Passed my NCLEX-RN! My NCLEX Review Material Tips - page 4

After graduating, I failed the NCLEX twice. I was overwhelmed with the internship and not knowing what/how to study for the exam. Also, was overwhelmed with real life stuff after graduating nursing... Read More

  1. by   sweetnurse786
    I took my nclex last week and I failed I made some really stupid mistakes...I rushed myself and was out the door in 1 hour with 75 questions and failed. People said if you get a lot of SATA or questions in " " or if you get a lot of priority questions you are doing well and that is all not true. I got all of that and still did not passed. A friend of mine who also did not pass had similar pattern of do not listen to people when they give you such advices because everyone has a different test. No one will get the same questions or type of questions...

    My first attempt I studied for 3 months (big mistake) you only really need a month to study and second, I rushed myself when you should take your time for the first 75 questions. I used Kaplan and I did all the trainers, qbank questions and sample tests and scored in 50s-70s and I still did not learn their strategies. I feel the NCLEX is MUCH harder than Kaplan and its not just me who felt that way but majority of the people I spoke with in my cohort felt that way. Kaplan's teaching is all about knowing their strategies and applying them to all sort of questions but they dont work least it didnt work for me or most of my friends. I listened to Feur lectures for content because my content is weak and I also found a few documents on that were really helpful for content. I also did Saunders questions from Saunders Q&A book which were much easier comparison to Kaplan as well as the NCLEX. I must have done over 3000+ questions and still did not pass...but I know for a fact that my issue was timing...

    Now my second attempt strategy is to focus on really knowing how the NCLEX questions are designed...the book that I think are similar to NCLEX style questions are Prioritization, Delegation and Assignment by LaCharity. Majority were prioritization. I do also believe that the actual NCLEX questions are written poorly on the test and they are bound to make someone really really think about them before selecting an answer. I am also thinking of buying a package from NCSBN because they are the ones who actually write the NCLEX so I think for practice questions I am going to use their questions and for content, I am going to review my notes as well as go through the Saunders Review book.

    In addition to all that, I am going to pray (which I did in my first attempt) and not give up on God and next time I know I am going to pass. I will keep you all posted! best of luck to everyone...
  2. by   ronim73
    Will be taking nclex-pn for the second time. So nervous. Need to stop putting it off and do it. Just not sure where to start.
  3. by   angileek42
    I'm planning on taking the test between Nov-Dec so thanks for taking the time to share your tips.
    Last edit by JustBeachyNurse on Sep 26, '12 : Reason: formatting
  4. by   rizmei
    thanks for sharing will take this december probably first week!! waaaahh
  5. by   annaleigh
    Will someone please send me the lab values document? I couldn't open it! Thanks
  6. by   mlak
  7. by   ssantu
    Congrats!!! Well... I have been trying to open both(lab values and study guide) files but couldn't. Could some one send me them?? Please~~~~~~~~~~~~~~~!!!
  8. by   nebulizer34
    Hey guys, I am studying for the NCLEX right now, and was looking at the attachments that were posted by OP and found them very helpful. I have used the NCLEX 3500 cd ( it came w/ my Med Surg book) and Saunders cd to study. I made notes on most of the answers that i got wrong. I've noticed that a lot of the information that the OP has in her attachments were also in my notes as well, so I'm assuming we used some of the same resources. I didn't know how to attach the files so Im just going to copy and paste the notes here. I hope this is useful to you guys. Good luck with your studies.

    Avoid cheese withhypophosphatemia b/c cheese is high in calcium.

    Tegretol, used to controlseizures, has a therapeutic level of 3-14.

    most common adverseeffects of cyclosporine are nephrotoxicity, hypertension, infection,tremros and hirsutism.

    Carotid massage is amanuever used to stimulate vagal response in client's with A-fib.

    Client are encouraged tocough to get sputum samples.

    Ask women if they arepregnant before exposure to chest radiography (radiation).

    Before theophylline levelsare drawn, client needs to fast from caffeine.

    Indomethacin is an NSAIDthat is contraindicated in client's with acute gastritis.

    Men and women who takeestrogen and progestin are at increased risk of DVT.

    Clients should avoidbrusing and flossing when they have stomatitis (mouth ulceration).They should use saline or baking soda to rinse mouth

    zyloprim decreases uricacid production and reduces uric acid concentrations in serum andurine.

    Albumin is used as aplasma expander.

    Blood needs to be hungw/in 30 minutes after it is received from blood bank.

    Allen test is done beforeABG's to deteremine adequacy of ulnar circulation.

    Gently massage uterusfundus in client bleeding during 4th stage of labor. It'sdone to restore tone.

    Newborns double weight at6 months and tripe by 1 year.

    Apical pulse for a 1 yearold is 90-130.

    caffeine and nicotineinhibit action of psychotropic meds.

    Imbalance of dopamine is afactor in schizophrenia.

    Vassopressin adverseeffect can include chest pain from myocardial ischemia.

    Normal pulmonary cap wedgepressure is 8-15.

    rhonchi are secretions inlarge airways.

    Prevent falls is apriority in clients w/ hypokalemia b/c of muscle weakness.

    Mydriatic meds are used todilate pupils in people before cataract surgery. They also constrictblood vessels. Miotic meds constrict the pupil.

    Pilocarpine, used forglaucoma, can cause bradycardia, tremors, hypotension, syncope,arrythmias, and seizures. It's antidote is atropine sulfate.

    Autonomic dysreflexia ischaracterized by severe hypertension, severe headache, flushing offace, bradycardia, blurred vision, sweating, nausea.

    Darkened urine is a commonside effect of throrazine, a drug used for schizophrenia.

    Benztropine, ananticholinergic, is used to treat extrapyramidal side effects.

    Client's shouldn't walkafter cystoscopy b/c of orthostatic hypotension.

    Tetracyclines are not usedin children under 8 years old.

    LFT's for INH.

    Activase needs to beadministered w/in 4-6 hrs after chest pain.

    Teach women w/osteoporosis that caffeine increases calcium loss in the urine.

    Pain increases duringvomiting and eating in clients w/ pancreatitis. Pain is decreasedwhen clients sits and bends forward.

    Jews can't have dairy-meatcombo meals.

    Libel is written, slanderis spoken.

    Addisons has high K,cushing's has low K.

    hyperactive bowel soundsindicate hyponatremia.

    Kussmaul's respirationsare abnormally deep, regular, and increased rate.

    Normal aPPT is 20-36 secs,a person receiving heparin is 1.5-2.5 x.

    normal protein level inadults is 6-8.

    normal hemoglobin in womenis 12-15.

    calcium 8.6-10.0, mag1.6-2.6, phosporous 2.7-4.5, neutrophils 1800-7800.

    pork is rich in thiamine.

    PN that is discontinuedabruptly can cause hypoglycemia.

    Do valsalva maneuverduring tubing changes to avoid air embolism.

    Place person in left sideposition, w/ head lower than feet during air embolism. (air istrapped in right side of heart).

    Don't hang fat emulsion iffat globules are present.

    Blood glucose is monitoredevery 4-6 hrs during PN therapy.

    Circulatory overload S/Sare rapid breathing, dyspnea, mosit cough, and crackles.

    Infiltration is when IV isdislodged into SC area.

    Need CXR before givingfirst IV solution is given through C.V. Catheter.

    Hypertonic solutionsexpand intravascular volume (L.R.). NS is a hypotonic solution.

    Hold blood transfusionsand tell doc if temp is above 100.

    tubing for bloodtransfusion has an in-line filter.

    Nurse stays w/ client for15 mins after transfusion.

    Restrainsts are checkedevefry 30 minutes.

    Jaw thrust maneuver isused to open airways of people w/ suspected spinal injury.

    Hold feedings w/ residualabove 100.

    reactive non-stress test =good, negative stress test = good.

    Don't use heat packs forroids, b/c it increases blood flow and discomfort.

    Severe preeclampsia cantrigger DIC, so watch for signs of bleeding.

    Stations are measured fromischial spines. - = above line, + = below line.

    Placenta previa S/Sinclude: bright red vag bleeding, soft/relaxed/non tender uterus, andfundal height that may be greater than gestational age.

    Normal bowel sounds return2-3 days after birth.

    Symptoms of umbilical cordinfection are moistness, oozing, discharge, and reddened base aroundthe cord.

    Erythromycin is given toinfants prophylactically if mothers had gonnerhea.

    Serum mag levels are4-7.5.

    mag toxicity relates toCNS depressant effects of the med and include resp depression, lossof DTR, and hypotension.

    Methergine is given forpostpartum hemorrhage, and is contraindicated in cardio disease,periph-vascular disease, hypertension, preeclampia, or eclampsia.

    12 month old: 20-40breaths/min, 90-130 HR, 90/56 BP.

    A positive romberg testsignals a vestibular neurological sign, and is seen when a personloses their balance when closing their eyes.

    Don't suction people whohave basliar skull fractures, b/c of catheter potentially enteringthe brain through fracture.

    CSF for meningitis iscloudy, has elevated protein, and decreased glucose.

    Strabismus is when eyesaren't aligned b/c of lack of extraocular coordination. Childrenusually tilt head.

    Side lying position aftertonsilectomy.

    Watch for silent chest orabsence of wheezing in people who are having asthma attacks.

    Lay on affect side whenyou have pneumonia to splint pain.

    Intussuption=bloody/mucous stools, hirschsprungs= jelly like stools.

    Glomerulonephritis hasdark colored urine from inflammatory injury to kidney that causeshematuria.

    Elimite, used for scabies,is left on for 8 – 14 hours, while the child is clothed.

    Hodgkins= painless, firm,and moveable lymphnodes.

    P24 assay tests for HIVantigens, while western blot test tests for HIV antibodies.

    MMR is administered SQ inouter aspect of upper arm.

    Melenoma is highlymetastatic.

    Inhaled carbon monoxidelevels between 11-20% = flushing, headahce, decreased cerebralfunctioning and visual acuity. 21-40%= N,V, dizziness, tinnitus,vertigo, confusion, drowsiness, tachy. 41-60%= seizure/coma. Higher =death.

    Can't take vitamin A w/accutane.

    Increase calcium inmultiple myeloma from deteriorating bone tissue.

    Do breast exam 7 daysafter menstration begins.

    Busulfan, a drug forleukemia, can cause increased uric acid levels.

    Elspar, an antineoplasticis contraindicated in client's w/ HX of pancreatitis.

    Increased uric acid isfound during chemotherapy due to massive cell destruction.

    S/S of hypo-tremors,irritable, nervous.

    Insulin is refrigerated.

    Prednisone can decreaseeffects of oral hypoglycemics.

    Watch for drowsiness(overhydration) in client taking desmopressin.

    Sweating and pallor areearly S/S of dumping syndrome.

    Stoma prolapse is whenbowel protrudes through stoma. Stoma retraction is when stoma issunken in.

    imodium is taken fordiarrhea.

    Questran is taken w/juices.

    Take food w/ benedryl todecrease GI upset.

    Teburtaline iscontraindicated in DM2, it can cause increased blood glucose levels.

    Procainamide, aantidysrhythmic, can cause: dizziness, drowsiness, decreasedurination, N, V, and tachydysrhythmias. Assess vitals (apilcalpulse/BP) for toxicity, if these S/S are present.

    Take niacin w/ motrin todecrease flushing.

    Bladder trauma has S/S oflower abdominal pain that radiates to shoulder, due to phrenic nerveirritation.

    Decreased force of streamis an early sign of BPH.

    Pain in abdomen is normalduring first few peritoneal dialysis exchanges.

    Normal uric acid levelsare 2.5-8.

    etanercept, a drug usedfor RA, has side effects of pancytopenia, so watch CBC.

    People w/ SLE should avoidhot baths bc they promote fatigue.

    Pemphigus is an autoimmunedisease that causes blistering of the epidermis.

    Zoloft is given in morningor evening, and can cause drowsiness.

    Clozapine, used forschizophrenia, can cause agranulocytosis, so watch WBC.

    Wellbutrin toxicity cancause seizures.
    People taking synthroidand coumadin need to take less coumadin.

    After radial mastectomy,the operative arm is positioned elevated on a pillow not exceedingshoulder elevation.

    No radiation for childrenunder 8 years old.

    Fluid of choice for clientw/ fluid volume excess is a a hypertonic solution of 5% dextrose in0.9NS.

    Foul smelling vaginaldischarge is expected after removal of cervical radiation implant, aswell as resumption of sex in 7-10 days, and vaginal bleeding for 1-3months.

    Signs of allergic reactionto contrast dye are resp-distress, stridor, decreased BP.

    Moro reflex is done bymaking a loud noise to startle the inflant.

    Therapeutic mag serumlevels are 4-8.

    monitor temp of people w/TPN bc of infection.

    Ticlid is an antiplatelet.

    Aluminum hydroxide istaken w/ meals. It has constipating effect too.

    Normal serum osmolarity is285-295, lower = overhydration, over = dehydration.

    Placement of dressing overchest wound/open pneumothorax can lead to closed pneumothorax. Thiscan result in sudden decline in resp-status and circulatorycompromise. If s/s arise, remove dressing and allow air to escape.

    INH and rifampin are takentogether 1x daily.

    Avoid applying alcohol tostoma after laryngectomy, non-oil based ointment applied to the skinaround stoma helps prevent cracking, and protect stoma from water.

    Make sure atropine sulfateis available if a client is receiving Urecholine, a cholinergicmedication can cause hypotension, bradycardia, excess salivation, D,abdominal cramps, and increased gastic acid secretions.

    During tensilon test, usedto detemine myasthenic vs cholinergic crisis, after Tensilon isadministered if symptoms intensify, then its cholinergic crisis. Haveatropine sulfate available.

    Transdermal clonidinepatch is changed every 7 days.

    Amoxicillin side effectsinclude: GI disturbances, headache, oral/vaginal candidsasis.

    MAX edema from burn injuryusually occurs 18-24 hours after injury.

    S/S of pancreatitis aresevere abdominal pain that isn't relieved by vomiting.

    Normal serum amylaselevels are 53-123 somogyi units/dl.

    Normal serum ammonialevels range from 10-80.

    normal serum lipase levelsare 10-140.

    HgB in adult female is12-15.
    HcT for male is 42-52%.

    ethambutol, a drug usedfor TB, can cause optic neurtitis, so assess for visual disturbances.

    Methergine is used tocontrol postpartum bleeding. Its a smooth muscle contractor, likeoxytocin.

    Parlodel is used to treatneurolptic malignant syndrome in client w/ bipor disorder who takechlorpromazine.

    Clozapine, ananitpsychotic, can cause adverse blood reactions, so watch CBC.

    Zantac is best taken atnight.

    Tigan is an anitemetic.

    Pentamidine, ananti-infective, can cause severe hypotension when given, so monitorBP.

    Elevated HcT is seen indehydration, pernicous anemia, and polycythemia.

    Inflate cuffed trachbefore client eats or drinks to prevent aspiration.

    Hypoglycemia= tachy,shaky, clammy.

    Ditropan is used torelieve urinary urgency, frequency, nocturia, and incontinence inpeople w/ MS.

    Elevate HOB in client's w/autonomic dysreflexia.

    Patients w/ burn injuriesare kept NPO b/c burns frequently lead to paralytic illeus.

    Wet to dry dressing's areused for debridement.

    Lindane is used byapplying to dry hair and letting it sit for 4 minutes.Contraindicated in people w/ seizure disorders.

    Lithium is used to treatmanic phase of bipolar disorder.

    Antropoid pelvis is ovalshaped whyle platypelloid pelvis is flat.

    Syphillis is characterizedby painlessness and induration (hardening).

    Clients usually seeresults from 3 sessions of ECT after around 1 week.

    Orinase, an orhypoglycemic, is taken in the morning.

    Hiatal hernia S/S are : V,coughing, wheezing, apnea, and failure to thrive (in infants).

    Varicella vaccine given at12 and 18 months of age.

    Normal therapeutic rangefor ASA levels is 10-20. 20-30 for antiarthrytic levels.

    cortisol is aglucocorticoid, androgen and aldosterone are mineralcorticoids. E/NEare catecholamines.

    Hypothermia causes decreased BP & HR!

    300-325 mg of ASA dailyfor client's to prevent strokes and MI's .

    7-12 calcium levels forinfants.

    2 point gait is used whenweight bearing is allowed on both feet, and is used by moving footand opposite side crutch at the same time.
    Normal albumin levels are3.4-5.

    Diprivan is diluted w/D5W.

    Chronic pain causes normalBP, HR, RR, pupils, but dry skin. Acute pain causes increased BP, HR,RR, dilated pupils, and perspiration.

    Tegretol can cause blooddyscrasias, so get CBC.

    Dig levels = 0.8-2.0.

    milk, eggs, meat, anddairy are high in niacin.

    Down syndrome people aremore likely to get leukemia.

    Cerebellum controlsbalance and coordination.

    Tofu is really high incalcium.

    Low serum protein can leadto hypovolemia b/c proteins exert oncotic pressure.

    Kideny secretes creatininefrom nehpron at the proximal tubule.

    Antiretroviral agents arestarted when CD4 count is below 500.

    NPH CANT have CLUMPS init.

    Have trach set in aperson's room after parathyroidectomy.

    5th disease isthe slapped face disease.

    Vancomycin , when infusedto quickly, can cause “red-neck syndrome”. The S/S are chills,tachy, snycope, and flushing of face and trunk. Benadryl may be usedto offset the symptoms.

    Baclofen is the onlyskeletal muscle relaxant that can be administered intrathecally.

    Dont discontinuebreastfeeding during mastitits.

    Acute pancreattitis labsshow increased WBC (leukocytosis) and a SHIFT TO THE LEFT (increasein immature WBC).

    Calcitonin decreases serumcalcium levels by causes reabsorption of calcium into bones.

    Isotonic solutions = D5W,NS 0.9%
    hypotonic = 0.45% NS
    hypertonic = D10W, D5W/NS0.45

    carbamazepine, an anitseizure med, has a serum therapeutic range of 3-14.

    tigan is an antiemetic.

    Report rebound tendernessin clients w/ ulcerative colitits, as it may indicate peritonitis.

    12 month old can walkholding someones hand. At 6 months they can imitate sounds, situnsupporte, and smile spontaneously.

    Most cleft palate childrencan breastfeed and some use special nipples.

    Sudden decrease of pain inappendicitis is indicative of rupture.
    Mucomyst is antidote forAceteminophen. Activated charcoal is used to prevent furtherabsorption of drugs, sush as ASA overdose.

    Prolactin, the hormoneused to stimulate production of breast milk, is secreted afterdelivery of the placenta.

    Demerol is contraindicatedin people who use MAOI's

    glipzide causeshypoglycemia when taken w/ ASA.

    Continuous bubbling inwater seal chamber means an air leak, absence of tidaling isindicative of re-expansion of lung or kinking of the chest tube.

    In DKA, K rises b/chydrogen ions move from extracellular to the intracellular space andpromotes movement of K from intra-extracellular fluid.

    Ditropan is ananticholinergic used to treat an overactive bladder.

    Respiratory failure isconsidered less than 60 Pao2.

    1hour fasting glucose inpregnant women higher than 140 needs more screening.

    Ace inhibitors can causehyperkalemia.

    Phentolamine is used forpeople in hypertensive states that develop from pheochromocytoma.

    [FONT=Arial Narrow, sans-serif]Lomustine-oral route and urine excretion (cancer drug)

    [FONT=Arial Narrow, sans-serif]digoxintakes 2-6 hours to take effect (oral)

    [FONT=Arial Narrow, sans-serif]humulin70/30 is 70% nph and 30% reg

    [FONT=Arial Narrow, sans-serif]Ptsw/ pancreatitis should be NPO to decrease pancreaticsecretions. They usually get demerol, not morphine, bcmorphine can induce biliary spasms.

    [FONT=Arial Narrow, sans-serif]ProcanSR a drug used for a-fib takeseffect in 1 1/2- 2 hours (sustained release) (IM =15-60mins).

    [FONT=Arial Narrow, sans-serif]Normalinspiration to expiration ratio is 1-2, which means expirationtakes twice as long as inspiration.

    [FONT=Arial Narrow, sans-serif]Changecentral venous catheter dressing every 48 hours.

    [FONT=Arial Narrow, sans-serif]Demerolis contraindicated with MAO inhibitors.

    [FONT=Arial Narrow, sans-serif]Malloryweiss tear is associated with tear at the junction ofesophagus and stomach. Characterized by hypovolemicsymptoms and recent forceful vomiting.

    [FONT=Arial Narrow, sans-serif]Duvoidincreases peristalsis and can causeN/V.

    [FONT=Arial Narrow, sans-serif]Insulinis alright to use during pregnancy.

    [FONT=Arial Narrow, sans-serif]ritodine(yutopar)is a tocolytic that can cause pulmonaryedema.

    [FONT=Arial Narrow, sans-serif]Coarctationof the aorta has bounding radial pulse with weak femoralpulse.

    [FONT=Arial Narrow, sans-serif]Reyessyndrome usually occurs around a week after chickenpox(occurs after ingestion ASA too).

    [FONT=Arial Narrow, sans-serif]Lithiumisnt metabolized and it excreted by thekidneys.

    [FONT=Arial Narrow, sans-serif]Benztropineis a anticholinergic used to decrease extrapyramidalsymptoms.

    [FONT=Arial Narrow, sans-serif]Haldolis the drug of choice for tourrette syndrome

    [FONT=Arial Narrow, sans-serif]diarrheais the most common physiological effect of stress.

    [FONT=Arial Narrow, sans-serif]Polyuriais a common adverse affect oflithium.

    [FONT=Arial Narrow, sans-serif]Canteat cheese with MAOI because tyramine interacts withthem and causes SEVERE HYPERTENSION.

    [FONT=Arial Narrow, sans-serif]Haldolcan cause photosensitivity, so wear sunblock when goingout into the sun. ( 5-10mg dose range)

    [FONT=Arial Narrow, sans-serif]Risperdal-tell doc if you notice bruising

    [FONT=Arial Narrow, sans-serif]diprivancauses zinclosses.

    [FONT=Arial Narrow, sans-serif]Neonatesneed 110-130 calories/kg/day.

    [FONT=Arial Narrow, sans-serif]Eatfiber when taking Paxetil, a second generationanitdepressant.

    [FONT=Arial Narrow, sans-serif]Monthlyself breast-exams during 7-10 days of menstrual cycle.

    [FONT=Arial Narrow, sans-serif]Dontconsume alcohol on TCA's

    [FONT=Arial Narrow, sans-serif]massageboggy uterus's until they are firm and contracted,this allows uterus to express clots that mayhave accumulated.

    [FONT=Arial Narrow, sans-serif]Decerebrateis rigid extension, while decorticateis flexion posturing.

    [FONT=Arial Narrow, sans-serif]Kawasakidisease is a systemic inflammatory diseasethat manifests in fever, conjunctival hyperemia, red throat,swollen hands, rash and lymph node enlargement in the acute stage.

    [FONT=Arial Narrow, sans-serif]Intussusceptioinis a telescoping of one portion of the bowel into another.Person usually has severe abdominal pain. Theyhave bright red blood and mucusy stools ( currant-jellylike).

    [FONT=Arial Narrow, sans-serif]HirschsprungsdiseaseAKA aganglionic megacolon results in foul-smellingribbon like stools bc of chronic constipation.

    [FONT=Arial Narrow, sans-serif]Deferoxamineis an antidote for acute ironpoisoning.

    [FONT=Arial Narrow, sans-serif]Ealrysign of increasing intra-crainial pressureis vomiting.

    [FONT=Arial Narrow, sans-serif]Hodgkinsdiagnosed by reed strenberg cells inlymph nodes.

    [FONT=Arial Narrow, sans-serif]Accutaneelevates triglyceride levels.

    [FONT=Arial Narrow, sans-serif]Bleomycincan cause interstitial pneumonitis, so youshould monitor PFT's.

    [FONT=Arial Narrow, sans-serif]Busulfan,used for acute myelocytic leukemia, can causeincreased uric acid levels.

    [FONT=Arial Narrow, sans-serif]Toposar,used for small cell cancer,can cause orthostatic hypotension.

    [FONT=Arial Narrow, sans-serif]Vincristine,used for ovarian cancer, can causeperipheral neuropathy.

    [FONT=Arial Narrow, sans-serif]Elspar, anantineoplastic agent, is contraindicated in pt's withhx of pancreatitis.

    [FONT=Arial Narrow, sans-serif]Tamoxifen,an antineoplastic agent, can cause increased calcium,cholesterol, and triglycerides.

    [FONT=Arial Narrow, sans-serif]Increased uricacid levels are indicative of massive cell destructionsecondary to chemotherapy.

    [FONT=Arial Narrow, sans-serif]Inhypoparathyroidism, elevated serum calcium levelsproduce osmotic diuresis and thus polyuria.

    [FONT=Arial Narrow, sans-serif]People withcushing syndrome need more potassium.

    [FONT=Arial Narrow, sans-serif]Regular insulinis drawn up first, then NPH.

    [FONT=Arial Narrow, sans-serif]Avoidcaffeine with steroids, as they can leadto steroid-ulcer development.

    [FONT=Arial Narrow, sans-serif]Rifampin causesorange discoloration of sweat, tears, urine, and feces.

    [FONT=Arial Narrow, sans-serif]Ethambutolcauses optic neuritis, which can disturb visual acuity.

    [FONT=Arial Narrow, sans-serif]NeedLFT's before starting INH.

    [FONT=Arial Narrow, sans-serif]Limitcaffeine when taking theophylline, a methyzanthinebronchodilator.

    [FONT=Arial Narrow, sans-serif]Pulmonary edemais characterized by breathlessness, dyspnea, and productionof pink-tinged sputum.

    [FONT=Arial Narrow, sans-serif]S/S of a-fibinclude: palpitations, chest pain, hypotension, pulsedeficit, fatigue, weakness, dizziness, SOB, JVD.

    [FONT=Arial Narrow, sans-serif]Therapeuticdigoxin serum levels: 0.5-2.0 ng/ml

    [FONT=Arial Narrow, sans-serif]watch forhypokalemia, sulfa allergy, and hyperglycemia withthiazide diuretics.

    [FONT=Arial Narrow, sans-serif]Urecholine,used for urinary retention, toxicity causesbradycardia.

    [FONT=Arial Narrow, sans-serif]Ditropantoxicity causes CNS excitation (nervousness,restlessness, irritability, hallucinations).

    [FONT=Arial Narrow, sans-serif]Avoidgrapefruit juice when taking cyclosporine.

    [FONT=Arial Narrow, sans-serif]Tacrolimus isused with caution in clients that are immunosuppresed, andw/ clients w/ renal, liver, or pancreatic impairment.

    [FONT=Arial Narrow, sans-serif]Nitrofurantoin,a drug for UTI's, causes urine to become brown and isnormal .

    [FONT=Arial Narrow, sans-serif]Miotics causepupillary constriction and are used to treat glaucoma.

    [FONT=Arial Narrow, sans-serif]Dilantindecreases effectiveness of birth control pills.

    [FONT=Arial Narrow, sans-serif]Normal directbilirubin level is 0-0.3.

    [FONT=Arial Narrow, sans-serif]therapeuticdilantin levels are 10-20 mcg/ml. (toxicity may causeataxia and slurred speech.

    [FONT=Arial Narrow, sans-serif]Invairase,a protease inhibitor and antiretroviral drug used for AIDS pts,taken by clients, should avoid sun exposure.

    [FONT=Arial Narrow, sans-serif]Foscavir istoxic to the kidneys.

    [FONT=Arial Narrow, sans-serif]Prozac mostcommon side effects are GI (N,V,D, cramping), and CNSdysfunction.

    [FONT=Arial Narrow, sans-serif]Lithium serumlevels range between 0.6-1.2 meq/L.

    [FONT=Arial Narrow, sans-serif]Clomipramineis a TCA used for OCD.

    [FONT=Arial Narrow, sans-serif]Wellbutrin cancause seizures when at toxic levels.

    [FONT=Arial Narrow, sans-serif]Radiationisn't started until a person is at least 8 years old.

    [FONT=Arial Narrow, sans-serif]Checkserum creatinine before administering foscarnet,as it is very toxic to kidneys.

    [FONT=Arial Narrow, sans-serif]Dontdrink alcohol while taking TCA's.

    [FONT=Arial Narrow, sans-serif]Bedwetting is a hallmark sign of DM1 in children.

    [FONT=Arial Narrow, sans-serif]Glucagonadversely interacts with oral anticoagulants.

    [FONT=Arial Narrow, sans-serif]Pancuroniumbromide is used for fighting the vent.

    [FONT=Arial Narrow, sans-serif]Colchicine isusually prescribed for gout attacks.

    [FONT=Arial Narrow, sans-serif]Myestheniagravis is associated with thyroid disorders.

    [FONT=Arial Narrow, sans-serif]Cushingsyndrome causes sodium retention and K loss, thereforeclients should know to eat food high in K.

    [FONT=Arial Narrow, sans-serif]fracture of theright hip results in affected leg being shorter,adducted and externally rotated.

    [FONT=Arial Narrow, sans-serif]Monitordilantin for skin rash 10-14 after taking (telldoc/discontinue if appears).

    [FONT=Arial Narrow, sans-serif]Common adverseeffects of zoloft are agitation, sleep disturbances, anddry mouth.

    [FONT=Arial Narrow, sans-serif]Latent phase oflabor = cervix 3-4 inches, activephase=5-7 inches, transitional phase= 8-10 inches.

    [FONT=Arial Narrow, sans-serif]Lowglucocorticoids, like in addison's causesdecreased cardiac output and vascular tone, leading to hypovolemia.

    [FONT=Arial Narrow, sans-serif]High serumalpha-fetoprotein levels in amniotic fluid indicate NTD,such as spina bifida.

    [FONT=Arial Narrow, sans-serif]In addison's,aldosterone secretion is reduced, therefore clients havehyponatremia and hyperkalemia.

    [FONT=Arial Narrow, sans-serif]Movementaway from body is abduction, towards bodyis adduction.

    [FONT=Arial Narrow, sans-serif]Hypomagnesemiaas well as hypo/hyperkalemia are causes of VTACH.

    [FONT=Arial Narrow, sans-serif]Progesteroneincreases smooth muscle relaxation, thereby decreasingperistalsis and can cause constipation.

    [FONT=Arial Narrow, sans-serif]Fluphenzinedecanoate is a long-acting anitpsychotic agent given byinjection for schizophrenia. Has 4 week duration of action, so isgood for clients w/ noncompliance. This drug also causes orthostatichypotension.

    [FONT=Arial Narrow, sans-serif]The left kidney isusually higher than the right kidney.

    [FONT=Arial Narrow, sans-serif]Norwalk virus istransmitted by fecal-oral route, and causes gastroenteritis.
    [FONT=Arial Narrow, sans-serif]Late indicators ofincreasing ICP are widening pulse pressure, bradycardia, increased BP(AKA cushing TRIAD).

    [FONT=Arial Narrow, sans-serif]Client's who havegonorrhea also usually have coexisting chlamydial infections.

    [FONT=Arial Narrow, sans-serif]Earliest sign ofheart failure in an infant is tachycardia.

    [FONT=Arial Narrow, sans-serif]Sulfonamides arechemically related to oral antidiabetics and may precipitatehypogylcemia.

    [FONT=Arial Narrow, sans-serif]Low set ears areassociated with renal anomalies and mental retardation.

    [FONT=Arial Narrow, sans-serif]Clients withrheumatic fever need to take prophalctic peniclillin for 5 years.

    [FONT=Arial Narrow, sans-serif]Salicylatepreparations interact with insulin to cause hypoglycemia.

    [FONT=Arial Narrow, sans-serif]Normal CSF glucoseis 50-75.

    [FONT=Arial Narrow, sans-serif]cardizem adverseeffects include hypotension, AV blocks, HF, and increased liverenzymes.

    [FONT=Arial Narrow, sans-serif]Chest compressionfor neonates if HR falls below 60.

    [FONT=Arial Narrow, sans-serif]In hashimoto'sthyroiditis T4/T3 are subnormal and TSH is elevated, in primaryhypothyroidism T4 is subnormal and T3 and TSH levels are elevated, inhyperthyroidism T4/T3 are elevated and TSH is subnormal.

    [FONT=Arial Narrow, sans-serif]Recommendedimmunizations for 2 month old w/o any prior immunizations are HIB,HepB, Dtap, IPV. MMR and varicella are recommended at 12 months.

    [FONT=Arial Narrow, sans-serif]Dopaminedopaminergic effects are to increase renal perfusion, contractility,and vasodilation.

    [FONT=Arial Narrow, sans-serif]Buspar can take upto 14-30 days to take effect.

    [FONT=Arial Narrow, sans-serif]Prednisone adverseeffects include weight gain from fluid retention, hypertension,insomnia, behavior changes, and myopathy.

    [FONT=Arial Narrow, sans-serif]Taking walksrelieves intermittent claudication.

    [FONT=Arial Narrow, sans-serif]Use of aspirin andother salicylates can cause hearing loss.

    [FONT=Arial Narrow, sans-serif]In celiac diseasethe person can't eat gluten, such as wheat, rye, oats, and barley.

    [FONT=Arial Narrow, sans-serif]Blastocyte takesabout a week to travel to the uterus for implantation.

    [FONT=Arial Narrow, sans-serif]Herpes simplex cancause spontaneous abortion and premature delivery.

    [FONT=Arial Narrow, sans-serif]Classic signs ofpyloric stenosis are : distended abdomen, forceful vomiting, palpablemass on right umbilicus, and visible peristaltic waves.

    [FONT=Arial Narrow, sans-serif]Croup is an acuteviral infection that causes upper airway obstruction. S/S includestridor, barking cough, and hoarseness.

    [FONT=Arial Narrow, sans-serif]Cerebellumcontrols balance and fine and gross motor function.

    [FONT=Arial Narrow, sans-serif]Glipizide onset ofaction is 15-30 minutes.

    [FONT=Arial Narrow, sans-serif]Diaphram detectshigh-pitched sounds the best, the bell detects low-pitched sounds thebest.

    [FONT=Arial Narrow, sans-serif]Anuria is 100 ml /24 hours, while oliguria is less than 400 but more than 100 in 24hours.

    [FONT=Arial Narrow, sans-serif]To test for PKU ababy must have had at least 2 days of ingestion of formula or breastmilk.

    [FONT=Arial Narrow, sans-serif]Addisonian crisisresults in reduced ability to cope with stress due to inability toproduce corticosteroids.

    [FONT=Arial Narrow, sans-serif]Turning a childwith nephroitc syndrome is really important because of skin breakdownfrom generalized edema.

    [FONT=Arial Narrow, sans-serif]Coumadin andaspirin should be stopped for a week before CABG.

    [FONT=Arial Narrow, sans-serif]INR of 2.5 istherapeutic range and indicative of drug effectiveness.

    [FONT=Arial Narrow, sans-serif]Normal cholesterolis < 200, normal HDL is > 40, and normal LDL is < 130.

    [FONT=Arial Narrow, sans-serif]hypocalcemia canlead to numbness and tingling in feet.

    [FONT=Arial Narrow, sans-serif]Cool clammy skinfor hypoglycemia.

    [FONT=Arial Narrow, sans-serif]Lantus can't bemixed with other insulins.

    [FONT=Arial Narrow, sans-serif]Muscle weaknesscan result from hyperkalemia.

    [FONT=Arial Narrow, sans-serif]Calcium isn'tgiven IM.

    [FONT=Arial Narrow, sans-serif]K is never givenby IV push.

    [FONT=Arial Narrow, sans-serif]Orthostatichypotension is an expected finding with hypokalemia.

    [FONT=Arial Narrow, sans-serif]Hyperkalemiacauses prlonged PR interval and widened QRS complex.

    [FONT=Arial Narrow, sans-serif]Hyperactive deeptendon reflexes are expected in client with hypomagnesemia.

    [FONT=Arial Narrow, sans-serif]Spinach is high inmagnesium.

    [FONT=Arial Narrow, sans-serif]Client w/diverticulitis should eat low fiber diet.

    [FONT=Arial Narrow, sans-serif]Amylase levels areincreased w/ pancreatitis.

    [FONT=Arial Narrow, sans-serif]High proteinfoods, like eggs, are recommended for dumping syndrome.

    [FONT=Arial Narrow, sans-serif]Metoclopramide cancause extrapyramidial reactions, such as involuntary movement.

    [FONT=Arial Narrow, sans-serif]Left sided strokecauses difficulty reading and aphasia. Right sided stroke causesimpulsive behavior, poor judgement, lack of awareness of neurologicaldeficits.

    [FONT=Arial Narrow, sans-serif]Pilocarpine, amiotic agent used for glaucoma, shouldn't be cloudy.

    [FONT=Arial Narrow, sans-serif]TCA's and MAOI'sare useful in treating client's with panic attacks.

    [FONT=Arial Narrow, sans-serif]Any professionalnegligence action must meet the 4 D's.

    [FONT=Arial Narrow, sans-serif]Failure to passmeconium in first 24 hours after birth is associated w/ hirschsprungsdisease.

    [FONT=Arial Narrow, sans-serif]Cogentin, which isused to treast extrapyramidal effects of antipsychotics, blockscholinergic activity in CNS.

    [FONT=Arial Narrow, sans-serif]Reaction formationis when a person acts in opposition of their feelings.

    [FONT=Arial Narrow, sans-serif]Fetal heart tonesheard between weeks 16-20. eyes open at around 28 weeks.

    [FONT=Arial Narrow, sans-serif]Knee to chest forinfants w/ tetrology of fallot.

    [FONT=Arial Narrow, sans-serif]Normal and stableICP value is less than 15.

    [FONT=Arial Narrow, sans-serif]neonates areobligatory nose breather's and have no ability to breath throughtheir mouths.

    [FONT=Arial Narrow, sans-serif]Tachycardia andtachypnea are earliest signs of HF in toddlers.

    [FONT=Arial Narrow, sans-serif]Total absenceseizure S/S are abrupt loss of consciousness, amnesia, and staring.Myoclonic seizure S/S are lightening jerks, w/o loss ofconsciousness. Tonic seizure S/S increase muscle tone, loss ofconsciousness.

    [FONT=Arial Narrow, sans-serif]MAOI's have onsetof 3-5 days.

    [FONT=Arial Narrow, sans-serif]Lordosis is fromlumbar curvature.

    [FONT=Arial Narrow, sans-serif]Avoid alcohol andstimulants 1-2 days before EEG testing.

    [FONT=Arial Narrow, sans-serif]Women should doself exam after menstraul period when breast are least tender andlumpy.

    [FONT=Arial Narrow, sans-serif]Put sunscreen onwhen taking HALDOL as it causes photosensitivity.

    [FONT=Arial Narrow, sans-serif]Epogen is givenSQ.

    [FONT=Arial Narrow, sans-serif]aluminum hydroxideis used for CRF to bind with and eliminate phosphorous.

    [FONT=Arial Narrow, sans-serif]Kussmaulsrespirations are seen with metabolic acidsosis.

    [FONT=Arial Narrow, sans-serif]Hypercalcemia(>10mg/dl)occurs frequently in clients with bone metastasis and is a late signof extensive malignancy.

    [FONT=Arial Narrow, sans-serif]When givingTiclopidine, an antiplatelet agent used for stroke prevention (andtaken with meals), review CBC first for platelet count.

    [FONT=Arial Narrow, sans-serif]Paxil is used totreat major depression.

    [FONT=Arial Narrow, sans-serif]People w/ trach'sshould be suctioned PRN.

    [FONT=Arial Narrow, sans-serif]Norfloxacin istaken 1hr before or 2hrs after meals for better absorption.

    [FONT=Arial Narrow, sans-serif]Bethanecholchloride, used for urinary retention, is given SQ only.

    [FONT=Arial Narrow, sans-serif]Aluminumhydroxide, a phosphate binder, is taken with meals. It can also causeconstipation.

    [FONT=Arial Narrow, sans-serif]Coritocosteriod txcan lead to glucose intolerance leading to elevated blood glucoselevels.

    [FONT=Arial Narrow, sans-serif]IV infusion ofdilantini is given w/ NS.

    [FONT=Arial Narrow, sans-serif]Carbamazepine,used for trigeminal neuralgia, can cause blood dyscrasias.

    [FONT=Arial Narrow, sans-serif]Demerol can causeurinary retention.

    [FONT=Arial Narrow, sans-serif]Increase fluids w/opiods, b/c they can cause constipation.
    [FONT=Arial Narrow, sans-serif]Zyloprim, used forgout, should be encouraged to be taken w/ 3000ml of water/day toavoid formations of crystals in urine.

    [FONT=Arial Narrow, sans-serif]Baclofen, is usedto decrease skeletal muscle spasms in clients w/ MS. It can causeurinary retention.

    [FONT=Arial Narrow, sans-serif]Flagyl can causeurine discoloration.

    [FONT=Arial Narrow, sans-serif]Peripheralneuropathy is an adverse side effect of zalcitabine, and AIDs drug.

    [FONT=Arial Narrow, sans-serif]Erythromycin istaken on an empty stomach.

    [FONT=Arial Narrow, sans-serif]Bethanecholchloride, a PNS mimicker used for urinary problems, can causebradycardia.

    [FONT=Arial Narrow, sans-serif]A tensilon test isperformed to distinguish between myasthenic and cholinergic crisis.If cholinergic crisis is present, atropine sulfate should beavailable at bedside.

    [FONT=Arial Narrow, sans-serif]Dantrium ishepatotoxic, can cause abdominal pain, jaundice, and malaise.

    [FONT=Arial Narrow, sans-serif]After ABG's holdpressure on radial artery for 5 minutes.

    [FONT=Arial Narrow, sans-serif]Hydralazine is anantihypertensive, when giving it, make sure to have a noninvasiveblood pressure cuff around to monitor BP.

    [FONT=Arial Narrow, sans-serif]Sucralfate, usedto treat gastric ulcers, is given 1hr before meals and at bedtime.

    [FONT=Arial Narrow, sans-serif]Reglan, used forgerd, is given 30 mins before meals and at bedtime.

    [FONT=Arial Narrow, sans-serif]Isoniazid therapycan cause elevated hepatic enzymes.

    [FONT=Arial Narrow, sans-serif]Dont wear contactlenses w/ rifampin, causes discoloration of body secretions and willstain lenses.

    [FONT=Arial Narrow, sans-serif]Atropine sulfateis contraindicated in clients w/ glaucoma.

    [FONT=Arial Narrow, sans-serif]Mineral oil isinserted into ear to kill insects before removal.

    [FONT=Arial Narrow, sans-serif]Cushing relfex isa late sign of increased ICP and consists of widening pulse pressure(SBP rises faster than DBP) and bradycardia.

    [FONT=Arial Narrow, sans-serif]S/S of portalhypertension are same as those of heart failure.

    [FONT=Arial Narrow, sans-serif]Neomycin destroysnormal flora of gut, which decreases protein breakdown and ammoniaproduction.

    [FONT=Arial Narrow, sans-serif]Addisonian crisisis a life threatening response to acute adrenal insufficiency and maycause severe abdomen pain, weakness, leg and back pain.

    [FONT=Arial Narrow, sans-serif]Fat emulsionshouldn't be used if a client has an allergy to eggs.

    [FONT=Arial Narrow, sans-serif]Normal intraocularpressure is 12-22 mm hg.

    [FONT=Arial Narrow, sans-serif]Ear exam for adultis by pulling pinna up and back.

    [FONT=Arial Narrow, sans-serif]MAOi's toxicity ischaracterized by restlessness.

    [FONT=Arial Narrow, sans-serif]Cachexia S/S aresunken eyes and hollow cheeks and defeated expression.

    [FONT=Arial Narrow, sans-serif]Dimenhydrinate isan antiemtic.

    [FONT=Arial Narrow, sans-serif]28 seconds is anelevated PT time. Therapeutic PT for client receiving coumadin is1.5x the normal PT (9.5-11.5).

    [FONT=Arial Narrow, sans-serif]akathisisa isrestlessness or desire to keep moving.

    [FONT=Arial Narrow, sans-serif]Phentolamine isantidote for hypertensive crisis.

    [FONT=Arial Narrow, sans-serif]Renal and livertests need to be done before starting risperidone, an atypicalantipsychotic.

    [FONT=Arial Narrow, sans-serif]Bleeding is afrequent and severe adverse effect of TPA, and nursing care requiresassessing for S/S of bleeding.

    [FONT=Arial Narrow, sans-serif]Avoid caffeinewhen taking methylxanthine (a bronchodilator).

    [FONT=Arial Narrow, sans-serif]Methergine is usedto prevent or control postpartum bleeding by contracting the uterus.

    [FONT=Arial Narrow, sans-serif]Clients takingclorazil can have blood reactions, and should therefore have WBCcount assessed and monitored.

    [FONT=Arial Narrow, sans-serif]Zantac best givenat bedtime (H2RB)

    [FONT=Arial Narrow, sans-serif]misoprosol is agastric protectant.

    [FONT=Arial Narrow, sans-serif]Tigan is used forN/V.

    [FONT=Arial Narrow, sans-serif]Procainamide, anantidysrhythmic, is used for ventricular ectopy.

    [FONT=Arial Narrow, sans-serif]Aspirin toxicitycan cause hyperventilation and fever.

    [FONT=Arial Narrow, sans-serif]Bleomycin, anantineoplastic can cause interstitial pneumonitis, so listen to lungsounds.

    [FONT=Arial Narrow, sans-serif]LFT's need to bedone for clients taking dantrium.

    [FONT=Arial Narrow, sans-serif]Foods high inphosphorous are fish, eggs, milk, veggies, whole grains, and POP.

    [FONT=Arial Narrow, sans-serif]Schilling test isdone to determine b12 deficiency (pernicious anemia).

    [FONT=Arial Narrow, sans-serif]ElevatedHemoglobin S is indicative of sickle cell anemia.

    [FONT=Arial Narrow, sans-serif]Normal ProTime is12-14 seconds, a client on coumadin is 1.5-2.5x the normal value.

    [FONT=Arial Narrow, sans-serif]Normal INR foranitcoagulation therapy is 2-3, or w/ mechanical heart valves is2.5-3.5.

    [FONT=Arial Narrow, sans-serif]normal urine SG is1.016-1.022

    [FONT=Arial Narrow, sans-serif]round or ovaldarkened area on the eardrum is seen when tympanic membrane isperforated.

    [FONT=Arial Narrow, sans-serif]Stage 1 lymedisease – rash, stage 2- cardiac conduction deficits, stage 3-joint pain, and joint enlargement. Blood tests need to be taken 4-6weeks after tick bite.

    [FONT=Arial Narrow, sans-serif]Benztropinemesylate is an anticholinergic (antiparkinson drug) which causesurinary retention.

    [FONT=Arial Narrow, sans-serif]S/S ofhyperkalemia r/t the effect of K on myocardial tissue. EKG shows talland peaked T waves, prolonged QRS interval . Hypokalemia would showst-segment derpession.

    [FONT=Arial Narrow, sans-serif]Regular insulin isgiven for DKA, its the only insulin that can be given IV and titratedto clients blood glucose levels.

    [FONT=Arial Narrow, sans-serif]Burn pt's shouldbe maintained on NPO status bc of resulting paralytic illeus.

    [FONT=Arial Narrow, sans-serif]Mild diarrhea forchildren younger than 2 is a soft diet of ABC's (applesauce, strainedbananas, and strained carrots).

    [FONT=Arial Narrow, sans-serif]The classicsymptoms of toxic shock syndrome are high grade fever, D/V, andabdominal pain. Usually caused by staph-A and is associated w/ tamponuse during menses.

    [FONT=Arial Narrow, sans-serif]Lindane, a scabiesmed, can cause seizures and is contraindicated in clients w/ seizuredisorders.

    [FONT=Arial Narrow, sans-serif]Rogaine is applied2x daily.
    [FONT=Arial Narrow, sans-serif]Lomotrin is usedfor rashes in fungal infections.

    [FONT=Arial Narrow, sans-serif]Normal IOP is10-21. >21 is indicative of glaucoma.

    [FONT=Arial Narrow, sans-serif]Nothing but TPNcan run through IV that has been used for TPN. Must find other IVaccess for other meds.

    [FONT=Arial Narrow, sans-serif]Obtunded indicatesthat a person sleeps unless aroused and once aroused has limitedinteraction w/ the enviroment.

    [FONT=Arial Narrow, sans-serif]Decordicateposturing indicates lesion to cerebral hemisphere, while decrerebrateposturing indicates damage to pons/midbrain/diencephalon.

    [FONT=Arial Narrow, sans-serif]S/S of hiatelhernia include vomiting, coughing, wheezing, and short periods ofapnea.

    [FONT=Arial Narrow, sans-serif]Variant angina isbest controlled by CCB's.

    [FONT=Arial Narrow, sans-serif]Procainamide is anantiarrhythmic med used to treat ventricular arrhythmias. Havecardiac monitor on hand when giving it.

    [FONT=Arial Narrow, sans-serif]Compartmentsyndrome occurs as a result of pressure build up w/in a tissuecompartment bound by antatomical structures.

    [FONT=Arial Narrow, sans-serif]Varicella vac. isgiven at 12 and 18 months of age.

    [FONT=Arial Narrow, sans-serif]MMR is a livevaccination and isn't given to immunocomprimised children.

    [FONT=Arial Narrow, sans-serif]Mylicon is anantiflatulent.

    [FONT=Arial Narrow, sans-serif]Sulfonamidesintensify effects of warfarin, dilantin, and oral hyopglycemics.

    [FONT=Arial Narrow, sans-serif]After positiveELISA test for HIV, a client undergoes western blot test to confirmfindings.

    [FONT=Arial Narrow, sans-serif]Synthetic growthhormone is given 6-7/ week at bedtime. Injection sites rotated.

    [FONT=Arial Narrow, sans-serif]Knee to chest ismost comfortable for people w/ appendicitis.

    [FONT=Arial Narrow, sans-serif]B-cells makeantibodies, while T-cells attack and kill cells.

    [FONT=Arial Narrow, sans-serif]ESR 30-40 mm/hr =mild inflammation, 40-70 = moderate, 70-150 = severe inflammation.

    [FONT=Arial Narrow, sans-serif]SLE causespancytopenia.
  9. by   nebulizer34
    Hey guys. Just thought I'd give an update. I took the NCLEX on Friday and passed! To be completely honest, I didn't think the test was that bad at all (I'm not a phenomenal student by any means, and am not just saying this because I passed. I SWEAR). Obviously you never truly know until you see you license #, but after all the studying and thousands of practice questions answered, to get a test like I got felt awesome. Never in the test did I feel that I was trying to being tricked. It really seemed to me that the test was very straight forward. I worried a lot about what kind of questions I would get and how challenging the select all the apply would be, since I suck at select all that apply. But I felt pretty confident on the SATA questions I got (I prolly got 25-30/90 questions). The test didn't ask about any obscure drugs or anything like that, It really just seemed to want to know kind of basic stuff. The most challenging questions were probably the priority questions, you are going to have to critically think about those (make sure you know what is an expected finding and what isn't). Like I posted before, I used to the Saunders CD, NCLEX 3500, Mosby's Comprehensive RN, ATI codes, and I read the OP attachments everyday the week before I took the test. In conclusion, the test is very passable, study hard and you will be fine. I wish you all well in your future endeavors.
  10. by   lillypad274
    I just passed at 75 questions (first time).

    I found the FEUER Audio Review CD Sets very helpful. They came with booklets with review materials and questions. I mostly used the Saunders Comprehensive Review book and also, the Saunders Q& A book ( those questions were more difficult than the Review book).
    Also, I reviewed part of the Delegation and Prioritization and Assignment book by Linda A. LasCharity, Kumagai, and Bartz.

    I got both the FEUER PHARMACOLOGY Audio Review as well as the NCLEX RN / LPN Audio Reviews and felt that they were well worth the money. There are some very helpful tips that will not only help you in the NCLEX exam, but also in your nursing career to be a better nurse. They share some interesting stories as ways to demonstrate ways to avoid common errors and anticipate things and be prepared.

    The Saunders Review Book was also excellent, and it was nice that it divides the material into 10 page chapters in outline form with questions and rationales at the end, so you don't get so overwhelmed with the size of the book. There were a few mistakes in Saunders that I noticed such as review of CPR had contradictions from one page to the next. One of the chapters for labor did not include information that was needed to answer the questions at the end of the chapter and it was not info that most students would be familiar with. The rationales were very good.
  11. by   lovemarlop
    hi there. i would like to ask if there's a cd included when i buy a PDA book?
  12. by   lovemarlop
    do i need to have the 2 saunders (comprehensive and Q&A )? is the Q&A different from the cd included in the comprehensive?
  13. by   lillypad274
    I had both SAUNDERS books, but the questions in the Q&A book were harder than the REVIEW BOOK. If you are going to get one of them , I would recommend the REVIEW book way over the Q/A book.

    The REVIEW book is easy to manage and some of the questions on NCLEX seemed to come right off some of the Saunders Review pages. It is divided into short 10 page chapters and each chapter has questions w/ rationales at the end. There were a few chapters which could be improved or had some outdated info, such as CPR, but overall, it is an excellent book and the material will definitely help you on the exam.

    I got a lot out of the Q/A Saunders book, but the questions were very hard, and some of the material seemed to stuff that I did not have in lectures in school, and it was taking too long to go through the book, so when I switched to the REVIEW book, I realized how much easier it was to study.

    The CD with the Review book did not have as many questions as the Q/A book, but some of the questions were the same for each CD.

    I would RECOMMEND you get the SAUNDERS REVIEW BOOK over the Q/A book. There are some other RNs who recommend it on youtube and explain how they paced themselves.

    The material in the Q/A book was good, so I will probably still do some of it at my own pace now that I am finished the NCLEX.

    Hope this helps. Good luck.