Nurse RN | Registered Nurse Blog, Articles, Reviews

Posts Tagged ‘delegation’

1. Don’t hold anything especially when giving medications

2. Don’t delay Endorsement

3. All about Neoplastic always look for ESTROGEN

4. Inflammation, Always Elevate

5. Meniere’s disease look for vertigo

6. Always stay will your patient

7. Tracheostomy tube should be Inflated to avoid aspiration when giving oral hygiene or feeding.

8. Never clamp chest tube to prevent lung collapse

9. If the chest tube is disconnected from the client—apply a tented dressing to the clients’ insertion site.

10. if the chest tube is disconnected from the drainage—insert end of the chest tube in a container of a normal saline

11. if the chest tube reach the floor cut the end of the test tube (1inch) and insert in a normal saline bottle

12. About TPN, never stop or slow down the rate to prevent rebound Hypoglycemia

13. Hip displacement look for abducted

14. Adducted—remember the letter ADD…means add to the body and abducted the vice versa of adducted

15. Hypoglycemia— give Glucagon for unconscious patient; but orange juice for conscious patient. Because common mistakes of students is that they know that orange juice is for hypoglycaemia but unconscious patient can take oral fluids so its best to give glucagon parenterally.

16. 3 chamber water seal

a. Drainage is the one close to the patient

b. Water seal chamber- should be intermittent bubbling

c. Suction- continuous bubbling

17. if asking about goal look for the specific goal

18. Always delegate traction, fracture and tube feeding

19. Step on the call light of Nurse.

20. Depressed patient—socialization

MAYBE YOU’RE WONDERING HOW YOU CAN APPLY THIS IN YOU ACTUAL EXAM. But just trust me… These are the things that you need to know… and once you mastered this it will naturally comes out during your exam. I’m going to update this post soon…if you have questions just leave a comment and I will try to answer it for you.. Thank you.

Here are some General simple tips to remember if you’re planning or reviewing for the NCLEX-RN exam.

-     Remember your Maslow’s hierarchy of needs, Nursing Process, ABC and safety

-          Always remember to Patient first before Equipment. Check first your patient before anything else. Example: if the ventilator alarms what would you do? Of course, go and check the patient then if the patient is stable then check the ventilator

-          Don’t use the real world….do everything ideally or by the book… If the question is asking you about personnel. Remember you have all the Staff available, time and the equipment. Example: you have patient who cannot speak in English and he has a friend who can speak English. What would you do? Go and call a translator from the hospital. Maybe you’re going to think hospitals don’t have a translator but I’m telling you look at your choices form your exam you’ll see translator there. And you cannot discuss or use the patient’s friend as your translator because we are following the patients’ confidentiality and you’re not sure if he wants his friend to know his case.

-          Reword the question in your own words if you’re having a hard time understanding them.

-          If two options are similar eliminate them

-          When it comes to positioning. Remember your Anatomy and try to think are you promoting or preventing something.

-          In delegation: LPN can give PO, SQ, and IM except IV. Only nurses can give drugs via IV route. Don’t delegate Assessment, Teaching and Evaluations…

I hope this simple General Tips will help you…I’ll post more soon. Thanks