Exam (elaborations)
Nclex reviewer uworld notes Pre-Assessment Exam A+ latest
- Course
- Institution
Nclex reviewer uworld notes Pre-Assessment Exam A+ latest
[Show more]
Seller
Follow
a_plus_work
Reviews received
Content preview
NCLEX UWORLD NOTESPRE-ASSESSMENT EXAM
1. Signs of child abuse
1. Shaken Baby Syndrome (irritability or lethargy, poor feedig, emesis, seizures)
2. Burns in the shape of household items, from cigarettes, or from immersion in scalding
liquid
3. Repeated injuries in varied stages of healing (bruises, burns, fractures)
4. Injuries to the genitalia
5. Lapsed time between the injury and the time care is sought.
6. Inconsistency between the injury and the caregiver’s explanation of the injury (clients
developmental stage, mechanism of injury)
*toddlers and young children are prone to many accidental injuries (aspiration or poisoning from
foreign objects in the mouth, climbs onto and falls from furniture, pulling of objects from the table)
*RN should instruct the caregivers on child safety measures within the home to prevent future injury.
2. Room assignments
Remember that a client with an ACTIVE OR SUSPECTED INFECTION SHOULD NOT BE PAIRED
WITH A CLIENT WHO HAS A FRESH SURGICAL WOUND OR IMMUNOCOMPROMISED.
*a client with uncontained or excessive excretions, drainage, or secretions (profuse diarrhea,
intractable diarrhea, draining wounds) is more likely to spread infection, if present, should be
assigned to a private room.
3. Advanced Directives
- Outlines the client’s choices for medical care (CPR, mechanical ventilation) ahead of time.
- This allows the family and healthcare team to FOLLOW THE CLEINT’S WISHES at the end of
life, when the client may be unable to make choices known. *WITH AN (AD) IN PLACE, THE
, CLIENT’S WISHES ARE FOLLOWED, EVEN IF THEY CONFLICT WITH THE WISHES OF LOVED
ONES.
- RN’S must ADVOCATE for client’s wishes, even if family members are in disagreement.
4. Suicide risks and assessment
Clients receiving treatment for depression and suicidal ideation must be carefully monitored for
indications of increasing suicidal intent. The RN should assess
- Access to psychiatric medications
- Availability of help during crisis (counselor, family)
- Future goals and plans
- Home and work environment risks
- Overall affect and level of energy
- Possible access to weapons
*clients who articulate lone-term personal goals and family milestones are less likely
to commit suicide.
*clients feel more energetic after beginning treatment, yet thoughts of suicide may
not have fully resolved and the client may now have the energy to follow through
suicide plans.
*”No harm/ no suicide” contracts are widely used in clinical practice to support a
client’s ability to avoid acting on suicidal thoughts. These agreements DO NOT
GUARANTEE SAFETY AND ARE NOT BEST INDICATOR OF DECREASED SUICIDE RISK.
,5. Steps for male indwelling catheter insertion
,
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 a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now