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
thx yea i have a saunders but it is the 2nd edition. better then nothing. yea def. using the nclex 3500 - although i am only sitting for my PN. thx going to read the chapter!!
the yale site- just to clarify , people jsut scroll down the page and quiz themselves about isolation. there are no questions just information right??
What do you mean by that? :)Only sitting for your PN? :)We need more LPNs out there. I wanna hear some pride there in your next post. You'll do fine.:loveya: Saunders second edition is what I used too for my PN. Don't forget to not study the day before. ( I did not take my own advise ) I was busy trying to read through as much of this thread as my eyes could handle.:chuckle And I was wondering if I would throw up in the exam room and what they would do about that.:chuckle
Just finished applying to college for RN-BSN program. Here goes the school thing again.
4x4 country, you will be successful and you will pass and further more you will be an awesome nurse.:heartbeat
I reason I said that is because that site (Nclex 3500) is aimed for RN's and I am studying for the PN. Anything will help, the more knowledge the better!!
Well i scheduled mine for 2pm so it will be hard for me not to study the day before but ill try not to, everyone says to not study, so well see.
Thx for the encouragement , it really does help! Cant wait for the LPN initals to be behind my name.
4x4 country, I said the same thing a few times myself. I was just giving you grief. How are you doing on NCLEX 3500? I couldn't get those darn SATAs for anything. Keep reading this thread too though. Lots of great stuff, even if you are not tested on it, you may still find these tips useful in practice.:redpinkhe Good luck.
i reason i said that is because that site (nclex 3500) is aimed for rn's and i am studying for the pn. anything will help, the more knowledge the better!!
well i scheduled mine for 2pm so it will be hard for me not to study the day before but ill try not to, everyone says to not study, so well see.
thx for the encouragement , it really does help! cant wait for the lpn initals to be behind my name.
4x4country,
i agree with melinurse, whether its lpn or rn, you are still a nurse and you have worked just as hard to get through nursing school as the rn student, so you need to give yourself more credit. :) you will do great on your exam. this sticky has some attachments, one of them is about infection control, so when you can check that out for more info as well. i wish you the very best of luck!!! :)
Korsakoff's Psychosis-also called "wet brain". almost like alzheimers in a young pt. watch for DT's pt can be very confused angry aggitated combative, incontinent. very sad. had a pt with it once. devestating to see and to see the family go thru it. picture a brain turning to mush after being soaked in a gallon of vodka. big belly big red nose. monitor vitals and have pt within view of nurses station. restraints may be needed.
CHF Protocol- daily weight. strict I&O's remeber 1lb in weight gain is approx 1liter of fluid gained
surg pt and nonambulatory pts follow DVT protocol- SCD's or TEDS. coumadin, asprin, or lovenox surg pt on coumadin daily INR's drawn early am call in orders for coumadin adjustments usu given 6p. or as per hosp standards
biggest thing to remeber during the boards is priority remember ABC's go see the most critical based on ABC's
always check circulation distal to surgical site. EX- pedal pulses on a Total Knee Replacement or ORIF Hip
Encourage Deep breathing and coughing exercises/incentive spirometer surgical pt's or bedrest pt to prevent pulm funct. contraindicated in S/P CABG or any other open heart on coughing if pt has a cough use cough pillow. use incentive spirometer. remeber to teach them to inhale not blow. and to take breaks. i had a pt hyperventilate doing this exercise and she passed out. lol love my little "dears"
if drug abuse suspected or chronic pain management be cautious of female pt "guarding" their bags or purses. if u don't feel comfortable have security come up and during admission assessment document all valueables. its a loop-hole in invasion of personal property. one nurse found a male 24yr old pt hunched over toilet with insulin syringe and black tar heroin next to him.
fall assessment or "hendrich fall protocol" should be done q shif by an RN only. if u have an LPN on ur floor 2 nurses should cover her/his pt's
Blood transfusions have to be infused over a max of 4hrs. has to be started withing 20min of release from blood bank. start at 60cc/hr for 1st 15min then increase up to 125cc/hr if pt has a history of CHF run at 95cc/hr. most units of packed red blood cells are between 275-350mls (from red cross) Autologous Blood (pt's own blood) is usually whole blood 500mls. platelets and plasma doesn't neeed a pump and you infused wide open clamp. usually infuses in 20-45 min depending on the gauge. try to get an 18 guage (never heard of a 19g as posted by a previous person) but if need be and they have "junky" veins use what ever u can but try to get at least a 22 in. common BT reactions fever, sweat, chills, shakey, pain in flank/organ pain, and a general feeling of uneasiness. if a temp increases 2degrees or more follow reaction protocol set by ur hosp. always hang with NS to prime line, then close clamp then run blood almost to end. always use a pump. expect BP to increase since there is more volume after BT. if very low H&H expect low BP since low blood volume. some pts have low grade temps as a natural response to surgery(inflammation process 99-100) never infuse blood with a temp over 100.0 unless u call MD. give tylenol if ordered and if u have a temp and are unable to infuse or can't get temp down call MD. they get P-ed off if u dont let them know. learned that the hard way. only and RN can hang blood take vitals for start, 15min and finish; and take down blood; LPN's can witness and co-sign for administration of a BT
always have all ur info 1st before calling a DR. if ur calling an abnorm lab look at previous first. also, dont be intimidated by MD's. if they yell at you are disrespectful of inappropriate you have the right to report them to ur director and/or to HR. had a DR yell at me for "bothering him for something so trivial (advancing a diet) on a weekend" while he was having a BBQ last week. he was very mad screamed and slammed the phone to hang up on me. reported him annonymously and he doesn't do that anymore. you are not an idiot. u passed nursing school and sometimes know more abouttheir pts then they do. most dr's spend 10-30seconds and get paid big bucks for each visit. u spend 13hrs with their pt and should repect your nursing judgement. afterall why did u go to school and become an RN????
thank your nurses aid and offer assistance with difficult pt even if ur busy or make comprimises with them. alot will treat u poorly and not respect new grads. being nice goes a long way. never boss them around. its not right but some hospitals seem to be run by NA's even though they are working under ur license.
know what u can and cannot delegate to NA's. and if ur not super busy and can do it urself then dont delegate. they get overwhelmed too ad well as the unit secretaries
4x4 country, you'll be fine. Just keep reveiwing and don't get burnt out. Take a break if you need to. Relax. Keep posting facts and writing them. Whatever works for you. Everyone is different.
i am not sure what your asking, otherwise i would try and answer it.
btw--did you take your nclex recently? how did you do?
jadu1106
hey jadu1106,
no i haven't taking the nclex yet, i'm hoping to take it within the next 2 weeks. i just passed the hesi on last week. i would like to thank everyone for your help!
[color=maroon]this means, in r disorders the ph is opposite to the co2 and hco3, in metabolic disorders the ph is equal to or moves in the same direction as the co2 and hco3. here is an explanation:
[color=maroon]this means, in r disorders the ph is opposite to the co2 and hco3, in metabolic disorders the ph is equal to or moves in the same direction as the co2 and hco3. here is an explanation:
How are you doing on NCLEX 3500? I couldn't get those darn SATAs for anything. Keep reading this thread too though. Lots of great stuff, even if you are not tested on it, you may still find these tips useful in practice.:redpinkhe Good luck.
Keep posting facts and writing them. Whatever works for you. Everyone is different.
4x4country
248 Posts
thx yea i have a saunders but it is the 2nd edition. better then nothing. yea def. using the nclex 3500 - although i am only sitting for my PN. thx going to read the chapter!!
the yale site- just to clarify , people jsut scroll down the page and quiz themselves about isolation. there are no questions just information right??