Things to review for the nclex

position for chest tube removal

semi fowlers or on the unaffected side

ascending stairs with a cane

1. step up with the stronger leg

2. move the cane

3. move the weaker leg up

descending stairs with a cane

1. lead with cane

2. bring weaker leg down

3. step down with stringer leg

afer a liver biopsy

client should be on the right side for 2-4 hours and then on bed rest for 12

diseases for airborne precautions

tb, varicella (chicken pox), herpes zoster (shingles), rubeola

airborne precautions

n95, negative pressure

where should a VAD be inserted

dorsal surface of the forearm (cephalic vein)

isotonic solutions

.9 normal saline and lactated ringers. both are used to replace fluid loss

recommended rate for potassium infusion

5-10 meq/hr

where should a new VAD be inserted

proximal to all previous sites

how often is gastric residual of a feeding tube checked

every 4 hours

when should anti-platelet meds be stopped before surgery

5-7 days before. same thing for nsaids as it can cause bleeding

medication patches info (fentanyl)

1. replaced every 72 hours

2. do not cut a transdermal patch

3. do not put heat over it

unilateral neglect

alteration in sensory perception that causes individuals to ignore input from the affected side

taking blood from an arm with an infusion going

a vein distal to the infusion with a tourniquet placed between

how to pull the ear

up and back for people over 3

what is hiv transmitted through

semen, vaginal secretions, blood, breast milk

factors that affect pulse ox readings

hypotension and carbon monoxide poisoning

enoxaparin administration

do not expel the air bubble as it is needed to give the complete medication dose

preventing air embolism when taking out a cvc

supine position, bear down or exhale, air occlusive dressing

positioning after a mastectomy

semi fowlers with the arm and hand of the affected side on pillows to promote drainage and prevent lymphatic pooling

how often should an incentive spirometer be used

5-10 times an hour

suction pressure with a trach

100-120mmhg

precautions with home oxygen

stay 5-10 feet from open flames, avoid wool fabrics

after a barium enema

chalky white stool and taking laxatives

findings of upper gi bleeding

melana, nsaid use, h pylori, hematemesis

proton pump inhibitors

decrease the amount of stomach acid produced

albumin

maintains intravascular oncotic pressure

lactulose

medicine that decreases serum ammonia levels

key signs of refeeding syndrome

rapid decline of potassium, phosphate and magnesium