NCLEX Study Guide - NCLEX Study Guide / NCLEX review class...

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NCLEX Study Guide / NCLEX review class Erik Erickson I f Infancy T he Toddler P RESCHOOLER Preschooler S tops School Age A cting Adolescence Y OUNG Young Adulthood A DULTHOOD Aduilthood E nsues Elderly Infancy 0 – 18 months Trust vs Mistrust Toddler 18 months – 3 yrs Autonomy vs Self Doubt Preschooler 4 - 6 yrs Initiative vs Guilt School Age 6 – 12 yrs Industry vs Inferiority Adolescence 13 – 18 yrs Identity vs Role Confusion Young Adulthood 19 – 39 Intimacy vs Isolation Adulthood 40 – 64 Generativity vs Stagnation Elderly 65 and over Integrity vs Despair Do’s Don’ts Stay and Protect Lie Tell the Truth Make False Promises Use simple terms (check development status) Put down patient Seek information Enhance Negative behavior (mental illness symptoms) Be Judgemental
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Locus of Decision Making – When RN can make own judgements When to turn comatose patient Type of feeding schedule (via tube) Force patient to take meds when they threaten to harm someone Plan care with Chronically Ill patients to effect lifestyle changes (99% of decision making is this way) INFORMATION NOTE: All behavior has meaning. The meaning is to reduce anxiety. Those at most risk for Gall Bladder Surgery FFFF Fair Fat Fifty Female Growth and Development Infancy 0 – 18 months Trust vs Mistrust Physiological care most important Diarrhea can be devastating. (Baby 50 – 80% water) May lead to: Dehydration Fluid / Electrolyte Imbalance Metabolic Acidosis 1 st priority to isolate baby who could have infection 1 st six months baby only needs breast milk Iron stored in utero not needed for six months Baby would get iron supplement if born @ 35 weeks Give new foods one at a time to check for allergens Baby doubles weight in first six months Baby gains weight at 6 to 8 ox / week Baby Triples weight by 1 yr If weight gain not adequate = Failure to Thrive
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Typical Problems at this age: CLEFT PALATE / LIP Not much known about causes Ducky Nipple used for sucking Cleft Lip closed at 6 to 12 weeks Cleft Palate closed at 12 to 18 months Waiting for maximum growth before speech age Baby can breast feed with either problem Cleft Lip = cheiloplasty Cleft Plate = Palatoplasty Post op care is to avoid trauma to surgical site Prevent baby from touching surgical site Keep site clean / avoid infection PKU Can cause mental retardation Some symptoms can include behavior changes that mimic psychosis No enzyme to digest Phenalalanine. Builds up and causes cessation of brain growth Guthrie Blood Test is for PKU. Tests for excessive amounts of Phenylalanine Performed within 7 days after birth as a HEEL STICK just after baby eats some protein Tx = low phenylalanine diet. Levels checked Nutrasweet & Equal become phenylalanine in the body 12 oz can of diet drink doesn’t raise levels much Very Restrictive Diet Initially till 14 yrs old At 14 yrs old brain gorwth 80% Brain fully formed at 18 NO restaurants, NO Parties Diet = 1 % protein / veggies (Protein contains a lot of Phenylalanine) Celiac Dsiease
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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NCLEX Study Guide - NCLEX Study Guide / NCLEX review class...

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