OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!
SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:
OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:
1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.
3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves
4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.
Oh, ohh, one more...
? Vasopressin is also known as antidiuretic hormone
- 3 days before test pt. has diet with at least 150g carbohydrates
- fasting 10-12h before test
- withold morning insulin or oral hypogl. ( for pt. with dm )
- sample is drawn for baseline - normal 70 - 110 mg/dl
- high-glucose drink - blood samples a30 min.
- 30min ( fasting ) 110-170 mg/dl
- 60min 120-170
- 90min 100-140
-120min 70-120
-2h postprandial
-2h after igestion or injection of glucose >200 confirms dg.
( saunders 4th edition )
i am a little bit confused by this statement, i do not have the saunders book but when i did questions on the cd it said this: fasting blood sugar: 70 - 110, gtt, fasting less than 115mg/dl, @ 30, 60, 90 mins... less than 200 mg/dl then at 120 mins ... less than 140 mg/ dl
also to break it down more (from kaplan review classes, given by instructor)
i am a little bit confused by this statement, i do not have the saunders book but when i did questions on the cd it said this: Fasting blood sugar: 70 - 110, gtt, fasting less than 115mg/dl, @ 30, 60, 90 mins... Less than 200 mg/dl then at 120 mins ... Less than 140 mg/ dl
also to break it down more (from kaplan review classes, given by instructor)
S---assess how specific is the plan: goes beyond thinking about it = suicide ideation
L---assess how lethal is the method of doing it
A---assess the availability of whatever object the person chooses to commit suicide with
P---proximity how far or close this person is from getting help or from someone to notice his/her intentions and try to stop him/her
If at least one these four items is affirmative on a patient, the patient is at risk and rising if there is no intervention in place such as placing the patient on suicide precautions.
I said I was done for tonight...I guess I was not feliz3
Specializes in long term care Alzheimers Patients.
How to Determine Whether to Delegate or Not
UAP= unlicensed assistive personnel
Ask yourself:
1) Are the and rules in place which support the delegation?
a) yes---go to step 2
b) no--- do not delegate
2) Is the task to be delegated within the scope of practice of the RN/LPN?
a) yes---got to step 3
b) no---do not delegate
3) Is the RN/LPN has the knowledge and experience to make delegation decisions?
a) yes---go to step 4
b) no---do not delegate. Action to take: provideeducation and documenteducation provided
4) Has there been assessment of the client's needs?
a) yes---move to step 5
b) no---assessclient's needs first, then proceed with considerations to delegations
5) Is the UAP competent, has the experience to accept the delegation?
a) yes---move to step 6
b) no---do not delegate. Action to take: Provide education and document the education given to the UAP
6) Does the ability of the care giver match the care needs of the client?
a) yes---go to step 7
b) no---do not delegate
7) Can the task to be delegated be performed withoutrequiring nursing judgment?
a) yes---move to step 8
b) no---do not delegate
8) Are the results of the task reasonably predictable?
a) yes---move to step 9
b) no---do not delegate
9) Can the task be safely performed according to exact, unchanging directions?
a) yes---move to step 10
b) no---do not delegate
10) Can the task be safely performed without complex observations or decisions based on critical thinking?
a) yes---move to step 11
b) no---do not delegate
11) Can the task be performed without repeated nursing assessments?
a) yes---move to step 12
b) no---do not delegate
12) Is appropriate supervision available?
a) yes--- all other steps met, it is safe to delegate
b) no---do not delegate
Delegation= Transferring a selected nursing task in a situation to an individual who posses the knowledge, experience that makes the person competent to perform that specific task.
The Nurse Practice Act and any practice limitation, such as been unfamiliar with the particular task which needs to be delegated, define which aspects of care can be delegated and which must be performed by the registered nurse.
Only the task not the ultimate accountability may be delegated to another. The nurse who delegates maintains accountability for the overall nursing care of the client. The nurse must know what are her clients preferred outcomes in terms of health care delivery goals, so that the process of delegation is geared toward achieving desirable outcomes.
The RN must match the task to be delegated based on the Nurse Practice Act and appropriate position descriptions.
Task that which are the responsibility of the RN only:
a) unstable patients with the least predictable medical outcomes
b) central line care
c) any tasks involving teaching, observation, discharge of a patient, assessment and critical thinking based decisions
d) blood transfusions
e) parenteral nutrition
f) patient controlled analgesia
g) development of a plan of care
h) taking a medical history
i) taking phone doctor's orders for prescription and treatment
j) doing an admission assessment
Task that can be delegated to LPN/LVN only
a) patients who are stable and with predictable outcomes and common, well-defined health problems
b) give meds
c) LPN/LVN cannot give IVPush but can start an IV of saline
d) give injections
e) monitor running IV
f) give enemas
g) monitor a catheter
h) do simple wound dressing change
i) any task which does not require nursing judgment or complex observation, nurse must give the LPN
the parameter of what to report as abnormal
j) use sterile technique procedures such as putting a urinary catheter
K) cannot give intra muscular injections---can someone please check on this, please. I am not totally sure. Thanks
UAP
a) bathing patient
b) ambulation
c) making beds
d) routine vital signs feeding patients
e) transferring patients
That is all for today...good night to you all. feliz3
Feliz LPNS can give Intra muscular lnjections at least in both states that I work in it is in our scope of practice.
hi PendingAreEhn, you can go to: http://pinoyrn.co.nr/ and search for Review Notes in Infection Control. I printed a copy of it and added some diseases while I was studying for the NCLEX. It helped me during the exam :nuke:
Feliz LPNS can give Intra muscular lnjections at least in both states that I work in it is in our scope of practice.
Thanks debi23... is this in California where the scope of practice for LVN/LPN allows them to give IM injections? I think it is within their scope of practice in CA, but as I mentioned before I am not totally sure. feliz3
Specializes in long term care Alzheimers Patients.
Thanks debi23... is this in California where the scope of practice for LVN/LPN allows them to give IM injections? I think it is within their scope of practice in CA, but as I mentioned before I am not totally sure? feliz3
a) private room with monitored negative air pressure flow with 6-12 air changes per hour
b) keep the door closed and patient in the room
c) can cohort or place the patient with another patient with the same organism but no other organism
d) care giver ware mask N-95 and respirator around mouth and nose
e) place a mask on the client if being transported
DROPLET PRECAUTIONS:
a) involves contact of conjuntive or mucous membranes of nose, mouth that happens during coughing, sneezing, talking or during procedure such as suctioning or bronchoscopy
b) private room or with patient with same infection but no other infection
c) maintain a spacial separation of three feet between infected patient and visitors or other patients
d) door may remain open
e) place mask on patient if being transported
CONTACT PRECAUTIONS:
a) needed for patient care activities that require skin-to-skin contact such as turning a patient, bathe a patient or hand contact between two patients or contact with a contaminated objects in the patient's environment
b) private room or with another patient with the same infection but no other infection
c) clean nonsterile gloves when entering the room
d) change globes after patient contact with fecal material or wound drainage
e) remove globes before leaving patient's environment and wash hands with antimicrobial agent
f) wear a gown before entering the room if clothing will have contact with patient, environment surfaces, or if patient is incontinent, has diarrhea, an ileostomy, colostomy or wound drainage
g) remove the gown before leaving the room
h) use dedicated equipment or clean and disinfect between patients
Entrance into the Isolation Room:
a) put the surgical mask or respirator around mouth and nose (type of mask depend on the type of isolation)
b) apply eyeware or goggles snugly around the face and eyes (when needed)
c) apply gown and make sure it covers all outer garments, pull sleeves down to wrist and tie the gown securely on the neck and waist
d) apply disposable globes to cover over the edge of the gown sleeves
e) enter the patient's room
f) equipment such as stethoscope, pressure cuff, thermometer--disposable--.
g) nondisposable equipment remains in the room... clean nondisposable equipment with alcohol before and after using it, place dedicated equipment on a clean surface
Leaving Isolation Room:
a) remove gloves, discard
b) untie top mask string and then bottom string pull mask away from face and do not touch the outer surface of the mask
c) untie waist and neck string of the the gown, allow the gown to fall from the shoulders
d) remove hands from sleeves without touching the outside of the gown
e) hold the gown inside at the shoulders seams and fold inside out and discard
f) remove eyeware or goggles
g) wash hands
h) leave the room and close the door if the patient is on airborne precautions
Fundamentals of Nursing, 6th edition Potter & Perry
Kaplan Nursing 9th edition The Course Book Preparation for the NCLEX-RN
feliz3
hopingtobeanRNsoon
235 Posts
i am a little bit confused by this statement, i do not have the saunders book but when i did questions on the cd it said this: fasting blood sugar: 70 - 110, gtt, fasting less than 115mg/dl, @ 30, 60, 90 mins... less than 200 mg/dl then at 120 mins ... less than 140 mg/ dl
also to break it down more (from kaplan review classes, given by instructor)
gtt
fasting 80 - 110
30 mins
60
2 hours
3 hours
4 hours 70 - 105...
so please explain someone, thanks