Safety first! Types of pt at risk that require observation / intervention: Comatose Kids Alcoholics/ drug abusers Demented- keep them close to nurses station Mentally challenged pts Next: These pts cannot be discharged before 72 hrs in nclex world if you need space for new admissions. MI, broken hips, ostomy Never give Tylenol or tylenol based meds to pt with liver problems. Steroids end with -ONE Contrast dye is usually hard on kidneys- watch for kidney problems , monitor labs Renal pt should never take in foods high in potassium Renal problem: potassium and extra water kills you! If pt has fever and has any kind of patches on body- REMOVE. The heat of the body will absorb the med faster! If child has brown, gray, black lines on teeth mother took tetracycline while pregnant. Remember on nclex the nurse does everything and you have all the orders from the doctor ready to use ! This confused me the most when I was doing practice questions: everytime I saw a question that started with a pregnant lady I got anxiety thinking it was an OB question! There are pregnant people on nclex! It doesn't mean it's an OB question. People with cerebral palsy have a normal intelligence! Type 1 herpes above waste Type 2 herpes below waste Herpes 1 can become herpes 2 and herpes 2 can become herpes 1! If you have herpes 1 and scratch yourself below waste, you know where , now you also have type 2! Diabetes can happen in all trimesters When baby is delivered : compress bulb, suction mouth before nose--- to remember it think: you don't nose junk in your mouth first! Mastitis: you still continue to breast feed on both breasts! Heat on the breasts helps milk come out! Wear ice and tight bra if not breast feeding To release suction from breast: put the small finger pinkie in the corner of baby's mouth :) Remember: dehydrated and cold baby--- high risk for death! Must intervene immediately! There no mother baby bonding if you're watching tv or doing other things-- must pay full attention to the infant! Diagnosing scoliosis: bend at the waist! Uneven shoulders, hips Memorize: normal changes in elderly , labs, ABGs, infection control, anatomy of heart , math formulas These are most likely to be sequential order: 24 hr urine collection Priming and hanging new iv Applying warm cold pack Meds via G- tube- in nclex each and every meds is given separately and flush in between meds Sterile specimen from foley trach Drawing and giving both insulins Inserting foley Sterile fields Personal protective equipment Admin eye ad ear drops Hope this helps- will continue to add more. Peace and love!
