- Slander: character attacked and uttered in the presence of
NCLEX-RN NOTES others.
- Assault: act in which there is a threat or attempt to do bodily
TIPS:
harm.
- Deal with patients rather than with machines.
- Battery: unauthorized physical contact.
- AVOID: never, always, must, “why?”, “I understand”.
- 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 & CPR) 2. Arab Americans
Assessment vs. Implementation - May remain silent about STIs, substance abuse, and mental
Acute vs. Chronic illness;
Stable vs. Unstable - After death, the family may want to prepare the body and
Expected vs. Unexpected autopsy is discouraged unless required by law;
Real vs. Potential - Use same-sex family members as interpreters.
Odd man out 3. Asian Americans
- Believe in the yin/yang “hot-cold” theory of illness;
DO NOT DELEGATE (PACET): - Sodium intake is generally high because of salted and dried
- Planning; foods;
- Assessment (initial); - Usually refuse organ donation;
- Collaboration; - May nod without necessarily understanding.
- Evaluation; 4. Latino Americans
- Teaching. - Family members are typically involved in all aspects of
decision making such as terminal illness;
UAP’s cannot be delegated: “EAT”, medication & unstable - May see no reason to submit to mammograms or
patients. vaccinations.
LPN’s cannot be delegated anything related with blood and 5. Native Americans
are assigned the most stable patients. - 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.
1 tsp = 5 ml 1 pint = 2 cups (16 oz)
1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) RELIGIOUS CONSIDERATIONS
1 oz = 30 ml 1 gr (grain) = 60 mg - Jehovah’s Witness: no blood products should be used.
1 cup = 8 oz 1 kg = 2,2 lbs - Hindu: no beef or items containing gelatin.
- Jewish: special dietary restrictions, use of kosher foods.
1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 - Adventists: no pork nor alcohol and sometimes no meat.
Temperature normal range: 98,6ºF ±1 (37ºC - Muslims: no pork nor alcohol; people with chronic illnesses
±0,5) and women that are pregnant, breast-feeding or menstruating
MAP: (systolic + 2xdyastolic)/3 don’t fast during Ramadan.
Normal: 70-105 mmHg (>60 mmHg)
CVP: 2-8 mmHg (CVP can indicate right ORDER OF ASSESSMENT:
ventricular failure or fluid volume overload)
Inspection
Abdomen:
ETHICS & LEGAL ISSUES Palpation 1º Inspection
- Veracity is truth and is an essential component of a 2º Auscultation
therapeutic relationship between a health care provider and his Percussion 3º Percussion
4º Palpation
patient.
Auscultation
- 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. ABO BLOOD TYPE COMPATIBILITY
- Nonmaleficence is the duty to do no harm.
Blood Type Can receive from: Can donate to:
- Tort: litigation in which one person asserts that an injury
(physical, emotional or financial) occurred as a consequence of O O O, A, B, AB
another’s actions or failure to act. A A, O A, AB
- Negligence: harm that results because a person didn’t act
reasonably. B B, O B, AB
- Malpractice: professional negligence. AB O, A, B, AB AB
, TRACTIONS CRANIAL NERVES (Sensory=S |Motor=M |Both=B)
- Buck’s traction: knee immobility
- Russell traction: femur or lower leg Oh (Olfactory I) Some
- Dunlap traction: skeletal or skin Oh (Optic II) Say
- Bryant’s traction: children <3y, <35 lbs with femur fracture. Oh (Oculomotor III) Marry
To (Trochlear IV) Money
INFANT’S DEVELOPMENT: Touch (Trigeminal V) But
2-3 months: turns head side to side And (Abducens VI) My
4-5 months: grasps, switch & roll Feel (Facial VII) Brother
6-7 months: sit at 6 and waves bye-bye A (Auditory VIII) Says
8-9 months: stands straight at eight Girls (Glossopharyngeal IX) Big
10-11 months: belly to butt (phrase has 10 letters) Vagina (Vagus X) Bras
12-13 months: twelve and up, drink from a cup And (Accessory XI) Matter
Hymen (Hypoglossal XII) More
ERIKSON’S STAGES OF PSYCHOSOCIAL DEVELOPMENT
AGE STAGES CHARACTERISTICS Cranial nerve What it controls
Infancy Trust vs. Development of trust I Olfactory Smell test
(0-18m) Mistrust based on caregivers II Optic Visual acuity and visual fields
Autonomy vs. Development of sense Pupil constriction and extraocular
Early childhood III Oculomotor
Shame & of movements
(18m-3yrs)
doubt personal control Extraocular movements: inferior
Development of sense IV Trochlear
Preschool Initiative vs. adduction
of V Trigeminal Clench teeth and light touch
(3-5yrs) Guilt
purpose and directive
Extraocular movements: lateral
School age (6- Industry vs. Development of pride VI Abducens
abduction
11yrs) Inferiority in accomplishments
VII Facial Facial movement: close eyes, smile
Exploration of
Adolescence Identity vs. VIII Auditory Hearing and Romberg test
independence and
(12-18yrs) Role confusion IX Glossopharyngeal Gag reflex
development of self
Say “ah” – uvular and palate
Early Development of X Vagus
Intimacy vs. movement
adulthood (18- personal
Isolation Turn head and lift shoulders to
40yrs) relationships and love XI Accessory
resistance
Fulfilling goals and
Adulthood (40- Generativity XII Hypoglossal Stick out tongue
building career
65yrs) vs. Stagnation
and family
Older adult Integrity vs. Looking back on life PPE (Personal Protective Equipment)
(>65yrs) Despair with acceptance Don PPE Remove PPE
1. Hand hygiene 1. Gloves
2. Gown 2. Goggles
BURNS 3. Mask 3. Gown
4. Goggles 4. Mask
Parkland formula: 5. Gloves 5. Hand hygiene
4ml/kg/%body burned
- 1st 8h: ½ total volume TRANSMISSION-BASED PRECAUTIONS
- 2nd/ 8h: ¼ total volume
Hepatitis transmission:
- 3rd 8h: ¼ total volume
Consonants (B, C, D):
- Blood and body fluids.
Vowals (A, E):
- Fecal and oral.
Airborne: MTV
Measles
TB
Varicella (Chicken Pox/Herpes Zoster-Shingles)
NCLEX-RN NOTES others.
- Assault: act in which there is a threat or attempt to do bodily
TIPS:
harm.
- Deal with patients rather than with machines.
- Battery: unauthorized physical contact.
- AVOID: never, always, must, “why?”, “I understand”.
- 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 & CPR) 2. Arab Americans
Assessment vs. Implementation - May remain silent about STIs, substance abuse, and mental
Acute vs. Chronic illness;
Stable vs. Unstable - After death, the family may want to prepare the body and
Expected vs. Unexpected autopsy is discouraged unless required by law;
Real vs. Potential - Use same-sex family members as interpreters.
Odd man out 3. Asian Americans
- Believe in the yin/yang “hot-cold” theory of illness;
DO NOT DELEGATE (PACET): - Sodium intake is generally high because of salted and dried
- Planning; foods;
- Assessment (initial); - Usually refuse organ donation;
- Collaboration; - May nod without necessarily understanding.
- Evaluation; 4. Latino Americans
- Teaching. - Family members are typically involved in all aspects of
decision making such as terminal illness;
UAP’s cannot be delegated: “EAT”, medication & unstable - May see no reason to submit to mammograms or
patients. vaccinations.
LPN’s cannot be delegated anything related with blood and 5. Native Americans
are assigned the most stable patients. - 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.
1 tsp = 5 ml 1 pint = 2 cups (16 oz)
1 tbsp = 3 tsp (15 ml) 1 quart = 2 pints (32 oz) RELIGIOUS CONSIDERATIONS
1 oz = 30 ml 1 gr (grain) = 60 mg - Jehovah’s Witness: no blood products should be used.
1 cup = 8 oz 1 kg = 2,2 lbs - Hindu: no beef or items containing gelatin.
- Jewish: special dietary restrictions, use of kosher foods.
1 g = 1 ml (diapers) ºF = (ºC x 1,8) + 32 - Adventists: no pork nor alcohol and sometimes no meat.
Temperature normal range: 98,6ºF ±1 (37ºC - Muslims: no pork nor alcohol; people with chronic illnesses
±0,5) and women that are pregnant, breast-feeding or menstruating
MAP: (systolic + 2xdyastolic)/3 don’t fast during Ramadan.
Normal: 70-105 mmHg (>60 mmHg)
CVP: 2-8 mmHg (CVP can indicate right ORDER OF ASSESSMENT:
ventricular failure or fluid volume overload)
Inspection
Abdomen:
ETHICS & LEGAL ISSUES Palpation 1º Inspection
- Veracity is truth and is an essential component of a 2º Auscultation
therapeutic relationship between a health care provider and his Percussion 3º Percussion
4º Palpation
patient.
Auscultation
- 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. ABO BLOOD TYPE COMPATIBILITY
- Nonmaleficence is the duty to do no harm.
Blood Type Can receive from: Can donate to:
- Tort: litigation in which one person asserts that an injury
(physical, emotional or financial) occurred as a consequence of O O O, A, B, AB
another’s actions or failure to act. A A, O A, AB
- Negligence: harm that results because a person didn’t act
reasonably. B B, O B, AB
- Malpractice: professional negligence. AB O, A, B, AB AB
, TRACTIONS CRANIAL NERVES (Sensory=S |Motor=M |Both=B)
- Buck’s traction: knee immobility
- Russell traction: femur or lower leg Oh (Olfactory I) Some
- Dunlap traction: skeletal or skin Oh (Optic II) Say
- Bryant’s traction: children <3y, <35 lbs with femur fracture. Oh (Oculomotor III) Marry
To (Trochlear IV) Money
INFANT’S DEVELOPMENT: Touch (Trigeminal V) But
2-3 months: turns head side to side And (Abducens VI) My
4-5 months: grasps, switch & roll Feel (Facial VII) Brother
6-7 months: sit at 6 and waves bye-bye A (Auditory VIII) Says
8-9 months: stands straight at eight Girls (Glossopharyngeal IX) Big
10-11 months: belly to butt (phrase has 10 letters) Vagina (Vagus X) Bras
12-13 months: twelve and up, drink from a cup And (Accessory XI) Matter
Hymen (Hypoglossal XII) More
ERIKSON’S STAGES OF PSYCHOSOCIAL DEVELOPMENT
AGE STAGES CHARACTERISTICS Cranial nerve What it controls
Infancy Trust vs. Development of trust I Olfactory Smell test
(0-18m) Mistrust based on caregivers II Optic Visual acuity and visual fields
Autonomy vs. Development of sense Pupil constriction and extraocular
Early childhood III Oculomotor
Shame & of movements
(18m-3yrs)
doubt personal control Extraocular movements: inferior
Development of sense IV Trochlear
Preschool Initiative vs. adduction
of V Trigeminal Clench teeth and light touch
(3-5yrs) Guilt
purpose and directive
Extraocular movements: lateral
School age (6- Industry vs. Development of pride VI Abducens
abduction
11yrs) Inferiority in accomplishments
VII Facial Facial movement: close eyes, smile
Exploration of
Adolescence Identity vs. VIII Auditory Hearing and Romberg test
independence and
(12-18yrs) Role confusion IX Glossopharyngeal Gag reflex
development of self
Say “ah” – uvular and palate
Early Development of X Vagus
Intimacy vs. movement
adulthood (18- personal
Isolation Turn head and lift shoulders to
40yrs) relationships and love XI Accessory
resistance
Fulfilling goals and
Adulthood (40- Generativity XII Hypoglossal Stick out tongue
building career
65yrs) vs. Stagnation
and family
Older adult Integrity vs. Looking back on life PPE (Personal Protective Equipment)
(>65yrs) Despair with acceptance Don PPE Remove PPE
1. Hand hygiene 1. Gloves
2. Gown 2. Goggles
BURNS 3. Mask 3. Gown
4. Goggles 4. Mask
Parkland formula: 5. Gloves 5. Hand hygiene
4ml/kg/%body burned
- 1st 8h: ½ total volume TRANSMISSION-BASED PRECAUTIONS
- 2nd/ 8h: ¼ total volume
Hepatitis transmission:
- 3rd 8h: ¼ total volume
Consonants (B, C, D):
- Blood and body fluids.
Vowals (A, E):
- Fecal and oral.
Airborne: MTV
Measles
TB
Varicella (Chicken Pox/Herpes Zoster-Shingles)
