College of Staten Island, CUNY NRS MISC NCLEX STUDY GUIDE with images

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DO NOT delegate what you can EAT! E - evaluate A - assess T – teach Addison’s= Everything is DOWN except Potassium… Mineral corticoids are given in Addison’s disease. Hyponatremia, hypote... nsion, decreased blood volume, hyperkalemia, hypoglycemia Cushing’s= Everything is UP except Potassium Hypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins DAngle Arteries ….for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE Measles Chicken Pox/Varicella Hez - Herpes Zoster/Shingles TB TB… N95 MASK SARS Private Room - negative pressure, Exchange air 6-12 hrs. - DOOR CLOSED Mask, N95 for TB Gloves Gown Hand washing Disposable supplies DROPLET Think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - Diphtheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room Cohort Mask – Pt wears mask when leaving the room Disposable supplies CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn – conjunctivitis SKIN INFECTIONS VCHIPS V - varicella zoster C - Cutaneous diphtheria H - herpes simplex I - impetigo P - pediculosis S – scabies Private Room- Door Open Gloves Gown ONLY worn when in Direct Contact Disposable supplies 1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> turn pt. to left side and lower the head of the bed. 2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc.) --> turn on left side (and give O2, stop Pitocin, increase IV fluids) 3. Tube Feeding w/ Decreased LOC --> position pt. on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration) 4. During Epidural Puncture --> side-lying 5. After Lumbar Puncture (and also oil-based Myelogram)--> pt. lies in flat supine (to prevent headache and leaking of CSF) [Show More]

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