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UWORLD NCLEX REVIEW LEADERSHIP & MANAGEMENT BATCH 9 A+
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UWORLD NCLEX REVIEW LEADERSHIP & MANAGEMENT BATCH 9
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lOMoAR cPSD| 30878495l UWORLD NCLEX REVIEW LEADERSHIP
& MANAGEMENT BATCH 9 ALCOHOL WITHDRAWAL
11/30/2023
➢ Can develop into delirium tremensor
seizures; both are serious conditions.
Licensed Practical Nurse Clients need frequent doses of
➢ They should be assigned to clients Benzodiazepines (Ex. Lorazepam,
who are medically stable and have Diazepam) and aggressive supportive care
expected outcomes.
➢ They should NOT be assigned to
clients who require complex care
and clinical judgment and have
potential negative outcomes.
RESPONSIBILITY OF THE RNs & SHOULD
NEVER BE DELEGATED:
1. Teaching
2. Assessment
3. Clinical Judgment
4. Evaluation
5. Planning
6. Implementation of complex care
ACUTE PANCREATITIS
➢ These clients can develop several
complications (Ex. Hypocalcemia,
Acute Respiratory Distress
Syndrome) And need aggressive
supportive care (Ex. Pain
management, IV Fluids).
TOTAL THYROIDECTOMY
➢ Can be complicated by bleeding
(throat compression) or
hypocalcemia (if parathyroids
were removed inadvertently).
➢ Care in these clients is complex.
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REGISTERED NURSES (RNs) ➢ Swelling if the neck and Increased
Pain Post Thyroidectomy may
➢ The nurse delegating a
indicate Hematoma formation or
task remains legally
increased tissue inflammation.
responsible for the
client’s total care during These complications have a high
priority due to potential
the shift,and may be
interference with airway patency.
held liable for delegating
inappropriately.
➢ IV medication administration is
reserved for RNs.
➢ Frequent assessment of
unstable clients with
changes in condition isan
exclusive RN task.
LICENSED PRACTICAL NURSES LPNs)
➢ Are trained in many
nursing skills; these
include but are not
limited limited to
nasatrachael suctioning,
Foley catheter and
nasogastric tube
insertion, dressing
changes, and
subcutaneous,
intramuscular, and oral
medication
administration.
However, IV MEDICATION
ADMINISTRATION is
typically reserved for the
RN.
THYROIDECTOMY
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➢ The nurse should assess for signs identify the source of the alteredmental
and symptoms of airway status.
compromise (Ex. Stridor, Use of
accessory muscle, Restlessness). TRIAGING CLIENTS
➢ SUCTION EQUIPMENT should be
• Involves decision-making about whose
available to clear the airway of
needs/problems are most urgent and create
secretions, and a TRACHEOSTOMY
the greatest riskto survival.
TRAY should be at the bedside in
case of an emergency
tracheotomy is required.
SPRAIN
➢ Bruising, Edema, and Pain in the
ankle following a popping sound.
➢ The client should have an x-ray,
receive pain medication (Ex.
NSAIDs), and have the ankle iced
and immobilized.
➢ “LOWEST PRIORITY”
DIABETIC KETOACIDOSIS
➢ Most common signs and
symptoms of High Blood glucose,
Dehydration, and Ketonuria .
➢ The client needs an IV Fluid bolus,
Insulin, and likely electrolyte
replacement following additional
diagnostic testing.
➢ This client has potentially
compromised CIRCULATION.
ACUTE ALTERED MENTAL STATUS IN AN
ELDERLY
➢ May indicate infection (Ex. Urinary
Tract).
➢ Diagnostic testing is needed to
, lOMoAR cPSD| 30878495
• Two (2) Popular totop level of the pyramid.
frameworks can assist
the nurse in making
these decisions and
setting priorities:
A. “First, Second,
and Third”
Priority Level
Framework
1. ABCs plus V –
Airway, INFANTS
Breathing, ➢ They have a high percentage of
Circulation and body water (70%-80% of body
Vital Signs weight) and become dehydrated
2. Mental Status rapidly.
changes, HEMATURIA & ELEVATED TEMPERATURE
Acute Pain, ➢ May be associated with a urinary
Unresolved tract infection or
medical Glomerulonephritis.
issues, Acute ACUTE ABDOMINAL PAIN
elimination
➢ Can be a medical emergency that
problems,
could indicate appendicitis,
Abnormal
Laboratory
Values, and
Risk
3. Longer-term
issues such as
Health Education,
Rest, andCoping
4.
B. Maslow’s Hierarchy of Needs
❖ It is a 5-level
framework in
which the priority
needs progress
from the bottom
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