NCLEX Uworld Notes part 2 LATEST 2023 UPDATE

NCLEX Uworld Notes part 2 LATEST 2023 UPDATE

• Used to calculate the fluid resuscitation needed in the first 24 hours after a burn injury.• Half of the calculated fluid volume is administered during the FIRST 8 HOURS AFTER THE INJURY when the greatest amount of intravascular volume loss occurs.

• Intravenous solutions

• Allergic Rhinitis

• Installing HEPA (high-efficiency particulate air) air conditioner filters • Keeping windows closed and staying indoors during times of heavy pollen

NCLEX Uworld Notes part 2 LATEST 2023 UPDATE

• Applying hypoallergenic pillow and mattress covers to prevent exposures to dust mites • Reducing or removing carpet and area rugs • Vacuuming carpet at least once a week with a HEPA filter vacuum • Mopping hard floors and damp-dusting furniture t least once a week • If the client is not allergic to animal dander, removing household pets is unnecessary

• Lateral violence (Horizontal violence)- not tolerated

• Acts of aggression carried out by a co-worker against another co-worker and designed to control, diminish, or devalue a colleague. (Verbal abuse such as name-calling, unwarranted criticism, intimidation, and blaming, etc.)

• Actions taken include:

• Documenting and keeping a file of all incidents • Reporting the incidents to the IMMEDIATE supervisor • Letting the bully know that the behavior will not be tolerated • Observing interactions between the bully and other colleagues (may validate the victims experiences and serve as a source of support) • Seek support from within the facility or from an external source

• Nursing ethics

• Justice- treating every client equally regardless of gender, sexual orientation, religion, disease, or social standing • Accountability- accepting responsibility for one’s actions and admitting errors • Nonmaleficence- doing no harm; relates to protecting clients who are unable to protect themselves due to their physical or mental condition.• Autonomy- freedom for a competent client to make decisions for oneself, even if the nurse or family does not agree (informed consent, advanced directive) • Confidentiality- information shared with the nurse is kept in confidence unless permission is given to share or it is required by the law to be shared to protect the client and/or community. Suicidal ideation must be reported appropriately to protect the client from self-harm

• Latin American belief

• Mal de ojo (evil eye) believed to be caused when a stranger or someone perceived as powerful admires or compliments a child. The curse/ illness is usually manifested by vomiting, fever, crying.• It can be broken if the admirer touches the child while speaking to the child or immediately afterward • If the child is believed to be afflicted by this, the parents may consult a curandero and perform traditional rituals.

• TCA (tricyclic antidepressant) overdose

NCLEX Uworld Notes part 2 LATEST 2023 UPDATE

• Can produce cardiac toxicity and neurological disturbances by altering cholinergic pathways, sodium channels, and calcium channels.• Have a narrow therapeutic index and rapid onset of action.• Children who have accidentally ingested TCS should be evaluated immediately in an emergency department

• Nephrotic Syndrome

NCLEX Uworld Notes part 2 LATEST 2023 UPDATE

• Autoimmune disease affecting child age 2-7 characterized by increased permeability of the glomerulus to proteins.

• Treatment: CORTICOSTEROIDS AND IMMUNOSUPPRESSANTS, LOSS OF APETITE

MANAGEMENT, INFECTION PREVENTION

• When an RN receives a report of a client complaint that is potentially ominous from a staff

member of lesser qualifications, the RN should personally assess the client.

• NG tube insertion

• During insertion the tube sometimes slips into the larynx or coils in the throat which can result in coughing or gagging.• RN should withdraw the tube slightly and then stop or pause while the client takes a few breaths.• After the client stops coughing, the RN can proceed with advancement asking the client to take small sips of H2O to facilitate advancement.

• Domestic abuse

• The PRIORITY is to remove them from any sources of IMMEDIATE DANGER including

SUSPECTED ABUSERS.

• Notify social services of suspected abuse with the client’s permission after any immediate threats are removed and physiological needs are met.• The RN also follows facility guidelines for documenting, gathering evidence, and/or photographing injuries before cleaning and further treatment.

• Administering suppository