Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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....

[mikhy]

Just wanted to say Thanks to Everyone for this Thread. Although, I already have my license, I still frequently visit this thread. I told a few classmates about it. Unfortunately, most do not own a computer. But some do access the site at school.

Keep up with supporting one another. What an Excellent Job you guys are doing.

:ancong!:

[hotshot12345]

The level in the water seal chamber (chest tubes) fluctuates with respiration- no fluctuation indicates an obstruction and excessive bubbling indicates an air leak.

Stay with the client for 15 minutes at the start of a blood transfusion.

Nephrotic Syndrome leads to proteinuria while Glomerulonephritis leads to hematuria.

Goodell's Sign is the softening of the cervix at the start of the 2nd month of pregnancy

Nagele's Rule is First date of last menstrual period + 7 days - 3 months + 1year.

Vinca Alkaloids (Vincristine) lead to neurotoxicity and can present with numbness and tingling in the legs or paralytic ileus.

Regarding the no fluctuation with the water seal chamber, it can mean that the lung has expanded (good) or leak, blockage (bad)

[zaylee]

phenelzine sulfate (nardil)

Avoid food with Tyramine

Tyramine prcipitates hepetensive crises

SX include: severe H/A, stiff sore neck, flushing, cold clammy skin,

tachycardia, dilated pupils, nose bleed, chest pain, fever, high Bp,

N/V, and possible death.

Foods that does not contain tyramine: omelet with broccoli, age cheese, beer, red wine, youghurt...

Foods that contain tyramine: liver asnd onions, dried fish, tea, pizza with pepperoni....

Propanolol (inderal): may cause bronchospasm

(people with asthma should not take propanolol)

Other SE: bradycardia, depression

Nursing care includes: check pulse before administering

Medication dose should be gradually reduced before discontinued

[toniann22h]

This is GREAT! Here's some I got from a review class I went to several months ago...

*Change in color is always a LATE sign!

*Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds, and then HOLD for 10 seconds

*Aminoglycocide (__Mycin ; except erythromycine) Adverse Effects are bean shaped - Nephrotoxic to Kidneys and Ototoxic to Ears

*MRSA - Contact precaution ONLY

*VRSA - Contact AND airborne precaution (Private room, door closed, negative pressure)

*LITHIUM

L-level of therapeutic affect is 0.5-1.5

I-indicate mania

T-toxic level is 2-3 - N/V, diarrhea, tremors

H-hyrdrate 2-3L of water/day

I-increased UO and dry mouth

U-uh oh; give Mannitol and Diamox if toxic s/s are present

M-maintain Na intake of 2-3g/day

*All psych meds' (except Lithium) side effects are the same as SNS but the BP is decreased.

*SNS- Increase in BP, HR and RR (dilated bronchioled), dilated pupils (blurred vision), Decreased GUT (urniary retention), GIT (constipation), Constricted blood vessels and Dry mouth.

*Blood transfusion- sign of allergies in order:

1)Flank pain

2)Frequent swallowing

3)Rashes

4)Fever

5)Chills

*Thrombocytopenia -Bleeding precautions!

1)Soft bristled toothbrush

2)No insertion of anything! (c/i suppositories, douche)

3)No IM meds as much as possible!

*Iron deficiency anemia - easily fatigued

1)Fe PO - give with Vitamin C or on an empty stomach

2)Fe via IM- Inferon via Ztrack

*Pernicious Anemia - Red, Beffy tongue; will take Vit.B12 for life!

*BURNS

1st Degree - Red and Painful

2nd Degree - Blisters

3rd Degree - No Pain because of blocked and burned nerves

*Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea, restrict Na, lay on affected ear when in bed. Triad:

1)Vertigo

2)Tinnitus

3)N/V

*Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating, not at night, and doesn't go away with food

[hikari]

blood transfusion:

hemolytic rx:

hypotension, chills, lower back discomfort, fever and dyspnea

allergic rx:

wheezing, uticaria (hives),facial flushing, epiglottal edema, resp. distress

correct me if i am wrong please.

[SinCityRN]

chest tube drainage system:

( i decided posting this since i tend to forget it sometimes, hope this can help someone1)

collection chamber- this is the patient fluid collection chamber. located on the right side.

(2 things to know): notify physician if:

1. above 100 ml/hr drainage

2. bright-red drainage color.

water seal- this is the middle chamber.

fluctuation fluid inside chamber, indicates that client is breathing. (respirations) this is normal.

if the fluid inside chamber stops fluctuating (moving up and down) this can mean 2 things:

- lung reexpansion

- blocked occluded tube.

priority: always check for kinks in the tubing before notifying the physician.

- intermittent bubbling (on and off) is normal

suction control chamber- left chamber

- intermittent bubbling (on and off) is normal especially for pneumothorax patients.

- notify physician for continuous bubbling.

* note: all drainage systems shouldn't have continuous bubbling. notify physician if you notice this.

[sheckler]

I will come back to post my 5 Facts. Wanted to let those of us who have yet to take the NCLEX... if you go the the NCLEX website it has a print out of the break down of the test. It's not as simple as 15% of the exam is over OB. But it does give some information like 20% is over medication. This can give you an idea about what to expect. I'll post the address with my 5 Facts.

[terie]

Has anyone ever used ATI testing to prepare for nclex??? If so, did it work?

[isobelle5287]

when changing the subclavian tpn tubing - place the client in supine position

t-tube - normal drainage of 300-500 ml on the first day

ulcerative colitis - decreased bowel sound associated with serious problem due to toxic megacolon & gangrene

ileostomy - give low residue diet to decrease motility

post bilateral herniorrhaphy - wof for urinary retention

temporary heterograft (pig skin) - done to relieve pain & promote rapid epithelialization

[hikari]

antacid that contains magnesium may cause diarrhea

antacid that contains aluminum may cause constipation

during colostomy irrigation bag should be hung 18 inches (45 cm) above the stoma

stress incontinence = involuntary leakage that is triggered by a sudden physical strain such as cough, sneeze or quick movement

urge incontinence = inability to suppress a sudden urge to urinate

total incontinence = continuous leakage resulting from the bladder's inability to retain urine.:typing

[hikari]

diet with chronic renal failure = low protein, low potassium

common sites for bone marrow biopsy in the adult = iliac crest and sternum

enuris = bedwetting

hydrocele =collection of fluid in the tunica lady partslis of the testicle

cremasteric reflex = a reflux that causes the testicle to retract. cold and touch can stimulis this

kubler-ross stages(5) dabda

1. denial

2. anger

3. bargaining

4. depression

5. acceptance

:typing more to go....

[hikari]

I can't sleep sooo here i am again...

Lets talk about Peds....

Vaslus lateralis = muscle of choice for an injection in a 2 month old

Deep IM injection = route for DPT immunization at 2 months

classic findings of shaken baby syndrome:

1. failure to thrive

2. lethargy

3 seizures

4. retinal hemorrhages

5. subarachnoid hemorrhage will show on CT

Age 3 = child able to ride a bicycle

10 months = infant learn to crawl

12 months = infant learn to walk

1 month = able to lift head and move it side to side when lying prone, and turning towards sound

Anyone can correct me if its wrong.

Thanks