NCLEX-RN Study Guide Flashcards

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Questions and Answers

What does the acronym EAT stand for in nursing delegation?

  • Evaluate
  • Assess
  • Teach
  • All of the above (correct)

What can UAP's not be delegated?

EAT, meds, and unstable patients

What cannot be delegated by LPNs?

Anything related with blood

How many mL are in 1 oz?

<p>30 mL</p> Signup and view all the answers

What is the MAP formula?

<p>SBP + 2(DBP) / 3</p> Signup and view all the answers

What is the normal level for CVP?

<p>2 - 8 mmHg</p> Signup and view all the answers

What can increased CVP indicate?

<p>Right ventricular failure or fluid volume excess</p> Signup and view all the answers

The order of assessment is: Inspection, Palpation, Percussion, and _____

<p>Auscultation</p> Signup and view all the answers

Which blood type can donate to A, AB, B, and AB?

<p>Blood Type B (A), Blood Type A (B), Blood Type AB (C), Blood Type O (D)</p> Signup and view all the answers

Can Blood Type A receive from Blood Type O?

<p>Yes</p> Signup and view all the answers

What type of traction is used for knee immobility?

<p>Buck's traction</p> Signup and view all the answers

What is Russell's traction?

<p>A sling is positioned under the knee which suspends the distal thigh above the bed.</p> Signup and view all the answers

What type of traction is referred to as Dunlap traction?

<p>Skeletal or skin</p> Signup and view all the answers

Bryant's traction is commonly used for which group?

<p>Children</p> Signup and view all the answers

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Study Notes

Delegation Guidelines

  • Use the acronym EAT (Evaluate, Assess, Teach) to remember what cannot be delegated.
  • Unlicensed Assistive Personnel (UAPs) cannot be delegated tasks related to EAT, medication administration, and care of unstable patients.
  • Licensed Practical Nurses (LPNs) cannot handle tasks involving blood-related care.

Measurement Conversions

  • 1 ounce equates to 30 mL, a common conversion in pharmacology.

Blood Pressure Calculation

  • Mean Arterial Pressure (MAP) can be calculated using the formula: MAP = (SBP + 2(DBP)) / 3.

Central Venous Pressure (CVP)

  • Normal CVP range is between 2 to 8 mmHg.
  • Elevated CVP may indicate right ventricular failure or fluid volume overload.

Assessment Order

  • Follow the sequence: Inspection, Palpation, Percussion, and Auscultation.
  • Note: For abdominal assessments, Auscultation is performed after Inspection.

Blood Types and Compatibility

  • Blood Type O: Can receive from O; can donate to O, A, B, AB.
  • Blood Type A: Has Antigen-A and Antibody-Anti B; can receive from A or O; can donate to A or AB.
  • Blood Type B: Can receive from B and O; can donate to B and AB.
  • Blood Type AB: Universal recipient; can receive from AB; can donate to O, A, B, AB.

Traction Types

  • Buck's Traction: Used for knee immobility.
  • Russell's Traction: A sling is placed under the knee, suspending the distal thigh above the bed, often utilized for femur or lower leg fractures.
  • Dunlap Traction: Can be either skeletal or skin traction.
  • Bryant's Traction: Specifically designed for use in children.

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