The need to cleanse the perineal area with circular wipes. You should apply the principles of concrete operations when caring for the adolescent. Veracity is being completely truthful with patients; nurses must not withhold the whole truth from clients even when it may lead to patient distress. Didn't even occur to me that people who buy test banks would be using it that way. Learning about Endocrine Diseases often feels overwhelming to nursing students. Anesthesia awareness, which is a rare complication of general anesthesia, is the lack of amnesia during surgery when the client remembers events during surgery and, at times, they remember the pain. The security of technological data and information in healthcare environments is most often violated by computer hackers. The instrumental activities of daily living include things like grocery shopping, housework, meal preparation, the communication with others using something like a telephone, and having transportation. The first thing that you should do immediately after a client accident is to assess the client and the second thing you should do is render care after this assessment and not before it. Begin cardiopulmonary resuscitation other emergency life saving measures. You should explain that superior vena cava syndrome is pressure on the vena cava which is a major vein, not an artery, in the body that carries blood from the systemic circulation to the right atrium of the heart. You would use this observation as a learning need assessment and, as such, you should teach the client about the proper length of a cane and help them to adjust the height of the cane if the client’s cane is a height adjustable one. Pricking the pad of the finger using the lancet is NOT a step in the procedure for obtaining a blood glucose sample for testing. Focus on the fact that you used multiple resources to prepare for your exams and apparently your study methods were very productive and successful :). This way you KNOW they aren't from a test bank and typing them out will help you to learn them so they stick. Pharmacology NCLEX questions focus on providing care in the administration of medications and the monitoring of client therapies. Although they are highly effective, they are not replacing the standard defibrillators in the acute care setting. You have to determine how many mLs the patient will take if the doctor has ordered 6,500 units of heparin subcutaneously and there are 4,500 units in one mL. Inject air that is equal to the ordered dosage of the longer acting insulin using the insulin syringe. Inflate the cuff if the cuff is deflated. (rather than focus on the online material from Quizlet) It is not uncommon for nursing students to use NCLEX prep guides to prepare for exams during school, in fact many schools encourage this practice. I use Quizlet all the time and would've never thought people would post test bank questions on there. For example, cultural practices and beliefs, ethnical factors, religious practices and beliefs, the client’s level of growth and development. The typical amount of irrigating solution is from 20 mLs to 300 mLs. Thrombocytopenia can occur as the result of several disorders and therapeutic treatments and interventions including aplastic anemia, HIV infection, a genetic disorder, cancer, particularly cancer that affects the bones, some viral pathogens like those that cause mononucleosis,  as well as from  therapeutic radiation therapy, chemotherapy and some medications such as Depakote. This problem is calculated as shown below. Someone else did that, not the OP. DO NOT USE QUIZLET!!!! You have failed to have another nurse witness the 0.2 mLs of waste. 1,426 Cards – 40 Decks – These open wounds are irrigated with a sterile solution and then packed to keep them open and, over time, they will heal on their own. The signs and symptoms of sensory overload do not include visual hallucinations and a sudden and abrupt onset of episodic and intermittent periods of time vacillating between periods of impaired cognition and periods of mental clarity. You should validate the nurse’s competency in terms of the application of body mechanics principles during a transfer because the nurse had spread her legs apart during the transfer to provide a wide base of support, which is a basic principle of body mechanics and not ergonomics. I really don't understand how the TOS of Quizlet has anything to do with the OP and her behavior being cheating. This law restricts access to medical information to only those persons who have the need to know this information in order to provide direct and/or indirect care to the client. Lastly, the client who is receiving total parenteral nutrition is at risk for other complications such as infection, but not extravasation. You can get some of the prep books from your school or local library. Thousands of practice questions, 2 NCLEX study guides, and 300+ test prep video lessons 425,264 views. Ensured the client’s safety which is a high patient care priority. In contrast to this Case Manager Model of Beth Israel Hospital, the Collaborative Practice Model of case management entails the role of some registered nurses in a particular healthcare facility to manage, coordinate, guide and direct the complex care of a population of clients throughout the entire healthcare facility who share a particular diagnosis or Diagnostic Related Group. Only the nurse can perform these roles. kaplan qbank nclex quizlet, Qbank + Computerized Adaptive Tests ⅃ 2,300+ NCLEX-style questions ⅃ Detailed rationale for every question ⅃ Customizable practice tests across content categories ⅃ Detailed performance results and graphs ⅃ Simulated NCLEX ® test experience ⅃ 3 computerized adaptive tests ⅃ 6 months of online access a. Plaques obstruct the vein b. Plaques obstruct the artery c. Blood clots form outside the vessel wall d. Hardened vessels dilate to allow blood to flow through. Respondeat Superior is the legal doctrine or principle that states that employers are legally responsible for the acts and behaviors of its employees. Taking the NCLEX. Current data and performance improvement activities focus on historical data. Some herbs, minerals and supplements are scientifically deemed as safe and effective and others are not scientifically effective and they can also lead to harm; at the current time, the National Institutes of Health (NIH) states that magnets are not scientifically effective and they are also not considered safe for clients with a pacemaker or insulin pump because these internally implanted devices can be adversely affected by the magnetic force of the magnet; and, lastly, biofeedback does not interfere with the client’s pacemaker functioning. The activities of daily living are differentiated in terms of the basic activities of daily living and the instrumental activities of daily living. I really don't know what to do at this point. Call the doctor about this airway obstruction. All of these vital signs are normal for the toddler who is 2 years old. The best way to evaluate the effectiveness of this educational series is to collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data during the series and after the series is completed. Although the locus of control, bodily surface area and diaphoresis in addition to other factors such as economic constraints, the client’s level of energy, the client’s level of cognition, and environmental factors can impact on hygiene, these are not factors that impact on the client’s hygiene and hygiene practices; they do not typically impact on the lifelong developed hygiene and hygiene practices. The P waves and QRS complexes are regular. The lithotomy position is used for procedures involving the pelvis, including gynecological examinations; and the Trendelenburg position is used when the client is in shock and with significant hypotension. Want 6,000+ more practice questions? For example, both the facility’s Performance Improvement Director who is not a healthcare person and who has no direct contact with clients and the facility’s Safety Officer who is not a healthcare person and who has no direct contact with clients provide indirect care to clients. The Triad Model of case management entails the joint collaboration of the social worker, the nursing case manager, and the utilization review team. You would identify a client who is of Saudi Arabian ethnicity for sickle cell anemia. Some students found the Quizlet and used it for the exams. The provision of a therapeutic environment of consistency to promote health. The stem includes the situation that … Those books are for public eye's and you should not be punished for utilizing outside resources that are legal for you to have and study from. There is no evidence in this question that the client has psychotic symptoms related to a previously undiagnosed psychosis; all the evidence substantiates the suspicion that the client is affected with delirium. Without trust future collaboration, interventions and client outcomes cannot be accomplished to facilitate appropriate and safe behaviors. Want 6,000+ more practice questions? Stage 2: Minimal and hardly noticeable forgetfulness occurs. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors. Atrial flutter, which is a relatively frequently occurring tachyarrhymia; this cardiac rhythm is characterized with an rapid atrial rate of 250 to 400 beats per minute, a variable ventricular rate, a regular atrial rhythm, a possibly irregular ventricular rhythm, the P waves are not normal, the flutter wave has a saw tooth look (f waves), the PR interval is not measurable, QRS complexes are uniform and the length of these QRS complexes are from 0.06 to 0.12 seconds. Respiratory depression can occur as the result of narcotic analgesics such as morphine, and not NSAIDs; pneumothorax and hemothorax can occur as the result of an inadvertent perforation during invasive procedures such as the placement of a total parenteral nutrition catheter and a thoracentesis; and the signs and symptoms of a latex allergy include tachycardia, hypotension, dyspnea, chest pain tremors, and anaphylactic shock, not respiratory depression. Those are questions with answers. ), It is not uncommon for nursing programs to recommend that students supplement their texts & classroom resources by utilizing NCLEX prep programs and books throughout their school career to learn to "think like a nurse" (i.e. You should teach the wife about this progressive disease and the need to do all that she can for the husband to avoid his depression and frustration. “The respiratory rate is a little too fast but the other vital signs are normal.”, “The pulse rate is a little too fast but the other vital signs are normal.”, “The blood pressure is a little low but the other vital signs are normal.”, “All of these vital signs are normal for a child that is 2 years of age.”, Pulmonary Artery Systolic Pressure: 22 mm Hg, Pulmonary Artery Wedge Pressure: 22 mm Hg, Pulmonary Artery Diastolic Pressure: 10 mm Hg. Good luck & I hope everything works out for you! Were you searching for specific topics from your tests or just "nursing" or "NCLEX" or something like that? Advise the nurse that the legs must be close together for stability during lifting and transfers. Some of these standardized pediatric pain scales, in addition to the CRIES scale, include the FACES Pain Scale, the Toddler Preschooler Postoperative Pain Scale (TPPPS), the Neonatal Infant Pain Scale (NIPS), the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS), the Faces Legs Activity Cry Consolability Pain Scale (FLACC), the Visual Analog Scale (VASobs) the Observation Scale of Behavioral Distress (OSBD), the COMFORT Pain Scale and the Pre-Verbal Early Verbal Pediatric Pain Scale (PEPPS) that is used with toddlers. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities. Prohibitions against sharing passwords are legally based on the Security Rule of HIPAA mandates administrative, physical, and technical safeguards to insure the confidentiality, integrity, and availability of electronic protected health information. Later, you would squeeze the trigger and sweep the spray over and over again over the base of the fire. The Rancho Los Amigos Scale determines the patient’s level of awareness and functioning which can range from a 1 to an 8 when a 1 is the complete lack of all responsiveness to all stimulation and an 8 is when a patient is fully alert, oriented, appropriate and purposeful. Whoever attached those questions on to Quizlet, somehow had instructor access to the test bank questions. Sundowner’s syndrome is present and hallucinations as well as agitation may occur. You would perform the Heimlich maneuver when the person has a complete airway obstruction. 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