Science Medicine Nursing
THE ULTIMATE NCLEX STUDY GUIDE! Exam with
question and answer 100% correct
Terms in this set (245)
Prioritization Questions These questions are asking WHO DIES FIRST?
So when you get stuck on a question, ask
yourself-WHO WILL DIE FIRST?
Unstable patients Unstable patients always come FIRST.
Keywords that indicate a pt is unstable:
-New
-Sudden
-Worsening
-Rapid
-Post op
-Unstable
-Returning to unit after a procedure
,Prioritizing chronic pts by organs 1. Brain- The pt can't come back from brain
damage!
2.Lungs
3. Heart
Maslow's Hierarchy of Needs #1 Priority: Physiological Needs- Airway, Breathing,
Circulation, Food, Water, Shelter, Clothing, Rest, Sex,
Warmth)
#2 Priority: Safety
Normal Adult Vitals BP: 120/180
Pulse: 60-100
Respirations: 12-20
Temperature: 98.6 F
SP02: 94%-100%
Hypertension "Silent Killer" High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to
the constant pressure. It's like punching the organs
repeatedly.
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down
nice and steady. Like landing a plane. You don't want
the pt to seize if the bp comes down too quick
,Hypotension Systolic less than 100
Low BP can KILL the pt because low bp means low
oxygen to the body!
1st indication of HYPOXIA Change in mental status!
Keywords:
Agitation
Restlessness
Decreased level of consciousness
Confusion
Indications of internal bleeding Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never
right" PTT and INR too HIGH= the pt
will die!
Delegation LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend
vitals LPN's can't
evaluate
LPN's can't do
interpretations LPN's can't
titrate
UAP's can only do "VAPER"
Vitals
Ambulation
Position
Eating/positioning
Record I&Os
, TERMS: Negligence- Failing to provide adequate care for your
Negligence patient
Malpractice
Assault Malpractice- Bad practice by a healthcare
Battery professional, that results in provable damage
False Imprisonment
Libel Assault- A threat to harm (Threats make you an ASS!)
Slander
Battery- Physical Harm (I physically hurt you with a
bat)
False Imprisonment- Keeping stable pts against their
will (Could be with restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
TERMS: Autonomy- The pt has the right to make their own
Autonomy medical decisions
Beneficence
Fidelity Beneficence- Benefiting your pt
Justice
Non-maleficence Fidelity- Keeping a promise
Veracity
Justice- To be Fair (Justice for all)
Non-maleficence- To do no harm
Veracity- Very honest
Nurses Role for Informed Consent 1.Assess that the pt is competent enough to make
decisions (Dementia pts can give consent as long
as they are oriented X4 in that moment)
2.Witness the clients signature
3.Document the date and time the signature
was obtained
THE ULTIMATE NCLEX STUDY GUIDE! Exam with
question and answer 100% correct
Terms in this set (245)
Prioritization Questions These questions are asking WHO DIES FIRST?
So when you get stuck on a question, ask
yourself-WHO WILL DIE FIRST?
Unstable patients Unstable patients always come FIRST.
Keywords that indicate a pt is unstable:
-New
-Sudden
-Worsening
-Rapid
-Post op
-Unstable
-Returning to unit after a procedure
,Prioritizing chronic pts by organs 1. Brain- The pt can't come back from brain
damage!
2.Lungs
3. Heart
Maslow's Hierarchy of Needs #1 Priority: Physiological Needs- Airway, Breathing,
Circulation, Food, Water, Shelter, Clothing, Rest, Sex,
Warmth)
#2 Priority: Safety
Normal Adult Vitals BP: 120/180
Pulse: 60-100
Respirations: 12-20
Temperature: 98.6 F
SP02: 94%-100%
Hypertension "Silent Killer" High Blood pressure:
Anything over 140, the heart says "OH LORDY!"
Hypertension Crisis=
Anything over 180 systolic
Anything over 120 diastolic
High BP can cause a brain bleed (CVA Stroke) due to
the constant pressure. It's like punching the organs
repeatedly.
*Indication of a brain bleed:
Headache!
When bringing down BP, you want to bring it down
nice and steady. Like landing a plane. You don't want
the pt to seize if the bp comes down too quick
,Hypotension Systolic less than 100
Low BP can KILL the pt because low bp means low
oxygen to the body!
1st indication of HYPOXIA Change in mental status!
Keywords:
Agitation
Restlessness
Decreased level of consciousness
Confusion
Indications of internal bleeding Hard-board like abdomen
Platelets less than 150,000
Bright red blood "Bright is never
right" PTT and INR too HIGH= the pt
will die!
Delegation LPN's take care of stable pts
LPN's can monitor and maintain
LPN's can do secondary teaching
LPN's can do follow up assessments
LPN's can't do first, primary, or initial assessments
LPN's can't do first, primary, or initial teachings
LPN's can't trend
vitals LPN's can't
evaluate
LPN's can't do
interpretations LPN's can't
titrate
UAP's can only do "VAPER"
Vitals
Ambulation
Position
Eating/positioning
Record I&Os
, TERMS: Negligence- Failing to provide adequate care for your
Negligence patient
Malpractice
Assault Malpractice- Bad practice by a healthcare
Battery professional, that results in provable damage
False Imprisonment
Libel Assault- A threat to harm (Threats make you an ASS!)
Slander
Battery- Physical Harm (I physically hurt you with a
bat)
False Imprisonment- Keeping stable pts against their
will (Could be with restraints or sedation)
Libel- Written slander (Written Bible and Libel rhyme)
Slander- Spoken slander
TERMS: Autonomy- The pt has the right to make their own
Autonomy medical decisions
Beneficence
Fidelity Beneficence- Benefiting your pt
Justice
Non-maleficence Fidelity- Keeping a promise
Veracity
Justice- To be Fair (Justice for all)
Non-maleficence- To do no harm
Veracity- Very honest
Nurses Role for Informed Consent 1.Assess that the pt is competent enough to make
decisions (Dementia pts can give consent as long
as they are oriented X4 in that moment)
2.Witness the clients signature
3.Document the date and time the signature
was obtained
