COMPREHENSIVE NCLEX-RN ATI REVIEW|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

Five rights of delegation Right person Right task Right circumstance Right direction and communication Right supervision and evaluation Non-delegatable tasks Nursing process Client education Tasks that require nursing judgement (care of unstable patients) LPN delegation Tracheotomy care Suctioning Inserting urinary catheter Checking NG tube patency Medication administration Sterile specimen colection Reinforce client teaching AP delegation ADLs Ambulating Feeding Positioning Vital signs I&Os Autonomy The right to make ones own decisions Beneficence The obligation to good for others Confidentiality The obligation to observe the privacy of another and maintain strict confidence Fidelity The obligation to be faithful to agreements and responsibilities, to keep promises Justice The obligation to be fair to all people Nonmaleficence The obligation to do no harm to others Paternalism Assuming the right to make decisions for another Veracity The obligation to tell the truth Nurses role of informed consent Ensure the provider gave the necessary information Ensure the client understands the procedure Patient must be competent to sign informed consent Witness the clients signature Notify the provider if clarification is needed Mandatory Reporting Abuse - vulnerable populations Communicable diseases Malpractice The failure of a person with professional training to act in a reasonable an prudent manner within the identified scope of practice Negligence The omission to do something that a reasonable person would do or something that a reasonable person would not do Emergency class 1 (red tag) Immediate threat to life Do not delay care Urgent class 2 (yellow tag) Major injuries that require treatment Delay of 30 minutes to 2 hours Non-urgent class 3 (green tag) Minor injuries that do not require immediate attention Delay of 2-4 hours Expectant class 4 (black tag) Expected/allowed to die Prepare for morgue TPN Monitor serum glucose ever 4-6 hours Change dressing every 48 - 72 hours Change IV tubing and fluid every 24 hours If solution is temporarily unavailable, administer 10% dextrose in water to prevent hypoglycemia Acetaminophen (antidote) Acetylcysteine (antidote) Benzodiazepine (antidote) Flumazenil (antidote) Curare (antidote) Edrophonium (antidote) Cyanide poisoning (antidote) Methylene blue (antidote) Digitalis: (antidote) Digoxin immune FAB (antidote) Ethylene poisoning (antidote) Fomepizole (antidote) Heparin and enoxaparin (antidote) Protamine sulfate (antidote) Iron (antidote) Deferoxamine (antidote) Lead (antidote) Succimer (antidote) Magnesium sulfate (antidote) Calcium gluconate 10% (antidote) Narcotics (antidote) Naloxone (antidote) Warfarin (antidote) Phytonadione (vitamin K)(antidote) Calcium channel blockers Suffix: dipine Causes: arterial dilation and decreased BP For: angina and HTN, verapamil and diltazem can be used for a-fib, a-flutter, svt Precautions: digoxin and beta blockers Contraindication: heart failure, heart block, of bradycardia Side effects: reflex tachycardia, peripheral edema, and toxicity Monitor: BP and HR Do not drink grapefruit juice Do not crush/chew IV administration 2-3 minutes ACE inhibitor Suffix: pril For: hypertension, heart failure, MI, and diabetic nephropathy Monitor potassium, BP, angioedema Captopril should be taken 1hr before meals ARBS Suffix: tan For: hypertension, heart failure, MI, and diabetic nephropathy Monitor potassium, BP, angioedema Beta 2 adrenergic agonists For: Respiratory Albuterol - short acting (inhaled) for acute bronchospasm, onset 5-15 min Formoterol - long acting/long-term control (inhaled), onset 1-3 min, duration 10hr Salmeterol - long acting/long-term control (inhaled), onset 10-20 min, duration 12hr Terbutaline - long acting/long-term control (oral) Precautions: increased heart rate, tremors, beta blockers will decrease effect, MAOIs will increase effect Antilipemic Suffix: statin For: reduction of formation of cholesterol precursors Drug interactions: digoxin, warfarin, thyroid hormones, thiazide diuretics, phenobarbital, NASIDs, tetracycline, beta blockers, gemfibrozil, glipizide, glyburide, oral contraceptices, and phenytoin Do not administer with grapefruit juice