HESI LIVE REVIEW Day 1 Chapter 1-4

HESI LIVE REVIEW Day 1 Chapter 1-4 HESI HINT: WHEN IN DISTRESS, DO NOT ASSESS, Give an example of what this means? - ANSWER-If someone can't breathe do not check their oxygen saturation, this will not help them breathe, take action to improve their breathing Use _______ when selecting an answer or determining a problem - ANSWER-ABCs (airway, breathing circulation) [think of their positioning, is their position causing them respiratory. distress] What is the exception to using ABCs to select an answer or determine a problem? - ANSWER-when giving CPR, then you use CAB Maslow's Hierarchy: - ANSWER-Start at the bottom of the pyramid, physiological needs should be addressed first: 1. unrelieved pain/ ABCs 2. Safety (if one of the answers has to do with safety, it's the answer) 3. Comfort (pain meds) 4. Psych patients (safety comes first 1. physiological needs 2. safety and security 3. love and belonging 4. self-esteem 5. self-actualization NOTE: WHEN A PHYSIOLOGICAL NEED IS NOT ADDRESSED IN THE QUESTION, LOOK FOR THE OPTION THAT ADDRESSES SAFETY Choose a nursing action that could prevent _______ to the client - ANSWER-harm