NCLEX tip of the day

izzy's playlists!
Show & Tell
🪼
tumblr dot com
I'd rather be in outer space 🛸
PUT YOUR BEARD IN MY MOUTH

Love Begins
KIROKAZE
taylor price

titsay

Kiana Khansmith
Game of Thrones Daily

pixel skylines
NASA

blake kathryn
todays bird

★
Misplaced Lens Cap
Cosimo Galluzzi
trying on a metaphor

seen from United States
seen from Luxembourg
seen from Taiwan
seen from Sweden

seen from Germany

seen from Malaysia
seen from United Kingdom
seen from Luxembourg

seen from United Kingdom
seen from Belgium
seen from United Kingdom
seen from United States

seen from Australia

seen from United Kingdom
seen from Malaysia
seen from Mongolia

seen from Italy
seen from Hong Kong SAR China

seen from United States

seen from United Kingdom
@michellepho
NCLEX tip of the day
Cardioversion vs Defibrillation
Cardioversion is a method to restore an abnormal heart rhythm back to normal. Defibrillation is a medical technique used to counter the onset of ventricular fibrillation, (VF) a common cause of cardiac arrest, and pulseless ventricular tachycardia, which sometimes precedes ventricular fibrillation but can be just as dangerous on its own.
Difference of Cardioversion and Defibrillation
MONA: Immediate Treatment of MI
Remember that MONA does not represent order in which you should administer these treatments. It is a mnemonic to help you remember the components of MI treatment, not the prioritization of them.
MNEMONICS & NCLEX STUDY GUIDE
Hey guys! I just wanted to share a study guide that I found on allnurses.com a while back when I was studying for the NCLEX. Hope you find this helpful! The original pdf can be found here though: http://allnurses.com/attachment.php?attachmentid=8687&d=1310076980
____________________________________________________________________
DO NOT delegate what you can EAT!
E - evaluate A - assess T - teach
addisons= down, down down up down
cushings= up up up down up
addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia
No Pee, no K (do not give potassium without adequate urine output)
EleVate Veins; dAngle Arteries for better perfusion
A= appearance (color all pink, pink and blue, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)
Keep reading
Important electrolyte info you need to know.
Insulin Review:
Aspart: Acts fast! Onset 5-15mins, Peak 45min, Duration 3-5hrs REMEMBER- To administer this insulin you must “see food!”
Regular: Short Acting. Onset 15-30mins, Peak 1-3hrs, Duration 5-7hrs
NPH: Intermediate-acting. Onset 2-4hrs, Peak 8-12hrs, Duration 18-24hrs
Lantus: L for LONG LASTING. Onset 1.5hrs, Peakless, Duration 24hrs.
TEST SMART: HOW TO PASS NCLEX
I. Prioritizing - Means ranking the client’s problems in order of importance depending on:
Issue of the question
Clinical setting
Client’s condition
Needs/problems that require immediate attention
A. Priority
High priority - life threatening conditions if untreated would result in harm/injury
Intermediate priority
Low priority
B. Guides for prioritizing
Keywords or key phrases
Maslow’s Heirarchy of Needs Theory
Physiological needs are the first priority (Airway, Breathing, Circulation)
Pain
Safety
3. Steps of the Nursing Process
Assessment vs. Implementation (Assess first)
Expected outcome
C. Other priorities
Most acute/least stable patient
Complication of the disease condition (not an expected outcome)
II. Delegation and Assignment-making
A. Principles and Guidelines
Ensure client safety
Focus on what the question is asking for
Determine which activity can be delegated safely and legally.
Match the activity on the basis of the nurse practice act.
Provide adequate supervision (supervise RNs who are new grads.)
B. Who can do that?
Unlicensed personnel - Noninvasive tasks and basic client care activities that include the following:
Ambulation
Bathing
Client support
Grooming
Hygiene measures
Positioning
Range-of-motion exercises
Skin care
Some specimen collection, such as urine or stool.
2. Licensed Practical or Vocation Nurse - Certain invasive tasks and client care activities that include the following:
Administering oral medications
Administering intramuscular and subcutaneous injections
Changing dressings
Irrigate wounds
Monitoring an intravenous flow rate
Suctioning
Urinary catheterization
3. Registered Nurse - Some of the tasks and client care activities that only the registered nurse can perform are as follows:
Administering intravenous medications
Leading others and managing the client care environment
Teaching
Using the nursing process: assessment, analyzing data, planning client care, implementing care and evaluating care
III. Test-taking Techinique
A. Identify the parts of a question
Case situation
Question stem
B. Read the question carefully. Look for keywords or phrases in the case situation and stem the question
Examples:
What is an early sign of shock?
What is the initial nursing action? Indicates that options are correct and you have to prioritize.
Which statement by the client indicates understanding of the instruction? Indicates a true response questions
Which statement by the client indicates the need for additional teaching? Indicates a false response question
C. Identify the issue. (What is the problem asking?)
D. Use the process of elimination. Involves reading each question and removing options that are incorrect and do not address the issue of the question.
E. Avoid asking yourself “what if?” or “reading into the question”. Means that you are considering issues beyond information presented in the question. Moves you off track with regards to what the question is asking.
F. Additional tips and strategies
Eliminate options that contain absolute words e.g. all, always, never, none, only
Focus on nursing rather than medical interventions.
Ensure that all parts of an option are correct.
Look for an umbrella option. (more comprehensive answer)
Visualize the information (arrange in sequence/order)
Look for the option that relates to the question.
Don’t expect the test to end after 75 questions!
Source: (Nocturalnurse)
Antidepressant nation
NCLEX tips
Assessment before implementation
If RN is pulled to a different unit, RN gets LPN assignment.
RNs must do first time assessments, including vitals signs. RN must do all education and Pt. discharge LPN can take care of basic stable patients with predictable outcomes.
BUN, creatinine = kidneys/renal function; AST, ALT = liver function
COAL: Cane oppossite affected leg
Therapeutic communication: validation of feelings, reality orientation, and open ended statement/questions No “why” questions - confrontational Cannot tell people what you should and should not do. (Starts with “you should”) Warm fuzzy answers may be wrong Don’t assume
No passing the buck. Even when asking someone else what to do.
If you guys need help just ask!
Transmission Based Precautions
Know your Airborne, Droplet and Contact precautions. I had many questions based on precautions on my test. This was how I learned them for the test.
AIRBORNE PRECAUTIONS:
Airborne = MTV
Measles
TB
Varicella - Chicken Pox / Herpes Zoster - Shingles
TB
Private Room, Negative pressure with 6-12 air exchanges/hr and mask.
N95 mask for TB patients.
DROPLET PRECAUTIONS:
For Droplet precautions think of SPIDERMAN
S - Sepsis
S - Scarlet fever
S - Streptococcal pharyngitis
P - Parvovirus B19
P - Pertussis
P - Pneumonia
I - Influenza
D - Diptheria (pharyngeal)
E - Epiglottitis
R - Rubella
M - Mumps
M - Mycoplasma / Meningeal pneumonia
M - Meningitis
AN - Adenovirus
Private room, mask.
You can keep the door open with patients who are on droplet precautions.
CONTACT PRECAUTIONS:
For Contact precautions think of MRS. WEE!
M - Multidrug resistant organism (MRSA)
R - Respiratory infection
S - Skin infections**
W - Wound infection
E - Enteric infection (Clostridum Difficile)
E - Eye infection (Conjunctivitis)
Skin Infection (VCHIPS)
V -Varicella Zoster
C - Cutaneous Diptheria
H - Herpes Simplex
I - Impetigo
P - Pediculosis
S - Scabies
listen here binch
aahhhh!!!!!!
千疋屋スペシャルパフェ(1,944円)
Bedevilled (2010) dir. Jang Cheol-soo
CHANA CHANA CHANA @chanachris