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
Specializes in Mother-Baby & Community/Public Health.
Facts for the day:
Parents with a child that has sickle cell disease need to be taught that the child needs to AVOID OVERHEATING during physical activities because fluid loss caused by overheating and dehydration can trigger a crisis
In developmental dysplasia, it produces a CHARACTERISTIC LIMP in children who are walking
Clients with BPH have overflow incontinence with FREQUENT URINATION in small amounts day and night
Pneumonia causes a marked increase in interstitial & alveolar fluid, therefore, consolidated lung tissue transmits BRONCHIAL BREATH SOUNDS to OUTER LUNG FIELDS
During seizure activity, it is a PRIORITY to note, and then record, WHAT MOVEMENTS are seen because the diagnosis and treatment often rests solely on the seizure description
PERSISTENT COUGHING in a child discharged after a tonsillectomy should BE REPORTED to the primary care provider because it may indicate BLEEDING ( don't just think frequent swallowing)
Process of dying w/ a client that is Hindu: RN should plan that after death, a Hindu priest will pour water into the mouth of the client and tie a thread around the client's wrist, family is particular about who touches the body, cremation preferred, last rites carefully prescribed
Process of dying w/ a client that is Mormon: Cremation discouraged, elders may be w/ the client during process of dying and no last rites are given
Process of dying w/ a client that is Islamic: family must be w/ client during process of dying and family must be the only ones to wash the body after death
Process of dying w/ a client that practices Judaism: body is ritually cleansed and burial occurs as soon as possible after death
RNs should limit visitors with a client that has decreased adrenal function because any exertion, physical or emotional places additional stress on the adrenal glands, which could bring on an Addisonian crisis
Client with trigeminal neuralgia, the RN should offer small meals of high calorie soft food to promote more nourishment and less chewing
Separation anxiety is most evident from 6 months to 30 months of age
Fluorosis, a condition in which teeth have a chalky white to yellowish staining with pitting of enamel d/t repeated swallowing of toothpaste with fluoride or drinking water with high levels of fluoride
Breast engorgement in newborns occurs in both sexes as a result of withdrawal of maternal hormones after birth (normal occurence)
Glaucoma and prostatic hypertrophy are contraindications to use Congentin because it is an anticholinergic drug
Clients taking Thorazine should avoid direct sunglight d/t sensitivity
Scenario- If RN is working for a Poison Control Center and parents say that their child has drunk drain cleaner (alkaline), the RN would suggest parents to have child drink orange juice (acidic) to neutralize the substance
Enjoy my helpful facts, couple more days till I take the big test...:typing
Specializes in Mother-Baby & Community/Public Health.
Facts for the day...
A child with t-tubes can only swim if he/she wears earplugs, water should not enter the ears and the child should not put their heads under the water
Fosomax should be taken 1st thing in the morning with 6-8 oz of PLAIN water at least 30 min before other foods or meds. Client needs to be instructed to remain in an upright position for 30 min following the dose to facilitate passage into the stomach and minimize irritation of the esophagus
Cyclosporin (Neoral) inhibits normal immune responses. Clients receiving this are at risk for infection.
INH (isoniazid) can also cause peripheral neuropathy (extremity tingling and numbness)
Contraindication to cardioversion is digoxin use 24 hrs beforehand
Wellbutrin should be started at 100mg BID for 3 days and then increased to 150mg BID, if used to treat depression, can take up to 4 weeks to see results, doses should be administered in equally spaced time increments throughout the day to minimize risk of seizures
SE of Clozaril is extreme salivation
Elderly clients are at risk for developing confusion when taking Tagament, a drug that interacts with many other meds
1st step in delegation is to DETERMINE the QUALIFICATIONS of the person to WHOM ONE IS DELEGATING, so ASK about PRIOR EXPERIENCE w/ similar clients
Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly, therefore short-term relief can be expected
NSAIDs for arthritic use should be taken 1 hour before or 2 hours after meals, it results in a more rapid effect of the med
Oral anticoagulation agents (Coumadin) are contraindicated in pregnancy
SE of Prozac are diarrhea, dry mouth, weight loss, and decreased libido
SE of aminophylline are restlessness and palpitations, nurse needs to intervene
Clients with GERD need to avoid eating 2 hours before going to sleep and an upright posture should be maintained for 2 hours after eating to allow for stomach emptying
Hospitalized patients, especially those on antibiotic therapy are at high risk for getting C. difficile
Remember pain is whatever the client says it is
Autonomy- individuals must be free to make independent decisions about participation in research without coercion from others
While assessing the vitals in a child, the RN should know the apical HR is preferred until the radial pulse can be accurately assessed at 2 years of age
A newborn is expected to lose 5-10% of birth wt in 1st few days post-partum d/t changes in elimination and feeding
with every postings that i will put up within this thread, i will try to ask one to five questions related to the materials that i will post up. see if you can try to answer it before looking into the material. remember these are questions that i made up... in relations to the material.
1. what is the most important intervention for someone with respiratory acidosis?
2. what is the best diet for someone with metabolic acidosis?
3. a client with respiratory alkalosis may also experienced _______ and calcium gluconate should be prescribed.....
4. nausea, vomiting, and diarrhea are signs and symptoms of ________________
5. what test should be performed prior to obtaining an arterial speciment for abg?
can you please help me answer the two questions i have in red fonts below? thank you.
-high-fat diet (a high intake of fat causes a much too rapid accumulation of the waste products of fat metabolism, leading to a buildup of ketones and acids.
-insufficient metabolism of carbohydrates
-malnutrition
-renal insufficiency or renal failure
-severe diarrhea
-enteric dranage tubes/ileostomy
-gastrointestinal disorder
clinical manifestations of metabolic acidosis/ assessments
-hyperpnea with kussmaul's repirations
-headache
-nausea/vomitting/ diarrhea
-fruitty smelling breath resulting from improper fat metabolism
-cns depression (mental dullness, drowiness, stupor, and coma)
-twitching and convulsions
-hyperkalemia
interventions for metabolic acidosis
-give insulin as precribed
-dialysis as prescribed
-diet: low in protein and high in calories will decrease the amouth of protien waste products (which will lessen the acidosis)
-kussmaul's respirations (found in dka): abnormally deep, regular, increase in rate
-bradypnea respirations: regular but abnormally slow
-hyperpnea respirations: labored and increased in depth and rate
-apnea respirations: cease for several seconds
-make sure you do an allen's test prior to drawing blood for the arterial blood gases. the purpose of this procedure is to assess the adequacy of the ulnar circulation.
-allen's test: explain procedure, apply pressure over the ulnar and radial arteries, ask client to open and close hand repeatedly, release pressure from ulnar artery, assess the color of the extremity distal to the pressure point.
KetuUCF
29 Posts
Facts for the day:
Parents with a child that has sickle cell disease need to be taught that the child needs to AVOID OVERHEATING during physical activities because fluid loss caused by overheating and dehydration can trigger a crisis
In developmental dysplasia, it produces a CHARACTERISTIC LIMP in children who are walking
Clients with BPH have overflow incontinence with FREQUENT URINATION in small amounts day and night
Pneumonia causes a marked increase in interstitial & alveolar fluid, therefore, consolidated lung tissue transmits BRONCHIAL BREATH SOUNDS to OUTER LUNG FIELDS
During seizure activity, it is a PRIORITY to note, and then record, WHAT MOVEMENTS are seen because the diagnosis and treatment often rests solely on the seizure description
PERSISTENT COUGHING in a child discharged after a tonsillectomy should BE REPORTED to the primary care provider because it may indicate BLEEDING ( don't just think frequent swallowing)
Process of dying w/ a client that is Hindu: RN should plan that after death, a Hindu priest will pour water into the mouth of the client and tie a thread around the client's wrist, family is particular about who touches the body, cremation preferred, last rites carefully prescribed
Process of dying w/ a client that is Mormon: Cremation discouraged, elders may be w/ the client during process of dying and no last rites are given
Process of dying w/ a client that is Islamic: family must be w/ client during process of dying and family must be the only ones to wash the body after death
Process of dying w/ a client that practices Judaism: body is ritually cleansed and burial occurs as soon as possible after death
RNs should limit visitors with a client that has decreased adrenal function because any exertion, physical or emotional places additional stress on the adrenal glands, which could bring on an Addisonian crisis
Client with trigeminal neuralgia, the RN should offer small meals of high calorie soft food to promote more nourishment and less chewing
Separation anxiety is most evident from 6 months to 30 months of age
Fluorosis, a condition in which teeth have a chalky white to yellowish staining with pitting of enamel d/t repeated swallowing of toothpaste with fluoride or drinking water with high levels of fluoride
Breast engorgement in newborns occurs in both sexes as a result of withdrawal of maternal hormones after birth (normal occurence)
Glaucoma and prostatic hypertrophy are contraindications to use Congentin because it is an anticholinergic drug
Clients taking Thorazine should avoid direct sunglight d/t sensitivity
Scenario- If RN is working for a Poison Control Center and parents say that their child has drunk drain cleaner (alkaline), the RN would suggest parents to have child drink orange juice (acidic) to neutralize the substance
Enjoy my helpful facts, couple more days till I take the big test...:typing
-KetuUCF:heartbeat