Published
I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study :rckn:group. If you think you have any question you can thread and pple will respond with answer. Just thread in question with no answer to see what you have learn so far.
Absence of bubbling in the water seal compartment indicate what?:thnkg:
what will be the first action if you notice a pt c/o pain at the IV insertion site, when you inspect the site, you notice erythema and edema
1- apply a warm soak to the IV site.
2- notify the physician
3- remove the IV
4- elevate the extremity on the pillow.
what will be your first nsg action if you notice a pt experiencing Autonomic dysreflexia
1- call the physician
2- check for urinary retention or fecal impaction
3- elevate the HOB
what will be the first action if you notice a pt c/o pain at the IV insertion site, when you inspect the site, you notice erythema and edema1- apply a warm soak to the IV site.
2- notify the physician
3- remove the IV
4- elevate the extremity on the pillow.
what will be your first nsg action if you notice a pt experiencing Autonomic dysreflexia
1- call the physician
2- check for urinary retention or fecal impaction
3- elevate the HOB
3-remove the IV and a new IV may need to be started.
2- check for urinary retention or fecal impaction due to stimulation of visceral organs.
3-remove the IV and a new IV may need to be started.2- check for urinary retention or fecal impaction due to stimulation of visceral organs.
The first priority in pt with autonomic dsyreflexia is to ELEVATE THE HOB. Checking for urinary retention and fecal impaction is part of priority intervention but the elevation take priority over assessment in this type of question. elevation HOB will releive pressure on the bladder first before checking for retention or fecal impaction.
what is the most priority management of a pt with sickle cell crisis
1- oxygen
2- IV fluid
3- RBC transfusion
4- pain medication
what will be the initial action if A pt with femur fracture caused by an accident,
1- Take blood pressure
2- Assess airway
3- Assess vital sign
4- Assess fracture
what is the purpose of
placenta-------
amniotic fluid--------
i wanna say hydration but in the linda lacharity book it said oxygen for sickle cell crisis, and shouldnt you assess airway first in a pt so i'll say 2-assess the airway, and the placenta provides nutrients and i don't know about the amniotic fluid
what is the most priority management of a pt with sickle cell crisis
1- oxygen
2- iv fluid - pt need need to hydrated first before oxygen because fluid is needed to reverse the clumping or agglutination of the sickle cells
3- rbc transfusion
4- pain medication
what will be the initial action if a pt with femur fracture caused by an accident,
1- take blood pressure
2- assess airway
3- assess vital sign- correct because the pt is not in a life threatening situation and the vital sign umbrella other option
4- assess fracture
what is the purpose of
placenta------- nutrient
amniotic fluid-------- protect, cushion and maintain the fetal body temp.
what will you do if you have a pt having a pentrose drain with sanguineous after 2 days of surgery
1- apply pressure to the site
2- continue to monitor
3-notify the physician
4- document the finding.
A pt who is receiving an IV replacement c/o of severe headache, SOB and Increase heart rate. what will be your first action
1- sit the pt up in bed
2- remove the IV
3- shut off the IV infusion
4- slow the rate of IV infusion rate.
what is the most common site for bone marrow aspiration?
which type of restraint is used to prevent a child with cleft lip repair from disrupting the incision.
KAYBDT6, BSN, RN
1,602 Posts
:ancong!:
You're right by your guess but on thing is certain Jarlesha, always go for your first instinct and be confident about your choices.:wink2:
FLAT/SUPINE ON THE UN-OPERATIVE SIDE TO PREVENT PRESSURE AND ALLOW DRAINAGE OF CSF.