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NCLEX-RN NOTES

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NCLEX-RN NOTES NCLEX-RN NOTES TIPS: - Deal with patients rather than with machines. - AVOID: never, always, must, “why?”, “I understand”. - If 2 opposites (e.g. hyper-/hypo-), one is correct. - Do not leave the patient alone. - Choose physical over psychological. - IDK the answer: pick the one with the most information. ABC (except in emergencies, distress situations & CPR) Assessment vs. Implementation Acute vs. Chronic Stable vs. Unstable Expected vs. Unexpected Real vs. Potential Odd man out DO NOT DELEGATE (PACET): - Planning; - Assessment (initial); - Collaboration; - Evaluation; - Teaching.  UAP’s cannot be delegated: “EAT”, medication & unstable patients.  LPN’s cannot be delegated anything related with blood and are assigned the most stable patients. 1 tsp = 5 ml 1 pint = 2 cups (16 oz) 1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) 1 oz = 30 ml 1 gr (grain) = 60 mg 1 cup = 8 oz 1 kg = 2,2 lbs 1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 Temperature normal range: 98,6ºF ±1 (37ºC ±0,5) MAP: (systolic + 2xdyastolic)/3 Normal: 70-105 mmHg (60 mmHg) CVP: 2-8 mmHg (CVP can indicate right ventricular failure or fluid volume overload) ETHICS & LEGAL ISSUES - Veracity is truth and is an essential component of a therapeutic relationship between a health care provider and his patient. - Beneficence is the duty to do no harm and the duty to do good. There’s an obligation in patient care to do no harm and an equal obligation to assist the patient. - Nonmaleficence is the duty to do no harm. - Tort: litigation in which one person asserts that an injury (physical, emotional or financial) occurred as a consequence of another’s actions or failure to act. - Negligence: harm that results because a person didn’t act reasonably. - Malpractice: professional negligence. - Slander: character attacked and uttered in the presence of others. - Assault: act in which there is a threat or attempt to do bodily harm. - Battery: unauthorized physical contact. CULTURAL CONSIDERATIONS 1. African Americans - Higher incidence of high blood pressure and obesity; - High incidence of lactose intolerance. 2. Arab Americans - May remain silent about STIs, substance abuse, and mental illness; - After death, the family may want to prepare the body and autopsy is discouraged unless required by law; - Use same-sex family members as interpreters. 3. Asian Americans - Believe in the yin/yang “hot-cold” theory of illness; - Sodium intake is generally high because of salted and dried foods; - Usually refuse organ donation; - May nod without necessarily understanding. 4. Latino Americans - Family members are typically involved in all aspects of decision making such as terminal illness; - May see no reason to submit to mammograms or vaccinations. 5. Native Americans - Diet may be deficient in vitamin D and calcium because many suffer from lactose intolerance or don’t drink milk; - Obesity and diabetes are major health concerns. RELIGIOUS CONSIDERATIONS - Jehovah’s Witness: no blood products should be used. - Hindu: no beef or items containing gelatin. - Jewish: special dietary restrictions, use of kosher foods. - Adventists: no pork nor alcohol and sometimes no meat. - Muslims: no pork nor alcohol; people with chronic illnesses and women that are pregnant, breast-feeding or menstruating don’t fast during Ramadan. ORDER OF ASSESSMENT: Inspection Palpation Percussion Auscultation ABO BLOOD TYPE COMPATIBILITY TRACTIONS - Buck’s traction: knee immobility CRANIAL NERVES (Sensory=S |Motor=M |Both=B) - Russell traction: femur or lower leg - Dunlap traction: skeletal or skin - Bryant’s traction: children 3y, 35 lbs with femur fracture. INFANT’S DEVELOPMENT: 2-3 months: turns head side to side 4-5 months: grasps, switch & roll 6-7 months: sit at 6 and waves bye-bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up, drink from a cup ERIKSON’S STAGES OF PSYCHOSOCIAL DEVELOPMENT

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NCLEX-RN NOTES

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NCLEX-RN NOTES - Slander: character attacked and uttered in the presence of
others.
- Assault: act in which there is a threat or attempt to do bodily
TIPS:
- Deal with patients rather than with machines. harm.
- AVOID: never, always, must, “why?”, “I understand”. - Battery: unauthorized physical contact.
- If 2 opposites (e.g. hyper-/hypo-), one is correct.
- Do not leave the patient alone. CULTURAL CONSIDERATIONS
- Choose physical over psychological. 1. African Americans
- IDK the answer: pick the one with the most information. - Higher incidence of high blood pressure and obesity;
- High incidence of lactose intolerance.
ABC (except in emergencies, distress situations & 2. Arab Americans
CPR) Assessment vs. Implementation - May remain silent about STIs, substance abuse, and mental
Acute vs. Chronic illness;
Stable vs. - After death, the family may want to prepare the body and
Unstable autopsy is discouraged unless required by law;
Expected vs. - Use same-sex family members as interpreters.
Unexpected Real vs. 3. Asian Americans
Potential - Believe in the yin/yang “hot-cold” theory of illness;
Odd man out - Sodium intake is generally high because of salted and dried
foods;
DO NOT DELEGATE (PACET):
- Planning;
- Assessment (initial);
- Collaboration;
@NursingTestsBa - Usually refuse organ donation;
- May nod without necessarily understanding.
4. Latino Americans
- Family members are typically involved in all aspects of
- Evaluation;
- Teaching.
nk
 UAP’s cannot be delegated: “EAT”, medication & unstable
decision making such as terminal illness;
- May see no reason to submit to mammograms or
vaccinations.
5. Native Americans
patients. - Diet may be deficient in vitamin D and calcium because many
 LPN’s cannot be delegated anything related with blood and suffer from lactose intolerance or don’t drink milk;
are assigned the most stable patients. - Obesity and diabetes are major health concerns.

1 tsp = 5 ml 1 pint = 2 cups (16 oz) RELIGIOUS CONSIDERATIONS
1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) - Jehovah’s Witness: no blood products should be used.
- Hindu: no beef or items containing gelatin.
1 oz = 30 ml 1 gr (grain) = 60 mg - Jewish: special dietary restrictions, use of kosher foods.
1 cup = 8 oz 1 kg = 2,2 lbs - Adventists: no pork nor alcohol and sometimes no meat.
1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 - Muslims: no pork nor alcohol; people with chronic illnesses
Temperature normal range: 98,6ºF ±1 (37ºC and women that are pregnant, breast-feeding or menstruating
±0,5) don’t fast during Ramadan.
MAP: (systolic + 2xdyastolic)/3
Normal: 70-105 mmHg (>60 mmHg) ORDER OF ASSESSMENT:
CVP: 2-8 mmHg (CVP can indicate right
Inspection
ventricular failure or fluid volume overload) Abdomen:
Palpation 1º Inspection
ETHICS & LEGAL ISSUES 2º Auscultation
- Veracity is truth and is an essential component of a Percussion 3º Percussion
4º Palpation
therapeutic relationship between a health care provider and
Auscultation
his patient.
- Beneficence is the duty to do no harm and the duty to do
good. There’s an obligation in patient care to do no harm ABO BLOOD TYPE COMPATIBILITY
and an equal obligation to assist the patient.
Blood Type Can receive from: Can donate to:
- Nonmaleficence is the duty to do no harm.
- Tort: litigation in which one person asserts that an injury O O O, A, B, AB
(physical, emotional or financial) occurred as a consequence A A, O A, AB
of another’s actions or failure to act.
B B, O B, AB
- Negligence: harm that results because a person didn’t act
reasonably. AB O, A, B, AB AB
- Malpractice: professional negligence.

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