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NCLEX Live Review and General Hints

Terms in this set (435)

Bectopic (Betaxolol) eye drops are contraindicated in a _________ pt
bradycardic
Heart sound pneumonic and locations
- All pts take meds
- APEs To Men (Aortic Pulmonic Erb's point Tricuspid Mitral)
- aortic & pulmonic = 2 ICS
- Erb's = 3 ics
- tricuspid = 4 or 4 ICS
- mitral/ apex/ PMI = 5 ICS
Physical assessment order
Inspection, palpation, percussion, auscultation
* GI, auscultate first
Digoxin :
a) alternative name
b) what you check before you give
c) antidote
a) lanoxin
b) apical pulse
c) Digibind
Maslow's
1. physiological (ABC's & pain unrelieved by meds)
2. safety
3. comfort (pain)
4. psychological
5. social
6. spiritual.
Who gets stable pts?
new grad nurses, LPNs, float RN, UAP
when in distress, do not _______
assess; they need intervention
post-op day 1: worried about ____________
post-op day 1: worried about ____________
1. bleeding
2. infection
eye site = 60/20
60= me
20= everyone else
so I am far sighted
"When in Distress, do not ______"
assess
if you put a restraint on a pt without a physician order, have the physician come to see the pt within _______."
one hour
informed consent general rules
1. it is the duty of the healthcare provider who is performing the procedure to treatment to obtain informed consent
2. the RN is witnessing the signature, not providing informed consent.
3. Answers to any questions the client has about a procedure are the responsibility of the healthcare provider who will perform the procedure
- ultimately, you witness the signature, you do not witness that the pt understands the procedure
Informed consent: if the pt has any questions, can he/she sign the form?
no
Pain scale for less than 3 yo
FLACC
Face, Legs, Actiity, Cry, Consolability
each scores from 0 - 2
the higher, the more pain
age appropriation for FACES pain scale
3-7 yo
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