NCLEX-PN

●​ The Heimlich maneuver (abdominal thrusts) ●​ Respiratory support techniques ●​ Use of an automated external defibrillator

Furthermore, you should possess the know-how to provide emergency care for wound disruptions, encompassing instances of evisceration or dehiscence. Proficiently monitoring and maintaining a client on a ventilator is another essential facet of your skill set. After implementing emergency measures, it's critical to evaluate and document client responses, gauging the restoration of breathing and return to a normal pulse rate. Identifying Client Data Requiring Immediate Reporting Effective nursing care involves continuous monitoring of clients and promptly identifying and reporting any critical changes or unexpected outcomes. Here is a concise summary of the types of client data that necessitate immediate reporting to the nursing supervisor and/or physician: Basic and Essential Problems and Needs : ●​ Airway, Breathing, and Cardiovascular Status (ABCs) ●​ Physiological Needs (per Maslow's Hierarchy) ●​ Safety Needs ●​ Psychological Needs (e.g., mental health concerns) ●​ Belonging and Love Needs ●​ Esteem Needs (by self and others) ●​ Self-Actualization Needs ●​ Elements of MAUUAR (Mental status, Acute pain, Acute urinary elimination problems, Untreated problems, Abnormal diagnostic data, client risks) Significant and Substantial Changes : ●​ Any client changes significantly different from baseline

●​ Abnormal or unexpected deviations from the client's usual patterns ●​ Notable shifts in vital signs, especially post-procedure or intervention Unexpected Outcomes and Responses : ●​ Responses to care and treatments that are not therapeutic ●​ Adverse reactions to medications or interventions

●​ Idiosyncratic responses to treatments ●​ Failure to achieve a therapeutic response

574

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​