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
Anyone have a better mneumonic than On Old Olympus for the cranial nerves? I can't seem to remember them by that one... also, what about the Some Say Money Makes Sense... or whatever to indicate which CN is sensory and which are motor (and which are both)?
12 NERVES MNEMONICS!
Oh - Olfactory (sense of smell)
Oh - Optic (sense of sight)
Oh - Occulomotor (eye movements and eyelids)
To - Trochlear (downward and leteral movements of eyes)
Touch - Trigeminal (mastication, sense of touch, pain)
is a form of metabolic acidosis result from uncontrolled diabetes mellitus?
accumulation of ketones bodies leads to urinary loss of:
water
potassium
ammonium
sodium
resulting in hypovolemia,electrolyte imbalance, and extremely high glucose and commonly coma.
s/sx
flushed
hot
dry skin
confusion
nausea
diaphoresis
restlessness
fruity breath odor
type i diabetic with diabetic ketoacidosis
receiving continuous insulin via infusion the condition that is the greatest risk would be hyperkalemia. this occurs when insulin administration causes:
-glucose
-potassium
to move into the cells.
also hypophosphatemia may occur with insulin administration b/c phosphorus enters cells with insulin and potassium.
lasix (loop diuretic) is a potassium wasting diuretic teach client to ó his intake of potassium rich foods: bananas, oranges, strawberries tomatoes avocados, green veggies, raisins and taught to report any hearing loss or signs of gout.
rheumatic fever is an inflammatory disease from group a beta hemolytic streptococcal infection is inadequately treated.
greatest risk: recurrence
tx: need long-term use of antibiotics therapy into adulthood or even life.
lidocaine (xylocaine) anti-arrhythmic when administration of drug will see runs of ventricular tachycardia on a cardiac monitor.
hypertonic solution causes the blood stream to absorb fluids until blood pressure on both sides of the blood vessel is equal and causes cells to shrink.
hypotonic solution causes fluids to move from the blood stream into the tissue causing cells to swell.
isotonic solution has no effect on the cell it neither swells nor shrinks.
no nasotracheal suctioning with head injury or skull fracture.
csf in meningitis will have high protein, and low glucose.
we know kawasakidisease causes a heart problem, but what specifically? coronary artery aneurysms d/t the inflammation of blood vessels.
with glomerulonephritis you should consider blood pressure to be your most important assessment parameter. dietary restrictions you can expect include fluids, protein, sodium, and potassium.
pancreatic enzymes give before meals and snacks.
aortic valve: right of sternum at the 2nd intercostal space
pulmonic valve: left of sternum at the 2nd intercostal space
tricuspid valve: immediately left of sternal border at the 5th intercostal space
mitral valve (point of maximal impulse): left of sternum mid-clavicular line at the 5th intercostal space
erbb’s point: left of sternum at the 3rd intercostal space
This is in regards to maintaining therapeutic levels for Heparin(antidote protamine sulfate)...
Normal aPTT is 20-36 seconds in most labs but could be as high as 40.
To maintan heparin therapeutically, the aPTT should be 1.5-2.5 times the control.
If the aPTT is longer than 80 seconds then the dosage should be decreased.
If aPTT is shorter than 60, then you need to increase the dose.
Administer heparin sub q with a 25-28 gauge 5/8 inch needle at an angle of 90 degrees.
Warfarin(Coumadin)(antidote is vitamin K, think of how Coumadin is pronounced in terms of the first letter C, and how it sounds like a K).
Normal PT(PT is only two letters and warfarin requires TWO things, checking PT AND INR, so to remember is Warfarin has TWO names, Coumadin or Warfarin)is 9.6-11.8 seconds, the therapeutic range is 1.5-2 times the control.
INR-normal is 1.3-2.0.
INR of 2 to 3 is what is acceptable but sometimes the target for clients can be 3 to 4.5
If INR is below this recommended range for warfarin it should be INCREASED.
The following points have probably come up already but no shame in repeating it again.
The best confirmation that a client's halo traction is applied properly is that the client is unable to turn his/her head from side to side.
Order of steps the nurse would follow during insertion of a nasogastric tube are:
-Wash hands and put on gloves
-Lubricate the tip of the NGT
-Ask the client to hyperextend the neck (to reduce the curvature of the nasopharyngeal junction, once the tube is passed the nasopharyngeal junction)
-Ask the client to tilt the head forward (to prevent the tube from going into the larynx; once in the esophagus)
-Have the client swallow sips of water while advancing the tube 5 to 10 cm with each swallow
-Check tube placement (tube should be in the stomach and not the lungs)
The Snellen chart tests long-distance vision.
Jaeger's chart is used to test close distant vision.
A tangent screen is used to test peripheral vision by gradually bringing an object into the peripheral view and having the client indicate when they see an object in their field of vision.
Ishihara's plates are used to test for color vision.
Good luck to all of my friends who will be taking the NCLEX this month and Congratulations to all that have passed thus far!
:D:D
GretaRN
197 Posts
Hi,
don't know if this helps but we were taught to round up to whole number...