Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc.
Updated:
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
OK your turn....
ü Medical management of esophageal varices include vit K, vasopressin, and Inderal
ü Others Endoscopic sclerotherapy and Sengstaken-Blackmore tube
ü Uses of degoxin : increase cardiac output, decrease heart rate, and increase myocardial contraction
ü Rales often noted at the base of the lungs in pts with congestive heart failure and athelectasis expanding upwards (sign of pressure on the lungs)
ü S1 and S2 heart sound are noted as a result of normal valve closure
ü S1 mitral and tricuspid S2 aortic and pulmonic.
What is Ejection fraction?
ü Ejection fraction is measure of myocardial contractility, percentage of blood emptied from the ventricle during contraction.
What is Lou Gehrig's disease?
ü Lou Gehrig's disease is a progressive motor neuron disease which cause progressive muscular atrophy and it is deadly
informed consent- consent given by the client that is based on adequate informaion to consider risks and benefits of offered services
advocacy- process by which the nurse assists the patient to grow and develop toward self-actualization
advanced directives- a document in which a competent person is able to express his wishes reguarding future health care including all lifesaving measures and designates another person to make desisions if they become unable to do so
living will- declaration of what the person finds acceptable or would refuse under identified situations that may occur in the future, legal document
durable power of attorney- designation of another to make decisions (mostly financial ) when the client is unable to do so independently
make sure a copy of all advanced directives are put in the clients chart, if they do not have any advanced directives make sure they understand their rights
power- the ability, strenth, and capacity to do somthing
[color=#48d1cc]influence- control over people and their actions
[color=#48d1cc]types of power- reward
[color=#48d1cc]coercive
[color=#48d1cc]legitimate
[color=#48d1cc]referent
[color=#48d1cc]expert
[color=#48d1cc]influence tactics
[color=#48d1cc]ingratiation
[color=#48d1cc]conformity pressure
[color=#48d1cc]foot in the door
[color=#48d1cc]door in the face
[color=#48d1cc]guilt
[color=#48d1cc]nursing intervention: the power of influence is aimed at accomplishing well-defined goals preferably as a team:argue:
[color=#48d1cc]everybody throw some more nursing management stuff:typing
serum electrolytes
sodium 135-145
potassium 3.5-5.0
calcium 8.5-10
magnesium 1.8-2.4
phosphorus 2.5-4.5
creatinine 0.5-1.5
bun 10-20
glucose (fasting) 70-100
abg's
ph 7.35-7.45
paco2 35-45
po2 less than 80
hco3 (bicarb) 22-26
sa02 90-100%
cbc
rbc males 4.6-6.2
females 4.2-5.4
wbc 4800-10,800
hemoglobin males 13-18
females 12-16
hematocrit males 45-52%
females 37-48%
Buck Skin Traction-
- Used to alleviate muscle spasms and immobilizes a lower limb by maintaining a straight pull on the limb with the use of weights. A boot appliance is applied to attach to the traction. Wts are attached to the pulley and hang free! No more then 8- 10 pds. Elevate the foot of the bed to provide the traction. Remove the clients foam boot 3 x a day to inspect skin. Turn client to unaffected side. Back care is q 2 hr to prevent pressure sores. Ask the client to dorsiflex the foot of the affected leg to assess the fxn of the peroneal nerve.
Prinicpal reason for the use of rantidine hydrochloride (Zantac) in a client with pancreatitis? Pancreatic enzymes are activated by an acidic ph. Interstital pancreatitis is characterized by a swelling of the gland and the escape of its digestive enzymes, lipase, and amylase into the surrounding tissue. And into the peritoneal cavity, causes necrosis. Zantac decrease the production of hydrochloric acid, pancreatic enzymes are activated by an acidic ph.
wbc 5,000- 10,000
a school aged child should gain 4- 6.5 pds and 2 inches in height a yr
if a NG tube is clogged, do not irrigate without a order !
erikson-
infancy= sence of trust
toddler= sence of autonomy- controlling self
adolescence= sence of ID and intimacy
ph of urine- 4.5-8
tracheostomy improves breathing capabilites. provide and maintain an airway, permits the removal of tracheobronchia secretions when the client is unable to cough productively
thrombophlebitis- clot in the vein with inflammation of the wall
manifestations- edema in affected limb
local swelling, bumpy, knotty
red tender local induration
positve homan's sign (not reliable)
interventions- bed rest
elevate leg and apply warm mist compresses
administer anticoagualnt therapy
anti embolism support hose
pain meds
increase fluids
encourage deep breathing
assist with rom
what could have caused it-
stasis
hypercoagulability
damage to blood vessel/trauma
pregnancy or estrogen (oral contraceptives)
malignancy or obesity
aortic aneurysm is watched until it gets above 5cm then rate of rupture increases so surgery is required
types of shock
cardiogenic shock-failure of the heart to pump adequately
hypovolemic shock- decreased blood volume
neurogenic shock- increased size of vascular bed due to loss of vascular tone
anaphylactic shock- hypersensitvity reaction
septic shock- systemic reaction vasodialation due to infection
general manifestations
tachycardia
tachypnea
oliguria
cold damp skin
color ash, pallor
metaboloic acidosis
hypotension
decreased loc
septic shock- initially warm, flushed, fever:bluecry1:
Analyzing arterial blood gas results;
norms
pH= 7.35-7.45
PC02= 35-45 mm Hg
HC02= 22-27 mEq/L
PO2= 80-100 mm Hg
acidosis, pH decreased
alkalosis, pH elevated
Respiratory function indicator is the Pc02
Metabolic function indicator is the bicarbonate ion HC02
Respiratory acidosis; pH is decreased, the Pc02 elevated
Respiratory alkalosis; pH is increased, the Pc02 decreased
Metabolic acidosis; Ph and HC02 decreased
Metabolic alkalosis; Ph and HC02 elevated
Respiratory imbalances:
HC02 determine the state of compensation
Normal HC02; uncompensated
Abnormal HC02; Partial compensation
Metabolic imbalances:
PC02 determine the sate of compensation
Normal PC02; uncompensated
abnormal PC02; partial compensation
ex: Respiratory acidosis uncompensated; pH-7.12, PC02-90, HC02-22.
Rspiratory alkalosis compensated; pH-7.45, PC02-30, HC02-22
B/c pH within the norm makes it compensated even if HC02 is within the norm.
Some causes of:
Respiratory Acidosis- asthma, atelectasis, brain trauma,bronchitis emphysema, pneumonia...
Respiratory Alkalosis- fever hyperventilation, hypoxia, pain...
Metabolic Acidosis- diabetes mellitus/diabetic ketoacidosis, high-fat diet, severe diarrhea, malnutition...
Metabolic Alkalosis- diuretics, excessive vomiting or GI suctioning, massive transfusion of whole blood, infussion of excess sodium bicarb...
:sstrs:
jsamples
94 Posts
legal responsibilites of the nurse:eek:
nurse practice act
good samaritan law
mandatory reporter of abuse
malpractice
negligence
torts
breach of duty
standard of professional practice
everybody give the definitions:eek: