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
ünursing intervention are encouraging the client to describe the hallucination, accepting that this is real experience for the client, and present reality
u can't say you u kinn me
withdrawal
ütrust worthiness , silence, offer self, and discuss non threatening topics
hostility and aggression
üdo not approve aggressive behavior, talk down, and maintain distance.
one arms distance to make sure u miss the punch
suicidal case
üassess in the speech (ideation ), his movements (gesture) and what he is doing (actions)
soft elbow or jacket restraints after a cleft lip/palate surg( accord to agency policy) remove q 2h you must have an md order which must state the type, and alimited time frame for use.these orders must be renewed within a specific time frame acc to agency policy md can never use "prn"
make sure you use a half bow or safety knot to secure to bed frame to provide for quick release. do neurovascular checks & assess q 30 minutes and of course remove q2h and to allow muscle excercise & promote circulation.you must document the following:
reason for restraint, method of restraint, date & time of application, duration of use & clients response, release form restraint & pt response, assessment of continued need for restraint & eval of pt respone. i remember seeing that mitten restraints primarily used to prevent pulling at iv, & prevent scratching ( don't have the exact source though)hope its helpful
for pt--when you use it?
how to use it?
how long to use it?
which disease use it?
thank you![/quote
]
is there any thing for assessemnt after 15 minutes i think i have read i one book which says so if i am not mistaken the rest is pretty cool.
lap and wheelchair belts, or trays that clip across the front of a wheelchair so that the user can't fall out easily, may be used regularly by pts with neurological disorders which affect balance and movement.
safety vests and jackets can be placed on a pt like any other vest garment. they typically have a long strap at each end that can be tied behind a chair in order to prevent the pt from getting out of the chair, or to the sides of a bed to keep the patient in bed. posey vests are commonly used with elderly pts who are at risk of serious injury from falling.
limb restraints are used to prevent activity in various limbs. they are wrapped around the wrists or ankles, and tied to the side of a bed, to prevent pts from harming themselves or others by preventing the patients from using their arms or legs.
mittensto prevent scratching are common for newborns, but may also be used on psychiatric pt.
papoose board can be used for babies & young children.
Ok........nerves just set in.....found out earlier that i will be testing early next week...NCLEX-PN.....was fine with it - went to work, was glad i am working a double-shift tomorrow (well, now today..7 hours from now), then working 7-3 Sunday - figured i would keep busy and not obsess....came home to this thread and realize i could use a complete overhaul, from the beginning!! This thread has been so informative, so much fun and educational to read and participate in, but now.....OMG......anyone else find it a bit overwhelming to realize this has grown to this many pages THIS FAST??? How will I do a quick revue of all this material, along with the myriad of notes and index cards i have made from it, together with all of my notes from school, besides Saunders Comprehensive, AND complete at least 100 NCLEX-style questions per day by early next week??? And instead of working on all of that, i am sitting here typing this.....geez.....i think i am in trouble!! Any advice as far as doing what i need to do last-minute this weekend??? Help please!! I know this is not the proper forum for this, but this is basically the only one i use, and thought all of you may have a solution.......i have reviewed the new additions to this thread, and now am going to do my 100 questions before catching a little sleep...will not be back on here until about 11:30 p.m. Saturday (today) so am expecting alot of suggestions, PLEASE!! THANK YOU!!! You are all angels, I mean it....it is like having angels here to feed me the information i will need (actually, alot more than i need because i am testing for PN.....anyway, enough rambling).......Much thanks to all of you angels:saint::saint:
I posted this in another thread but since no one was able to answer it, I figure it may be useful to others so Im reposting it here.
Here is the question:
Child weighs 30kg, what is the hourly flow rate in mL? The answer is supposedly 71.
(Im not leaving anything out because there are constants: 24 hours in a day and 60 minutes in an hour.)
I calculated it this way :
30ml times 60 minutes equal 1800, then I divided 1800 by 24 hours but this gave me 75 (but the answer is supposedly 71).
They 'Lippincott- PN' page 368 gave this as the way to do it: A Formula::
100ml/kg for the first 10 kg then
500ml/kg for the next 10 kg then
20 ml/kg for each kg above 20
then add. It looks like this:
100 (10) = 1000 ml per day
50(10)= 500ml per day
20(10) =200 ml per day
(those tens are a breakdown of the number given which is thirty)
THEN add
100 + 500+ 200=1700 ml/day
Finally
1700 divided by 24 = 71
I just thought there might be another shorter way. Not sure if the way I did it was or would be considered correct. I decided to just study their way to make sure. If anyone can figure another way other than Lippincotts, I would love to hear.
This thread has been a great resource for me in addition to multiple choice questions. My exam is about a week away so I thought that I would contribute to this great discussion.
Maalox is contraindicated in patients with glomeuronephritis. It will cause absent deep tendon reflexes.
s/p seizure prevent over stimulation of patient because they are at risk of a repeated seizure.
Cullen's sign (ecchymosis and distended rigidity around umbilicus) can represent a retroperitoneal bleed.
If pt, is scheduled for a MRI, let the technician know that the pt. has an IUD.
Brain tumors:
Cerebellum: dizziness, paresthesia
Motor Cortex: Seizures
Frontal Lobe: Personality changes
Ear gtts:
Child: Down & Back
Adult: UP & Back
Blood administration: 19G needle
Never mix Dilantin with another drug or Dextrose IV
S/s of early phenobarbitol toxicity: nystagmus (rapid eye movement)
Do not give Depakote (Valproic Acid) with carbonated beverages.
Most antidepressants and antipsychotics take a couple of weeks to take effect. When it starts to look like there's an initial increase in the level of activity and energy, they are still at risk for ideation and should be put on suicide/safety precautions because they now have the energy to carry out such thoughts.
For pt's in crutches, remember UP with the strong, DOWN with the weak (when it comes to stairs)
Cheyne-Stokes respirations: cerebral lesion, ICP
Children with cystic fibrosis should get a yearly influenza vaccine.
PKU: intolerance to protein
Cystic Fibrosis: intolerance to milk, low fat
Celiac disease: intolerance to wheat
Regional enteritis: NO whole grains, NO fresh fruit
Korsakoff's Psychosis: common in alcoholics. They need Thiamine which can be found in organ meats.
Mumps in males can cause orchitis that can lead to sterility.
p24 Antigen Assay confirms HIV in infants.
:heartbeat Okay, i'm going to go study some more. This is exactly how I envisioned spending my weekend...
Does anyone have a good way to remember, decorticate and decerebrate posturing. I know what they look like but always forget which is which.
Also, for cranial nerves I learned a picture-type mneumonic device where the "7's" faced eachother for the frame of the face, "1" was the nose, "2" were the eyes, "8" were the ears, I can't remember all of were everything went-anyone heard of this? and remember what it looked like?
1. Woman with systemic lupus can get pg after 5mo. of remission or 2yrs after first diagnosis.
2. 6mo: sit with support
8mo sits unsupported
9mo pulls self up, can say "mama" "dada"
3. Gemfibrozil (Lopid)- lipid lowering agent, se abd pain, gall stones. Take 30min ac. Check liver fxn tests.
4. Terbutaline (Brethine)- preferred over ritodrine (yutopar) b/c no BP s.e. S.E. include maternal tachycardia, nervousness, tremors, HA, pulm edema. Fetal s.e. tachycardia, hypoglycemia.
5. Ranitadine (zantac)- decreases acid production, Take HS, prevents stress ulcers (which are usually duodenal).
6. Pinworm testing- pinworms crawl outside the body first thing inthe am to lay their eggs. Collect specimen in am by touching scotch tape to childs orifice.
7. Technique for removing abd dressing with penrose drain, remove gauze one layer at a time to avoid dislodging drain.
for decorticate positioning--remember the cor in relation to the arms/legs/body moving toward the core of the body (inward)
for decerebrate positioning--its the opposite--arms/legs/body moving outward.
if you can remember decorticate positioning, decerebrate should be easy to remember.
hope this helps.
joaniedee,
you have posted so many helpful tips and notes on this thread, i have every bit of faith and confidence you will do great on this exam and succeed. i told melinurse the same thing also. girl, give yourself more credit than that. you genuinely know your content but do not let your nerves get to you. i know this random facts sticky is now 134+ pages and still going wayyyyy strong. its a great additional study tool and i know it will be very beneficial for you towards the outcome of your exam results. remember if your going to do questions up until your exam, don't study at all the day before. relax, take a break, do something fun for yourself and ease your mind. deep breathe and stay positive and stay focused, you can do this, you will do this!!! :icon_hug::icon_hug:
hi suzanne!..i am new to this website..and i really like the forums!, esp this random fact throwing..i just wanna ask, are we permitted to copy some of the facts randomly discussed in here?..i think some, if not most are really useful to one's life, esp to nurses...
:saint:
My exam is about a week away so I thought that I would contribute to this great discussion. 
hase2000
45 Posts
hallucinations
ü nursing intervention are encouraging the client to describe the hallucination, accepting that this is real experience for the client, and present reality
u can't say you u kinn me
withdrawal
ü trust worthiness , silence, offer self, and discuss non threatening topics
hostility and aggression
ü do not approve aggressive behavior, talk down, and maintain distance.
one arms distance to make sure u miss the punch
suicidal case
ü assess in the speech (ideation ), his movements (gesture) and what he is doing (actions)