NCLEX-PN
DO NOT delegate what you can EAT! - ANSWER: E-evaluate
A-assess
T-teach
Addisons - ANSWER: down, down, down, up, down
Cushings - ANSWER: up, up, up, down, up
Addisons - ANSWER: hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
Cushings - ANSWER: hypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia
No Pee - ANSWER: No K
do not give POTASSIUM without adequate urine output
APGAR - ANSWER: A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE - ANSWER: MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember . . .
MTV=Airborne
Measles
,TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET - ANSWER: think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
*Private Room or cohort*
*Mask*
CONTACT PRECAUTION - ANSWER: Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
, SKIN INFECTIONS - ANSWER: VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism - ANSWER: S&S;chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of
impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER: late decels, decreased variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER: position patient on the right side (promote emptying of the
stomach) with HOB elevated (to prevent aspiration)
During Epidural Puncture - ANSWER: side lying
After Lumbar Puncture - ANSWER: and also oil myelogram . . .patient lies flat supine (to prevent headache and
leaking of CSF)
patient with heat stroke - ANSWER: lie flat w/legs elevated
during continuous bladder irrigation (CBI) - ANSWER: catheter is taped to thigh so leg should be straight. no
other position restrictions
after myringotomy - ANSWER: position on side of affected ear after surgery (allow for drainage of secretions)
after cataract surgery - ANSWER: patient will sleep on unaffected side with night shield for 1-4 weeks
DO NOT delegate what you can EAT! - ANSWER: E-evaluate
A-assess
T-teach
Addisons - ANSWER: down, down, down, up, down
Cushings - ANSWER: up, up, up, down, up
Addisons - ANSWER: hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia
Cushings - ANSWER: hypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia
No Pee - ANSWER: No K
do not give POTASSIUM without adequate urine output
APGAR - ANSWER: A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE - ANSWER: MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember . . .
MTV=Airborne
Measles
,TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET - ANSWER: think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
*Private Room or cohort*
*Mask*
CONTACT PRECAUTION - ANSWER: Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
, SKIN INFECTIONS - ANSWER: VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism - ANSWER: S&S;chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of
impending doom
turn patient to left side and lower the head of the bed
Woman in Labor w/un-reassuring FHR - ANSWER: late decels, decreased variability, fetal bradycardia, etc.
turn patient to the left side (and give O2, stop pitocin, increase IV fluids
Tube feeding w/decreased LOC - ANSWER: position patient on the right side (promote emptying of the
stomach) with HOB elevated (to prevent aspiration)
During Epidural Puncture - ANSWER: side lying
After Lumbar Puncture - ANSWER: and also oil myelogram . . .patient lies flat supine (to prevent headache and
leaking of CSF)
patient with heat stroke - ANSWER: lie flat w/legs elevated
during continuous bladder irrigation (CBI) - ANSWER: catheter is taped to thigh so leg should be straight. no
other position restrictions
after myringotomy - ANSWER: position on side of affected ear after surgery (allow for drainage of secretions)
after cataract surgery - ANSWER: patient will sleep on unaffected side with night shield for 1-4 weeks
