NCLEX Tip of the Day 2/10

Students NCLEX

Published

2/10/06

The vital sign you should check first with high potassium is pulse (due to dysrhythmias).

Give neostigmine to clients with Myesthenia Gravis about 45 min. before eating, so it will help with chewing and swallowing.

Anectine is used for short-term neuromuscular blocking agent for procedures like intubation and ECT. Norcuron is for intermediate or long-term.

The parathyroid gland relies on the presence of vitamin D to work.

Glucagon increases the effects of oral anticoagulants.

Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore, if airway and breathing are accounted for, a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability, or neuro check)

The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing, which could convert the wound from open pneumo to closed one, and a tension pneumothorax is worse situation. After that get your chest tube tray, labs, iv.

An occlusive dressing is used if a chest tube is accidentally pulled out of the patient.

When o2 deprived, as with a PE, the body compensates by causing hyperventilation (resp alkalosis). Should the patient breathe into a paper bag? No. If the pao2 is well below 80 they need oxygen. Look at all your abg values. As soon as you see the words PE you should think oxygen first.

A typical adverse reaction to oral hypoglycemics is rash, photosensitivity.

Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly, so be ready, with potassium replacement.

Fluids are the most important intervention with HHNS as well as DKA, so get fluids going first. With HHNS there is no ketosis, and no acidosis. Potassium is low in HHNS (d/t diuresis).

Atropine blocks acetylcholine (remember it reduces secretions).

Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar, brain stem involvement

Dantrium, for spasticity, may take a week or more to be effective.

Decreased acetylcholine is related to senile dementia.

Hyperactive deep tendon reflexes, vision changes, fatigue and spasticity are all symptoms of MS

After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.

Position on right side with legs flexed after appendectomy.

That's it for tonight, friends. Four more nights to go. Happy studying! :coollook:

crb613, BSN, RN

1,632 Posts

Specializes in Med Surg/Tele/ER.

I look foward to these everyday thanks so much! I don't know if these will help anyone or not but this is how I remember.......

P-sympth ( cholinergic, antiadrenergic)

feed/breed

actelycholine

increase GI, Gu, decrease BP, heart rate, resp, const. pupils

Sympth (adrenergic, anticholinergic)

fight/flight

epi, norepi, dopamine

increase BP, heart rate, resp.,decrease GU, GI, dilate pupils

SkateBetty

191 Posts

Specializes in CVICU.

I was just thinking about how to remember those yesterday! Good job and thanks!

cheyeree

88 Posts

Specializes in CCU,MS,BURN OPD.

Hi Skatebetty & crb613,

Thanks a lot and keep the FAITH. We will pass the RN exam. Lots of ALOHA

:nurse:

bigmona

267 Posts

Specializes in tele, ICU.

Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar, brain stem involvement

also with decorticate posturing - limbs are drawn inward, or to the CORe of the body. Decerebrate is opposite, limbs abduct.

nsgstudentjen

64 Posts

Thank You, Thank You, Thank You for these "tips of the day" and little tools to remember things.

I take my test in 2 weeks! :eek:

wonderbee, BSN, RN

1 Article; 2,212 Posts

Specializes in critical care; community health; psych.

Awesome tips SkateBetty!!! The countdown is on. 11 days and counting.

SkateBetty

191 Posts

Specializes in CVICU.
Awesome tips SkateBetty!!! The countdown is on. 11 days and counting.

Kathy! Where've you been? Eleven days? You go girl! No worries! Look for a pm...

johnnrachel

130 Posts

Specializes in Telemetry and ER.

I test for Nclex in 10 days. yes, 10 days, I keep coming up to my computer to get support from allnurses. Just reading the posts of people who passed helps so much. THanks for the Nclex tip of the day. I think it is great and gives me something to look forward to reading while helping us all prepare for D day. Thanks again

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