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
multiple myeloma - increased plasma cells in bone marrow; there's anemia & hypercalcemia caused by release of ca fr deteriorating bone tissue; increased bun
prostatic ca - serum acid phosphatase level is used to determine progression/regression of ca; managed by hormone therapy to limit amt. of circulating androgen
albuterol - adrenergic bronchodilator; check resp. pattern, lung sound, pulse & bp bef. & during therapy; wof wheezing (sign of paradoxical bronchospasm) which could be d/t excessive use of inhaler ---> notify physician
metformin (glucophage) - wihthhold 48 hrs. bef. & after cardiac catheterization; increased risk for lactic acidosis if kidney function is affected by contrast medium
Compartment Syndrome- increase pressure within one or more compartments causing massve compromise of circulation to an area and causing irrevisble neuromuscular damage within 4-6 hrs of onset if not Tx. Leads to decrease perfusion
S/S: increase pain and swelling, pain with passive motion, inability to move jts, loss of sensation (paresthesia), pulselessness.
*Notify physician immediately
*elevated intracompartmental pressure compromises the neuro fxn of tissues within the space. Extremity needs to be maintained at heart level, not above or below.
*Removal of all external sources of pressure- such as clothing and jewerly
*No blood flow= decreased circulation
*To relieve pressure, cast must be bivalved (cut in half longitudinaly) while maintaining alignment
cryoprecipitate (prepared from fresh frozen plasma) a blood product used to replace factor viii and fibrinogen in the tx of hemophilia
albumine restores intravascular volume and tx for hypovolemic shock, hypoalbuminemia, and hypoproteinemia
packed red blood cells replaces erythrocytes in conditions such as anemia (bone marrow supression) and blood loss (d/t trauma or surgical interventions)
platelets for clients with low platelet counts and to thrombocytopenic clients bleeding actively or are scheduled for an invasive procedure
whole blood (composed of red blood cells, plasma, and plasma proteins) is used in cases of hemorrhage (hypovolemic shock) or to restore the ability to carry o2
fresh frozen plasma used for clotting factors or volume expansion (contains no platelets)
allergic reactions during transfusion:
1. (priority intervention) stop the transfusion
2. keep the iv line open with 0.9% ns
3. call the physician and blood bank
4. stay with the client, watch for s/s of anapylactic shock, monitor v/s q 5 mins
6. prep to administer prescribed antihistamines, vasopressors, fluids, and coricosteroids
everyone keep posting- i need it. less then 48 hours away from taking the test! i need some words of encouragement. trying to keep the faith up in my :redbeathe. i know that i know this information and that i can do this. i know i will be a good . i just need to take one more test.... the beast!
i am actually getting tired of questions. have done 2065! is that enough? today... only 75.... getting burnt out.
please post information or send me good (passing) vibes. this site has helped me through nursing school and now through the nclex experience. thx to everyone.
4x4 country you'll be ok. I've read your posts and you are good to go.
All of us have bad luck and good luck. The man who persists through the bad luck -- who keeps right on going -- is the man who is there when the good luck comes -- and is ready to receive it. (Robert Collier)
No matter what happens just go in there and do your best. It sounds like you have a case of NCLEX overthinking syndrome .There is only 1 cure........... a nice afternoon of relaxation. Just passively read through this thread the day before, but no more hard-core studying.
Alendronate Sodium (Fosamax)-Biophosphonate regulator, bone metabolism. Prevents and treats osteoporosis (loss of bone density) in postmenopausal women, paget's dz. Correct calcium level first. Give in the a.m. before food. Don't give with Calcium containing foods, drinks or meds (wait 2 hrs because it reduces absorption of Fosamax). Wait 30 mins. to take all other meds. Sit up or ambulate for 30 min. after Fosamax is given. Monitor electrolytes, renal and liver functions. Bone Density q 12-18 months. Report fever, arthralgia and myalgia.:typing
TO all NCLEX test taker!what i can advice is stay RELAX, FOCUS on the questions and the answer choices and think..and most of all PRAY when you think you find it difficult... 2 days before the exam date close the book and just open this allnurses.com for updates on this post..It did help me. dont memorize just analyze and think SAFETY for the patient most of the time..dont forget your ABC and maslows, nursing process..hope this helps:up:
promotes sodium and chloride excretion. lowers b/p in hypertensives. caution with bun>40 and liver dz. give with food, can crush and put in fluid of choice if patient can't swallow whole. nursing implications: check bp, labs especially sodium, pottasium and digoxin levels. watch for fluid imbalance - check input & output, edema, and weight. for ascites measure abdominal girth. observe for mental change, lethargy, and stupor. teach signs of hyponatremia and hyperkalemia to patient. report gain/loss of >5lb. avoid high pottasium foods and salt substitutes.
(flushed face) and Dry as a Bone (Thirsty)
. i just need to take one more test.... the beast! 
All of us have bad luck and good luck. The man who persists through the bad luck -- who keeps right on going -- is the man who is there when the good luck comes -- and is ready to receive it. (Robert Collier)
.There is only 1 cure........... a nice afternoon of relaxation.
jsamples
94 Posts
postmature infant:)
gestational age over 42 weeks
dry skin
long hard nails
profuse scalp hair
no vernix
loose skin with long thin body
complications- progressive aging of placenta, difficult delivery, high perinatal mortality