Category Archives: Focus of NCLEX Exam

Safety And Infection Control

Safety
•    Safety is the primary concern when caring for clients.Falls are the most frequent cause of injury for elderly clients in acute care. Read More »

Reduction Of Risk Potential

Specimens
•    Obtain all specimens using gloves and sterile equipment
•    Seal all specimen containers tightly
•    Label all specimens with client’s name, content and date obtained Read More »

Psychosocial Integrity

Coping Mechanisms
•    People use coping mechanisms, also called ego defense mechanisms, to relieve anxiety.
•    They are usually unconscious; that is, the client is not aware of their use.
•    Watch for excessive use of these mechanisms. Read More »

Physiological adaptation - Complicated Obstetrics

During pregnanacy
• If the maternal pancreas is unable to increase insulin production sufficiently, gestational diabetes mellitus results Read More »

Physiological adaptation - Pediatrics

Viral Infections
• Viruses are parasites that cannot reproduce or meet own metabolic needs.
• Skin cells react to virus with swelling, “vesiculation,” or proliferation, sometimes warts.
• Most viruses are associated with rashes (characteristic of each disorder, such as chicken pox, rubella, roseola) Read More »

Physiological adaptation - Emergency

CPR
•    Early defibrillation is the key to successful resuscitation for many adults.
•    Continually reassess during CPR to see if the client regains a pulse or begins breathing. Reassess to see that the chest moves and pulses are palpable during CPR. Read More »

Physiological adaptation - Oncology

•    Radiation has local effects; chemotherapy is more systemic. Read More »

Physiological adaptation - orthopedic

•    After hip replacements, pulmonary embolism may occur even without thrombosis in foot or leg.
•    Clients should sit in a straight, high chair; use a raised toilet seat; and never cross their legs. Read More »

Physiological adaptation - endocrine

About Insulin
•    In the pancreas’s islets of Langerhans, beta cells secrete insulin-the islet-cell hormone of major physiological importance; Read More »

Physiological adaptation - genitourinary

•    After a urinary catheter is removed, the client may have some burning on urination, frequency and dribbling. These symptoms should subside. Read More »

Physiological adaptation - gastrointestinal

•    Most obstructions occur in the small bowel. Read More »

Physiological adaptation - neurological

Eye
• Anything that dilates the pupil obstructs the canal of Schlemm and increases intraocular pressure.
• Color blindness is caused by a deficiency in one or more types of cones and is caused by a sex-linked recessive gene.
• Destruction of either the right or left optic nerve tract results in blindness in the respective side of both eyes Read More »

Physiological adaptation - Respiratory

•    Oxygen is essential for life. So, before all else, keep airways open and ease breathing effort. Read More »

Physiological adaptation - cardiovascular

•    Cardiovascular disease is the leading cause of death among Americans.
•    Take blood pressures correctly Read More »

Pharmacological and parenteral therapies

•    The dosage of medication needed for a therapeutic effect can vary with age, weight, gender, health status and environmental factors. Read More »

Management of care

•    Nursing practice is governed by legal restrictions and professional standards. Read More »

Basic care and comfort

•    All individuals require the same nutrients, but the amounts vary according to factors such as age, weight, activity level, and health state. Read More »

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