ADH
H20 (three letters/three digits)
aldosterone, think
sodium and water, releases K Al likes to swim in saltwater
always limit protein with kidney clients except which
those with nephrotic syndrome
any fluid problem, daily do what
I&O and weights
arrythmias are not big deal unless what
they affect cardiac output
Call physician when
only if not a nursing intervention available
don't ever use what in a nursing diagnosis
a medical diagnosis
elevate _______ and dangle _______
elevate veins and dangle arteries. E goes with E and A goes with A
first sign of respiratory acidosis
hypoxia possibly
if problem in lungs
CO2 will be affected
if problem is in kidneys
HCO3 will be affected
if you have no baseline in question
assume normal limits
if you see "assessment" or think signs and symptoms "evaluation" in stem
less volume ____ pressure and more volume _____ pressure
less volume, less pressure more volume, more pressure
like illnesses can be put in
same room
Mg or calcium problem, think what first
muscles
NCLEX hospital . . .
is perfect and you only care for client on screen
Never pick an answer
Priority questions
Remember order of Maslow's
that isn't the least invasive that isn't client focused that doesn't allow client to speak or 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 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, esteem needs and then selfactualization needs like personal growth and fulfillment
remember what about traction
never release unless you have order from dr to do so
remember with SIADH
too many letters, too much water "Soggy Sid"
report what to next shift nurse
something "new" or "different" or "possible"
restless client think what first
hypoxia
what should you ALWAYS assume
the worst * you always have something to worry about
when triaging, emergent means: urgent means: non-urgent means
emergent is lift threatening urgent is stable on arrival but needing timely attention non-urgent is stable and not in immediate need of ER treatment
when you see fluid retention, think what first
heart problems
when you see polyuria, think what first
shock first
when you see words like always, never, total . . .
don't ever choose them! They're too limiting. Look for things like might or maybe or sometimes!
with pacemaker always worry when
rate is decreased