Evaluate Assess Teach
Don’t delegate Unstable patients
Initial Assessment, Teaching, IV drips, Evaluations only RN
Measles TB
Varicella-Chick
... [Show More] en Pox/Herpes Zoster-Shingles
Private Room: Negative pressure with 6-12 air exchanges/hr
Mask: N95 for TB
Sepsis Scarlet fever
Streptococcal Pharyngitis (Streptococcus group A/ Strep Throat): Can Lead to Glomerulonephritis & Rheumatic
Fever.
Pneumonia
Influenza/ Haemophilus influenza type B
Diphtheria (Pharyngeal): Serious bacterial infection.
Epiglottitis: Medial Emergency! No Throat Inspection.
2 NCLEX RN STUDY GUIDE
Rubella/ German measles
Mumps
Meningitis/ Neisseria Meningitidis Mycoplasma/ Meningeal Pneumonia An - Adenovirus
Private Room or Cohort Surgical mask PRN for Procedures Mask 3ft Distance
Multidrug resistant organism/ MRSA/ VRE
Respiratory infection Skin infections Wound infection
Enteric infection - Clostridium Difficile
Eye infection – Conjunctivitis
*MRSA - Contact precaution ONLY. Use Chlorhexidine Wipe!
*VRSA - Contact & Airborne precaution (Private room, door closed, negative pressure)
*SARS (Severe Acute Resp Syndrome) Airborne & Contact (just like Varicella)
Varicella Zoster
Cutaneous Diphtheria (Bacteria Infection in the Wound)
Herpes Simplex
Impetigo (Bacterial Skin Infection)
Pediculosis (Lice)
Scabies (Itchy Skin condition. Burrowing Trail of the Scabies Mite)
3 NCLEX RN STUDY GUIDE
Middle East Respiratory Syndrome (MERS): Viral respiratory illness caused by Coronavirus (MERS-CoV). S/S: Fever, Cough, SOB, and Death. The Incubation Period is 5-6 days but can range from 2-14 days.
CDC: Standard (Gloves), Contact (Gown), Eye Protection (Goggles), Airborne Precautions (N95)
room: Negative disease (TB, Disseminated Herpes Zoster) room: Protect the Patient (HIV, Cancer)
Addison’s= hyponatremia, hypotension, decreased blood vol, hypoglycemia, hyperKalemia, HyperCalcemia.
Cushing’s= HyperNatremia, HyperTension, Incr. Blood Vol, HyperGlycemia, hypokalemia, hypocalcemia.
Managing Stress in a patient with Adrenal Insufficiency (Addison’s) is paramount, because if the Adrenal glands are stressed further it could result in Addisonian Crisis.
Addison’s: Remember BP is the most Important assessment parameter, as it causes Severe Hypotension.
Addison’s: (need to "add" hormone): Hypoglycemia, Dark pigmentation, Decr. Resistance to Stress, fractures, Alopecia, Weight Loss, GI distress. Vitiligo. Mood swings (Normal)
Need to Report S/S of Infection/ Fever (Addisonian Crisis) Tx: Mineral Corticoids.
Addisonian Crisis: Hypoglycemia, Confusion, n/v, Abd Pain, Extreme Weakness, Dehydration, Decr. BP.
Cushings: (have extra "Cushion" of Hormones): Hyperglycemia, prone to Infection, Muscle Wasting, Weakness, Edema, HTN, Hirsutism, Moonfaced/Buffalo Hump
Cause: Excessive production of Corticotropin (Hyperplasia of the Adrenal Cortex) & Cortisol-secreting Adrenal Tumor.
Prednisone Toxicity: Cushing’s syndrome- Buffalo Hump, Moon face, Hyperglycemia, Hypertension.
Acetaminophen: 10-20. Max 4000mg per day.
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