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Thursday, December 23, 2010

MASLOW

           MASLOW’s HIERARCHY OF NEEDS

   Answers in an Nclex type question are a mix of physical and psychosocial
   Eliminate answer choices that are psychosocial

(For NCLEX, consider pain as a psychosocial need (except  in M.I. and Acute inflammatory diseases)

A woman is admitted to the hospital with a ruptured ectopic pregnancy. A laparotomy is scheduled. Preoperatively, which of the following goals is most important for the nurse to include on the patient’s plan of care?
1. Fluid replacement
2. Pain relief
3. Emotional support
4. Respiratory therapy

Answer: 1

   USE ABC (AIRWAY, BREATHING, CIRCULATION)

A 27 year old male client sustained burns on the neck, face, and upper chest area. Which of the following interventions will the nurse take FIRST?
1.    Provide meticulous skin care
2.    Insert IV line
3.    Provides oxygenation at 5L/min
4.    Give morphine sulfate stat

Answer: 3

   *What is the outcome of each remaining answer?
Consider other strategies.   Identify options with negative and positive polarity.   If the qualifier asks for a positive response, choose the positive option.
Don’t give up! Saying “This is too hard” it won’t help you!

Practice makes perfect!  Practice answering test questions 75 questions a day!


   POSITIONING QUESTIONS:
1.    Are you trying to prevent or promote?
2.    What are you trying to prevent or promote?
3.    Think A & P

Immediately after a percutaneous liver biopsy, the nurse should place the patient in which of the following positions?
1.  Supine
2.  Right side-lying
3.  Left side lying
4.  Semi-Fowler’s

Answer: 2


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