- Least Invasive First
- Pain never killed anyone
- Never release traction UNLESS you have an order from the MD to do so
- Polyuria--Think shock first
- If you have never heard of it.... Don't pick it!
- Anytime you see fluid retention... Think heart problems first
- Stay away from restraints as long as you can... Remember the NCLEX is a perfect world.
- Do not pick an answer that delays care or treatment.
- Never pick an answer that does not allow your patient to speak.
- Select a "patient focused" answer.
- With priority questions... Remember you can only send one message to the NCLEX lady... so you must pick the "killer" answer
- ADH--Think H2O
- Aldosterone--Think sodium AND water
- With SIADH--TOO many letters TOO much WATER
- More Volume--More Pressure
- Less Volume--Less Pressure
- Anytime you see the words "assessment" or "evaluation" think pertinent signs and symptoms
- There will not be a test questions unless there is something to WORRY about...
- Assume the WORST
- If there is something you can do about the problem first... do that before calling the doctor
- Hypoxia may be the first sign of respiratory acidosis
- With restless patient... think hypoxia first
- Limit protein in kidney patients EXCEPT with Nephrotic syndrome
- Like illness can be put in the same room together
- If there are any long term consequences to your patient with the answer you pick, you should not pick that answer.
- Assess before implementing
- If you have a fluid problem you have a Na problem too
- If you have a fluid problem... you will do I&O and daily weights
- "Always" and "whenever" are TOO definite
- Read the questions.... Then decide what you are WORRIED about... then pick an answer that you can do to SOLVE the problem
- If you see words like "assessment" or "evaluation" in the stem of the question.... Think pertainate signs and symptoms. The presents or absence of the signs or symptoms.
- You can't use medical dx in a nursing diagnosis
- You will report something "new" or different" or "possible" to the next shift nurse.
- If you can narrow the answers down to 2 answers... pick the more life threatening answer.
- Anytime you have a magnesium or calcium question... think muscles first.
- Digoxin + hypokalemia= toxicity
- You elevate veins and dangle arteries.
- Always worry if the rate decreased with a pacemaker
- Never pick an answer that puts your work off on anyone else
- Never pick an answer that does not allow your patient to speak
- Never pick an answer that ignores or brushes off the patient's compliant.
- If the answer is not applicable to the situation... don't pick it.
Some tips for NCLEX
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