Nclex Studyguide Pn

M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can't catch my breath and my legs are as big as tree trunks.” After further questioning, you learn she is strictly following the fluid and salt restriction ordered during her last

General: no history of weight change, fever or chills, weakness, fatigue, or change in appetite;

I am planning to write National Council Licensure Examination – Registered Nurse (NCLEX-RN) between July 16, 2018 and July 31, 2018.

11. The fact that a patient has experienced recent weight loss, fatigue, and loss of appetite would be included in which part of the review of systems (ROS)?

Prior to discontinuing the IV Pitocin (oxytocin), which assessment is most important for the nurse to obtain?

The serum creatine levels, the BUN, the urinary potassium, the serum pH and sodium clacium are high.

Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

The PACU staff have brought a patient to the unit following a thyroidectomy. To promote comfort for this patient, how should the nurse position this patient?

o Monitor central venous pressure, oxygen, glucose, electrolytes, lactate, renal function, urine output o Fluid resuscitation, mechanical ventilation, broad-spectrum antibiotic

Patient 1 : A 3-week-old baby is brought into the urgent care clinic with a fever of 101.4 degrees F. Without hesitating or assessing the infant, the physician orders a complete blood count (CBC), a urinalysis, blood cultures, and a lumbar puncture.

Rotavirus causes inflammation of the stomach and intestines; it effects infants and young children often causing severe watery diarrhea, vomiting, fever, abdominal pain, and dehydration. Tetanus toxoids (lock Jaw), pertussis (whooping cough), and diphtheria which is described as a thick covering in the back of the throat, are all included in the TDaP vaccine. Diphtheria may lead to breathing difficulties, paralysis, heart failure, and even death. The hemophilus influenza type B vaccine which prevents meningitis (an infection of the covering of the brain and spinal cord), pneumonia, and epiglottitis (a severe throat infection). Pneumococcal vaccine protects against streptococcus pneumoniae bacteria which can cause severe ear infections and meningitis.

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2. The previous NCOER NCOIC departed unexpectedly two months ago due to a compassionate reassignement, and he was out the majority of the previous sixty days prior to his departure due to medical and personal issues. As such, the corrections the battalion CSM required on the NCOERs were not done and the NCOERs were not processed in a timely fashion.

For the collection of data, developed and verified NI surveillance was used. The NI surveillance was useful for measuring both the incidence and risk factors of VAP according to Katherason et al (2009). Demographical data, past medical history, medications, nutritional status, laboratory results, diagnosis, history of illness, etc were all included in the surveillance. The Acute Physiology and Chronic Health Evaluation III score measured the severity of the illness. The APCHE is comprised of the acute physiological score that entails the major physiological systems and the chronic health evaluation that incorporates the influence of co-morbid conditions on the patient’s current health (O'Keefe-McCarthy, Santiago, & Lau, 2008).

failure can be found by a rise in serum creatinine concentration or azotemia, which is a rise