Registered Nurse (RN)
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NCLEX®/
NCLEX-RN® Test Plan: Client Needs/
Potential for Alterations in Body SystemsAce Your NCLEX-RN® Test Plan: Client Needs Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students
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NCLEX-RN® Test Plan: Client Needs | Registered Nurse (RN) School Study Aid
Chest Tubes: Management and Care
- Confirm suction order
- Assessment
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- Quick Interventions
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
1 min
Dysphagia
- Etiology
- Neurological Disorders
- Muscular Disorders
- Structural Abnormalities
- Gastroesophageal Reflux Disease (GERD)
- Inflammatory Conditions
- Signs & Symptoms
- Difficulty Swallowing
- Choking or Coughing
- Regurgitation
- Diagnosis
- Clinical History and Physical Examination
- Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
- Videofluoroscopy (Modified Barium Swallow Study - MBSS)
- Interventions
- Treat Underlying Cause
- Therapy
- Dietary Modifications
- Medications
- Surgery
3 mins
The National Dysphagia Diet
- Drinks Levels 0 to 3
- Level 0: Thin
- Level 1: Slightly Thick
- Level 2: Mildly Thick
- Food – Levels 4 to 7
- Level 3: Moderately Thick Food
- Level 4: Pureed, Extremely Thick
- Level 5: Minced, Moist
- Level 6: Soft, Bite-sized
- Level 7: Regular
3 mins
Interventions for Impaired Skin Integrity
- Assessment
- Signs of Skin Breakdown
- Pain
- Redness
- Decreased Skin Turgor
- Bleeding
- Bony Prominences
- Intervention
- Reposition Q2H
- Pressure Relief
- Maintain Clean and Dry Skin
- Adequate Nutrition and Hydration
2 mins
Pressure Ulcers
- Risk Factors
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Classification
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Management
- Wound Care
- Surgery
- Considerations
- Septicemia
- Osteomyelitis
- Prevention
3 mins
Immobility
- Assessment
- Mobility Continuum
- Complications
- Cardiovascular
- Respiratory
- Musculoskeletal
- Integumentary
- Gastrointestinal
- Urinary
- Considerations
- Turn, Cough, Deep Breathe (TCDB)
- Range of Motion (ROM)
- Skin Care
- Fluids
- Balanced Diet
2 mins
Marasmus
- Deficiency of all Nutrients
- Body Weight < 60% of Normal
- Tissue and Muscle Wasting
- Loss of Subcutaneous Fat (Buttocks and Thighs)
- Variable Edema
2 mins
Kwashiorkor
- Protein Deficiency
- Swollen Belly
- MEALS
- Malnutrition
- Edema
- Anemia
- Liver Malfunction
- Skin Lesions
2 mins
Functional Incontinence
- Symptoms
- Increased Urinary Volume
- Unable to Timely Urinate
- Pathophysiology
- Dementia
- Excessive Alcohol Consumption
- Immobility
- Treatment
- Scheduled Voiding
1 min
Stress Incontinence
- Symptoms
- Urine Leak with Movement
- Cough or Sneeze
- Increased Intra-abdominal pressure
- Pathophysiology
- Laxity of Pelvic Floor Muscles
- Urethral Sphincter Insufficiency
- Treatment
- Kegel Exercises
- Pessaries
- Alpha-adrenergic Agonists
- Surgery
- Associations
- History of Vaginal Birth
- Cystocele
2 mins
Overflow Incontinence
- Symptoms
- Increased Residual Urine Volume
- Involuntary Urine Dribble
- Urinary Frequency
- Pathophysiology
- Nerve Lesions Cause Bladder Atony
- Bladder Outlet Obstruction
- Weak Detrusor Muscles
- Treatment
- Bethanechol
- Catheterization
- Sacral Neuromodulation
2 mins
Diabetes Education
- Self-Monitoring (Blood Glucose)
- SubQ Injection Technique
- Lifestyle Changes
- Symptoms of Hyperglycemia and Hypoglycemia
- Sick Day Care
- Foot Care
- Exercise Therapy
- Medication
1 min
Appendicitis Interventions
- Treatment
- Appendectomy
- Preoperative Care
- Antibiotics
- IV Fluids
- No Enema or Laxative
- Postoperative Care
- Semi-Fowler's Position
- Nasogastric Tube
- Diet as Tolerated
- Pain Management
- Early Ambulation
2 mins
Diabetes Interventions
- Early Diagnosis
- Insulin
- Oral Hypoglycemics
- Glucose Monitoring
- Routine Exercise
- Diabetic Diet
- Monitor for Complications
- Insulin Therapy
- Diabetic Ketoacidosis (DKA)
2 mins
