LATEST UWORLD NCLEX NOTES RN WITH RATIONALES

LATEST UWORLD NCLEX NOTES RN WITH RATIONALES when there is nocturnal enuresis (bed wetting) with children should diapers be used @ noc? - CORRECT ANSWER-NO. RATIONALE-remind parents to avoid disposable training pants or diapers @ bed time bc these encourage motivation to get up and void during the nOC clients receiving desmopressin must have their fluid and electrolyte status closely monitored for symptoms of what? - CORRECT ANSWER-water intoxication / hyponatremia-- symptoms : headache, mental status changes, weakness) RATIONALE-*RN should immediately notify the HCP of client reports of water intoxication symptoms, a severe hyponatremia may progress to seizure, neurological damage, or death women should not receive what kind of vaccines during pregnancy? - CORRECT ANSWER-live virus vaccines during pregnancy OR become pregnant within 4 weeks of receiving such a vaccine RATIONALE-TDAP is recommended for all pregnant women between the beginning of the 27th and end end of the 36th wk of gestation -during flu season injectable inactivated flu vaccine (October-march) can be given regardless of trimester --influenza nasal spray, measles, mumps, rubella (MMR) AND varicella vaccine contain live viruses and are contraindicated in pregnancy. *SO INACTIVATED VACCINE = PREGNANCY.... ACTIVATED = DO NOT GIVE DURING PREGNANCY!*" during CPR, compressions are paused how often to assess clients pulse? - CORRECT ANSWER-every 2 minutes to assess the clients pulse. RATIONALE-pause should be NO LONGER than 10 seconds to minimize delays between compression cycles. during CPR chest compressions are performed @ a rate of? - CORRECT ANSWER-100-120/min (@ depth of 2.0-2.4 inches (5-6cm) allowing complete chest recoil between compressions) RATIONALE-defibrillator pads are placed on the R. upper chest & on L. Lateral chest. characteristics of HISTRIONIC personality disorder? - CORRECT ANSWER-self-dramatizing, attention seeking, overly friendly & seductive, demands immediate gratification & has little tolerance for frustration if the client with CHF or COPD is c/o SOB what is the priority assessment?? - CORRECT ANSWER-LUNG SOUNDS (think airway) ABCs! assess lung sounds first Where is the phlebostatic axis? - CORRECT ANSWER-4th intercostal space, midaxillary line regular insulin is what kind of acting insulin? when does it reach its peak? - CORRECT ANSWER-short acting -peak effect within 2-5 hours after SUBCU admin. RATIONALE-(so if client receives regular insulin subcu @ 1130am, they are @ highest risk for hypoglycemia between 1:30pm