IMMUNIZATION SCHEDULES 15 28 monthe ya! IMMUNIZATION ~ CONTRAINDICATION ‘oP, ma, Varia oor eR, Varicatl Contatnleaton : Anaphylaci reaction to eggs or 209 proton That fs the question You can ask to yursal. Specie positon wil aggravate orlassan the patent cnelon ‘Abdominal ancurysm surgery: Foor poston to prevent pressure on tho ora Srealton ‘Appendicitis: Any postion f unrupture, and ser fowler it rupture,‘Asthma: Siting poston, leaning forward, to promste patent breathing [Autonomic dyarefeaie’ ih fer 1 wll prevent patient from Mypertenson stroke Bronchoscopy: Sem\Forler pravent aspiration after procecure {ataract surgery: Se a revert atema the apatite ‘Congestive heart failure: High Fowler that improve oxygenation, {Graniotomy: Sor fowler if supraentonal, and Hat inatentorl that can promot drainage from the hese Eplataxs: Loarng orate to preven blog aspiration, soroldectomy sie Ivng Upright poston after meas to prevent refx of stomach contents rserure (TEP) ovate Read othe be! Laminectomy: Prevent sting he ine it asi the Desk a alga ole Liver biopsy: fight sz seston pest procedure to prevent patient fom bleelng Lumbar puncture: Lateral sée Wing during procedure and fat attr procecur, Mastectomy: eves te eerty of he afte sc (on plow) 2 prevent eer Placenta previa: sitting position that can minimize Bleeding Pylori atenose: Right sim iyins poston afer mo fitate entry of he stomach contents into the Intestines Radium implant in the cervix: Hott prevent aslodge ofthe molar ‘Seizure: Sie ying postion ‘Spinal cord injury: Irmocitza te patent ‘Thoracentesi: Foner postion during procedure and any postion after ‘Thyroldectomy’ Sem| Fowler ac avoldhypaleson and hyperextension ofthe neck ‘otal Parenteral Nutrition: Trenéclesburg during tubo insertion o prevent ar embos ‘Tracheocsophagel Fiatule (TER): Supine with the head elevated at toart 30 dees, Varicose veins: elvate te lage above the ove of haart tna wor stato, whan etfs shore, repens huss sre eet to an nese she prone DO NOT DELEGATE sscesemen, teaching and evaluation Aah task fant conmaniton ‘There are dleases that have no Ina symptoms Satan,Hemephi = chrstas asease Lg cancer osteopress ete mtarenatony enyatanca (KU newborn ctaanes Tuber Hore are spect oases with specic thelr complication. Its Important to remember them as srparation fr NCLEX and CGFNS Exam ‘cute gastrontortis: dohyeration Beate ympheyte leukema Bleeding Bediso'sareare shock ‘anera-pericous “peripheral news ‘nema cel = eersbrovasculor seit Coraia valvular csorcer congestive heart ature {ste ross: ale to be ster, ferale to beefy cnesving hoteles» chaecysts, Complete hear lock congestive hear ature 50. Gonormea “pee Intammatory dees (10) EL Herpes erveal cancer 52. iypertnsion* eerebrovacculr accent 55. Infectious monanuclesl splenic rapture Sh Uyme's esoae * pats 15. Laoa poisoning : mental retardation 16. Meningie: heting impatient 27. Mra valve stenosis «acute glomeruonephris 48. There ere many auetonsasted ebout dats Tor specie diseases, Here are the most eseases and dts ‘ante gastrootertis: car ul bate glomerclonephrts low Natrum, low Protan ‘edison esease high Natrum, Uw callum ners iron ccency* high ror nema ~pernisaus "high poten, tain 8 ‘nem sel clan le ‘nina patos! fw cholestrol ‘hts ~ gout: purine resticed ‘tention Gulet Hyparactty Oisordar (ADHD) : ager foods Bipolar ctor ingen oe Bul igh are, Ngh tn Calas disease giuten ree ‘holecysts: high poten, hgh carbohydrate, fw fat ‘Cangestive eat fare low nat, low choleterl Congestive hear fre: fw nati, low celeste {Ceti : high potty, igh eau ‘Gr create high pote, igh carbohyérat, lw ft {sing dlsoase: igh wal, low natrum {cyte Mout igh esate, high nature {Cysts acd ash (fr alain stones) and alkaline ash for ae stones) 19, Aeromepaly:coursening of foc featoret pid shallow breathing fase: progressive meray loss ‘Anemia ~ Iron deficiency: fatigue ‘Anemia pernicious: atgue morning sites‘Autonomic dysrefexta:hyeertenson Bronchogenle carcinoma: chaning e2uzh ° {Cancer ~ breasts mos/limpythckening ‘Cancer ~ cervix: Bleeding {Cancer = seophagus: dysphagia ater Ingestion of sok foods {aneet = lary changeit vol hearse (Cancer ~ testas: pales sweling ‘usomeul'sbracthingceeprapd breathing Duchane's Muscular Dystrophy Bower Sign use of hares to pus ones af rm the Moor. GERD (Gastronsphagea efx dense) Barats Esopragus:erslon ofthe lower portion of the esophageal mucose, Hepatic Encephalopathy Flapping tremors its © esnig san: navy t exten thesBrudzinski’s neck sign Kernig’s sign Pitrieg emer Phompigue vulgaris ‘iets’ sign Separation of epee caused by rubbing the shNikolsky’s Sign: skin reddens, fluid collects underneath, and skin rubs off, leaving raw red base Retinal detachment ual tasters [Retino blastoma at ee rfe (arayich elssloration of he pup sensory tones Oitactory () motor rae 2 pti “Trechiear (1) motor: supsricr oblque muscle sc motor ouurm Oeslomatr i) mS Rowse Sain .@ =a re [STRICT ISOLATION‘© Rs practze for hh transmissible deases by eet contact ard arbor ets. sass Diptter-pharyngel herpes zoster, pean, var 1 oveasee eters, mess, amps, Keno ‘TUBERCULOSIS / AFB ISOLATION ‘© recutes: mask, ana wasting, and privat room wth negative pressure (oom ae vented to ose 1 res proce for wtectousasases or mute restart mir organs hat are spread by cose or diet conta. 1 iseases: Dipthera-utancous, herpes sersoe, MRSA, peta, seals, sph © Gowns are worm ony when contact any abet contaminated wth ees 1 ovsaser Ascpte mening, corres, cotracrtrl neti pha fver DRAINAGE / SECRETION PRECAUTION © eeepc or patent with ound crams (itt wan. ‘© ris practices when possi contact win bos-bome ane bey Ms pathogens (Boos, semen, vagina secrete, syne Nu, pee Mu, ‘Used contomintes reels seul never recap sed needs and ether sharp ters ae hep a puncte restant container (sharp box container. eases: AIDS, heats 8, nepal C ‘There ae basic concepts n obstetrics that murs shoul learn as prparation for NCLEX-CGFNS exams. Some questions In ral NCLEK or (CGPS exams are baved on tis concepts. The concepts are contained in the ron O-B-S-T-E- (0% oxytocin suse to Inde uterine contractions R-I-C-SBs bleeding cisorcer placenta previa causes panes bright rd vaginal bleeding whl abruption placenta causes palnul dark red vaginal Bleeding 'S: substance abuse curing pregnancy: feta aleshol syndrome (small for gestational age) and reslassnes in vans bom of ocan-acletac others loratogen agents should be avoided suchas: acetan, alcoho, MMA, OPV, garetts, et) ‘Susting to tether ne perms me ‘Abdominal masce contactors; help strengthen the abdominal moses. Pee or contacton (Kets exer): to ep prevent sess continence Pe raking to hes reteve Backache 1 labor most be deren frm ‘ales labor which nt labor the progressive ceric changes ars occured, RR: rodrne is use to prevent preterm labor nections like TORCH (Toxaplasmasis, Other Infections, Rubel, Cytomegalovirus, and Herpes) can cause abortions, malformation and C: contraction of cient soulé be assesses. ‘© Fraqueney of contraction: the tee ors he begonng a the fst contacon tthe Behning ofthe nest contraction stage of abort Flat Stage: om the anset of true labor contractions tothe comple cltation of ceri ‘Sccond Stage: ‘rom the complete cloaton ofthe carve the severy ofthe Baby ‘Third Stage! from the Gevery of he baby tothe Glvery ofthe pace Fourth Stage: frst fen hours ater eeivery ‘So many paints right have to mention allo them. But just remember that hee ae the most cammen patent's ght comes Freer om testiats and ssn, Daly exereses Use of tlepone Be redo ht Refine setro connie therapy (EC), ‘Te concept of patlontpositoning Is Important to undarstane as preparing for NCLEX or CGFNS. What postion wl yu place your ‘atlent In? That the question you can ackto yours Specie peskion Wl aggravate or lessen te patient conan, sce poslon and lower head othe be to promate a othe AG alum and prevent to be care to the ‘rater otlation ‘Appendicis: Any postion unruptured, an ser fowler if rupture, ‘Asthma siting potion, leans forward, to promote patent breathing ‘Autonomic dysrefexla: ih fower. I wl prevent patent from hypartanson stoke ronchascopy: Sem Fonier, to prevertaspation after pacers Broncos! Trpoe poston. (Cast elevate extremity to prevent edema,{cataract surgery: Sem ower to prevent ecema atthe operative ste, pine ater operation, pravet pressure onthe suture lie Epietaxs: Looning orwars to prevent blood aspiration. Hemerroldectomy: sits Iho Hypophysectomy: cevate haz o the bad to proven increase itvocrania prssute Increased Intracranial Preseure (ICP): Elevate head 9 the bes Laminectomy: Pravent twin 0” the spne wit keepig the back as straight as poss Larymgeciomy: sr fone matting away an ace cena. Mastectomy’ elevate the exterity ofthe acted sce (on plow) ta prevent edema Placenta previa: Sitting posttion that can minimize bleeding Pulmonary edema: Forir pestion Pylrianone Sigh cnr oso ter lo ate ny fh sarc cnet the testes ‘Shodt: Mected tenceenburg to promote venous return, Spinal cord Injury: Immobilzetm paiet ‘Thoracentesie: “anor poston cunng proceéure and any poston ator “Thyroldeetomy: Semi Fowler 3c avoid Mypertison ané hyperexterion of th neck ‘otal Parentoral Nutrition: Trencclesburg curing tubo insertion to prevent ar emboli ‘Tracheousophagel Fistula (TEF): Supine wh te hese elevated at wast 30 derans ‘Veln stripping and ligation: Legs are clovatd to prvent venous stasis Basic concepts of psychiatric nursing, just remember: B“E“H~A-V-E. Et encourage vertalzstion of cant fing. Do not forget to as : oll me more." He nave a sound knowledge of cultural variations relate to behav. estate Therapy: ‘The therapy focuses on changing elstortec thought processes. It canbe Implemented for depressed paints. iiss Intervention: Flay theray focuses on the use of play to actate expression of the patent's eating Rational Emotive Therapy:ays eynorme le aut arespalaptny flame awa! ns te craractarzn by crea err a fat changes inte ve. The @aeae9 astocatna wih aorinsraton ol asin. The man go ol tener fo mails efocivo crebrapeluion and cone rereasg ara Gran ‘Signs and Symptoms: © story ot val inane 7 days belone he neat of eymptome © Navsoa are vorting © Progrotene nevlageal cetororaton © aise ‘ursing Intervention: ‘Aesoes and monitor neclogal tae Mort LOG and es of inroased ICP Provid rota cocreae emulation Moritr ink ard cuit Morr er ution Mort or sans oblong ard impaired coapuation ‘A aprowous pos | mentioned peiav’e developmental milestones Yam 0 morth 12 maths, hee now leantnue wih pediatiedeveloperta| ‘iestane Yom 18 morte ti adolesoor. ss ontne: © Ganpullorputnatoy © Canwakninau atsstares © Canbuistowerot2toces © Gantvow ol overanded © Cancenboio win rayon or part re Months : © cannmelumsly © Can uistowerof34 blocks ‘© Canjumpiniace win btn cet ‘© Cancontal ara andurinay eprineter © Gancontal abou 10 worsecimbe sae un wih wee tance Sav names some arta objets Says combine 2 words meaning (Canaan Siar anon cortol Wg about 4 tmes bith wot ‘Average weight gain 45 Ibyoar cing ages 26 years [ting abou aha ol exected adit hight © Abietojump tom char or step ane © Ganstandon one fot aiaty Years: cine tare by alteratng tat on stop8 (can re tiene Turn doorabe can crest sat ‘Saye or epea in shor sentoncos ‘N20 cecduou ear nave erupted ccatenoeba Recognizes core Hopson one ‘ot {ule Ee, dit iongth ha doblod (Can skip wal and jump rope ‘Saye comin al par ol speech Marta balances wih yee eceee oeabularyat 2100 words canbe bl 10 years: ‘Canlearta howto swim, stato, ns rid bieyele Forme cube ogarae Uses peri and crayon wal _¥0r9 sere of what lai ‘cand are court [ALthisbme,svrago weght gain wl be 46 Ibyear curing ago 6-12 yeas ‘Adolescent: [Altis be, rashocan'oa 10 cao selinaperdenty whe loing oa octat iret wah soeiely. ‘aod on averages means that each child progreses ais 0 ha ownat,{Maintains ey corset {Demonte rte aettog “er nosed poeton Using earmuncaten echique by erg * Average wolght gare is 38 o2 Wook) cuig rst 8 month 2 onthe: + Can its hee fr short erode when prove *Smige andtrowne “Coe * Wit visualflos moveg coc 3 Montne: Sts win suppor *Witum rom aaekto ede Gan eco parent + Dorrenerates pleasure by squealing Focusing anes hard 44 Months: {Gan it nea ard chest edo. 90 dagroes and beating weight on orgs “Torin fom back to pros 9 on + Hatng nad erect whining positon {Gan eae lor objects a rasp objets with bth hare Pays wit ing {Caries abecte a mou “haces corsoracounds rd avg sud ‘5 Montne “Turing tom sadomen to bac + Paying with ose an pus at ita mush “Gan old jects mone Hara ar onehes or anther oboe wih ote hand 6 Months: + Gan st alone leaning ornare on bth nana { Reacros for ard grace objets + Exerds arm wher he or he wires tobe poked * Stoo for ropa sects + Feartosrargers, {Enya to pay pookaboo “Boge fo procice wore ea sound +m wot has covdled “Woody woight annie 35 9 during 618 monte 7 Months: 1 Bows woh on ost “Trareioe abst Wom one han to aher nara *Bogrsto craw ‘8 Montns + Ste alone wiraut suppor Pulp standing poston {Gan elease once rertoraly 1 Uses oreo” aes 1 83y "DADA hau mean + Srangeraracty 9 Months: Gan raul wo {Wi wal sidoway whl holding on “Bangs 2 oso tgsinar * Searches forideon ob ect * Gan cink Wor cup an alerts 0 fed at ro Months + + BogrstowalkareclindNeat pine ara “Paying patsreace ar nates peskaboo game Sap eay 12 worde wih meaning 11 Months 1 cooperate wih dese scttioe {Atoms feed sol wih spoon *Falows ample drector| “ wsurdertan no" ans ebkes hea inscate"™ ‘2Montns 1 walk ore or win ona nand nea * Fraquort fal wile walking *Ganainwal tom seup {Can cullot soca *Borte with aretngor Gin woe pied “Bit longn rae nereaeos by 0% “Head and chest cresmeronc ae ual [ERK'SON'S PSYCHOSOCIAL DEVELOPMENT Ths theory bases on he dee! rat each ago the result ol he cls nae oadact tothe socal enwormert and must be espe bear the rox stage can bo suecesstl crowed Ae 8 rrse, yu shoud kw posaedovlopretl too wal. Enkaore Psychosocial Dovioonerte Sian 1 yeare Trt ve mite 118 oars: Autonomy vs share and doubt 45 yeas: havo vs guilt 6:1 yars nt vs inforonty 1248 yar: kent vs ienty contusion [FREUD'S PSYCHOSEXUAL DEVELOPMENT Freud's psyerosoma dovepmort enprasizatre importance o! sex and coro aver agaresve mules inthe ci cvelopnant. Tras a Bia 2 yas Ora Stage 2 yeas Anal Stage 3. youre Pate Sage 6-12 years: Lalo! Spe 1248 yar Gon Stage PIAGET'S COGNITIVE DEVELOPMENT THEORY ‘This lovee thom development ‘Biar2 yous : Sonsorimoto senses arc ator acbily 217 years: Prooparatonal or proncoptal, hella! develo 7-1 years: Concrete operation feasong an organ zing houghis 1 years selhood: Format operation, beet Winking and ceutiereagoning