
PN: stable clients and the expected outcome
Bleeding✔✔ Stabilize object
Colorectal Screening✔✔ Sigmoid: 5 yrs Colon: 10 years ages 50-75
Manual BP✔✔ 1 Inch above antecubital space
Manual Systolic Measurement✔✔ Palpate radial pulse, inflate until pulse disappears, inflate another 30 mmHg, release and note when pulse is palpable again
Clear Diet✔✔ Fruit juices, gelatin, broth
Cane Use✔✔ On Stronger side. Move can, move weak leg, move stronger leg past cane
Move 6-10 inches forward
Infiltration✔✔ pallor, swelling, decrease skin temp
stop, remove, elevate, ROM, cold compress, restart
hypoxemia✔✔ early: Tachypnea, increased BP
Late: Bradypnea, decrease BP
Hypernatermia Risk Factors✔✔ older age, decrease total body water content, inadequate fluid intake, altered thirst
Seizure precautions✔✔ Rescue equipment at bedside
Fire Safety✔✔ R: Rescue A: Alarm C: contain E: extinguish
P: Pull A: Aim S: Squeeze S: Sweep
Radiation Precautions✔✔ wear monitoring badge for exposure
Client Transfer✔✔ Fold arms of patient across chest while lifting head
Positioning✔✔ Prone: on stomach, post lumbar puncture, tonsillectomy
Supine: On back, spinal cord injury
Crutches✔✔ 3 inch widths between axilla and top of crutch, hand grips with elbows at 30 degree
Walker✔✔ Wrist even with hand grips
Standard Precautions✔✔ Teir One
protective equipment when in contact with blood and bodily fluids, dispose PPE in clients room, clean spills with bleach water
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