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AllNurses NCLEX Essentials (Wk 1)
Religion and Dietary Preferences Overview
Buddhism
Natural Foods of Earth
Hinduism
Cow is Sacred
Islam (Muslim)
Halal Foods
No Alcohol
Judaism
Kosher Meals
No Pork or Shellfish
Mormonism (Latter Day Saints)
The Word of Wisdom
1 min
Asian American Culture
Avoids Direct Eye Contact
Conflict Avoidance
Soft Voice Tone
Males Make Most Decisions
Feet Considered Dirty
Hot-Cold Theory of Illness
Soups and Rice After Birth
2 mins
Arab American Culture
Touch Only When Same Gender
May Request Same Gender Healthcare Provider
Females Avoid Eye Contact with Males
Males Often Make Decisions
Muslims
Infertility Grounds for Divorce
No Organ Donation
2 mins
Native American Culture
No Direct Eye Contact
No Organ Donation
No Blood Donation
Strong Handshakes Offensive
Tribal Shaman
Navajo Mother Massage Newborn
2 mins
Mexican American Culture
May Avoid Eye Contact with Authoritative Figures
Family Involved in Decisions
Emotional Bereavement
No Organ Donation
Curandero (Curandera)
Hot-Cold Theory of Illness
Abdominal Binder after Pregnancy
2 mins
Care for the Visually Impaired
Assessment
Decreased Visual Acuity
Snellen Chart
Status of Corrective Lenses
Nursing Considerations
Sighted-Guide Technique
Communication
Safe Environment
Medications
Clock Technique for Food
Activities of Daily Living (ADL)
1 min
Care for the Hard of Hearing
Assessment
Normal: 0-15 dB
Rinne's Test
Weber's Test
Tinnitus
Difficulty Following Conversations
Nursing Considerations
Face Patient/Speak Clearly
Rephrase Misunderstood Statements
Repeat Statements Back
Hearing Aids
Sign Language
2 mins
I-SBAR-R
Identify
Situation
Background
Assessment
Recommendation
Readback
1 min
5 Rights of Delegation
Right Task
Right Circumstance
Right Person
Right Direction/Communication
Right Supervision/Evaluation
1 min
Theories of Leadership
Theories of Leadership
Great Man
Charismatic
Relational
Shared
Quantum
Effective Leader Behaviors and Qualities
Takes Action
Inspires
Guidance and Assistance
Communicates
Thinks Critically
2 mins
Leadership Styles
Theories of Leadership Approaches
Authoritarian Leadership
Democratic Leadership
Laissez-Faire Leadership
Situational Leadership
Bureaucratic Leadership
Transformational Leadership
Transactional Leadership
Servant Leadership
3 mins
Patient Position Overview
Position Techniques
Trochanter Roll
Trapeze Bar
Ankle-Foot Orthotic (AFO) Devices
Positions
Fowlers Position
Supine Position
Trendelenburg
Side-Lying Position
Prone Position
Sims' Position
Nursing Considerations
Reposition q2 Hours/Prevent Skin Breakdown
Confirm Body Alignment
2 mins
Normal Electrolyte Lab Values
Potassium (K+)
3.5 to 5.0 mEq/L
Calcium (Ca2+)
8.5 to 10.5 mg/dL
Phosphate (PO43–)
2.5 to 4.5 mg/dL
Magnesium (Mg2+)
1.5 to 2.5 mEq/L
Sodium (Na+)
135 to 145 mEq/L
Chloride (Cl–)
95 to 105 mEq/L
2 mins
Potassium (K+) Lab Value
3.5 to 5.0 mEq/L
20 secs
Hypokalemia
Assessment
< 3.5 mEq/L
Muscle Weakness
Arrhythmia
U Wave
Ileus
Hyporeflexia
Interventions
IV K+ Infusion at 5-10 mEq/hr
Give Orally with Food
Nursing Considerations
Monitor Respiratory Status
3 mins
Hyperkalemia
Assessment
> 5.0 mEq/L K+
Abdominal Cramps
Muscle Weakness
Diarrhea
Arrhythmia
Tall, Peaked T Waves
Interventions
IV Calcium
Infusion of Glucose and Insulin
Loop or Thiazide Diuretics
Kayexalate
Dialysis
Prevention Education
2 mins
Sodium (Na+) Lab Value
135-145 mEq/L
24 secs
Hyponatremia
Assessment
< 135 mEq Na+
Nausea and Vomiting
Decreased LOC
Confusion / Lethargy
Seizures
Priority Interventions
Assess Airway
Reduce Diuretic Dosage
Fluid Excess Hyponatremia
Mannitol (Osmitrol)
Fluid Restriction
Fluid Deficit Hyponatremia
Hypertonic Solution (3% or 5% NaCl)
2 mins
Hypernatremia
Assessment
> 145 mEq/L Na+
Change in LOC
Extreme Thirst
Orthostatic Hypotension
Dry Flushed Skin
Muscle Twitching
Seizures
Priority Interventions
Treat and Prevent Dehydration
Hypotonic Solutions (0.225% or 0.45% NaCl)
Sodium Restriction
Diuretics
2 mins
Chloride (Cl-) Lab Value
95-105 mEq/L
28 secs
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