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
does anyone know from doin suzzanes plan if when we do the questions if we do the test format where we do the test first then go over with the rationales after or can we do the study format where we do a question and get immediate rationales. i just want to know so i do it right. and also if someone could help me remember an easy way with lab values...not the actual values but how or what to know or what to do if they are high or low. i just cant for some reason remember all of them. thanks again fellow members!
-Hypokalemia (low potassium level) can be caused from such conditions as cushing's, extensice burns, truama, long-term steroidal use, excessive urination, inadequate intake of dietary potassium, and excessive alcohol intake
-Hyperkalemia (high potassium level) can occur in real failure and addison's disease
-Hypomaganesemia occurs in such conditions as renal diseases, chronic alcohoism, and diuretic therapy
-Hypermagnesemia occurs in such conditions as end-stage renal failure, diabetic ketoacidosis, and adrenal insufficiency
-Hypercalcemia occurs in Paget's disease, cancer, excessive intake of vit. D, multiple fractures, and hyperthyroidism
-Hypocalcemia occurs in such condidtions as protracted bed rest and immobilization (common cause) acute pancreatitis, massive burns and infection, and hypothyroidism
-A client with a hiatal hernia (esophageal hernia) should remain upright after eating
-Elevated blood urea nitrogen (BUN) usually indicates renal damage because the urea is normally filtered out of the body through the glomerulus.
-Remember....if increase in urine output, the urine specific gravity is decreased. if decreased urine, increase urine specific gravity. (it will be the opposite of each other)
-Avoid seeds (ie. peanuts, popcorn, veges with seeds) in pts. with diverticulitis
-Complications associated with systemic lupus erythematosis (SLE) are renal failure, neurologic dysfunction, and death
-During periods of NPO, such as surgery, a diabetic client's insulin need is decreased because glucose intake has been decreased.
-Don;t crush timed-release capsues for insertion via a nasogastric tube
-A child with cystic fibrosis should eat more calories, protein, vitamins, and minerals than a child without the disease
-Expect bowel sounds to return within 12-24 hours after abdominal surgery
-Expect substantial bleeding in the hours after abdominal surgery. in the days after surgery, bleeding should advance from sanguineous to serosanguineous to serous.
-Because of the risk of aspiration, a client receiving continuous nasogastric tube feedings should be placed in a reverse Trendelenburg (head up-ward) position
-To prevent exposure to rubella and other typical childhood infections, a pregnant nurse shouldnt work in a pediatric setting
-Pts. who have had cataract extraction should move their head slowly to avoid increasing intraocular pressure
-Remember pts. receiving corticosteriods for such conditions as nephritic syndrome should be monitored for signs of infections. Any sign should be reported immediately to the physician
-Before undergoin abdominal paracnetesis, the client should void to minimize the risk of rupturing the bladder.
-Breast-feeding mother should increase calcium and protein in her diet
-Glucocorticoids promote sodium retention, so a client receiving such treatment should be on a low-sodium diet.
coumadin (warfarin): normal clotting time 18-37.5 secs. if gums bleed for more than a minute, need to contact physician and discontinue drug. don't choose change to soft bristle brush because one minute is too long and needs immediate attention.
cough, turn , and deep breath is to prevent resp. infections. #1 is pnu
abd surgery- bowel sounds return within 3 days with normal gurgling
would infection: reddness, edema, edges lack approximation
pt complains of abd cramping with enemia then need to stop enema solution until cramping ceases.
ou- both eyes
os- left eye
od- right eye ( dominent right eye- just a tip to remember)
emotional answers:
bargaining: usually ask for one more day or time
anger- place blame on someone else or ask why me?
deniel- refuses to participate in tx b/c pt does not believe its real
older adult snack at bedtime? fresh peaches or strawberries b/c increase in fiber and contain water. promote gi mobility which prevent constipation
s/s of dysphagia (diff. swallowing): include drooling and coughing
stump should be wrapped distal to proximal to promote venous circulation. wrap bottom to top
suctioning tracheostomy: rotate the suction cath using suction as it is being removed from the tracheostomy
advantage of giving meds orally? b/c they are more economial and convenient for the pt to take
sypilis- sore on member, copper- colored rash on palms and soles
gonorrhea- men complain of urethritis and epididymitits with drainage from the end of the member, women are asymptomactic
pt has hyperglycemia, hypocalcemia, and hyperkalemia, need to order bun (blood, urea, nitrogen) and creatine. may be indicative of renal failure, kidneys are unable to retain calcium, and unable to excrete potassium. renal damage associated with diabetes mellitus
I'm almost done reading Saunder's 4th edition...so after I test myself(practice questions) and see how I do after reading that should determine what date I'll test. I also took the kaplan online course after losing a year of content knowledge(took a year off before the 5 week externship, long story). It seems like there are so many things I never even heard of that I'm finding in these sources in ADDITION to reviewing the stuff I forgot. But I feel that's it's all coming together, each day I feel more confident.:)
But I feel that's it's all coming together, each day I feel more confident.:)
CrystalClear75, BSN, RN
624 Posts
Nah, I can't agree with that one.