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COMPREHENSIVE NURSING REVIEW by R. C. REÑA

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Fundamentals of NursingMaternity NursingPediatric NursingCommunity Health NursingMedical Surgical NursingPsychiatric NursingProfessional AdjustmentLeadership and Management Nursing Research

Compiled by:

ROBERT C. REÑA

2009

COMPREHENSIVE NURSING REVIEW by R. C. REÑA

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THE EVER POPULAR LAST MINUTE TIPS FOR NURSING LICENSURE EXAMINATIONS

NP1,

Please FOCUS on the following:1. Types of leadership: Autocratic, Laissez faire, Democratic, transformational, transactional etc. etc.2. Pattern of Nursing care: Primary nursing, case nursing, functional, team etc.3. Expanded Nursing role: Nurse anesthetist, Nurse practitioner, Nurse researcher etc. etc.4. Levels of prevention by Leavell and Clark. Remember that crisis is always secondary.5. 3 way bottle system: simply reconnect the tube, continuous bubble is a sign of leakage, no bubbling isobstruction [in the waterseal] and you should palpate the surrounding area for subcutaneous emphysema6. Care of clients with tracheostomy and suctioning a tracheostomy tube [sterile technique] know thefunctions of the cuff, obturator and the tie. care of clients with pooling of secretions. Postural drainage: dothis before meals, the positioning depending on the location of secretion, POPEVICO [arrangement] that is positioning, percussing, vibrating and coughing etc. study suctioning.7. The independent and the dependent variable in research8. Know your PURE and APPLIED as well as EXPERIMENTAL and NON-EXPERIMENTAL also your QUANTITATIVE and QUALITATIVE designs9. IV fluid tonicity: D5LR is hypertonic while LR is isotonic10. Complication of IV and its intervention such as FLUID OVERLOAD, PHLEBITIS, INFILTRATION.11. Blood transfusion12. Complication of immobility: DECUBITUS ULCER, HYPO PNEUMONIA, ATELECTASIS, DEEPVEIN THROMBOSIS13. The VIRTUE ETHICS and ETHICS: Justice, fortitude, prudence, temperance, character, double effect, paternalism... etc etc and the Patient's bill of right.15. Teaching and learning steps: Man initially needs information and MOTIVATION is needed for adherenceto teaching. First step in teaching is to ASSESS LEARNING NEEDS before planning what to teach.16. SAFETY: Causes of injuries according to age eg: elderly = falls, infant = suffocation and aspiration,adolescence = suicide and homicide. Intervention in an elderly client who falls frequently = keep the bed atthe lowest possible position. etc.18. BON RESOLUTION 220 [CODE OF ETHICS] RA 9173 AND 7164 [COMPARE AND CONTRAST]and the CONTINUING PROFESSIONAL EDUCATION. [To enhance knowledge with regard to specificfield of interest]

NP2

1. Stages of labor. The first stage up to the fourth stage and the LATENT ACTIVE AND TRANSITION of the first stage. study the intervention in all stages. Read pilleteri for this.2. The menstrual cycle, what glands secret what hormones. The MENSTRUAL, PROLIFERATIVE,SECRETORY and ISCHEMIC phase. what hormone is at peak during what stage. etc. etc.3. Causes of bleeding during pregnancy: Ectopic, abruptio and previa plus their nursing intervention.4. Endometriosis and Endometritis.5. IMCI : Pneumonia, Diarrhea and Dengue especially the breathing cut off [Eg. 60 for under 2 months],Acute/Chronic cutoff [Acute diarrhea and ear infection under 14 days]. The interventions for CHILD A, Band C.

COMPREHENSIVE NURSING REVIEW by R. C. REÑA

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6. COMMUNITY HEALTH NURSING PROCESS: Assessment, Planning, Implementation and Evaluation.refer to the DOH book please read this one.7. Managerial principles. PODC. Types of budgets. Direct, indirect, cash, capital, operational budgets.8. Read pilleteri for : Characteristic of a toddler and preschool [ eg : asking too many questions, negativisticfor toddler. Preschool = associative, imaginary, see the world on his own point of view, superegodevelopment etc.]9. POISONING: Lead, aspirin, etc. etc. this is the common cause of accident among toddlers.10. Leukemia, Anemia and Sickle cell anemia, chemotherapy for pediatric clients.11. NEWBORN SCREENING12. Amniocentesis = VOID, Ultrasonography = DRINK, Leopolds Maneuver = VOID, Paracentesis = VOID13. Changes during pregnancy [eg: Leukorrhea, braxton hicks, anemia] and what changes occurs early or late.Refer to Pillitteri14. Pregnancy and nutrition: Balanced diet + 300 cal for pregnant. +500 cal for breastfeeding15. PIH and MAGNESIUM SULFATE. [cns down, rr down, u/o down ] priority : RR

NP3 AND NP4

1. Burns, Classification of Burns and Nursing Diagnosis for Burns, Drug use in burns [Silver Sulfadiazine],Electrolyte changes in burn [Hyperkalemia, Hyponatermia]. The WHO Pain ladder scale, Pain medicationsespecially Demerol, Morphine and Fentanyl. Remember that PAIN is the hardest part for the nurse in caringfor a burned victim. Burn wounds heal by secondary intention.2. Nursing diagnosis after anesthesia : RISK FOR INFECTION or INEFFECTIVE AIR CLEARANCE.3. PACU MONITORING = Q15 , SURGICAL FLOOR MONITORING = Q304. Pancreatitis, Cholecystitis, Hepatitis. Morphine causes spasms in the sphincter of oddi. Hepa B is caused by blood exchange. Hepa A is oro-fecal. both have vaccines either passive or active but if already exposed, GivePASSIVE.5. Diabetes mellitus, Metformin and contrast medium [stop metformin due to renal toxicity], Insulin rotationand administration, diabetes r/t footcare. Avoid wearing canvass shoes, check for the sensation, do not gooutside without slippers. PERIPHERAL NEUROPATHY. OHA drugs.6. Electrolytes abnormality especially HYPOCALCEMIA and HYPER/HYPOKALEMIA. The ECG changesin potassium alteration, intervention and causes.7. Myocardial infarction : ECG changes as well as nursing intervention. Causes and risk factors. Refer toBRUNNER.8. Pharmacologic and Nonpharmacologic pain relief : Guided imagery, Biofeedback, Intrathecal [into thespinal canal directly to mix with csf] and epidural [ into the epidural space ] pain management. side effects of morphine in elderly = PRURITUS and ALLERGIC RXN and RR DEPRESSION. Reason for intrathecaladmininstration = prevent Blood brain barrier.9. BREAST and CERVICAL cancer. Assessment, Diagnosis and Treatment.10. Management for a client with COLOSTOMY. The irrigation, diet and body image alteration as well as perioperative management of a client undergoing your ABDOMINAL PERINEAL RESECTION with permanent colostomy. Drugs given before APR such as neomycin and sulfasuzidine, Diet before APR [lowfiber], normal color of the stoma just after APR [slightly bleeding, red and protruding]11. Insulin administration, types and rotation. Refer to brunner. 1 inch away from each injection site,administer at room temp not cold to prevent lipodystrophy, abdomen has the fastest absorption. etc. etc.12. Interventions during hypo- and hyperglycemia