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
* during digoxin therapy the nurse should closely monitor the client for serum potassium and magnesium , b/z low potassium and low magnesium cna predispose the client to digoxin toxicity
in transition phase of labor , cervix dilate 8-10cm , intense contractions occur every 1.5 to 2 min and last for 45-90 s
* in active phase , cervix dilate 5-7cm , moderate contraction progress to strong contractons , lasts 60 s
* in latent phase , cervix dilate 3-4cm , contractions are short , irregular , mild .
Hope this helps , keep it going , happy study ....
Newbie here as well. I am slaying the NCLEX dragon on Sept. 9th. I wanted to take in August but that was the earliest I can get! Good luck to you! Please let us know what you thought of the test!
Most reliable method of sterilization that kills all organisms is moist heat application under pressure (autoclaving), organisms exposed to steam for 15 min @ 257' and @ 18 pds of pressure wil be killed.
bile gives stool color. clay colored stool associated with gall bladder disease are caused by no bile reaching the gastrointestinal tract
hyperopia- farsightedness
myopia- nearsightedness
diplopia- double vision
toxins are harmful substances (poisons) produced by bacterial growth and metablolism
the process fo growing old= senescence. the period begins at ae 65.
prevent spread of infection caused by staphylococci aureus is to place all-linen inside the bottom sheet when making bed. the organism can be present on skin and mucous membrane, esp nose and mouth
yellow fever sic aused by a virus that is transmitted to humans by the bite of a female mosquito.
lyme disease transmitted to humans by a tick
typhoid fever is caused by ingestion of gram negative, motile bacillus, salmonella typhi. It is usually transmitted by infected water or milk
cold stimulation test is perfermed to detect Raynaud syndrome. this test records temp changes in the clients fingers before and after they are immeresed in water.
oxygen should be humidifed prior to administration
cervical ripening refers to the physical softening and dilation of cervix
montogomerys sign refers to the more prominent sebaceous gland seen in the areola of the breast of a pregnant women
goodwells sign seen early in pregnancy and is pronounced softening of cervix, can be palpated
chadwicks sign- changes in color of the cerical and cagina mucosa, from pink to violet
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!
k+ 3.5 - 5
ca+ 4.5 - 5
mg 1.5 -2.5
phos 1.8 -2.6
na+ 135 -145
cl 95 -105
crt 0.5 -1.2
bun 10 -20
ptt 60-70 or 1½ x higher if on heparin
pt 11.0 - 12.5 or 2.0 -3.5x higher if on coumadin
inr 2.0 -3.5 for coumadin
wbc 5 -10
rbc 5
hct 40
hgb 15
ph 7.35 -7.45
co2 35 -35
on vacation i -
ate 4 bananas with 5 glasses of milk, read 2 magazines about 2 fossils.
spent $140 on napkins and a $100 on clear heals.
did 15 bun exercises and drank 1 creatine shake .
met, 3 idiots , 11 pets and 65 hunks.
ate 4 bananas (k+ found in bananas) with 5 glasses of milk (ca+ found in milk), read 2 magazines (magnesium) about 2 fossils (phosphorus).
spent $140 on napkins (na+)and a $100 on clear heals. (cl)
did 15 bun exercises and drank 1 creatine shake (creatinine) .
met, 3 idiots (i for inr), 11 pets ( p is for pt) and 65 hunks. (h is for heparin ptt)
i am still trying to figure this out but saw it in a previous post in this thread and another unrelated thread so i wanted to post it. hope it helps.
indications for intubation: Suctioning, need for controlled ventilation, protected airway
rsik factors for pulmonary embolism: central line, immobilty, air, fat
Allens tests done prior to ABGs while pressure is applied to the radial artery the hand should blanch. If pinkness fails to return in 6sec of release of ulnar the radial should not be pricked/cannulated
Assessments for proper placement of intubation prior to a chest xray: bilateral breath sounds, O2 sat increases, patients end tidal CO2 is within normal ( they use a CO2 detector between the bag valve mask and the ET tube and is observed for color change.)
normal I:E ratio is 1:2
Purpose of chest tube is to remove air or fluid from plueral space and restore NEGATIVE pressure.
Pneumonectomy chest tube is palced in the 2nd ics, thoractomy for hemothorax is placed 6-8th ics
chest tubes for heart surgery are inserted into the mediastinum to allow drainage of fluid around heart/lungs to prevent cardiac tamponade/loss of neg pressure
tx for pericardial tamponade is pericardial window and needle aspiration
pulmonary artery catheter provides info on central venous pressure, pulmonary artery pressure, body temp, cardiac output
Cardiac tamponade- compression of the heart d.t. accumulation of fluid in pericardial sac
Mitral valve prolapse- weakness and fatigue
hypertrophic cardiomyopathy- sob,chest pain
first line tx for vfib vtachy defib at 200-300
patient with no heart rythm give epi
pluerisy- plueral friction rub instruct pt. to lie on affected side to splint chest to keep fluids on that side
PSVT- give adenosine 6mg IV push
If epi and shock don't work for vfib -wide complex give amiodarone 300mg IV push
CARDIOVERSION- elective procedure, pt awake and sedated, synchronized with QRS, 50-200 jouls, consent form, EKG monitor
DEFIB- emergency, vfib vtach, no cardiac output, begin w 200j upto 360j, pt unconscious, EKG montior, not synchronized
lasix is a sulfa-based drug/loop diuretic. s/e: hypotension and hypokalemia
addisons disease will take exogenous glucocorticoid therapy for rest of life to help maintain serum levels of cortisone
hydrodiuril (hydrochorothiazide)- should be given with food(breakfast) d/t causing n/v. s/e: hypokalemia, hyperglycemia, blurried vision, dry mouth, and hypotension
digitalis toxicity: vomiting, anorexia, visual distrubances, and bradycardia
cardiac tamponade- compression of heart caused by fluid withing the pericardial sac, is life-threatening alteration. s/s: falling b/p, narrowed pulse, rise venous pressure, muffed heart sounds
pt is fearful of im injection: lightly tap on the injection site immediately before adminstering the drug. this will reduce pain response to the penetration of the needle through the skin
narcan is an antidote for opioids: reverse cns depression and resp. depression d/t overdose of opioid. client is at risk for ventricular tachycardia and ventricular fibrillation. nedd to place client on cardiac monitor. withdraw symptoms: htn, tachycardia, n/v, and sweating
phenytoin (dilantin)= anticonvulsant; can cause aplastic anemia resulting in decreased platelet count, which results in increase bleeding time
with subtotal thyroidectomy: iodine solution (lugols solution)- to prevent post-op hemorrhage. it reduces vascuarity and size of thyroid and should be administered 10-14 days prior to suregery
if on indomethacin (indocin) or ibuprofen- alert doc if allergic to asa
pilocarpine hydrochloride (isopto- carpine)- miotic used to tx glaucoma by pulling pupil away from cornea- may cause blurred vision. caution with drriving and operating machinery
atropine sufate is a mydratic (dilation) forcing the pupi against the cornea= resulting in decreased angle. used with chronic closed angle glaucoma
prochlorpezine (compazine) is an antimetic given to prevent nusea. given after cataract extraction to prevent pressure on suture line
sucralfate (carafate)- need to instruct client to continue to ingest meds after s/s cease. s/e: constipation, vertigo, flatulence, give 2 hr after tagomet.
tagomet is a h2 receptor blocker. s/e: diarrhea, dizziness, lg doses produce confusion in elderly.
nph should not be given iv, only regular insulin
stop oxytocin if contractions occur to freg (at intervals less then 2 min) and last too long (90 sec). they may endanger mother and fetus.
tetracycine hci (sumycin) avoid administering the drug with diary products, will decrease absorption
filgrastim (neupogen)- given to increase neutrophils following chemotherapy. assess for n/v or bone pain
chemo causes bone marrow depression
oral hypoglycemia stimulate beta cells in the pancreas to release the insulin in your pancreas, that it has produced
a hf client on digoxin and lasix = contact the supervising nurse b/c they both are potassium- delepting. a supplement is needed. hypokalemia is at risk
for free unlimited practice problems in any of the math disciplines: http://www.interactmath.com/ - follow the directions to download the drivers you need to access the software and then choose a textbook of the type of math you want to work problems from
medication calculation help and practice problems you can work:
http://wps.prenhall.com/chet_olsen_medicaldosage_9/ - companion website for medical dosage calculations, 9th edition, by june looby olsen, anthony p. giangrasso, dolores m. shrimpton, and patricia dillon.
http://www.accd.edu/sac/nursing/math/mathindex2.html - scroll to the bottom of this home page of this med calc tutorial. see the menu item that says "common conversion factors/equivalencies"? click the button next to it that says "go read" a conversion chart comes up for you
dimensional analysis tutorials [keep in mind that dimensional analysis is usually done in chemistry and physics and nursing has only adapted it for use in medication calculation problems]:
mikhy
92 Posts
* during digoxin therapy the nurse should closely monitor the client for serum potassium and magnesium , b/z low potassium and low magnesium cna predispose the client to digoxin toxicity
in transition phase of labor , cervix dilate 8-10cm , intense contractions occur every 1.5 to 2 min and last for 45-90 s
* in active phase , cervix dilate 5-7cm , moderate contraction progress to strong contractons , lasts 60 s
* in latent phase , cervix dilate 3-4cm , contractions are short , irregular , mild .
Hope this helps , keep it going , happy study ....