What Interventions Should the Nurse Implement to Determine the Patency of the Nares in a Newborn?
Y'all volition recognize priority questions on the NCLEX-RN® exam because they will ask you what is the "best," "most important," "first," or "initial response" past the nurse.
As you read this question you are probably thinking, "All of these look right!" or "How can I make up one's mind what I volition do first?" The panic sets in equally y'all try to make up one's mind what the all-time reply is when they all seem "correct."
As a registered professional nurse, you volition be caring for clients who accept multiple bug and needs. You must exist able to establish priorities by deciding which needs take precedence over the other needs. You lot probably recognized the baby's hasty movements as an indication of hypoglycemia. Don't forget that an important role of the assessment procedure is validating what you detect. You must complete an cess before you analyze, plan, and implement nursing care.
The correct answer is (3).
The critical thinking required for priority questions is for you to recognize patterns in the answer choices. By recognizing these patterns, you lot volition know which path you need to cull to correctly reply the question.
There are three strategies to help yous plant priorities on the NCLEX-RN® exam:
• Maslow strategy
• Nursing process strategy
• Safety strategy
We will outline each strategy, draw how and when information technology should exist used, and show you how to utilise these strategies to exam-manner questions. Past using these strategies, you will be able to eliminate the second-all-time answer and correctly identify the highest priority.
Adept Exam Tip
Jo Ann Scipio, NCLEX Instructor
"Consider and visualize each question equally a clinical situation."
NCLEX Question Strategy One: Maslow
Maslow's hierarchy of needs (Figure 1) is crucial to establishing priorities on the NCLEX-RN® exam. Maslow identifies five levels of homo needs: physiological, safe or security, love and belonging, esteem, and cocky-actualization.
Because physiological needs are necessary for survival, they accept the highest priority and must be met showtime. Physiological needs include oxygen, fluid, nutrition, temperature, elimination, shelter, balance, and sex. If you lot don't have oxygen to exhale or nutrient to eat, you really don't care if y'all have stable psychosocial relationships!
Prophylactic and security needs can exist both concrete and psychosocial. Physical safety includes decreasing what is threatening to the client. The threat may be an illness (myocardial infarction), accidents (a parent transporting a newborn in a car without using a car seat), or environmental threats (the client with COPD who insists on walking outside in 10° F [−12° C] temperatures).
To reach psychological safety, the client must have the noesis and understanding about what to expect from others in his environment. For example, it is of import to teach the client and his family what to wait later a cerebrovascular blow (CVA). Information technology is also important that you permit a adult female preparing for a mastectomy to verbalize her concerns most changes that might occur in her human relationship with her partner.
To attain love and belonging, the client needs to feel loved by family and accepted by others. When a client feels self-confident and useful, he will achieve the demand of self-esteem as described by Maslow.
The highest level of Maslow's hierarchy of needs is self-actualization. To achieve this level, the client must experience fulfillment and recognize his or her potential. In order for cocky-actualization to occur, all of the lower-level needs must be met. Considering of the stresses of life, lower-level needs are not always met, and many people never achieve this loftier level of functioning.
The Maslow Four-Step Process
The outset strategy to apply in establishing priorities is a four-pace process, beginning with Maslow's hierarchy. To use the Maslow strategy, you lot must first recognize the pattern in the respond choices.
Use the Maslow Four-Step Process to answer this practice question.
NCLEX Question Strategy Two: Nursing Procedure (Assessment versus Implementation)
A 2nd strategy that will assist you in establishing priorities involves the cess and implementation steps of the nursing process. As a nursing pupil, you lot take been drilled so that you can recite the steps of the nursing procedure in your sleep—cess, analysis, planning, implementation, and evaluation. In nursing school, you did have some test questions about the nursing procedure, just y'all probably did not apply the nursing procedure to assist you in selecting a right reply on an exam.
On the NCLEX-RN® test, you volition be given a clinical state of affairs and asked to establish priorities. The possible answer choices will include both the correct assessment and implementation for this clinical situation. How do you choose the right reply when both the correct assessment and implementation are given? Think most these two steps of the nursing process.
Assessment is the process of establishing a data contour near the client and his or her health problems. The nurse obtains subjective and objective data in a number of means: talking to clients, observing clients and/or pregnant others, taking a health history, performing a physical examination, evaluating lab results, and collaborating with other members of the wellness intendance team.
One time you collect the information, yous compare it to the customer's baseline or normal values. On the NCLEX-RN® examination, the client'south baseline may non be given, simply as a nursing student you lot have caused a body of knowledge. On this test, you are expected to compare the client data you are given to the "normal" values learned from your nursing textbooks.
Assessment is the commencement step of the nursing procedure and takes priority over all other steps. It is essential that yous complete the assessment phase of the nursing process earlier you implement nursing activities. This is a common mistake made by NCLEX-RN® exam takers: don't implement earlier you assess.
For example, when performing cardiopulmonary resuscitation (CPR), if y'all don't admission the airway earlier performing rima oris-to-mouth resuscitation, your actions may be harmful!
Implementation is the care you provide to your clients. Implementation includes: assisting in the performance of activities of daily living (ADLs), counseling and educating the client and the client'south family, giving care to clients, and supervising and evaluating the work of other members of the wellness team. Nursing interventions may be independent, dependent, or interdependent. Independent interventions are inside the scope of nursing practice and exercise not require supervision by others. Instructing the customer to turn, cough, and breathe deeply after surgery is an case of an independent nursing intervention. Dependent interventions are based on the written orders of a doc. On the NCLEX-RN® exam, you should assume that yous have an order for all dependent interventions that are included in the answer choices.
This may be a different way of thinking from the way you lot were taught in nursing schoolhouse. Many students select an answer on a nursing school exam (that is later counted incorrect) because the intervention requires a medico'south society. Everyone walks abroad from the examination review muttering, "Trick question." Information technology is important for you to remember that there are no trick questions on the NCLEXRN® exam. You should base your answer on an agreement that you take a physician's society for whatsoever nursing intervention described.
Interdependent interventions are shared with other members of the health team. For instance, diet pedagogy may be shared with the dietitian. Chest physiotherapy may be shared with a respiratory therapist.
The following strategy, utilizing the assessment and implementation phases of the nursing process, will assist you in selecting correct answers to questions that ask you to identify priorities.
Use the Nursing Process to answer this practice question.
NCLEX Question Strategy Three: Condom
Nurses have the primary responsibility of ensuring the safe of clients. This includes clients in wellness intendance facilities, in the home, at work, and in the customs. Prophylactic includes: meeting basic needs (oxygen, nutrient, fluids, etc.), reducing hazards that cause injury to clients (accidents, obstacles in the dwelling house), and decreasing the transmission of pathogens (immunizations, sanitation).
Call up that the NCLEX-RN® test is a test of minimum competency to determine that you lot are able to practice safe and effective nursing care. Always remember rubber when selecting right answers on the test. When answering questions about procedures, this strategy volition assist you lot to establish priorities.
Apply the saftey strategy higher up to the following question.
Source: https://www.kaptest.com/study/nclex/nclex-question-strategies-priority-questions/
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