Re: Anyoone up for random FACT THROWING??

How to conduct an otoscopic examination on an adult patient?

In the otoscopic examination;

--the nurse tilts the client's head slightly away and holds the otoscope upside down as if it were a large pen.

--The pinna is pulled up and back and the nurse visualizes the external canal while slowly inserting the speculum.

--A small speculum is used in pediatric clients. The nurse may not be able to adequately visualize the ear canal if a small speculum is used in the adult client.

Re: Anyoone up for random FACT THROWING??

Mastoidectomy:

What is the mastoid bone?
The mastoid bone is a bone located behind the ear (felt as a hard bump behind the ear). Inside it looks like a honeycomb, with the spaces filled with air. These air cells are connected to the middle ear through an air filled cavity called the mastoid antrum. Although the mastoid bone serves as a reserve air supply to allow normal movement of the eardrum, its connection to the middle ear may also result in the spread of middle ear infections to the mastoid bone (mastoiditis).
What is a mastoidectomy?
A mastoidectomy is a surgical procedure designed to remove infection or growths in the bone behind the ear (mastoid bone). Its purpose is to create a "safe" ear and prevent further damage to the hearing apparatus.



After mastoidectomy,

-- the nurse should monitor vital signs and inspect the dressing for drainage or bleeding.

-- The nurse also should assess for signs of facial nerve injury (cranial nerve VII).

-- The nurse also should monitor for signs of pain, dizziness, or nausea.

-- The head of the bed should be elevated at least 30 degrees, and the client should be instructed to lie on the unaffected side.

-- The client probably will have sutures, an outer ear packing, and a bulky dressing, which is removed on approximately the sixth day postoperatively.

Re: Anyoone up for random FACT THROWING??

Presbycusis



Presbycusis is a type of hearing loss that occurs with aging. It is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.

Re: Anyoone up for random FACT THROWING??

Motion sickness medications



-- To be maximally effective, medications to prevent motion sickness should be taken at least 1 hour before the triggering event.

-- Medications that are commonly used for this purpose include

** imenhydrinate (Dramamine)

**scopolamine (Transderm-Scop)

**promethazine (Phenergan)

**prochlorperazine (Compazine).

Re: Anyoone up for random FACT THROWING??

Hi Istanbul, great information - thanks for posting!! When will you be sitting your exam?

Re: Anyoone up for random FACT THROWING??

Originally Posted by Marcy74

Hi Istanbul, great information - thanks for posting!! When will you be sitting your exam?

Hi Marcy,

I took the exam first time in July 28th however I have not yet received the official results, still waiting for the 'snail' mail. I tried the pearsonvue's trick and I was able to go to the CC page Therefore, I think I couldn't pass and planning to take the exam in April again before my ATT expires in May. Because I live in Turkey I have to find an international testing site that is offering Nclex-rn in April. I know sounds a bit complicated

How about you? When are you going to take it?

Re: Anyoone up for random FACT THROWING??

Labs

Creatine Kinase MB and Troponin - indicative of a MI if elevated
Troponin is more popular... its more specific and will remain elevated for a longer period of time after pt has a MI.

C-Reactive Protein - if elevated, pt has inflammation in body... it is not specific to where the inflammation is
INR - Warfarin

aPTT - Heprin


MEDS

Digoxin - works by strengthening heart contraction, give to pt who has CHF

ACE Inhibitors - be cautious of a persistent cough (contact MD if present)


COPD pts
- teach pursed liped breathing
- never give more than 2L of O2


I take my test on Nov 23! WooHoo for studying!!! Good luck, everyone!

Re: Anyoone up for random FACT THROWING??

Originally Posted by WntMorCNA

Labs

Creatine Kinase MB and Troponin - indicative of a MI if elevated
Troponin is more popular... its more specific and will remain elevated for a longer period of time after pt has a MI.

C-Reactive Protein - if elevated, pt has inflammation in body... it is not specific to where the inflammation is
INR - Warfarin

aPTT - Heprin


MEDS

Digoxin - works by strengthening heart contraction, give to pt who has CHF

ACE Inhibitors - be cautious of a persistent cough (contact MD if present)


COPD pts
- teach pursed liped breathing
- never give more than 2L of O2


I take my test on Nov 23! WooHoo for studying!!! Good luck, everyone!

Goodluck! I hope you'll pass

Re: Anyoone up for random FACT THROWING??

Thanks for all the great info. This is a great review for my Exit Hesi.

Re: Anyoone up for random FACT THROWING??

Originally Posted by Prado

Sorry guys i rearly come to see this thread,,,,,,,,by the way i passed my NCLEX and looking for job now,,,
by the way i have forwad all my material to lot of students so far,,,,,,,,
any ways if u are new to this site,,,,,,u can not send me message until u have post 15 posts
After 15 posts u can send me private message,,,,,and i promise as i get ur email ,,i will send u all my material......
sorry i cannot post my email here becuase of rules.....best of luck all
and i stopped copy all facts because i passed,,,,,
but whatever i copied its almost 300 pages too much deep info,,which u really dont need for nclex

Hello everyone if anyone need random facts all in one file them pls pm me and leave ur e mail ......i will send u file right away as i get ur e mail......
i have copy all random facts and made one big file....
so i m always willing to help...
Also if r going to take RN exam then i have something more for u.......
Pls when u pm me also inculde which exam r u going to take...thanks

then i should post more, my nclex is coming soon i really need help