Nursing Fundamentals NCLEX

RN Delegation

RNs DO NOT delegate tasks that involve Evaluation, Assessment, or Teaching (EAT).

Sodium range (mEq/L)

135-145

Potassium lab range (mEq/L)

3.5-5.0

Total Calcium lab range (mg/dL)

9.0-10.5

Magnesium lab range (mg/dL)

1.3-2.1

Phosphorus lab range (mg/dL)

3.0-4.5

BUN range (mg/dL)

10-20

Creatinine range in males (mg/dL)

0.6-1.2

Creatinine range in females (mg/dL)

0.5-1.1

HgbA1c range

<6.5%

WBC range mm³

5,000-10,000

RBC range in men million/mm³

4.7-6.1

RBC range in women million/mm³

4.2-5.4

Hemoglobin range in men g/100 mL

14-18

Hemoglobin in women g/100 mL

12-16

Hematocrit range in men

42-54%

Hematocrit range in women

37-47%

Platelet range /mm³

150,000-400,000

Normal PT and Normal INR ranges (seconds)

11-12.5 for PT and 0.7-1.8 for INR

What is the therapeutic INR range? (seconds)

2-3

What does PT/INR asses?

How well the blood clots and the effectiveness of anticoagulant therapy

Normal PTT range (seconds)

30-40

What is the therapeutic PTT range?

1.5 – 2 x normal or control values

What does PTT assess?

How long it takes blood to clot

Glucose range (mg/dL)

70-105

Digoxin therapeutic range (ng/mL)

0.5-2.0

Lithium therapeutic range (mEq/L)

0.8-1.4

Dilantin therapeutic range (mcg/mL)

10-20

Theophylline therapeutic range

10-20

Normal pH range

7.35-7.45

Normal PaC02 range (mmHg)

35-45

Normal HC03 range (mmol/L)

22-26

Normal P02 range (mmHg)

80-100

People allergic to these foods may also be allergic to latex

Bananas, apricots, chestnuts, kiwis, passion fruit, avocados, tomatoes, cherries, peaches, and/or grapes.

What’s the order of a typical assessment?

IPPA- Inspection, palpation, percussion, auscultation

What is the order of an abdominal assessment?

IAPP- Inspection, auscultation, percussion, palpation

How do you walk with a cane?

COAL- Cane opposite affected leg.

How to walk with a walker?

Walker with affected leg

How do you walk with a crutch?

Crutch underarm, step with unaffected leg first

How do you go upstairs with a crutch?

good leg up first followed by the crutches and the bad leg

How do you go downstairs with a crutch?

Crutches and bad leg followed by good leg,

An RN should NOT delegate what they can ____.

EAT- Evaluate, assess, teach

What illnesses cause a patient to be placed on airborne precautions?

Measles, chicken pox, herpes zoster, TB

What illnesses cause a patient to be placed on droplet precautions?

Sepsis, scarlet fever, strep, pertussis, pneumonia, parvovirus, influenza, diphtheria, epiglottitis, rubella, mumps, adenovirus

What illnesses cause a patient to be placed on contact precautions?

MRSA, VRSA, RSV, skin infections, wound infections, enteric infections (c.diff), eye infections (conjunctivitis)

What is the management for airborne precautions?

Negative pressure room, private room, mask (N95 for TB)

What is the management for droplet precautions?

Private room and mask

What is the management for contact precautions?

Gown, gloves, goggles, private room, and hand hygiene

What are some skin infections that would cause someone to be put on contact precautions?

Cutaneous diphtheria, herpes zoster, impetigo, scabies, staph, pediculosis