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Registered Nurse (RN)
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NCLEX®
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NCLEX-RN® Test Plan: Client Needs
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Elimination

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NCLEX-RN® Test Plan: Client Needs | Registered Nurse (RN) School Study Aid

Elimination
19 Picmonics to Learn | 35 mins
pH - Blood and Urine Lab Value
Blood
7.35 - 7.45
Urine
4.0 - 8.0
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1 min
Urine Specific Gravity Lab Value
1.003-1.030
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1 min
Pyelogram
Indications
Visualizes Urinary Tract
Diagnose Urinary Disorders
Considerations
Bowel Prep (Enema)
IV Contrast Media
X-Ray (Radiopaque)
Increase Fluid Intake
Contraindications
Iodine Allergy
Decreased Renal Function
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2 mins
Urinary Tract Infection Symptoms
More Common in Elderly
Most Common in Females and Babies
Change in LOC
Dehydration
Fever
Urgency
Urethral Infection
Burning
Smelly Urine
Dark Cloudy Urine
Frequency of Urination
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2 mins
Urinary Tract Infection Prevention and Treatment
Prevention
Shower after Sex
Urinate after Sex
Wipe front to Back
Treatments and Considerations
I and Os with Daily Weights
Increase Water Intake
Antibiotics
Avoid Caffeine
Dr Appointment in 2 Weeks
Void every 2 - 4 hours
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2 mins
Pyelonephritis Assessment
Cause/Mechanism
Ascending Urethral Bacteria
Assessment
Dysuria
Fever
Fatigue
Flank Pain
Costovertebral Tenderness
Nausea and Vomiting
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1 min
Pyelonephritis Interventions
Urinalysis
NSAIDs
Antibiotics
Increase Fluid Intake
Avoid Catheterization
Consideration
Urosepsis
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1 min
Dialysis
Hemodialysis
Rapid Shifts of Fluid and Electrolytes
Disequilibrium Syndrome
Hypotension
NO BP IN ARM with Shunt or Fistula
Assess for Thrill and Bruit
Peritoneal Dialysis
Slow Process
Peritonitis
Loss of Protein
Hyperglycemia
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3 mins
Enema Administration
Types
Tap Water/Soapsuds
Normal Saline
Hypertonic Solution
Medication
Oil Retention
Administration
Procedure Education
Wear PPE
Put Patient in Sims Position
Insert Tip
Start Flow Slowly
Stop With Discomfort
Potential for Vagus Response
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2 mins
Colorectal Cancer Assessment
3rd Most Common Cancer
Assessment
Change in Bowel Habits
Bowel Obstruction
Rectal Bleeding
Anemia
Weight Loss
Ascites
Considerations
Colonoscopy
FOBT and FIT
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2 mins
Clostridium difficile (Clostridioides difficile) Treatments
Oral Vancomycin
Fidaxomicin
Metronidazole
Stool Transplant
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2 mins
Ileostomy Care
Antibiotics
Monitor Skin Breakdown
Drains Continuously
Fluid and Electrolyte Imbalance
Low Fiber Diet
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2 mins
Colostomy Care
Wash with Warm Water
Cut 1/8 inch Around Stoma
Decreases Skin Irritation
Empty When 1/3 to 1/2 Full
Change 3-7 Days
Considerations
Avoid Odor Causing Foods
Irrigate at Same Time
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2 mins
Functional Incontinence
Symptoms
Increased Urinary Volume
Unable to Timely Urinate
Pathophysiology
Dementia
Excessive Alcohol Consumption
Immobility
Treatment
Scheduled Voiding
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1 min
Urge Incontinence
Symptoms
Strong Urge To Void
Unable To Void Quickly Enough
Nocturia
Increased Frequency
Small Volume Voids
Pathophysiology
Increased Detrusor Muscle Activity
Treatment
Avoid Caffeine & Alcohol
Anticholinergics
Mirabegron
Botox
Sacral Neuromodulation
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2 mins
Overflow Incontinence
Symptoms
Increased Residual Urine Volume
Involuntary Urine Dribble
Urinary Frequency
Pathophysiology
Nerve Lesions Cause Bladder Atony
Bladder Outlet Obstruction
Weak Detrusor Muscles
Treatment
Bethanechol
Catheterization
Sacral Neuromodulation
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2 mins
Stress Incontinence
Symptoms
Urine Leak with Movement
Cough or Sneeze
Increased Intra-abdominal pressure
Pathophysiology
Laxity of Pelvic Floor Muscles
Urethral Sphincter Insufficiency
Treatment
Kegel Exercises
Pessaries
Alpha-adrenergic Agonists
Surgery
Associations
History of Vaginal Birth
Cystocele
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2 mins
Types of Intestinal Obstruction
Mechanical
Adhesions
Hernia
Volvulus
Intussusception
Tumor
Non-Mechanical
Mesenteric Artery Occlusion
Spinal Injury
Paralytic Ileus
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2 mins
Intestinal Obstruction
Partial/Early Obstruction
Severe Abdominal Pain
Vomiting
High Pitched Bowel Sounds
Abdominal Distention
Increased Peristalsis
Total/Neurogenic Obstruction
Absent Bowel Sounds
Paralytic Ileus
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1 min

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