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 facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!
SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:
OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:
1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.
3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves
4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.
Oh, ohh, one more...
? Vasopressin is also known as antidiuretic hormone
So Jadu1106, good to see you back. When are you testing? I was feeling pretty good about he boards till I saw I was and still am missing all the SATA questions. If I don't get many of those, I'll be ok. Otherwise, I am doomed:bluecry1:. I do overall feel ready, I think?:heartbeat
So Jadu1106, good to see you back. When are you testing? I was feeling pretty good about he boards till I saw I was and still am missing all the SATA questions. If I don't get many of those, I'll be ok. Otherwise, I am doomed:bluecry1:. I do overall feel ready, I think?:heartbeat
Good luck Melinurse! I am sure that you'll do well. Don't worry about those SATAs. One more advice! NCLEX exam as scary as it can be, IT IS JUST A TEST... Have a positive mindset and make sure that you breathe!
so jadu1106, good to see you back. when are you testing? i was feeling pretty good about he boards till i saw i was and still am missing all the sata questions. if i don't get many of those, i'll be ok. otherwise, i am doomed:bluecry1:. i do overall feel ready, i think?:heartbeat
melinurse,
don't worry!! you have been studying for so long, and all the info you put up on this thread and website is encouraging and inspiring!!! i have no doubts that you will beat this exam and bury it deep in the ground never to be brought up again! :)
i am planning to test the 2nd week of october, i get the 2nd part of suzanne's plan next week, and i am so anxious to receive it. this will be my 4th attempt and i want to conquer it with all that i have!!!
remember, sata's is just a type of question, whether you get 1-2 or 25-30 sata's will not determine the outcome of your exam results. keep a relaxed mind, breathe, think positive and don't get anxious (try not to)...anxiety will bring your whole attitude down and then you will lose focus (believe me i know)....so when you get in the testing center, on the writing board they provide, just right melinurse, rn or your name and rn and just keep glancing at it if you get stuck or need a breather. i will be thinking of you.
i do have a few facts i will be posting below.
just in case you care, the cowboys are down by 10! yikes!!
but back to random facts....
1. tetanic contractions are the most serious adverse effect associated with administering oxytocin. the fetus is at high risk for hypoxia and the mother is at risk for uterine rupture.
2. in siadh, the posterior pituitary gland produces excess ah (vasopressin) which decreases water excretion by the kidneys. this reduces the serum sodium level, causing hyponatremia.
3. when the fetus is in the cephalic position (head down) fht's are best auscultated midway between the symphysis pubis and the umbilicus. when the fetus is in the breech position, fht's are best heard at or above the level of the umbilicus.
4. colles' fracture is a fracture of the distal radius.
5. crackles usually are heard on inspiration and sometimes clear with a cough.
Vitamin B12 absorption depends on intrinsic factor that is secreted by the parietal cells in the stomach. The B12 binds with intrinsic factor & is absorbed in the ileum.
Autonomy describes the rights of a person to make their own decisions.
CD4+ levels in the blood of someone with HIV determines the extent of damage to their immune system.
Anergy testing determines the level of immune response a person has to common microbes. A normal response is a local skin reaction to the antigens injected intradermally.
When prescribed for allergic rhinitis, Claritin is usually taken once daily.
The lymphocyte provides adaptive immunity which is recognition of a foreign antigen & formation of memory cells against that antigen.
Common adverse reactions to prednisone and other steroids include Na+ retention, fluid retention, weight gain, and immunosuppression.
In sickle cell crisis the blood cells clump together in a blood vessel which causes occlusion, ischemia, and extreme pain.
As untreated scoliosis progresses the thoracic spinal curvature can put pressure on the lungs and affect pulmonary function.
The use of accessory muscles to breathe indicates the patient is having difficulty breathing.
For the patient with an ET tube, the most important nursing action is auscultating the lungs regularly for bilateral breath sounds to ensure proper tube placement and effective oxygenation.
Vassopressin ( Pitressin ) is given SQ in acute management of diabetes insipidus. Remember with DI there is lots of pee.
For a patient with an aneurysm nursing interventions focus on stabilizing the heart rate, blood pressure, and reducing anxiety to avoid aneurysm rupture.
Remember, the patient is the only primary information source.
Hyperparathyroidism that is not controlled can cause elevated serum calcium ( hypercalcemia ), which may lessen calcium in the bones causing pathological fractures. So a nursing diagnosis for this patient might be Risk for Injury r/t ..............
For the first few days to a week after a pt. receives a colostomy there will be slight bleeding when the stoma is touched because the site is still fresh. Profuse bleeding needs to be reported asap! A dark stoma with a bluish tint = impaired circulation. A normal stoma = reddish like the buccal mucosa.
The difference between the apical and radial pulses is called the pulse deficit.
Resonance is normal on percussion of healthy normal lungs. Hyperresonance may happen with percussion of hyperinflated lungs as in emphysema.
Crackles result from air moving through airways that have fluid in them. They are documented as fine, medium, or course.
Shifting dullness over the abdomen = ascites.
Early s/sx of dehydration are thirst, irritability, confusion, & dizziness.
When giving prednisone the morning administration mimics the body's natural corticosteroid secretion pattern.
Addisonian Crisis: results from too much corticosteroids esp. cortisol.
s/sx - severe hypotension!, muscle weakness, hypovolemia, & shock.
Tx:
-give IV fluids, usually plasma or 5% dextrose in NS
-give IV glucocorticosteroids [ Solu-Cortef ] and vasopressors
-if there is infection, give antibiotics as ordered
-assess vitals/I&O/weight
-strict bedrest with minimal stimuli
-infection prevention measures
Myasthenic Crisis: is a sudden onset of very severe muscle weakness where the pt. cannot swallow, speak or maintain respirations!!! ( think of nursing implications r/t your ABCs )
Tx:
-Maintain airway! maintain tracheostomy tube or ET tube with mechanical ventilation as ordered/needed
-assess ABGs and vital signs closely
-give meds as ordered, increase doses of anticholinesterase drugs
Addison's disease is an INSUFFICIENCY of adrenal corticosteroids. The rest looks accurate.
Study hard
Thanks, you are right. I have Addison's right in my notes. Must have had a brain fart or something. I don't want to give inaccurate info to anyone before/after NCLEX, stakes are too high. My test is this week too. But I won't say when , exactly. Good luck.
Addisonian Crisis: results from acute adrenal insufficiency.
s/sx - severe hypotension!, muscle weakness, hypovolemia, & shock.
Tx:
-give IV fluids, usually plasma or 5% dextrose in NS
-give IV glucocorticosteroids [ Solu-Cortef ] and vasopressors
-if there is infection, give antibiotics as ordered
-assess vitals/I&O/weight
-strict bedrest with minimal stimuli
-infection prevention measures
Myasthenic Crisis: is a sudden onset of very severe muscle weakness where the pt. cannot swallow, speak or maintain respirations!!! ( think of nursing implications r/t your ABCs )
Tx:
-Maintain airway! maintain tracheostomy tube or ET tube with mechanical ventilation as ordered/needed
-assess ABGs and vital signs closely
-give meds as ordered, increase doses of anticholinesterase drugs
-establish good communication
-provide emotional support
Resubmitted after making corrections. Sorry if I confused anyone.:wink2:
Your going to pass, you seem to know a lot!!! Always enjoying reading your facts, they are very helpfull. Is this your first time attempting ther demon??
If I don't get many of those, I'll be ok. Otherwise, I am doomed:bluecry1:. I do overall feel ready, I think?:heartbeat
Melinurse
2,040 Posts
So Jadu1106, good to see you back. When are you testing? I was feeling pretty good about he boards till I saw I was and still am missing all the SATA questions.
If I don't get many of those, I'll be ok. Otherwise, I am doomed:bluecry1:. I do overall feel ready, I think?:heartbeat