Johns Hopkins University NURSING 121 Updated Nclex-Study-Guide.

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 Focus on your successes encouraging yourself to greater achievements in the future and Forget your past mistakes.  Always do your best so you can be proud that you gave it your best shot. �... � Focus on your achievements rather than your failures. If you do find yourself thinking about how you failed then look at what you managed to do right and how you could correct what you did next time.  A mind that is troubled with doubt won't be able to focus on the victory to be had.  Take time for yourself. A fried mind can't focus or learn.  Look carefully when you have no idea. In a word like rhabdomyosarcoma you can easily ascertain it has something to do with muscle (myo) cancer (sarcoma). The same thing goes for drug names. For example, if it ends in –ide it’s probably a diuretic, as in Furosemide, and Amyloride.  When getting down to two answers, choose the assessment answer (assess, collect, auscultation, monitor, palpate) over the intervention except in an emergency or distress situation. If one answer has an absolute, discard it. Give priority to answers that deal directly to the patient’s body, not the machines/equipments.  Key words are very important. Avoid answers with absolutes for example: always, never, must, etc.  When choosing an answer, think in this manner… if you can only do ONLY one thing to help this patient what would it be? Pick the most important intervention.  If two of the answers are the exact opposite, like bradycardia or tachycardia... one is probably the answer.  If two or three answers are similar or are alike, none is correct.  When asking patients’ questions NEVER use “why” questions. Eliminate all “why?” answer options.  If you have never heard of it… please don’t pick it!  Never release traction UNLESS you have an order from the MD to do so  Always deal with actual problems or harm before potential problems  Always select a “patient focused” answer.  An answer option that states "reassess in 15 minutes" is probably wrong.  An answer that delays care or treatment is ALWAYS wrong DO NOT delegate what you can EAT! or PACET P – Planning A – Assess (Primary/Initial) C – Collaboration (with RT, OT, PT, ETC) E – Evaluate (for trends) T – Teach * Assessment, teaching, i.v. meds, evaluation, unstable patient cannot be delegated to an Unlicensed Assistive Personnel. * LVN/LPN cannot handle blood. Vit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as Mucomyst is to Acetaminophen as Aminocaproic Acid (Amicar) is to TPA…get it? Antidotes/treatments for overdose REVERSE AGENTS FOR TOXICITY ammonia= lactulose, acetaminophen= n-Acetylcysteine. Iron= deferoxamine, Digitoxin/digoxin= digibind. Alcohol withdraw=chlordiazepoxide(Librium). - Methadone is an opioid analgesic used to detoxify/treat pain in narcotic addicts. - Potassium potentiates dig toxicity. Order of assessment: Inspection, Palpation, Percussion and Ausculation. EXCEPT w/abdomen cuz you don’t wanna mess with the bowels and their sounds so you Inspect, Auscultate, Percuss then Palpate (same with kids, I suppose since you wanna go from least invasive to most invasive since they will cry! Gotta love them kids!) No Pee, no K (do not give potassium without adequate urine output) [Show More]

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