Wellness & Growth with Jaycee

Still grateful I took this bold step and thankful to PassportUSA. It’s been 9 months and counting ❤️🙌

A nurse is preparing to administer the first dose of amoxicillin clavulanate to a client with sinusitis.
Which action is most important?

A) Give the medication with food
B)Teach the client to finish the entire prescription
C) Ask about a penicillin allergy
D) Teach the client to report severe diarrhea

A client taking valproic acid reports severe abdominal pain, nausea, and vomiting. What complication should the nurse suspect?

A. Pancreatitis
B. Agranulocytosis
C. Serotonin syndrome
D. Acute dystonia

The nurse on a med-surg unit is receiving shift report. Which client should the nurse assess FIRST?

A. A 45-year-old client 4 hours post-thyroidectomy who has a harsh, high-pitched sound on inspiration

B. A 62-year-old client 2 hours post-cholecystectomy who reports 6/10
incisional pain

C. A 58-year-old client 6 hours post-hip replacement who has 200 mL of dark red drainage in the Jackson-Pratt drain

D. A 70-year-old client 8 hours post-colectomy who has not passed flatus yet

Which client is your priority? Drop your answer and your rationale below.
Hint: Think ABCs 😇

NCLEX TIP: Acute vs. Chronic

THE RULE:
When two clients appear unstable, prioritize the client with the acute and potentially life-threatening change, especially when it is unexpected.

CASE STUDY:
The nurse is caring for four clients. Which finding requires immediate intervention?

A. A client with chronic heart failure who has mild ankle edema
B. A client with asthma who reports sudden difficulty speaking a full sentence
C. A client with osteoarthritis who reports knee pain
D. A client with hypertension whose BP is 148/88 mmHg

YOUR TURN:
What is your answer? 👀
Drop the letter and your rationale below. Let’s see who catches the priority clue!

A nurse is assessing a client who sustained a femoral fracture 24 hours ago. The client reports chest pain and shortness of breath.
Upon further assessment, a petechial rash is noted on their chest. What is the nurse's priority action?

1. Administer supplemental oxygen

2. Administer nebulizer treatment

3. Obtain an electrocardiogram (ECG)

4. Reposition the client to prone position

Drop your answer and give reason for your choice 👇

NCLEX TIP:
The most important tip for answering priority questions is this….

Do not add anything to the question or subtract from the question!

Treat the question exactly as it is.

Get rid of all the what if’s in your head and answer the questions exactly as you were asked.

Now having this in mind answer this question 👇

A 31yo male is admitted to the Emergency Department with sudden pain in the right lower quadrant. Acute appendicitis is suspected.
Which healthcare provider prescription should the nurse implement first?

A. Administer 5-325mg hydrocodone/acetaminophen
PO for pain

B. Draw blood for complete blood count and electrolyte levels

C. Obtain urine specimen for urinalysis

D. Start IV line with normal saline 100mL/hr

Remember: Don’t add or subtract anything from the question 😇

The nurse in the emergency department is caring for assigned clients.
Which of the following clients should the nurse assess first?

A. 32-year-old client who has right lower quadrant abdominal pain and rebound tenderness
B. 54-year-old client who has severe back pain and a pulsatile mass in the periumbilical area
C. 75-year-old client who has fever, nausea, and left lower quadrant abdominal pain
D. 87-year-old client who has confusion, suprapubic pain, and dysuria

First means most important - Think ABCs and drop your answer 👇