NCLEX hospital . . .
is perfect and you only care for client on screen
Priority questions
which one is the Killer answer? *NOTE: 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
...
Hurst NCLEX
NCLEX hospital . . .correct answeris perfect and you only care for client on screen
Priority questionscorrect answerwhich one is the Killer answer? *NOTE: 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 whencorrect answeronly if not a nursing intervention available
Never pick an answercorrect 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 nursecorrect answersomething "new" or "different" or "possible"
like illnesses can be put incorrect answersame room
if you have no baseline in questioncorrect answerassume normal limits
elevate _______ and dangle _______correct answerelevate veins and dangle arteries. E goes with E and A goes with A
any fluid problem, daily do whatcorrect answerI&O and weights
with pacemaker always worry whencorrect answerrate is decreased
Mg or calcium problem, think what firstcorrect answermuscles
restless client think what firstcorrect answerhypoxia always limit protein with kidney clients except whichcorrect answerthose with nephrotic syndrome
first sign of respiratory acidosiscorrect answerhypoxia possibly
remember with SIADHcorrect answertoo many letters, too much water
"Soggy Sid"
aldosterone, thinkcorrect answersodium and water, releases K
Al likes to swim in saltwater
ADHcorrect answerH20
(three letters/three digits)
remember what about tractioncorrect answernever release unless you have order from dr to do so
when you see polyuria, think what firstcorrect answershock first
when you see fluid retention, think what firstcorrect answerheart problems
what should you ALWAYS assumecorrect answerthe worst * you always have something to worry about
if you see "assessment" or "evaluation" in stemcorrect answerthink signs and symptoms
don't ever use what in a nursing diagnosiscorrect answera medical diagnosis
less volume ____ pressure and more volume _____ pressurecorrect answerless volume, less pressure
more volume, more pressure if problem is in kidneyscorrect answerHCO3 will be affected
if problem in lungscorrect answerCO2 will be affected
when triaging, emergent means:
urgent means:
non-urgent meanscorrect answeremergent 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 . . .correct answerdon't ever choose them! They're too limiting. Look for things like might or maybe or sometimes!
arrythmias are not big deal unless whatcorrect answerthey affect cardiac output
Remember order of Maslow'scorrect answerBiological 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 assignedcorrect answerstable 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 . . .correct answerR.N. still is accountable and responsible for it
assignmentcorrect answerthe work you must get accomplished during your shift
RN to RN assignments transfercorrect answerresponsibility and accountability
with delegation, you can transfercorrect answerthe responsibility but not the accountability. Supervisioncorrect answerguidance 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?correct answerYou 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 whatcorrect answer&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 whatcorrect answerTheir 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?correct answerTeach, 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 themcorrect answera brand new nurse. Cannot handle any specialized care.
Most important thing we can do before we start our new jobcorrect answermalpractice insurance
If a staff member performs your assigned tasks which were not delegated to them and a problem occurs, what do you docorrect answerTeach, 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 withcorrect answerStable 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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Fordenken. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
