October 30, 2011
October 29, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 3
1: No relationship to pathologic fractures
2: Weight bearing on long bones keeps them strong, would not expect client to experience pathologic fractures
3: CORRECT | Long-term cortisone therapy can cause osteoporosis, weakness, muscle-wasting, depression, alopecia, buffalo hump, obesity, mood swings and slow wound healing
4: No relationship to the development of pathological fractures
October 28, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 2
1: Related to autonomic hyperreflexia/autonomic dysreflexia, complication of spinal cord injury
2: CORRECT | Pulmonary edema, hypoxia, hemothorax, pneumothorax, subcutaneous emphysema, spleen and liver puncture are all potential complications of a thoracentesis. Report to the physician
3: Indicate peritonitis, complication of paracentesis
4: These symptoms are related to tetany (hypocalcemia)
October 27, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 3
1: Not of most concern. The intestinal mucosa is very fragile and it is common that it bleeds at this stage during changing of the appliance or due to the collection pouch not fitting properly
2: Of definite concern but not most, interventions would include: decreasing frequency of pouch changing, using a non-karaya skin barrier (urine erodes karaya), leaving skin open to air when possible as when changing the pouch, promoting acid urine (alkaline urine irritates the skin) and using Nystatin cream or powder if yeast infection
3: CORRECT | Fever and pain (along with abdominal rigidity) are indications of peritonitis. Urine may have entered the peritoneal cavity from the anastomosis site leaking or from separation of the ureter from the ileal segment (the conduit). There may have been spillage from the intestine during the surgery, physician should be notified at once. Requires immediate medical attention
4: Not of concern at this time, due to the bowel manipulation and resection. There will be no peristalsis for several days. Patient will remain NPO and has IV lines and an NG tube in place until peristalsis is reestablished. Bowel sounds do need to be assessed
October 26, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 4
1: Indicates improvement in anemia. Procrit is a biologic response modifier, used to stimulate red blood cell production. Procrit is used to treat anemia due to chronic renal failure, zidovudine (AZT) therapy and chemotherapy
2: Contraindicated if client is diagnosed with uncontrolled hypertension
3: May experience flu-like symptoms at the beginning of therapy. Side effects include arthralgias, nausea and edema
4: CORRECT | Likelihood of hypertension and seizures increase if the hematocrit increases by more than 4 points in 2 weeks. Contact physician to decrease dose
October 24, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 3
1: Rate is controlled by mechanical ventilator
2: Not most important
3: CORRECT | Patient may experience hypotension from decreased cardiac output
4: Concentrate on the patient, not the equipment
October 22, 2011
October 21, 2011
October 18, 2011
NCLEX-RN Practice Question Challenge!
25,000 units / 500 mL = 50 units per mL
1,200 units per hour / 50 units per mL = 24 mL
NCLEX-RN Practice Question Challenge!
Correct Answer: 1
1: CORRECT | Assessment: Outcome priority, catheter may be blocked or patient may be having bladder spasms
2: Assessment: Outcome not priority, need to check patency of tubing first
3: Assessment: Outcome not priority, more important to look for obstruction in tubing
4: Implementation: Outcome not desired, decrease in traction against bladder neck could cause bleeding. This requires a physician order and should not be changed
October 17, 2011
October 14, 2011
October 13, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 1
1: CORRECT | Implementation: Outcome desired, prevents hip flexion contracture
2: Implementation: Outcome not desired, will increase edema
3: Implementation: Outcome not desired, legs should be adducted to prevent flexion contractures
4: Implementation: Outcome not desired. Done for the first 24 hours, increases venous return. Prevents edema, promotes comfort
October 10, 2011
October 9, 2011
October 5, 2011
Book Recommendations | Documentation & Charting!
Are you a nurse graduate or nursing student looking for help in the documentation department? Well then, this book is for you! In my ethics course and at work, I see many stories of nurses being sued and/or fired for simple documentation errors or due to missing critical information. This book helps you figure out what you need to do and what needs to be documented depending on your patients diagnosis. From chest pain, confusion, sepsis, pneumonia and beyond... this book will give you the tools to success. This book arrived yesterday and I haven't been able to put it down. We all know what nursing interventions that need to done to assist patients who are unstable, but the documentation game is new to me. I know what needs to be done but I want to make sure I have the correct and most accurate documentation for my patient. Just because I'm am nurse, doesn't learn learning stops after the NCLEX. I learn something new every second of every day. This book will help me to stay out of court and at the bedside with my patients. Because ignorance will not keep you from being sued, you must take responsibility for your actions or absence of actions. You've made it this far in your nursing career, why not invest in something that might save your license!
Mosby's Surefire Documentation: How, What & When Nurses Need To Document
ISBN: 0323034349 | 978-0323034340
ISBN: 0323034349 | 978-0323034340
October 3, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 1
1: CORRECT | Implementation: Outcome desired, normal PTT 24-45 seconds. Therapeutic range 1.5-2x normal range
2: Implementation: Outcome not desired, medication should be given. PTT is in therapeutic range
3: Implementation: Outcome not desired, unnecessary
4: Implementation: Outcome not desired, unnecessary
October 2, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 1
1: CORRECT | Assessment: Outcome desired and priority, determine if presenting part is crowning
2: Assessment: Outcome desired but not priority, need to determine stage of labor first
3: Assessment: Outcome not desired, need to determine stage of labor first
4: Assessment: Outcome not desired, need to assess first
October 1, 2011
NCLEX-RN Practice Question Challenge!
Correct Answer: 2
1: Assessment: Outcome desired but not priority, edema not seen with SIADH even though water is retained
2: CORRECT | Assessment: Outcome desired and priority, normal sodium range is 135-145 mEq/L. Dilutional hyponatremia due to SIADH, patient is neurologically depressed with increased risk for seizures
3: Assessment: Outcome desired but not priority, indicates fluid retention. Not as important as hyponatremia
4: Assessment: Outcome not desired, 1.008 indicates that urine is very dilute. With SIADH, urine will have high concentration and specific gravity due to excess ADH secretion
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