NCLEX Prep Flashcards
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List in order how the PPE should be put on: 1st-, 2nd-, 3rd-, 4th-.

Gown, Mask/Respirator, Goggles, Gloves

List in order how the PPE should be removed: 1st-, 2nd-, 3rd-, 4th-.

Gloves, Goggles, Gown, Mask/Respirator

The nurse teaches the family of a patient with end stage renal disease to offer foods high in?

  • Fluids
  • Potassium
  • Protein
  • Carbohydrates (correct)

A patient has an epidural for the birth of her child. While massaging the fundus, it is found to be firm and located under the right rib cage. To alleviate this problem, the nurse should first:

<p>Empty the patient's bladder (C)</p> Signup and view all the answers

The nurse is caring for a newborn who is pale and jittery and has a high-pitched cry. The primary nursing action is to:

<p>Check the newborn's serum glucose level (C)</p> Signup and view all the answers

A patient with heart failure is receiving digoxin and furosemide. The lab values of the patient include serum digoxin 2.9 ng/mL and K+ 3.2 mEq/L. Based on these lab results, the most appropriate nursing action is to:

<p>Notify the physician of the lab results (A)</p> Signup and view all the answers

A 64-year-old man is admitted to the ER with complaints of shortness of breath, heartburn, and pain in the left shoulder. After obtaining vital signs, the nurse performs a focused assessment related to the patient's:

<p>Heart (D)</p> Signup and view all the answers

One nursing intervention in the plan of care for a patient with paranoid personality disorder is promoting consensual validation of reality. Which nursing action is most appropriate to implement this plan?

<p>Reinforcing the facts of the situation (A)</p> Signup and view all the answers

A 50-year-old patient has been under extreme job stress for 10 years and is diagnosed as having an enlarged heart. The nurse understands which factor in his history is a modifiable risk factor for heart disease?

<p>He smokes one pack of cigarettes a day (A)</p> Signup and view all the answers

Liver involvement is associated with Reye's syndrome. When caring for children with this condition, the nurse takes special precaution in:

<p>Administering intramuscular injections (B)</p> Signup and view all the answers

The nurse anticipates which type of isolation precautions should be taken with a 4-month-old infant with diarrhea?

<p>Contact precautions (B)</p> Signup and view all the answers

An infant is brought to the ER by EMS with suspected SIDS. The infant's parents have accompanied EMS and are present when the infant is pronounced dead. The most important aspect of compassionate care for the parent is to:

<p>Allow the parents to say goodbye to the baby (C)</p> Signup and view all the answers

A nurse has reinforced teaching with a client's spouse about how to change the client's colostomy bag. The nurse best determines that the spouse understands the procedure by:

<p>Having the spouse perform the procedure and observing as the procedure is performed (B)</p> Signup and view all the answers

Flashcards

PPE Donning Order

Wearing PPE in the order of gown, mask/respirator, goggles, and gloves minimizes risk of contamination.

PPE Removal Order

Removing PPE in the reverse order of gloves, goggles, gown, and mask/respirator prevents contamination.

Nutrition for End-Stage Renal Disease

High-carbohydrate foods are recommended for patients with end-stage renal disease to meet their energy needs and manage their blood sugar.

Fundus Displacement After Epidural

Emptying the bladder is the initial intervention for post-epidural patients with fundus displacement, as a full bladder can displace the uterus.

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Newborn with Hypoglycemia

A pale, jittery newborn with a high-pitched cry and low blood sugar requires immediate intervention to prevent complications.

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Digoxin and Potassium Monitoring

Digoxin levels of 2.9 ng/mL and potassium levels of 3.2 mEq/L in a heart failure patient require immediate physician notification.

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Cardiac Assessment for Chest Pain

A focused assessment of the heart is crucial for a 64-year-old man presenting with shortness of breath and left shoulder pain, as these symptoms could indicate a cardiac issue.

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Managing Paranoia

Reinforcing reality for patients with paranoid personality disorder helps validate their experiences and reduce paranoia.

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Modifiable Risk Factor for Heart Disease

Smoking is a modifiable risk factor for heart disease, meaning it can be changed to reduce the risk.

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Safe Intramuscular Injections for Reye's Syndrome

Children with Reye's syndrome require careful monitoring for safe intramuscular injections due to the risk of bleeding.

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Contact Precautions for Diarrhea

Contact precautions are necessary for a 4-month-old infant with diarrhea to prevent the spread of the infection.

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Compassionate Care for SIDS

Supporting parents in saying goodbye to their infant who has passed due to suspected SIDS is crucial to their emotional well-being.

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Colostomy Care Education

Observing the spouse performing colostomy bag changes allows the nurse to assess their understanding of the procedure and provide further education if needed.

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Study Notes

Personal Protective Equipment (PPE) Guidelines

  • PPE should be donned in the following order: Gown, Mask/Respirator, Goggles, Gloves.
  • When removing PPE, follow this order: Gloves, Goggles, Gown, Mask/Respirator.

Nutrition Considerations

  • For patients with end-stage renal disease, emphasize offering foods high in carbohydrates.

Nursing Interventions in Obstetrics

  • For a post-epidural patient with fundus displacement, the initial intervention is to empty the patient's bladder.

Newborn Care

  • Assess the serum glucose level in a pale, jittery newborn with a high-pitched cry as the primary nursing action.

Digoxin and Furosemide Monitoring

  • In heart failure patients receiving digoxin, when digoxin levels are at 2.9 ng/mL and potassium at 3.2 mEq/L, notify the physician about these lab results.

Cardiac Assessment

  • A focused assessment should be directed towards the heart for a 64-year-old man presenting with shortness of breath and left shoulder pain.

Nursing Intervention for Paranoia

  • Reinforcing the facts of the situation is crucial in promoting consensual validation of reality for patients with paranoid personality disorder.

Modifiable Risk Factors

  • Smoking one pack of cigarettes a day is identified as a modifiable risk factor for heart disease in a 50-year-old with an enlarged heart.

Care for Reye's Syndrome

  • Special precautions during care for children with Reye's syndrome include monitoring for safe administration of intramuscular injections.

Infection Control Precautions

  • Contact precautions are required for a 4-month-old infant presenting with diarrhea.

Compassionate Care in SIDS

  • The most important aspect of care for parents of an infant with suspected SIDS is allowing them to say goodbye to the baby.

Colostomy Care Education

  • Determine understanding of colostomy bag changing by observing the spouse as they perform the procedure.

Patient Education on Pacemakers

  • It is crucial to provide thorough education to a patient post-pacemaker insertion, addressing apprehensions about the device and expectations at home.

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Test your knowledge of infection control with these NCLEX prep flashcards. This quiz covers the proper order for donning and doffing PPE, as well as nutritional guidance for patients with end stage renal disease. Sharpen your skills for the nursing licensure exam.

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