Random stuff to know for NCLEX

Random stuff to know for NCLEX Leave the first rating Students also studied Terms in this set (201) Science MedicineNursing Save 140 Must Know NCLEX Meds 141 terms eyoung389Preview Cultural Awareness - NCLEX Style Q...12 terms manda__cPreview

CDCES 2024

870 terms tiffanyannesmith Preview Rosem 75 terms kfo Fundamentals Maslow1. Physiological - air, food, water

• Safety and security
• Love and belonging
• Psychological
• Self esteem
• Self actualization

How does the NCLEX treat painpain is physical except when:

• presents due to ischemia
• acute and intense
• not relieved by treatment

Psychosocial pain is pain that is expected, nagging or chronic.Glucosamine/ChondroitinPain relief for arthritis Changing out IV fluidsUse aseptic technique to change out bags of fluid Abbreviations from do not use listqd, QOD,

• can't use trailing zero
• have to use leading zero
• MS (magnesium sulfate or morphine sulfate)
• u/U (have to use word "units")

Five rights of medication administration1. Right Client

• Right Drug
• Right Dose
• Right Route
• Right Time

Document immediately after they are given Decrease distractions Use two identifiers - name, DOB Five Rights of DelegationRight task -> is it a new patient? does task require steps of nursing process?Right circumstance -> assess workload, is pt stable?Right person --> RN, LPN, UAP?Right direction/communication -> specific task, expected results, follow up communication Right supervision/evaluation -> appropriate monitoring, evaluation, intervention and feedback are given.Rules for DelegationAssess UAP's knowledge, training and competency level relevant to task.

Provide clear instruction including:

• clarity of the task
• purpose of the task
• timeline for completion of the task
• outcomes expected

Evaluate UAP's comprehension of instructions prior to initiating the task.The nurse completes post task assessment and outcomes evaluation.What can an LPN do?Can be assigned phsiological stable pts with predictable outcomes. They can differentiate between normal and abnormal. They do know asepsis and sterile dressing changes.Cannot care for unstable patients or patients requiring assessment, initial teaching, planning, or nursing judgement. Cannot gather new assessment data such as medical hx data or modify a plan of care.They can only admin routine medications that have little potential for risk.What can a UAP do?Standard unchanging procedures for stable patients. They can do ADLs, collect data such as I/O, height and weights, VS, blood sugars. Can also collect simple samples such as stool, midstream urine, blood.If you make a med error, what should you do?Notify HCP Monitor for SxS

DocumentationPurpose:

• communication, legal record, meets regulation requirements, required for third

party agencies.Accurate and factual

FiresEvacuate most stable patients first Rescue Activate Confine Extinguish If there is time send high acuity clients to facilities that have resources to care for them but in an emergency need to ensure greatest good for most amt of people so the people needing most assistance for evacuation need to be moved last.Order

• Ambulatory who can assist themselves with transport
• Those who need some assistance
• Require extensive resources and equipment for transfer --> skeletal traction
• Critically ill who require extensive monitoring equipment and extensive

resources to evac.What to do in a breech of confidentialityfollow the veritcal chain of command - usually the nursing supervisor or manager Living independentlyNeed to be able to do self-care activities -> bathing toiling as well as performing expected functions of their job.Do not need to be able to pick healthy foods or climb stairs unless it is the only way into their house.Using CaneCOAL -> cane opposite affected leg Stairs - up with good, down with bad

• step up with good leg and then put the cane and weak leg on step.

Hold cane on unaffected side, move cane forward then bad side and good side is last.Elbow at 15-30 degree angle Tip of cane 6 inches on side of foot just off 5th toe WalkerLift and move forward 8-10 inches with each step. Do not push walker forward.CultureBest way to assess whether pts actions are r/t culture is to ask the pt directly.Second best way is to assess fam/friends.Remember cultures cna vary w/in a small geographical region.

Culture: South AsianIndia, Pakistan, Bangladesh, Nepal, East Africa

• Men shake hands, women do not
• Direct eye contact w/ older adults is rude
• loudness is disrespectful, use soft tones
• touching not common, express feelings through expressions.
• Men work and make decisions, women stay home and raise family.
• older adults live w/ sons
• daughters leave home when married to live w/ husband
• some use head covers, some do not
• can be hindu, muslim, sikh
• punctual for medical appointments not sometimes not social appointments.
• mental illness is due to evil spirits
• spiritual healing practices common
• yoga for mental disease

Continuous Passive Motion Machine1. Place machine against footboard or heavy object

• Plug in the machine
• Remove knee imobilizer
• Place affected leg in machine so that middle of the knee rests where CPM

bends.

• Place affected legs foot against the footpad.
• Attach affect leg to the machine by securing the machines straps against the

shin, thigh and foot.Continuous Quality Improvement ProjectProject should be performed by managers and clinicians in studied area.Can be ongoing, prospective, retrospective or all three.Institutional accrediting agencies require these projects.Levels of PreventionPrimary - promote health and protect against exposure to risk factors that lead to health problems. Diet, exercise, edu Secondary - screenings Tertiary - treatment or rehab