Exam (elaborations)
NCLEX-PN CHEAT SHEETS QUESTONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-PN CHEAT SHEETS QUESTONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-PN CHEAT SHEETS QUESTONSAND ANSWERS WITH SOLUTIONS 2024
PositioningPTechniquesP(F)P-PANSWERPRe-positionPatPleastP1-2PhoursPinPbed.P
EveryP20-30PminsPinPaPchair.
•PClientsPwhoPhavePimpairedPnervousPorPmusculoskeletalPsystemsPbenefitPfromProutinePtherapeuticPpositi
oning.
-PAtPleastPeveryP1PtoP2PhrPinPbed.
-PEveryP20PtoP30PminPifPinPaPchairPtoPpreventPskinPbreakdownPoverPbonyPprominences.
•PToolsPforPrepositioningPclients
-PPillows,PfootPboots.
-PTrochanterProlls,Psandbags.
-PHandProlls.
-PHand-wristPsplints.
-PTrapezePbar.
-PSidePrails
•PAllPsidePrailsPcannotPbePupPorPtheyPwillPbePconsideredPaPrestraint.
-PBedPboards.
-PWedgePpillowP(abductorPpillow).
PositionsP(F)P-PANSWERPHighPFowler's:P90Pdegrees
Fowler's:P45-60Pdegrees
SemiPFowler's:P30-45Pdegrees
Supine:POnPbackPwithPheadPandPshouldersPonPpillow.P
Prone:PFlatPonPabdomenPwithPheadPtoPthePside.PAllowsPdorsiflexionPofPfeet.P
Lateral:PSide-lying.P
Sims':POnPsidePhalfwayPbetweenPlateralPandPprone.P
Trendelenburg:PEntirePbedPisPtiltedPwithPthePheadPofPthePbedPlowerPthanPthePfootPofPthePbed.PPromotesPve
nousPreturn.P
,ReversePTrendelenburg:PEntirePbedPisPtiltedPwithPthePfootPofPthePbedPlowerPthanPthePheadPofPthePbed.PPro
motesPgastricPemptying.
AssistivePDevicesP(F)P-PANSWERPWheelchair.P
Walker:PTakePaPstep,PmovePwalker,PtakePanotherPstep.
Cane:PSinglePlegPorPquad.PKeepPcanePonPstrongerPsidePofPthePbody.PMovePcane,PmovePweakPleg,PmovePstro
ngPleg.P
Crutches:P2.3.4-
pointPgaits.PWhenPascendingPstairs,PgoodPfoodPthenPcrutchesPthenPbadPfood.PWhenPdescendingPstairs,Pcrut
chesPthenPbadPfootPthenPgoodPfoot.
SplintsPandPBracesP(F)P-
PANSWERPPrimaryPNursingPConcern:PAssessmentPandPpreventionPofPneurovascularPdysfunctionPorPcompro
mise.P
AssessPeveryPhourPforPthePfirstP24Phrs.PEveryP2-4PhoursPafterwards.P
ElevatePimmobilizedPextremityPhigherPthanPthePheart.P
ApplyPicePforPthePfirstP24-48PhrsPprnPtoPreducePedema.
CirculatoryPCareP(F)P-
PANSWERPPerformPaPcomprehensivePappraisalPofPperipheralPcirculation:PperipheralPpulses,Pedema,Pcapilla
ryPrefill,Pcolor,Ptemperature.P
MonitorPdegreePofPdiscomfortPorPpain.P
ProtectPthePextremityPfromPinjury.P
PlacePextremityPinPaPdependentPposition.
PeripheralPSensationPManagementP(F)P-
PANSWERPMonitorPforPparesthesia:Pnumbness,Ptingling,Phyperesthesia,Phypoesthesia.P
MonitorPthePfitPofPbracingPdevices,Pprostheses,Pshoes,PandPclothing.P
AdministerPanalgesicsPprn.P
DiscussPorPidentifyPcausesPofPabnormalPsensationsPorPsensationPchanges.
CarePafterPImmobilizerPRemovalP(F)P-PANSWERPMovePextremityPcarefully.P
,SupportPwithPpillowsPorPotherPdevicesPuntilPstrengthPandPmovementPreturn.P
ExercisePslowlyPwithPphysicalPtherapist.P
WearingPsupportPstockingsPorPelasticPbandagesPtoPpreventPswellingPforPlowerPextremities.
Nutrition:POlderPAdultsP(F)P-PANSWERPNeedPthePsamePnutrientsPbutPinPdifferingPamounts.P
NumberPofPcaloriesPneededPisPless.
1500Pmg/dayPofPCalciumP
SmellPandPtastePdecline.P
MayPaddPmorePsaltPtoPenhancePtasteP(teachPaboutPsaltPsubs).
DecreasePvisionPmakesPfoodPprepPmorePdifficult.
FoodsPtoPEatPforPOlderPAdultsP(F)P-PANSWERPFoodsPlowPinPsaturatedPfat.
FoodsPhighPinPfiber,PlikePwhole-grain
breadsPandPcereals.
FruitsPandPvegetables.
ModeratePamountsPofPlow-fatPdairy
products.
ProteinPlikePpoultry,Pfish,Pbeans,Pand
eggs.
FoodsPtoPAvoidPforPOlderPAdultsP(F)P-PANSWERPSweetsPandPotherPfoodsPhighPin
sugar,Pfat,PandPcaloriesPshouldPbe
eatenPsparingly.
DysphagiaP(F)P-PANSWERPOccursPwithPaPstrokePorPotherPneurologicalPconditions.P
AspirationPisPthePfirstPconcern,PfollowedPbyPdehydrationPandPmalnutrition.P
ObservePforPObservePforPaspirationPorPpocketingPofPfoodPinPthePcheeksPorPotherPareasPofPthePmouth.
ObservePforPsignsPofPdysphagia,PsuchPasPcoughing,Pchoking,Pgagging,PandPdroolingPofPfood.
MaintainPthePclientPinPsemi-Fowler'sPpositionPforPatPleastP1PhrPafterPmeals.
, ProvidePoralPhygienePafterPmeals/snacks.
•PDysphagiaPrefersPtoPdifficultyPwhenPswallowing.
•PCausesPofPdysphagia
-PNeurogenic
•PStroke.PCerebralPpalsy.PMultiplePsclerosis.
-PMyogenic
•PMyastheniaPgravis.PAging.PMuscularPdystrophy.
-PObstructivePproblems
•PCandidiasis.PHeadPandPneckPcancer.PInflammatoryPmasses.
PreventingPAspirationP(F)P-PANSWERPPositionPthePclientPinPFowler'sPpositionPorPinPaPchair.
SupportPthePupperPback,Pneck,PandPhead.
HavePthePclientPtuckPherPchinPwhenPswallowingPtoPhelpPpropelPfoodPdownPthePesophagus.
Maslow'sPHierarchyPofPNeedsP(F)P-PANSWERPPhysiologicalP-PSafetyPandPsecurityP-PLovePandPbelongingP-
PSelf-esteemP-PSelf-Actualization.
ClientPIdentificationP(F)P-PANSWERPBeforePclientPcarePthePnursePshould:P
IntroducePherself
VerifyPIDPbyPaskingPclientPtoPstakePhisPnamePandPthenPcheckingPhis/herPIDPband.PAlwaysPverifyP2Pidentifiers
.P
AssessPforPanyPallergiesPbyPcheckingPclientPrecords.
SeizurePPrecautionsP(F)P-PANSWERPPaddedPsidePrails.P
RescuePequipmentPatPbedside:POxygen,PoralPairway,PsuctionPequipment.
RemovePitemsPthatPmayPcausePinjury.P
NeverPputPanythingPinPthePclient'sPmouthPinPthePeventPofPaPseizure.
DuringPaPseizureP(F)P-PANSWERPDoPnotPrestrainPthePclient
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