NCLEX hospital . . . - ✔✔ is perfect and you only care for client on screen
Priority questions - ✔✔ which one is the Killer answer? *NOTE:
... [Show More] Pain isn't a priority and expected problems related to conditions-like kidney stones positive for hematuria and 8/10 pain-not priority over other conditions
Call physician when - ✔✔ only if not a nursing intervention available
Never pick an answer - ✔✔ *that isn't the least invasive * that isn't client focused
*that doesn't allow client to speak or rushes their complaint off *puts off work to someone else *if you're down to 2, pick the killer answer *has long-term consequences * don't delay care/treatment
report what to next shift nurse - ✔✔ something "new" or "different" or "possible"
like illnesses can be put in - ✔✔ same room
if you have no baseline in question - ✔✔ assume normal limits
elevate _______ and dangle _______ - ✔✔ elevate veins and dangle arteries. E goes with E and A goes with A
any fluid problem, daily do what - ✔✔ I&O and weights
with pacemaker always worry when - ✔✔ rate is decreased
Mg or calcium problem, think what first - ✔✔ muscles
restless client think what first - ✔✔ hypoxia
always limit protein with kidney clients except which - ✔✔ those with nephrotic syndrome
first sign of respiratory acidosis - ✔✔ hypoxia possibly
remember with SIADH - ✔✔ too many letters, too much water
"Soggy Sid"
aldosterone, think - ✔✔ sodium and water, releases K
Al likes to swim in saltwater
ADH - ✔✔ H20
(three letters/three digits)
remember what about traction - ✔✔ never release unless you have order from dr to do so
when you see polyuria, think what first - ✔✔ shock first
when you see fluid retention, think what first - ✔✔ heart problems
what should you ALWAYS assume - ✔✔ the worst * you always have something to worry about
if you see "assessment" or "evaluation" in stem - ✔✔ think signs and symptoms
don't ever use what in a nursing diagnosis - ✔✔ a medical diagnosis
less volume ____ pressure
and more volume _____ pressure - ✔✔ less volume, less pressure
more volume, more pressure
if problem is in kidneys - ✔✔ HCO3 will be affected
if problem in lungs - ✔✔ CO2 will be affected
when triaging, emergent means:
urgent means:
non-urgent means - ✔✔ emergent is lift threatening
urgent is stable on arrival but needing timely attention
non-urgent is stable and not in immediate need of ER treatment
when you see words like always, never, total . . . - ✔✔ don't ever choose them! They're too limiting. Look for things like might or maybe or sometimes!
arrythmias are not big deal unless what - ✔✔ they affect cardiac output
Remember order of Maslow's - ✔✔ Biological and physiological needs, safety, belonging and love needs, esteem needs and then self-actualization needs like personal growth and fulfillment
what tasks can NAP be assigned - ✔✔ stable patients (could be complex also) and tasks that are routine, simple, repetitive, everyday activities that don't require nursing judgment such as feeding, hygiene, ambulation
LVNs can be delegated tasks BUT . . . - ✔✔ R.N. still is accountable and responsible for it
assignment - ✔✔ the work you must get accomplished during your shift
RN to RN assignments transfer - ✔✔ responsibility and accountability
with delegation, you can transfer - ✔✔ the responsibility but not the accountability.
Supervision - ✔✔ guidance and direction, oversight and eval by the RN to see that delegated task is accomplished.
What specific things do you have to tell the person you are delegating to? - ✔✔ You must make sure exactly which task you've assigned them, which should be done first, etc., and any other tasks you need completed and when. Give CLEAR directions indicating what ranges you want reported to you.
after task is completed, check what - ✔✔ &Was task done properly?* If not, provide teaching.
*Was the task done in the proper timeframe?* Will the delay affect client safety? *Were the client's needs met?* Did the task change and require higher level of education? Maybe you should do the task!
don't assume someone is competent to do something just because of what - ✔✔ Their job description. It's our job to find out our staff's strength and weakness.
If we identify a weakness of our NAP, what do we do to remedy that? - ✔✔ Teach, teach, teach and DOCUMENT WHAT WE TAUGHT -- it's our responsibility
when we get a nurse from another unit to our floor, what do we consider them - ✔✔ a brand new nurse. Cannot handle any specialized care.
Most important thing we can do before we start our new job - ✔✔ malpractice insurance
If a staff member performs your assigned tasks which were not delegated to them and a problem occurs, what do you do - ✔✔ Teach, teach, teach and document what you taught. ALWAYS fill out an incident report and then go home and document the incident for yourself. The hospital will protect its interests and you need to protect yours.
what can LVNs help us with - ✔✔ Stable clients only. Can handle data collection but never the actual steps in nursing process. They can implement tasks on careplan and SPECIFIC tasks for us on our unstable client. Can't start but can remove IVs
RN must do what - ✔✔ Admission history. If someone else does it for you, NEVER sign off on the form until you have validated the data. [Show Less]