ABC-Safe-Comfort tips are another method that can be used for NCLEX-RN preparation. Which of the following is not correct regarding ABC-Safe-Comfort tips?
a. Assess ABCs first.
b. Assess safety needs second.
c. Assess teaching needs third.
d. Assess comfort and healing needs third.
C
Another helpful method for test preparation and review in addition to the ARKO strategy is the ABC-Safe-Comfort Tips method. This method recommends approaching a test question by reviewing Maslow's Hierarchy of Needs and assessing the patient situation according to: 1) assess ABCs first (ABCs: airway-breathing-circulation); 2) assess safety needs second; 3) assess comfort and healing third; and, finally, 4) consider any teaching needs. This order should be used when prioritizing nursing actions.
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The nurse is completing a focused interview to assess the skin, hair, and nails of a pregnant client. Which question would be most important for the nurse to include in the interview?
1. "Do you use any skin creams?" 2. "Do you try to avoid exposure to the sun?" 3. "Have you lost any hair during your pregnancy?" 4. "Have you had any nail changes?"
A nurse believes, "I'm the only one who truly understands this patient. Other staff members are too critical." Which situation is evident?
a. Boundary blurring b. Sexual harassment c. Positive regard d. Transference
The nurse is reading the history and physical and notes documentation of a protrusion into the posterior vaginal wall. The nurse would suspect which of the following conditions in this situation?
1. Ovarian cyst 2. Bartholin's gland infection 3. Cystocele 4. Rectocele