HESI Hints & NCLEX Gems Maslow's Hierarchy of Needs * Physiologic * Safety * Love and Belonging * Esteem * Self-actualization Nursing Process * Assessment * Diagnosis (Analysis) * Planning * Implementation (treatment) * Evaluation ABCs * Airway * Breathing * Circulation Delegation o RN Only * Blood Products (2 RNs must check) * Clotting Factors * Sterile dressing changes and procedures * Assessments that require clinical judgment * Ultimately responsible for all delegated duties o Unlicensed Assistive Personnel * Non-sterile procedures Arterial Blood Gases ... Used for Acidosis vs. Alkalosis * PH 7.35-7.45 * CO2 35-45 (Respiratory driver) ... High = Acidosis * HCO3 21-28 (Metabolic driver) ... High = Alkalosis * O2 80-100 * O2 Sat 95-100%Normal Values o Hgb * Males 14-18 * Females 12-16 o Hct * Males 42-52 * Females 37-47 o RBCs * Males 4.7-6.1 million * Females 4.2-5.4 million o WBCs * 4.5-11k o Platelets * 150-400k o PT (Coumadin/Warfarin) * 11-12.5 sec (INR and PT TR = 1.5-2 times normal) o APTT (Heparin) * 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal) o BUN 10-20 o Creatinine 0.5-1.2 o Glucose 70-110 o Cholesterol < 200 o Bilirubin Newborn 1-12 o