Anyone Up For Random FACT THROWING??

Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc. Nursing Students NCLEX Article

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OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!

SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:

OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:

1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.

2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.

3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves

4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate

5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.

Oh, ohh, one more...

? Vasopressin is also known as antidiuretic hormone

OK your turn....

good morning to you all :D feliz3

"perseverance is a great element of success. if you only knock long enough and loud enough at the gate, you are sure to wake up somebody" henry wadsworth longfellow

nclex traps

when you read the question ask yourself can i identify the topic of this question?

note: nclex hides the topic of a question

example:

a nurse is evaluating the effects of medical therapy for a client with pulmonary edema. the nurse

determines that the interventions that were most effective if the client exhibited which of the following?

u=urine output rr= respiratory rate bp=blood pressure p=pulse

a) bp= 96/56 mmhg; p=110 beats/min; rr=28 breaths/min; u=20 ml/hr

b) bp=88/50 mmhg; p= 116 beats/min; rr=26 breaths/min; u=25 ml/hr

c) bp=108/62 mmhg; p=98 beats/min; rr=24 breaths/min; u= 40 ml/hr

d) bp= 116/70 mmhg; p= 88 beats/min; rr= 20 breaths/min; u= 50 ml/hr

this question has been copied from another thread in which the person was inquiring why the answer she chose was not correct, and from eight responses no one could tell the person who posted this example the rationale for the correct answer. first thing: identify the topic which is client's needs- physiological integrity. the nclex makers want to know if you know how to apply the fifth nursing process which is evaluation within the context of physiological integrity. you need to evaluate if the set of vitals you took after giving medication therapy are withing normal limits. eliminate first the wrong answers. answers #a and # b are wrong (below normal limits)...just by looking at the blood pressures, you know those answers are wrong. you are just left with two choices which is better than having to choose between fours answers. do you see the advantages of elliminating wrong answers, first? :D

the next step is to eliminate the last wrong answer, let's look at answer # c...everything is within normal limits except the respiratory rate (normal for an adult rr=12-20 bpm). since you have to eliminate # c, then the right answer must be # d, which is indeed, all those numbers are within normal limits, by the way, normal urinary output is at least 30 ml/hr. that is a good example of how cleverly the nclex makers could hide the topic. they wanted to know if the test taker knows how to apply the nursing process of evaluation by throwing a question about evaluating a set of vitals.

identify the topic of the question:

  • if you have no idea what is the question asking: read the answer choices for clues to identify the topic

in some questions validation is required in order to answer the question corectly...meaning the question may ask you to assess or evaluate as opposed to implement (do some action, for example, call the doctor, start cpr, reposition the patient or give oxygen to the patient, etc.) remember the intent of the question will be hidden to you.

  • read the stem question for determining whether you should assess or implement and within that context eliminate the answers which do not fit to with what you must do, that will lead you to the right response.

if all the anwers fit in to implementation, then move on to use maslow hierarchy of human needs

--physical needs take priority over other needs--

pain is not a physical need--it is considered psychosocial, so it goes higher up on maslow scheme

if all answers fit in to the physical needs apply abc (air/blood/circulation) scheme

  • do not automatically select respiratory answers--remember to thow out wrong answers first

if all answers are psychosocial do not choose the answer that "sounds right": determine the outcome of each answer, throw out first the answers with negative outcome. ask yourself "is this answer choice has a desired outcome?"

examples of undesirable answers you are looking for to throw out first:

a) pass the buck

b) judgmental

c) bad nursing

d) off topic

e) take the buck

f) encourage dependency

g) asking why

h) do not persuade

i) leave patient alone

j) non therapeutic

k) gives false reasurance

l) blame

m) do nothing answers

n) answers which by pass the nursing process such as implementing a particular tx before assessing the situation

o) by pass proper delegation qualifications

p) by pass priority of care

q) do not involve the patient in their own healing process

r) do not listen to the patient in a respectful manner

s) violate patient's rights

t) do not show cooperation with the health team

u) answers that contain absolute worlds such as only, always--watch for those

if manslow and abc does not apply: evaluate ask yourself why, as i did in the example above, the answers presented are wrong by comparing them against the normal values, throw out first wrong ones for that will lead you to the one you are looking for: the right answer. best wishes to all of you who are taking the nclex in february. feliz3

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Dear friends,

I know that we all are under stress over passing the NCLEX...are we not all in the same boat? :icon_roll However, it is important, at least it is for me, to be in a state of mind of peace and in control of my emotions. The first time I took the NCLEX, I was an emotional wreck to begin with for at the time of registration the clerk did not recognize my Authorization to Test as legitimate. I received a computerized version as I registered by e-mail paid with my credit card and chose the date to test by computer. I received an authorization to test via my e-mail. Well, the clerk and I engaged in an argument for the clerk comfronted me in front of everyone to tell me that I could not test because my ATT was false. We were back and forth I telling her that I received the ATT via my e-mail, so I had no control how the ATT was supposed to look. Finally, one of the proctors intervined. She read my ATT, and told the clerk that my ATT was legitimate, and that she had to let me go in to take the test. Needles to say I was upset and with genuine reasons to be so. On the test I was distracted, anxious and could not focus. I could not even recognize the material I studied for and that freaked me out even more. The outcome was predictable in such a state of mind: I failed.

Today, I was on the web looking for information, and I bumped into this relaxation technique which is wonderful. I wish I had this tecnique then, when I took the NCLEX the first time for it would have saved me a lot of frustration and heartache...well, I have it know and along with it I have made lot of personal changes since then. I will be ready the next time I take the NCLEX.

I want to share a with you all a relaxation technique I have been doing. I hope it works for you for it helped me to focus better on my goals. These a demonstration on Emotional Freedom is taught by a registered nurse; her name is Aila Accaid. The purpose of her demonstration is to give you a tool to free yourself from emotions that distract you from focusing on your personal goals. Please, follow the link it will take you to a demonstation on Youtube:

Best, feliz3 :D

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The first time I took the NCLEX, I was an emotional wreck to begin with for at the time of registration the clerk did not recognize my Authorization to Test as legitimate. I received a computerized version as I registered by e-mail paid with my credit card and chose the date to test by computer. I received an authorization to test via my e-mail. Well, the clerk and I engaged in an argument for the clerk comfronted me in front of everyone to tell me that I could not test because my ATT was false. We were back and forth I telling her that I received the ATT via my e-mail, so I had no control how the ATT was supposed to look. Finally, one of the proctors intervined. She read my ATT, and told the clerk that my ATT was legitimate, and that she had to let me go in to take the test.

OH no! I got mine via email as well??? Did you print out the slip attached ..did you bring the email as well... Shoot I hope this doesn't happen to me!:uhoh3:

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hi dear

i am new to this site and preparing for nclex on my own iliked ur idea very much and would like to contribute to it

1 crossmatching is not required for platelets

2 platelets are given rapidly and immidiately

3fresh frozen plasma doesnot contain platelets

4 albumin is prepared from plasma and can be stored for five years

5 cryoprecipitates are prepared from fresh frozen plasma and can be stored for one year

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hi all, here is my contribution for the day:

hypertension: nursing care plan - 'i tired'

i- intake and output (urine)

t - take bp

i - ischemia attack, transient (watch for tia's)

r - respiration, pulse

e - electrolytes

d - daily weight

diet: low cholesterol - aviod the three c's

cake

cookies

cream (dairy, e. g. milk, ice cream)

mental retardation: nursing care plan - "three r's"

regularity (provide routine and structure)

reward (positive reinforcement)

redundancy (repeat constantly)

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The first time I took the NCLEX, I was an emotional wreck to begin with for at the time of registration the clerk did not recognize my Authorization to Test as legitimate. I received a computerized version as I registered by e-mail paid with my credit card and chose the date to test by computer. I received an authorization to test via my e-mail. Well, the clerk and I engaged in an argument for the clerk comfronted me in front of everyone to tell me that I could not test because my ATT was false. We were back and forth I telling her that I received the ATT via my e-mail, so I had no control how the ATT was supposed to look. Finally, one of the proctors intervined. She read my ATT, and told the clerk that my ATT was legitimate, and that she had to let me go in to take the test.

OH no! I got mine via email as well??? Did you print out the slip attached ..did you bring the email as well... Shoot I hope this doesn't happen to me!:uhoh3:

Dear imalilteapott,

I do not think this experience will happen to you because I was dealing with a particularly obtuse clerk, and not all are like that. As a matter of fact, that has never happened to me, again. On the other hand, it was my own fault that I allowed that particular person to distract me from my primary target which was to pass the exam I scheduled to take. I will take responsibility for that. I know better now. I have made sure to develop better coping skills for eventualities of the like.

To answer your question, I made a print out of the ATT I received. I did not make any changes for fear that the clerks would think I was doing alterations on the ATT in order to get unfair advantage. I have taken the NCLEX four times, and each time I have taken it, I've presented the computer print out I receive via e-mail. The second time I took the NCLEX, it happened to be same clerk, but she did not give any problem. I presented my ATT on the same format I gave it to her the first time I took the NCLEX. None of the clerks on the other two occasions I have taken the NCLEX have given me grief. The second time I took the NCLEX, the same clerk who give me grief the first time I took it handled my ATT, but she was quiet and polite. After that second time I have not seen her, again. Do not get worked up over something it is not likely to happen to you. Use the relaxation technique on that link I sent for it is very good. Best wishes, feliz3

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Can someone help me with this question from ncsbn??

WHich action by a nurse is MOST important in the prevention of the formation of DVT for a pt with orders for complete bed rest?

A. Elevate the foot of the bed

B. Apply knee high support stockings

C. Encourage isometric leg muscle exercises

D. Prevent pressure at back of the knees

The answer is D and that's the first answer I elimiate thinking that didn't answer the question about DVT....Can someone explain to me the logic of this and how should I approach this question?Thankyou!

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Can someone help me with this question from ncsbn??

WHich action by a nurse is MOST important in the prevention of the formation of DVT for a pt with orders for complete bed rest?

A. Elevate the foot of the bed

B. Apply knee high support stockings

C. Encourage isometric leg muscle exercises

D. Prevent pressure at back of the knees

The answer is D and that's the first answer I elimiate thinking that didn't answer the question about DVT....Can someone explain to me the logic of this and how should I approach this question?Thankyou!

Dear ilovetomato,

Saunders 4th edition page 878, left column at nearly the end of the page says: "avoid using the knee gatch [certain orthopedic beds have that feature] or a pillow under the knees." The nursing textbook Medical-Surgical Nursing by Brunner & Suddarth, 10th edition page 455 says:" It is important to avoid the use of blanket rolls under the knees. Even prolonged "dangling" (having the patient sit on the side of the bed with legs hanging over the side) can be dangerous and it is not recommended on in susceptible patients because pressure under the knees can impede circulation."

The answers you could "safely" throw out would have been A and B because those are interventions put in place when the client has shown the symptoms of DVT such as positive Homan's sign, swollen, warmer leg than the other, etc. Answer C can be thrown out, as well, because the question says that the patient has to be in complete bed rest, so you are left with anwer D as your best choice. I hope this explanation helps you. feliz3

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Dear ilovetomato,

Saunders 4th edition page 878, left column at nearly the end of the page says: "avoid using the knee gatch [certain orthopedic beds have that feature] or a pillow under the knees." The nursing textbook Medical-Surgical Nursing by Brunner & Suddarth, 10th edition page 455 says:" It is important to avoid the use of blanket rolls under the knees. Even prolonged "dangling" (having the patient sit on the side of the bed with legs hanging over the side) can be dangerous and it is not recommended on in susceptible patients because pressure under the knees can impede circulation."

The answers you could "safely" throw out would have been A and B because those are interventions put in place when the client has shown the symptoms of DVT such as positive Homan's sign, swollen, warmer leg than the other, etc. Answer C can be thrown out, as well, because the question says that the patient has to be in complete bed rest, so you are left with anwer D as your best choice. I hope this explanation helps you. feliz3

Thankyou feliz3! I totally misread the answer as "prevent pressure at the back of the HEEL"....now it makes more sense...

Besides, what is isometric leg exercise? Pt needs to get out of bed for that?

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DRUGS THAT CAUSE OTOTOXICITY:

cisplastin

furosemide (lasix)

aminoglycoside

hydroxychoroquine (plaquenil)

NSAIDs

salicylates(overuse)

vancomycin,parenteral

bumetanide,parenteral (bumex)

erythromycin

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Thankyou feliz3! I totally misread the answer as "prevent pressure at the back of the HEEL"....now it makes more sense...

Besides, what is isometric leg exercise? Pt needs to get out of bed for that?

Isometric exercise involves muscular contraction against resistance without movement of the muscle

which will contract, but the length of the muscle does not change. Yes, you are right, the patient would probably has to be out of bed in order to do that. This type of exercise is not appropriate for the question states the client was ordered for complete bed rest. feliz3

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hi friends some more facts

1 the three classic signs of preeclampsia are hypertension ,generalized edema, and proteinurea.

2 effleurage is a specific type of cutaneous stimulation involving light stroking of abdomen it provides tactile stimulation to fetus

3 credes maneuver is performed by applying mannual pressure over the lower abdomen it promotes complete emptying of bladder in clients with lower motor neuron damage that impedes voiding reflex

4 guaiac positive stools indicate gi bleeding

5 volkmans ischemic contracture is a potential complication of a hand or foramen fracture

6after rubella virus client should not become pregnant for three months as it is a live virus vaccine

7 android pelvis resembles a male pelvis

8 rubin test determines patency of fallopin tube

i hope this helps

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