NCLEX TIPS
NCLEX TIPS:
When taking a histamine blockers (ex. Tagamet), small frequent feedings are not necessary; should avoid meat extracts, aspirin, alcohol, and caffeinated beverages.
Risk factors for developing pneumonia: advanced age, immunosuppressed status, underlying lung disease, bedridden, and post-op.
When patient is undergoing paracenthesis it’s important that the nurse places a blood pressure cuff on patient’s arm prior to procedure and leave in place through immediate post-procedure time. Shock may occur because of removal of fluid.
Sickle Cell anemia: Painful joints, swelling, fever, tachycardia, could potentially have cardiac murmurs. Usually Hgb between 7 -10 and sickle cell will be seen in blood smear. Osteomylitis and pneumonia are common complications of sickle cell anemia. During sickle cell crisis 3-5 liters of fluids is recommended for the adult and for child 1600 ml/m2/day.
AMPUTATION
First 24 hours: Elevate the foot of the bed to reduce edema; then keep bed flat to prevent hip flexion contractures, if prescribed by physician.
After 24 to 48 hours postoperatively, position the client prone to stretch the muscles and prevent hip flexion contractures, if prescribed.
To prevent hip flexion contractures, DO NOT elevate the residual limb on a pillow.
Maintain surgical application of dressing, elastic compression wrap, or elastic stump shrinker as prescribed to reduce swelling, minimize pain, and mold the residual in preparation for prosthesis.
Wash the residual limb with mild soap and water, as prescribed, and dry completely.
Massage the skin toward the suture line to mobilize scar and prevent its adherence to underlying bone.
Below the knee (BKA)
Prevent edema
Lay the patient prone for 25 min every 3-4 hours
Legs should be aDDucted to prevent flexion contractures
Do not allow the limb to hang over the edge of the bed
Discourage long periods of sitting to lessen complications of knee flexion
Above the knee (AKA)
Prevent internal
When taking a histamine blockers (ex. Tagamet), small frequent feedings are not necessary; should avoid meat extracts, aspirin, alcohol, and caffeinated beverages.
Risk factors for developing pneumonia: advanced age, immunosuppressed status, underlying lung disease, bedridden, and post-op.
When patient is undergoing paracenthesis it’s important that the nurse places a blood pressure cuff on patient’s arm prior to procedure and leave in place through immediate post-procedure time. Shock may occur because of removal of fluid.
Sickle Cell anemia: Painful joints, swelling, fever, tachycardia, could potentially have cardiac murmurs. Usually Hgb between 7 -10 and sickle cell will be seen in blood smear. Osteomylitis and pneumonia are common complications of sickle cell anemia. During sickle cell crisis 3-5 liters of fluids is recommended for the adult and for child 1600 ml/m2/day.
AMPUTATION
First 24 hours: Elevate the foot of the bed to reduce edema; then keep bed flat to prevent hip flexion contractures, if prescribed by physician.
After 24 to 48 hours postoperatively, position the client prone to stretch the muscles and prevent hip flexion contractures, if prescribed.
To prevent hip flexion contractures, DO NOT elevate the residual limb on a pillow.
Maintain surgical application of dressing, elastic compression wrap, or elastic stump shrinker as prescribed to reduce swelling, minimize pain, and mold the residual in preparation for prosthesis.
Wash the residual limb with mild soap and water, as prescribed, and dry completely.
Massage the skin toward the suture line to mobilize scar and prevent its adherence to underlying bone.
Below the knee (BKA)
Prevent edema
Lay the patient prone for 25 min every 3-4 hours
Legs should be aDDucted to prevent flexion contractures
Do not allow the limb to hang over the edge of the bed
Discourage long periods of sitting to lessen complications of knee flexion
Above the knee (AKA)
Prevent internal