Focus on Upper Gastrointestinal Bleeding
Types of UGI bleeding
During the IMMEDIATE PP period… What is the priority nursing action? * The NCLEX question is asking for the priority b4 the fundal massage?? but I always through fundal massage was priority?
In regards to NCLEX questions on this topic… should PP assessment/ NSG action go in this order or are these just assessments that must be completed?
Start with the most unstable patient first
Rationale: Unstable patients can go from bad to worse at any time. They must be the priority on any nurses list to see first since their condition can change instantly.
Airway, breathing, circulation
Rationale: Whenever you are entering an emergency situation, or just doing a basic assessment your priorities should always be in this order: check for an airway, make sure they are breathing and make sure there is blood circulating (that the heart is pumping properly).
A patient with COPD and an oxygen saturation of 86%
Rationale: Remember your ABC’s! Airway and breathing are the first two, and are very important to sustaining the life of your patient. Any problems with these, and the rest of the body will shut down, too.
Rationale: All nurses should place their patients in each category to help them decide who will need their attention the most and first. It will also help in delegating tasks to ancillary staff.
Rationale: Because the patient voices something as a need, it must be an intermediate priority.
Combine activities to resolve more than one problem at a time
Rationale: As long as activities can be safely combined to solve more than one problem or accomplish more than one task at a time, it is perfectly acceptable, and suggested, to do to make you more efficient as a nurse.
Rationale: Maslow’s hierarchy of needs is a theory in psychology stating that basic human needs such as breathing and food must be met before needs such as love and safety can be felt.
Rationale: The nursing process includes assessment, data collection, planning, implementation and evaluation. This process is the basis for all nursing care in all settings.
Feeding an MRDD patient with a choking risk
Rationale: If trained properly, ancillary staff can collect urine or stool specimens, check vital signs, perform ADL’s, feeding, and more. These things should not be delegated when the patient is at risk for a serious complication like choking.
Involve the client in their care
Rationale: Clients should always been involved in their care so they can be as independent after their stay as possible. Don’t do tasks for them that they are able to do themselves. Ancillary staff should also be monitored for this
I am starting my final semester of nursing school soon and I am kinda freaking out! What if I fail a course? Am I really meant to be a RN? Why am I not already studying for the NCLEX? Where do I want to work? What if I suck at the interview? UGH!!
becoming a RN is my dream! I know I am passionate & dedicated to the nursing practice. I have wanted this for faaar too long & I have taken a very LOoooong road to get here (8 years)… can someone please tell me this anxiety is normal right before and/or during your final semester in nursing school?