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
This will be my first time going for my RN, but I have been an LPN for 5 years. I am actually emotionally numb with fear right now. I was not anywhere close to this nervous for my LPN boards. I think it's SATA anxiety!:chuckle If it was not for those alternate format questions I think I'd feel much better.
Decerebrate posturing is evidenced by abnormal extention in response to painful stimuli, it indicates damage to the midbrain. With damage to the diencephalon or cortex, you get decorticate posturing. Damage to the medulla=flaccidity.
Total Hip Tips: instruct pt. to limit hip flexion to 90 degrees while sitting. Supply an elevated toilet seat so they can sit without having to flex hip more than 90 degrees( also can have lean back a little if there is back support there for the pt. ).Instruct pt. not to cross legs to avoid dislocating the prosthesis. Caution pt. against sitting in low chairs or chairs that are too soft because these can increase hip flexion. Using an abduction pillow or several pillows between the legs reduces the risk of hip dislocation by preventing adduction & internal rotation of the leg.
( there is more I'm sure but my fingers were getting tired :chuckle )
You are right, from what I have been reading lots lots lots of infection control, pt teaching, and delegation.
Contact Precautions are required if:
* patient is colonized and/or infected with a multi-drug resistant organism. A multi-drug resistant organism is any organism that resists treatment with standard 1st line antibiotic drug therapy.
* a certain organism is identified as being possibly hazardous to other people and/or to the hospital environment because of its virulence ( how quick it can spread ), pathogenicity, or other characteristics ( VRE, MRSA )
Contact precautions are added to standard precautions for pts. known or suspected to have organism/disease easily transmitted by direct or indirect contact.
contact- vre, mrsa, rsv, croup, lice, scabies, impetigo, c. diff, e. coli, conjunctivitis, hep a (if patient in diapers/incontinent).
standard- hiv, herpes simplex, staph, leporosy, hep a (with clean buns), and all other randoms.
for airborn as it was mentioned earlier in this thread. is mtv ofcourse smallpox no longer exists. what i doubt is you maght be wrong about rubeola it is rubella which is airborn.
to remember the rest agian i am refering the previous thead as
airborne: private room-negative pressure with 6-12 air xchanges/hr mask, n95 for tb
rhabdomyolysis is the breakdown of muscle fibers resulting in the release of muscle fiber contents (myoglobin) into the bloodstream. some of these are harmful to the kidney and frequently result in kidney damage.
causes when muscle is damaged, a protein pigment called myoglobin is released into the bloodstream and filtered out of the body by the kidneys. myoglobin breaks down into potentially harmful compounds. it may block the structures of the kidney, causing damage such as acute tubular necrosis or kidney failure.
dead muscle tissue may cause a large amount of fluid to move from the blood into the muscle, reducing the fluid volume of the body and leading to shock and reduced blood flow to the kidneys.
the disorder may be caused by any condition that results in damage to skeletal muscle, especially trauma.
early and aggressive fluids (hydration) may prevent complications by rapidly remove myoglobin out of the kidneys. fluids may need to be given by i.v. the fluid needs with muscle necrosis may equal the massive fluid volume needs of a severely burned patient.
medicines that may be prescribed include diuretics and bicarbonate (if urine output is sufficient).
call your health care provider if symptoms indicate rhabdomyolysis may be present.
prevention
drink plenty of fluids after strenous exercise to dilute the urine and flush the myoglobin out of the kidney. proper hydration is also necessary after any condition or event that may involve damage to skeletal muscle.
iv infusion administer as soon as possible after symptom onset (greatest benefit when administered within 4 h, but benefit has been reported up to 24 h). infuse a total dose of 1,500,000 units within 60 min. intracoronary infusion administer 20,000 units by bolus followed by 2000 units/min for 60 min (total dose, 140,000 units).
also for pulmonary embolism, deep vein thrombosis (dvt), arterial thrombosis, or embolism
contraindications
active internal bleeding; recent cerebrovascular accident (within 2 mo); intracranial or intraspinal surgery; intracranial neoplasm; severe uncontrolled hypertension.
some more
.never pick an answer that does not allow your patient
to speak.
- pain never killed anyone. look for other answer options.
- polyuria—think shock first.
- radioactive isotope - tongs, lead lined container, then call radiology.
- remember during induction of labor stop (stop pitocin, turn patient to left, oxygen, push fluids)
hmmmm...you haven't been online today, and i know you are usually on 1st thing in the morning. so...i am going to assume that you are either testing today or you are taking the day before your exam to relax and free your mind. in either case, i am sending well wishes and positive thoughts your way for a job well done!! i know you can do this and i'm confident you will! let us know how it goes!! will be thinking of you!! :icon_hug:
:up:
Melinurse
2,040 Posts
This will be my first time going for my RN, but I have been an LPN for 5 years. I am actually emotionally numb with fear right now. I was not anywhere close to this nervous for my LPN boards. I think it's SATA anxiety!:chuckle If it was not for those alternate format questions I think I'd feel much better.
Decerebrate posturing is evidenced by abnormal extention in response to painful stimuli, it indicates damage to the midbrain. With damage to the diencephalon or cortex, you get decorticate posturing. Damage to the medulla=flaccidity.
Total Hip Tips: instruct pt. to limit hip flexion to 90 degrees while sitting. Supply an elevated toilet seat so they can sit without having to flex hip more than 90 degrees( also can have lean back a little if there is back support there for the pt. ).Instruct pt. not to cross legs to avoid dislocating the prosthesis. Caution pt. against sitting in low chairs or chairs that are too soft because these can increase hip flexion. Using an abduction pillow or several pillows between the legs reduces the risk of hip dislocation by preventing adduction & internal rotation of the leg.
( there is more I'm sure but my fingers were getting tired :chuckle )
Good luck 4x4 country.