Re: Failed NCLEX - study/answer tips?
There is no magic to that unless you know what the question is asking. At time educated guess might work but not in all cases. Try understand what the question is asking and known what is the best response to such question. Take an example
You're caring for a pt with newly diagnosed COPD. what activities is the best for these pt
1- isometric leg exercise
2- lumbar sacral exercise
3- purse lip breathing
4- intercostal muscle expansion
Look @ the 4 option and see which intervention will benefit the pt. Also the stem question is asking about a pt with COPD. what do you understand about COPD will lead you to pick option 3, WHILE other option is of no benefit to the pt. The question is asking what activities can be done by the pt to improve breathing.
what action will you take first when a see a pt with right pneumothorax
1- assist the pt to cough and deep breath
2- administer sedative
3- prepare to insert chest drainage system
4- prepare the pt for CT
What do you know about pneumothorax first, will give you clue on how to answer these question. what is the best priority in these situation? A pt with pneumothorax has air trapped in the pleura space. What can you do to remove the air? preparing for CT can no remove the air, or administering sedative is of no use and importance but can be given before inserting the chest tube and also encouraging the pt to deep breath and cough can be done after chest tube to expand the lungs. The correct answer is insert chest tube to remove trapped air in the pleural space. This type of question is asking for Nursing process which is implementation.
what teaching will you give a pt with asthma to reduce exposure to allergy
1- maintain indoor humidity @ 80%
2- working outdoor early in the money only
3- cover pillow cases with plastic
4- washing sheet & pillow case in cold water
what do you understand about pt with asthma? These pt always have allergy to dust, dander, pollen because all these triggers asthma attack. Indoor humidity is too high, normal humidity shld be btw 40 -50%, washing sheet and pillow shld be with hot wter not cold water and working outdoor early in the morning shld be avoided because allergy are @ there highest in the morning. The correct answer is to cover the sheet and pillow case with plastic to reduce allergy exposure.
Hope that answer your question.
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