Showing posts with label nclex lecture. Show all posts
Showing posts with label nclex lecture. Show all posts

Monday, January 12, 2009

Part two - NCLEX-RN TIPS AND LECTURE NOTES

> NFC: Clients with uncontrolled hemorrhage needs to be treated immediately.

CARDIAC ARREST ANAPHYLAXIS MULTIPLE TRAUMA PROFOUND SHOCK POISONING ACTIVE LABOR
DRUG OVERDOSE
SEVERE HEAD TRAUMA, SEIZURE SEVERE RESPIRATORY DISTRESS


***

ERIK ERICKSON'S STAGES OF PSYCHOSOCIAL DEVELOPMENT

  1. INFANCY ( 0 TO 18 MONTHS) ---TRUST VS. MISTRUST--- ATTACHMENT TO THE MOTHER
  2. EARLY CHILDHOOD (18 MOS TO 3 YRS) ----AUTONOMY VS. SHAME & DOUBT -----GAINING SOME BASIC CONTROL OVER SELF AND ENVIRONMENT
  3. LATE CHILD HOOD ( 3 TO 6 YRS) ----- INITIATIVE VS. GUILT ---BECOMING PURPOSEFUL AND DIRECTIVE
  4. SCHOOL AGE (6 TO 12 YRS) -----INDUSTRY VS. INFERIORITY ---- DEVELOPING SOCIAL PHYSICAL & LEARNING SKILLS.
  5. ADOLESCENCE (12 TO 20 YRS )------ IDENTITY VS. ISOLATION -----DEVELOPING SENSE OF IDENTITY
  6. EARLY ADULTHOOD (20 TO 25 YRS) -----INTIMACY VS. ISOLATION ---- ESTABLISHING INTIMATE BONDS OF LOVE AND FRIENDSHIP[
  7. MIDDLE ADULTHOOD (35 TO 36 YRS) -------GENERATIVITY VS. STAGNATION
  8. LATE ADULTHOOD (65 YRS TO DEATH)
***

>SIGN OF CHILD ABUSE ---- Large welts & scars on the back

> Attendance of parents during painful procedures should be based on individual's assessment of the parents.

> Problem of difficulty disciplining a child, a nurse must assess how difficult it is for the parent.

> If a child demonstrates excessive crying and clinging when approached means the child had subjected to prolong hospitalization.

> Remember this, if you are going to feed an infant, you should provide a pacifier.

>In any case like having a colic problem in a month old infant, the mother should get some time away from her son each day to rest. This is a precautionary method against burn out.

> If you receive any NPO order for an infant, always provide pacifier, this is to calm the infant and also meet the developmental needs.

> If you admit a child for second time surgery, this means going back to painful memories, always be sure to show assurance and security. This would alleviate any discomfort for the child.

> If you see a child on his third day of hospitalization you have to watch out for the signs of despair, which is screaming and crying inconsolably, begins to regress and lies quietly in the crib or bed with blanket.

MY NCLEX TIPS and LECTURE NOTES


PHARMACOLOGY

alendronate sodium (FOSAMAX)

> for treatment and prevention of osteoporosis in post menopausal women.

>REMEMBER THIS:
  • Give in AM with full glass of water at least 30 minutes before first beverage, food or medication of the day.
  • Patient must stay up right for 30 minutes
  • Monitor serum calcium levels, before and during and after the therapy.
  • Provide comfort if bone pain occurs
  • Side effects: nausea, diarrhea, bone pain, headache (give analgesic)


allopurinol (PURINOL)

> Anti- gout

>REMEMBER THIS:
  • Take the drugs with meals
  • Avoid OTC medication

BLUE COHOSH
> Had anti oxytoxic effect

> Used in:
  • Regulation of menstruation
  • Ease painful crams
  • used to jump start stalled labor
  • used to stop bleeding


> methimazole (TAPAZOLE)

> it blocks autonomic nervous system
>take it around the clock at 8 hour interval

>COMMON S/E includes:
  • Dizziness
  • Weakness
  • Drowsiness
  • Vertigo
  • Anorexia
  • Rash
  • Itching
>REPORT TO THE M.D. if:
  • (+) Fever
  • (+) Sore throat
  • Unusual bleeding
  • Bruising
  • Headache
  • Body malaise