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i wish this would help guys.. i took my nclex-rn just last tuesday 1st take and i made it at 75question.. i am very average person.. sometime.. i guess borderline.. hehehe...anyway, congratulations in andvance new rns
rn
- invasive procedure = i am rn educated
- initial/comprehensive/baseline (assessments)
- assess (frequent/ongoing =unstable patients)
- managing and leading client care environment
ex. clients who are in severe and refusing meds (needs more assessment)
- review
- nsg process/ nsg judgement use (apie= assessment,planning, implementation,evaluation)
- encourage
- develop
- use of iv meds (ex. plasma, blood products-- these and iv are done by rn only)
- consult/counsel/suggest & update
- admission .. new & post op
- teach
- educate
- discharge & admission preparation
lpn/lvn-
-certain invasive task =i-sound star cross ++
- im adm
- sq adm.
- oral meds adm
- urinary catheterization
- nitroglycerin
- dreassing of wound (changing & irrigating) very commonly seen q.
- suctioning
- tube feeding
- auscultate/listen
- routine/standard
- check(s)
- reinforce/remind
- observe
- set up (basic equipment)
- specimen collection & data colletion
+
-blood glucose readings
-monitor
-review/teach-- usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- rn mostly teaches/educated and lpns reinforce
+
cast & toe amputation are stable clients and need on going assessment and pain mgt./la charity book(don't know too..just dont deprive with it.. just follow the book
data collection such as listening to lung sounds & checking for peripheral edema_part of lpn scope of practice: /lacharity book
** don't assign lvn/lpn to do a task an nurse assistant can complete**
nursing assistant/uap- unlicense assistive personnel
- non invasive procedure/basic care =sparrtacus groam +++
-skin care (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, apply and care for a client's rectal pouch )
-positioning-- special positioning-- requires initial education by rn -- assistant will assist not teach
-ambulation/ assisting with adl (ambulation of fractured hip only rn& pt) ( patienst with chestube ambulating the hall-lpn/lvn)
-recording & monitoring of v/s (bp,pulse, oxygen sat,)
-range of motion &exercise
-transport of client
-assist (assisting for prep for sitz bath)
-collection of
-urine &
-stool
-groam (groaming & hygiene measure, bathing & checking water temp)
+
weighting
intake & output
feeding
+
- remind/reinforce: usually reminds pt. to do something rather than how to do it (skills previously taught by other health care professional or precaution measures)***
- they can detach suction and remove a foley but not connect or insert
- gather (equipment)
+
- measurement of ankle and bracial blood pressure for ankle brachial index calculation.(calculated already)
( calculation on the ankle-brachian index is responsibility of rn)
-experienced nsg assistant should have been taught how to..
monitor apical pulse, however, the rn should observe to be sure that s/he mastered this skills.
---la charity book---
new rn
-education and hospital orientation includes.. safe administration of iv meds.
-stable patients
some key points:
patients that require teaching about drugs or need procedures done are not rn priority.
physician
-informed consent
-medical diagnosis
-prescriptions
-order procedures
avoid these assignments for new/float/lvn/lpn/traveling
-new onset/sudden/acute
-new admission
-transfer
-newly diagnosed
-discharge
-require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit)
- unstable (ie. high risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances)
give:
- chronic
- routine meds/procedures
- stable
all healthcare workers
- responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it
Hey guys, sorry I just come back here. I am very glad that this thread has been a good help for some of you. Anyway, for those who are asking about the links and free sites it's on page2 no.14 of this thread and the links included there were LaCharity 1st Ed. just click it and download on your computer. Just focus more on 1.infection control,2.Leadership& Management 3.Medical&Surgical. I highly recommend to master the infection control (my checkin hez tb? mnemonics?) and delegation&prioritization. Print them and post it in your wall or any moment you turn your head you'll gonna see it. More importantly.. Be FOCUS and develop/stick on your ROUTINE! Make a promise to yourself and make a Trade..(ex. giving up browsing your Facebook for the meantime as it hindrances to your review and your new facebook is this site allnurses.com and any NCLEX related sites. Another thing..giving up your nightlife is a must, don't put your cellphone by your side while you are on your review, NO TV or DVDs or angry birds game/any games except on your unscheduled time. Your priority for now is passing the NCLEX than anything else so embrace it. Above all PRAY and have faith. Trust me everything will be fine. I know sounds spoon feed motivation but some of us needs reminders. :ancong!:in advance and God bless you my fellow RN's:nurse:
On the side note. STAY POSITIVE, DON'T ever allow any single negative engulf you& STAY AWAY from negative people and environment because they're contagious. Yes? Alright!:yeah:
For those who ask about study buddy I could be available if you are close to Hayward, California it's in Bay Area. Though, I cannot guarantee to be with you most of the time but at least I'll do my best as I can on our meeting.. It would be in the Library just in case... You can normally see me there anyway self studying Spanish language it would be best if you can go with me too hitting the gym right after study/review.Remember NCLEX is very stressful so exercise is the best answer for it. I could lend my books too just in case you don't have. K! Just message me guys.
jenita19
5 Posts
if you have any tips or strategies can please email them to me...Im going to try again to take the Nclex. Your strategies are so helpful thanks for posting!!
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