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
Not sure if this stuff was allready addressed but things I learned that helped me pass in July were:
In NCLEX hospital (the imaginary hospital where you pretend you are when you take your test) you HAVE:
1 AN UNLIMITED BUDGET
2 AN UNLIMITED AMMOUNT OF TIME TO SPEND WITH EACH PATIENT
3 UNLIMITED STAFFING
If you have a answer as an option, YOU HAVE
1 the order to do it
2 the option to use it (Family to stay all night or delegating a person to do it)
3 the time to quietly sit with a patient for 12 hours holding their hand
You CANNOT
1 Delegate upward or horizontally, you cannot have your boss start an IV. You cannot delegate a fellow nurse to do this either.
2 treat the machinery! STAY WITH THE PATIENT and treat THEM!
3 delegate aides or lpn's to ASSESS or TEACH!
Good Luck to all of you!
Also add that aides and LPN's cannot recieve orders.
So if your patient is having a medical emergency or similar, you cannot send them to report your assessments to the doc since it should be you to report them then receive the following orders.
hello everyone i'm back to reviewing :behindpc:with a vengeance...
midamor (amiloride) is a potassium-sparing diuretic. it works by making the kidneys eliminate sodium (salt) and water from the body while retaining potassium.
contraindication:
*allergic to any ingredient in midamor
*taking potassium supplements or potassium-sparing diuretics (eg, aldosterone, triamterene)
*unable to urinate
*have high blood potassium levels or kidney problems due to diabetes or other severe kidney disease
hospitalized patients, especially those receiving antibiotic therapy, are primary targets for c. difficile. of patients receiving antibiotics, 5-38% experience antibiotic-associated diarrhea; c. difficile causes 15 to 20% of the cases. several antibiotic agents have been associated with c. difficile. broad-spectrum agents, such as clindamycin, ampicillin, amoxicillin, and cephalosporins, are the most frequent sources ofc. difficile. also, c. difficile infection has been caused by the administration of agents containing beta-lactamase inhibitors (ie, clavulanic acid, sulbactam, tazobactam) and intravenous agents that achieve substantial colonic intraluminal concentrations (ie, ceftriaxone, nafcillin, oxacillin). fluoroquinolones, aminoglycosides, vancomycin, and trimethoprim are seldom associated withc. difficile infection or pseudomembranous colitis.
myocardial infarction - substernal chest pain, diaphoresis and nausea.
decreasing the clients pain is the most important priority. as long as pain is present there is danger in extending the infarcted area. morphine will decrease the oxygen demands of the heart and act as a mild diuretic as well.
> contributing factors to seizures in children include those such as age (more common in first 2 years), infections (late infancy and early childhood), fatigue,not eating properly and excessive fluid intake or fluid retention.
> digoxin increases ventricular irritability and increases the risk of ventricular fibrillation following cardioversion.
> xanax (alpazolam) is a short-acting benzodiazepine useful in controlling panic symptoms quickly.
> fluoxetine (prozac) commonly reported side effects are diarrhea, dry mouth, weight loss and reduced libido.
> any client with singed facial hair has been exposed to heat or fire in close range that could have caused damage to the interior of the lung. this client is in the greatest danger with a potential of respiratory distress, note that the interior lining of the lung has no nerve fibers so the client will not be aware of swelling.
>levothyroxine (synthroid)- a thyroid supplement should be taken in the morning to minimize the side effects of insomnia.
>chlamydial infections are one of the most frequent causes of salpingitis or pelvic inflammatory disease.
> rhabdomyosarcoma is the most common children''s soft tissue sarcoma. it originates in striated (skeletal) muscles and can be found anywhere in the body. the clue is in the middle of the word and is “myo” which typically means muscle.
> acetaminophen overdose- removing as much of the drug as possible is the first step in treatment for this drug overdose. this is best done by gastric lavage. the next drug to give would be activated charcoal, then mucomyst and lastly the iv fluids.
> furosemide (lasix) causes a loss of potassium if a supplement is not taken. signs and symptoms of hypokalemia include anorexia, fatigue, nausea, decreased gi motility, muscle weakness, dysrhythmias
>cephalhematomais related to pressure at the time of labor and birth. the condition resolves over a period of weeks to months. parental anxiety must be addressed by listening to their fears and explaining the nature of this alteration. caput succinidanium which is edema typically will go away within a few days.
> the primary teaching for a client following an extracorporeal shock-wave lithotripsy (eswl) procedure is to drink 3000 to 4000 cc of fluid each day for 1 month w/c will aid passage of fragments and help prevent formation of new calculi.
> alka-seltzer is an over-the-counter aspirin-antacid combination. aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin and may result in excess bleeding.
>stopping smoking is the priority for clients at risk for cardiac disease, because of the effect to reduce oxygenation and constrict blood vessels.
> the goal of brainstorming is to gather as many ideas as possible without judgment that slows the creative process and may discourage innovative ideas. exploration of the nurses objections will encourage the generation of new ideas.
>legionnaires'' disease -the respiratory status of a client with this acute bacterial pneumonia is critical. chest wall expansion reflects a possible decrease in the depth and effort of respirations. further findings of restlessness may indicate hypoxemia. if these occurred the client may then need mechanical ventilation.
>a positive csf for meningitis would include presence of protein, a positive blood culture, decreased glucose, cloudy color with an increased opening pressure, and an elevated white blood cell count.
>genital herpes simplex virus 2 (hsv 2) = dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. a primary nursing action with the focus of comfort should be to encourage 3 to 4 warm sitz baths per day to sooth the area and reduce inflammation.
> diagnosis related group (drg) manual is the basis of prospective payment plan for reimbursement for medicare clients.
>the client with meniere''s disease has an excess accumulation of fluid in the inner ear. a low sodium diet will aid in reducing the fluid. sodium restriction is also ordered as adjunct to diuretic therapy.
I see you've been busy. Good job!!!
Keep the facts coming..........................................:typing
kjwrn
19 Posts
Hello. The book Pearls that has been entioned....Is this 'Nclex Pearls of Wisdom'?
Thanks