Re: Anyoone up for random FACT THROWING??

Differentiating Gastric ulcer pain & duedonal ulcer pain:

Gastric ulcer pain often occurs in the upper epigastrium, with localization to the left of the midline, and may be exacerbated by food. The pain occurs a half-hour to an hour after a meal and rarely occurs at night. Duodenal ulcer pain is usually located to the right of the epigastrium. The pain associated with a duodenal ulcer occurs 90 minutes to 3 hours after eating and often awakens the client at night.

Re: Anyoone up for random FACT THROWING??

After amputations the nurse should ensure that a surgical tourniquet is in the client's room as one of the priority items. The wound and any drains are monitored closely for excessive bleeding because hemorrhage is the primary immediate complication of amputation. Therefore, a surgical tourniquet is kept at the bedside in case of acute bleeding.

Re: Anyoone up for random FACT THROWING??

Educating of a patient who has arteriovenous (AV) fistula should include following info:


An AV fistula provides access to the client's bloodstream for the dialysis procedure. The client is instructed to monitor fistula patency daily by palpating for a thrill. The client is instructed to avoid compressing the fistula with tight clothing or when sleeping and that blood pressure measurements and blood draws should not be performed on the arm with the fistula. The client also is instructed to assess the fistula for signs and symptoms of infection, including pain, redness, swelling, and excessive warmth.

Re: Anyoone up for random FACT THROWING??

I like this Trend ,it has helped me alot in preparation for my test,Guys keep the ball rolling. Let me chip in this fact hopefully it will help.
FLUROQUINOLONES: EXAMPLES,CIPROFLOXACIN,NORFLOXACIN,OFLOXACIN.
They may increase the serum level of methylxanthines eg theophyllines causing methylxanthines toxicity.
For CIPROFLOXACIN,use with caution on patients with renal disease,CNS,and seizure disoders,even those taking theophylline.It can cause nausea, vomiting, diarrhrea, constipation, dizziness, flatulence, headache and confusion.Watch out for toxic effect which can cause superinfecton .GOODLUCK.

Re: Anyoone up for random FACT THROWING??

Originally Posted by istanbul

A nurse is preparing to administer digoxin (Lanoxin) to an infant with congestive heart failure (CHF). Before administering the medication, the nurse double-checks the dose, counts the apical heart rate for 1 full min. and obtains a heart rate of 88beats/min. Based on this finding, what is the appropirate nursing action?

Hi, Based on the assessmnt given. 88 beats for min is beow the normal cardiac rate for infant.. a normal infant cardiac rate is 130-150 beats/min.. in this case the nurse should withold the medicine and inform the doctor.

Re: Anyoone up for random FACT THROWING??

Cardio

VT

Ventricular tachycardia is characterized by the absence of P waves on ECG and there are wide QRS complexes (longer than 0.12 second), and typically a rate between 140 and 180 impulses/min. The rhythm is regular.

Re: Anyoone up for random FACT THROWING??

Cardio

Pericardiocentesis (a procedure which can be performed to fix cardiac tamponade problem)


-- Following pericardiocentesis, a rise in blood pressure and a fall in central venous pressure are expected.

--The client usually expresses immediate relief.

-- Heart sounds are no longer muffled or distant.

Re: Anyoone up for random FACT THROWING??

What to do when a patient comes to an ER with an insect in the ear?

-- Insects are killed before removal unless they can be coaxed out by a flashlight or by a humming noise.
-- Mineral oil or diluted alcohol may be instilled into the ear to suffocate the insect, which is then removed by using ear forceps.
-- When the foreign object is vegetable matter, irrigation is not used because such material may expand with hydration, thereby worsening the impaction.

Re: Anyoone up for random FACT THROWING??

How to communicate with a patient who has a hearing impairment?

-- speaking in a normal tone; avoiding shouting

-- talking directly to the client while facing the client; and speaking clearly.

-- If the client does not seem to understand what is said, the statement should be expressed differently. Moving closer to the client and toward the better ear may facilitate communication, but talking directly into the impaired ear should be avoided.

Re: Anyoone up for random FACT THROWING??

Weber's hearing test

-- In the Weber tuning fork test, the nurse places the vibrating tuning fork in the middle of the client's head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard equally in both ears by bone conduction.

-- If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear.

-- If the client has a conductive hearing loss in one ear, the sound is heard in that ear.