ADH

H20
(three letters/three digits)
aldosterone, think
sodium and water,
releases K
Al likes to swim in
saltwater
always limit protein with
kidney clients except
which
those with nephrotic
syndrome
any fluid problem, daily
do what
I&O and weights
arrythmias are not big
deal unless what
they affect cardiac output
Call physician when
only if not a nursing
intervention available
don't ever use what in a
nursing diagnosis
a medical diagnosis
elevate _______ and
dangle _______
elevate veins and dangle
arteries. E goes with E
and A goes with A
first sign of respiratory
acidosis
hypoxia possibly
if problem in lungs CO2 will be affected
if problem is in kidneys HCO3 will be affected
if you have no baseline in
question
assume normal limits
if you see "assessment" or
"evaluation" in stem
think signs and symptoms
less volume ____
pressure
and more volume _____
pressure
less volume, less pressure
more volume, more
pressure
like illnesses can be put in same room
Mg or calcium problem,
think what first
muscles
NCLEX hospital . . .
is perfect and you only
care for client on screen
Never pick an answer
that isn't the least invasive that isn't
client focused
that doesn't allow client to speak or
rushes their complaint off puts off
work to someone else if you're down to
2, pick the killer answer has long-term
consequences * don't delay care/treatment
Priority questions
which one is the Killer answer? *NOTE:
Pain isn't a priority and expected
problems related to conditions-like
kidney stones positive for hematuria and
8/10 pain-not priority over other
conditions
Remember order of
Maslow's
Biological and physiological needs,
safety, belonging and love needs,
esteem needs and then self-
actualization needs like personal
growth and fulfillment
remember what about
traction
never release unless you
have order from dr to do
so
remember with SIADH
too many letters, too
much water
"Soggy Sid"
report what to next shift
nurse
something "new" or
"different" or "possible"
restless client think what
first
hypoxia
what should you ALWAYS
assume
the worst * you always
have something to worry
about
when triaging, emergent
means:
urgent means:
non-urgent means
emergent is lift threatening
urgent is stable on arrival but
needing timely attention
non-urgent is stable and not in
immediate need of ER treatment
when you see fluid
retention, think what first
heart problems
when you see polyuria,
think what first
shock first
when you see words like
always, never, total . . .
don't ever choose them!
They're too limiting. Look
for things like might or
maybe or sometimes!
with pacemaker always
worry when
rate is decreased