trendsoli.blogg.se

 Nursing actions when pt has S/E-teach pt to  Eps (extraparametal syndrome-like Parkinsons  Organ in which the modifying phrase is referring toĪll have decrease BP and change in weight (mostly weight gain) Tiebreaker-> the more vital the organ, the higher the priority.  Fixed and dilated pupils (even if still breathing)Ĥ. Note: at scene of accident (unwitnessed)- they are death-low priority  Pulselessness (vfib or asystole) or breathlessness  High fever over 105 F->patient can have seizure  Who is higher priority and why?->2 nd option is priority->have more high priorities than1stĪlways unstable no matter what-even if expected  61 yo male w/IBS who spiked temp of 103 F this afternoon.  16 yo w/ meningococcal meningitis who has had temp of 103.8 F since admission 3 days ago.  Experiencing the typical expected S/S of Acute beats (higher priority than) chronicĮxample: COPD versus appendicitis->appendicitis is the priorityĮxample: 2 hr post op versus appendicitis->2 hr post op is the priority  Pt has angina pectoris and unstable BP vs MI with stable VS ->angina with unstable BPisnowthepriorityġ.  Ex: pt has angina pectoris vs MI -> MI is high priority  In Peds pay attention to age but in prioritization age is not important  ABC does no work with prioritization questions  Decide who is sickest or healthiest->based on question  Go with gut answer-only if other answer is superior  Nclex also testing on common sense-do not overanalyze-do not think like a nurse  If you dont know something in a question-pull it out of the equation-use common sense  Right answer is most unique or differentĪnswer based on what you know, not what you don’t know  Right answer tends to be different than the rest Sesame street rule-use only as last option  When stuck between two answers-read the question  If questions has 4 right answers and ask for priority of needs of a patient-worse consequences game-worstoutcome

 If 2 answers are opposite-one is probably right  If 2 answers say same thing-neither is correct  When in doubt-pick the easier task-more time to do the harder one  All based on principle-give child more time to grow and develop  No idea what the drug is-look to see if it is PO-pick GI side effect

 If know what drug does but do not know side effect-pick a side effect in same body systemthedrugisworking

 Nurse will examine own feeling about something-so do not counter transfer