Anyone up for random FACT THROWING?? - page 6

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... Read More

  1. Visit  Pretty in Ink profile page
    3
    Quote from skrawberri
    this is an awesome idea for a thread!

    1. in prioritizing cardiac patients, check the pt with indigestion first because that could be a sign of mi.

    2. abg's need to be placed on ice and sent to the lab asap.

    3. if active tb is suspected, a sputum culture for acid-fast bacillus is the only metod to actually confirm active tb (not a mantoux skin test!)

    4. celebrex is contraindicted in pts with a history of cirrhosis.

    5. in psych pts, the client most at risk for self-harm is always the pt that has stopped taking their meds.

    one more!
    6. change in resp rate in a pt receiving mag sulfate could indicate toxicity.
    true confirmation for tb is an x-ray :spin:
    kibriab, cityofangel, and winterbot428 like this.
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  3. Visit  CrazyScrubNurse profile page
    17
    Quote from txgvn4now
    true confirmation for tb is an x-ray :spin:
    i'm gonna have to look this one up because i would go with the sputum culture for the confirmation. and i am only saying that because of the order of how they do things for us in the hospital as employees: tb skin test, if enduration of 7cm or more then a chest x-ray and if that shows something then a sputum cluture and the fun of "name that bug". gotta think about the fact that if you culture it, you know it is tb but if you get an x-ray you could be seeing something else. dang...i gotta go and consult my med/surg book again just to make sure!
    getu, PinkNBlue, TipitiwichitRN, and 14 others like this.
  4. Visit  december2905 profile page
    11
    i'll go for SPUTUM CULTURE too to confirm TB...
    ejobebe, aachavez, savinglives33, and 8 others like this.
  5. Visit  Skrawberri profile page
    13
    It is the sputum culture for a confirmation of ACTIVE TB. I got the fact from a review question I was doing online. I chose X-ray, too, but nope, its the sputum culture. Just thought I'd point that out...
  6. Visit  CrazyScrubNurse profile page
    15
    [quote=txgvn4now;2893594]
    2. tx of dic = heparin


    just one thing about this treatment= this is an "old school" treatment of dic that does not work in every case. the way to resolve dic is to stop the problem that is causing it.

    example- i had a patient in the or last year who was 8 mo pregnant and fell and broke her arm on her childs toy. the arm was fixed at hospital a, and she went on her way until 8 days later when she came to hospital b and collapsed in the er. she was rushed to us in surgery at hospital b where she had a c-section to save the baby and we found a huge liver laceration (like 8 cm long). platelets....16,000 yeah that number is correct 16,000. so doc infused every blood product that we could get our hands on and we packed sponges over the liver to keep it from bleeding more, left the sponges in and sent her to icu to get some supportive measures until she was stable enough to come back down to the or. we all had tried to think of everything possible to get her to stop bleeding and i even asked about heparin but the doc said that is an old treatment and it is not appropriate for every patient and that you had to fix the injury for the body to come out of dic.
    Caffeinated RN, ticklemenita, izzy09, and 12 others like this.
  7. Visit  Pretty in Ink profile page
    2
    thanks Courtney! The only reason I said that was bc when I took Hesi I narrowed it down to both sputum culture and chest x-ray and I picked sputum but it was chest x-ray so IDK!!! LOL
    winterbot428 and hase2000 like this.
  8. Visit  Surgical_RN08 profile page
    11
    Quote from december2905
    i'll go for SPUTUM CULTURE too to confirm TB...
    you also need three negative sputum tb cultures before the patient can return to work.
  9. Visit  Surgical_RN08 profile page
    26
    1. dont give atropine for glaucoma. it increases intraocular pressure!

    2. drug abusers at risk for heart valve disease.

    3. after a liver biopsy place pt. on right side to put pressure on site.

    4. end stage cirrhosis the ammonia level is elevated. doctor may order lactoluse to decrease levels.

    5. dont do a vaginal exam on a pregnant cliet thats bleeding


    keep it up guys. its keeping me motivated!!!
  10. Visit  CrystalClear75 profile page
    21
    Ulcerative colitis...3-30 stools per day WITH blood and mucus.

    Pain in LLQ: relieved by defecation.

    Crohns disease-NO obvious blood or mucus in stool.

    Pain: Right lower quadrant pain that is steady or cramping...or pain could be in periumbilical area, tenderness and mass in the RLQ.


    Rheumatoid arthritis: Pain and stiffness is on arising, lasting less than an hour...can also occur after long periods of inactivity. Joints red, hot swollen, boggy, and decreased ROM.

    Osteoarthritis: Pain and stiffness occurs during activity. Joints may appear swollen, cool, and bony hard.

    Hemodialysis: disequilibrium syndrome- N&V, headache, decreased LOC, rapid changes in PH, bun...

    Transfusion reaction: Chills, dyspnea, itching, uticaria, back or arm pain, fever.

    Peritoneal dialysis: When more dialysate drains than has been given, more fluid has been lost(output). If less is returned than given, a fluid gain has occured.

    Slow dialysate instillation- increase height of container, reposition client.

    Poor dialysate drainage-Lower the drainage, reposition.
  11. Visit  Bill E. Rubin profile page
    9
    If you give terbutaline and a corticosteroid together, a possible drug interaction is pulmonary edema (Smeltzer)
    kum001, winterbot428, Angel@MyTable, and 6 others like this.
  12. Visit  CrazyScrubNurse profile page
    19
    3 point crutch walking is the one used for non-weight bearing (why does that word look like it is misspelled)
    AGGGHHHH ADHD getting to me....look theres a cat, ohhhh I love that pen that I wrote OB notes with I have to go to the store and buy one, need it to study, dang I really need to clean out the lint filter of the dryer, oh maybe I can get a coke while looking for pens....hahahah anyone else havin this same issue while trying to study for the most important test of your career?
    RovzIniego, Topssie, Lola75, and 16 others like this.
  13. Visit  Accio profile page
    31
    INSULIN:

    Rapid: (Lispro) Onset: <15min Peak: 1hr Duration : 3hr

    Short: (Regular) Onset: 1/2hr-1hr Peak: 2-3 hr Duration: 4-6 hr

    Intermediate: (NPH or Lente) Onset: 2hr Peak: 6-12 Duration: 16-24

    Long Acting: (Ultralente) Onse:t 4-6 hr Peak: 12-16hr Duration: >24 hrs

    Very Long: (Lantus) Onset: 1 hr Peak: NONE Duration: 24 hr continuous

    GOOD LUCK EVERYONE!!!
    Sweet Melissa, istanbul, littlebeach, and 28 others like this.
  14. Visit  CrystalClear75 profile page
    3
    Quote from Courtney1202
    3 point crutch walking is the one used for non-weight bearing (why does that word look like it is misspelled)
    AGGGHHHH ADHD getting to me....look theres a cat, ohhhh I love that pen that I wrote OB notes with I have to go to the store and buy one, need it to study, dang I really need to clean out the lint filter of the dryer, oh maybe I can get a coke while looking for pens....hahahah anyone else havin this same issue while trying to study for the most important test of your career?
    YeppERS:chuckle
    rn2bmaryg, drgnfly170, and natrgrrl like this.


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