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
the primary symptoms of a client who experiences a right-sided stroke are left-sided weakness, impulsiveness, and poor judgment. aphasia is more commonly present when the dominant or left hemisphere is damaged. when a client has one-sided weakness, place the wheelchair on the client's unaffected side. because a right stroke causes left-sided paralysis, the right side of the body should remain unaffected.
a positive kernig's sign is a manifestation of meningeal irritation. the nurse can elicit this sign by placing the client in a supine position and flexing the leg at the hip and knee. pain or resistance when the knee is straightened suggests meningeal irritation.
babinski's reflex-dorsiflexion of the great toe with extension and fanning of the other toes-is an abnormal reflex elicited by firmly stroking the lateral aspect of the site of the feet with a blunt object. babinski's reflex is an indicator of corticospinal damage. a positive
brudzinski's sign (flexion of the hips and knees in response to positive flexion of the neck) also signals meningeal irritation.
lichtheim's sign is the inability to speak associated with subcortical aphasia.
adverse reactions to gentamicin include ototoxicity and nephrotoxicity. the nurse must monitor the client's hearing and instruct him to report any hearing loss or tinnitus. signs of nephrotoxicity include decreased urine output and elevated bun and creatinine levels
gentamicin has a therapeutic serum medication level .
therapeutic range= 5-10mcg/ml meaning a serum amount
of this medication beyond that range the nurse must assess
cranial nerve viii(auditory) and assess for symptoms of kidney
problems, talk to the doctor about a higher drug range than
recommended and document it. educate patient about side effects
and to report immediately what the patient is experiencing. feliz3
a positive kernig's sign is a manifestation of meningeal irritation. the nurse can elicit this sign by placing the client in a supine position and flexing the leg at the hip and knee. pain or resistance when the knee is straightened suggests meningeal irritation.
babinski's reflex-dorsiflexion of the great toe with extension and fanning of the other toes-is an abnormal reflex elicited by firmly stroking the lateral aspect of the site of the feet with a blunt object. babinski's reflex is an indicator of corticospinal damage. a positive
brudzinski's sign (flexion of the hips and knees in response to positive flexion of the neck) also signals meningeal irritation.
lichtheim's sign is the inability to speak associated with subcortical aphasia.
kernig's and brudzinski's signs are used when looking for indications of meningeal irritation which is one of the symptoms noted in menigitis. if you note positive signs for kerning and brudzinski on your patient, highly suspect of meningitis. meningitis is transmitted by direct contact, including droplet. meningitis has contact and droplet precautions. feliz3
Pernicious Anemia= Vitamin B12 deficiency caused by impaired absorption of Vit. B12. The body will not make enough red blood cells for lack of vitamin B-12. This type of anemia is seen in patients who have lost the ability to absorb Vit. B-12, the elderly, alcoholics and in patients with stomach surgery, or gastritis. Pernicious anemia is due to the lack of a stomach protein which helps in the absortion of Vit. B-12. This protein is called intrinsic factor which is produced by the gastric cells. Vit. B-12 is absorbed in the ileum. Patients with problem with the ileum need to be watch for pernicious anemia. Injections of intrinsic factor are given to patients with Vit. B-12 deficiency, it could be done once a week or once a month, but they must have that injection, and an insulin syringe used for giving intrinsic factor shots. Lab tests needed CBC, neurological assessment, lack of vit. B-12 may change the surface of the tongue and shrink or thin the stomach lining. feliz3
the appropriate technique for abdominal examination is inspection, auscultation, percussion, and palpation. auscultation is performed after inspection and before percussion and palpation to ensure that the motility of the bowel and the bowel sounds are not altered. t the sequence of maneuvers is inspect, auscultate,percuss and palpate.
you guys already know this just a reminder :redpinkhe
from my previous post clarification when to use this sequence for type of examination hope this helps. s
abdominal assessment sequence
- inspection
- auscultation
- percussion
- palpation
in this order because sequence prevents altering bowel sounds. by performing palpation before auscultation.
the second period of reactivity is characterized by a labile heart rate with episodes of bradycardia and tachycardia, an exaggerated response to internal and external stimuli, thick oral secretions, an irregular respiratory rate, and ruddy skin.
signs and symptoms associated with hypoglycemia include nervousness, diaphoresis, weakness, light-headedness, confusion, paresthesia, irritability, headache, hunger, tachycardia, and changes in speech, hearing, or vision. if untreated, signs and symptoms may progress to unconsciousness, seizures, coma, and death.
the second period of reactivity is characterized by a labile heart rate with episodes of bradycardia and tachycardia, an exaggerated response to internal and external stimuli, thick oral secretions, an irregular respiratory rate, and ruddy skin.
question: this information in conjunction to assessing what? please, clarify.
feliz3
feliz3
382 Posts
this is excellent. thanks
feliz3