HURST NCLEX Review Facts PDF

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Some key takeaways are to elevate veins and dangle arteries, call the physician if there is no nursing intervention available, and pick the answer with long term consequences.

If a client has fluid retention, think heart problems first.

Report anything 'new' or 'different' or 'possible' to the next shift nurse.

ADH H20

(three letters/three digits)

sodium and water,


aldosterone, think releases K
Al likes to swim in
saltwater

always limit protein with


those with nephrotic
kidney clients except
syndrome
which

any fluid problem, daily I&O and weights


do what

arrythmias are not big they affect cardiac output


deal unless what
Call physician when only if not a nursing
intervention available

don't ever use what in a a medical diagnosis


nursing diagnosis

elevate veins and dangle


elevate _______ and
arteries. E goes with E
dangle _______
and A goes with A

first sign of respiratory hypoxia possibly


acidosis

if problem in lungs CO2 will be affected


if problem is in kidneys HCO3 will be affected

if you have no baseline in assume normal limits


question

if you see "assessment" or think signs and symptoms


"evaluation" in stem

less volume ____


less volume, less pressure
pressure
more volume, more
and more volume _____
pressure
pressure

like illnesses can be put in same room


Mg or calcium problem, muscles
think what first

NCLEX hospital . . . is perfect and you only


care for client on screen

that isn't the least invasive that isn't


client focused
that doesn't allow client to speak or
Never pick an answer rushes their complaint off puts off
work to someone else if you're down to
2, pick the killer answer has long-term
consequences * don't delay care/treatment

which one is the Killer answer? *NOTE:


Pain isn't a priority and expected
Priority questions problems related to conditions-like
kidney stones positive for hematuria and
8/10 pain-not priority over other
conditions

Biological and physiological needs,


safety, belonging and love needs,
Remember order of
esteem needs and then self-
Maslow's actualization needs like personal
growth and fulfillment
never release unless you
remember what about
have order from dr to do
traction
so

too many letters, too


remember with SIADH much water
"Soggy Sid"

report what to next shift something "new" or


nurse "different" or "possible"

restless client think what hypoxia


first

the worst * you always


what should you ALWAYS
have something to worry
assume
about
when triaging, emergent emergent is lift threatening
urgent is stable on arrival but
means:
needing timely attention
urgent means: non-urgent is stable and not in
non-urgent means immediate need of ER treatment

when you see fluid heart problems


retention, think what first

when you see polyuria, shock first


think what first

don't ever choose them!


when you see words like They're too limiting. Look
always, never, total . . . for things like might or
maybe or sometimes!

with pacemaker always rate is decreased


worry when

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