Summary Mark Klimek Lecture Notes Nclex Review Study Guide | (Graded A+) | Best 2023 Version

What can be delegated to an LPN: {Ans: •Maintain and document the flow of meds initiated by RN (mixed I.V meds & I.V push meds)}Stable Client {Ans: •post op greater than 12 hours •local/regional anesthesia •use of the word stable •Chronic illnesses (examples COPD & CHF; ABC does not always lead to the right) •Lab abnormalities of least priority (creatinine Vs potassium; potassium takes priority because potassium is a priority lab, not the creatinine level even if it is high) •Admitted longer than 24 hours ago •Unchanged assessments (nothing new) •Experiencing expected signs & symptoms of a diagnosed disease}At the scene of a witnessed accident... {Ans: Pulselessness or breathlessness or any of the high priority modifying phrases takes the highest priority Example: A nurse witnessed a car crash and finds that the person does not have a pulse vs all other options this takes priority}Unstable client (continued) {Ans: Even if expected, makes patient automatically highly unstable: -Hemorrhaging! (Always) -Temp of 105 or higher (leads to seizure) -Hypoglycemia (leads to coma/death quickly) -Pulselessness or breathlessness (This will be in the modifying phrase, last part of the question)}Priority Questions come in 4 parts {Ans: Age Gender Diagnosed