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
hello all this is my last send for today... :typing
fall prevention:
exercise, tai-chi,
-prevents falls or decrease chances of falling
-tai-chi improves balance & coordination
-avoid shoes with thin, nonslip soles are safest
-avoid slippers
-avoid athletic shoes with deep treads!!
-go to eye doctor
-have vision checked
-buy new, bight lamps/ lights for home
-remove throw rugs
[color=white]q bank # 15
tb skin testing with ppd:
**10 mm in duration: positive ppd in otherwise healthy patient.
**5 mm in duration: positive ppd in hiv positive client and other immunocompromised clients
allergies to sulfa drugs/sulfonamides: if *skin develops a yellow crust* (jaundice is a sign of liver involvement (may signal metastasis- of cancer cells)
morphine sulfate (ms04) à will decrease blood return to right side of heart, and decrease peripheral resistance
-decreases preload & after load pressures and cardiac workload
- vasodialtes; provides anxiety relief too.
-sq or im - wow! even sq! even continuous iv morphine infusion ..esp if on hospice.
captopril (capoten) (ace inhibitor): take 1 hour before or 2 hours after meals
(never with meals for captopril always separate!)
-take captopril at same time every day
-ace inhibitor treatment for htn
-change position slowly to prevent orthostatic hypotension
-s/e: dry hacking cough
- hypotension
-taste disturbances (metallic)
-protienuria
-do notincrease potassium
-do notuse salt substitute
-do notdouble dose if missed dose
-avoid potassium foods
-no apricots
-no bananason captopril
decreased variability: this fhr pattern:..
-will occur if meperidine (demerol) 50mg iv is given to client in labor
-irregular fluctuations in the baseline of fhr;
-demerol crosses the placenta &
-is a cns depressant; fhr variability is affected by narcotic administration.
early decelerations = occur before peak of contraction
-result from fetal head compression (normal)
late decelerations = occur [color=#33cccc]after peak of contraction
-from uteroplacental insufficiency (abnormal)
variable declarations = occur [color=#cc99ff]any time during[color=#cc99ff]uterine contraction
-result from cord compression(abnormal)
"casts" in urine = "renal disease"
specific gravity = 1.010 to 1.030 (normal)
blood urea nitrogen (bun) = 10 to 30 mg/ml (normal)
serum creatinine = 0.5-1.5 mg/dl (normal)
permanent pacemaker:most important "take your pulse every day"
-a change in heart rhythm or rate can signal a malfunction of the pacemaker
-take pulse x 1 full minute
-same time each day & record it in a journal;
-also, take pulse if feeling any symptoms!!
acute glomerulonephritis:
-c/o of sore throat,
-fever
culture
-group a beta-hemolytic streptococcus infection
urinalysis
-large amount of protein and
-large # of red blood cells will be found in urinalysis
-instruct client to make an appointment
-before leaving the country to determine client's renal status
anorexia nervosa:
-best indicator that goal of balanced nutrition has been met to meet metabolic demand;
"menstrual period" has returned and is regular" = balanced nutrition
-not ideal body weight has been attained...
-b/c no guarantee that underlying metabolism disturbances been corrected.
postpartum hemorrhage: greatest risk hemorrhage is with:
-disteneded bladdercan cause hemorrhage
-this distended bladder will likely displace the uterus to the:
left or right & interferes with uterine contraction
*-episiotomy is not a risk for hemorrhage! but can cause discomfort.
abusing spouse: most appropriate therapy=group therapy
uti's : -repeated uti's and incontinent -uninhibited bladder:
-perform an intermittent catheterization for residual urine volume
-bladder may not empty completely
"residual urine can cause uti"
b/c it sits in there and causes infection!
first stage of labor (3 phases)
latent phase:
= 0-3 cm;
[color=#ff6600]contractions :
10-30 secs &
contractions 5-30 minutes apart
-mild to moderate
active phase:
=4-7 cm;
[color=#ff6600]contractions:
40-60 secs &
contractions 3-5 mins apart
-moderate to strong
***transition phase: 8-10 cm
contractions:
45-90 secs &
1 ½ to 2 mins apart
strong ***intense desire to urinate***
-[color=#00ccff]in this phase even ask for help to go to the bathroom!
40 year-old:
-client compares life's accomplishments
-against goals
(potential mid-life-crisis at 40 yr-old)
**enteral line gets disconnected:
-patient restless, c/o difficulty breathing
-nurse locks the central catheter
position patient
* on left side in trendelenberg;
-institute oxygen therapy &
-notify physician
** s/sx:
-air embolism do not place in high fowlers
-may go to brain
battery acid to the eyes:
-continue to irrigate his eyes until the ph is within normal limits
-removal of acid is imperative
-checking ph helps verify if chemical/acid has been removed
-this falls within the l.v.n.'s scope of practice!
-do not interrupt rinsing of eyes
older client with emphysema:
-becomes restless &
-confused
-encourage client do "pursed-lip breathing"
-b/c prevents collapse of lungs-
-helps patient control rate/depth of breathing
term infant
extremities flexed at rest
lanugo (fine-hair over body)
lanugo greatest @ 28 wk gestation
elbow creases contain vernix
nipple bud measures 0.5 to 1 cm
pre-term infant
extremities are in extension (preterm)
restraints:
-reevaluate the need for restraints every 4 hours
-order for restraints are time-limited to 4 hours
prednisone (cortisone)-
-long-term use ( 3 yrs. or more)
-leads to osteoporosis
s/sx
-weakness
-muscle wasting
-depression,
-alopecia
-buffalo hump (cushing syndrome)
-obesity
-mood swings
-slow wound healing
phobia:
-e.g. fear of elevators:
first allow patient to avoid elevator
(not encourage to discuss his fear)
nasal decongestant spray:
-close one nostril while you breathe in and squeeze the spray into the other
-be seated with head erect or
-head slightly tilted backward
-tip of spray bottle should actually be inserted into the nostril!
-do not blow nose after spraying medication into nose!
-b/c need to retain the nasal medication!
*never label iv bagsdirectly onto plastic with a permanent marking pens
Wanted to let all of you know who are contributors to this site that this was VERY helpful for me in my studying. I spent quite a bit of time putting info together in a more organized way and combining it with my notes.
My test cut off after 75 questions, and I did not have the medication calculations that I thought I would have & did not have OB, child development, etc. However, each test is different, so I would make sure I knew that info.
What I ended up doing was: (I was not working at the time)
Suzanne's plan
30 minutes studying Infection Control (from this site, the CDC web site, and another site listed on this forum, also the You Tube flash card review on Infection Control
75 questions on the NCLEX 3500 site -- quite different than my other NCLEX review CD
Several pages in my Delegating, Prioritization & Assigning book
30 minutes studying rationales that I had copied & pasted from NCLEX review-type questions from a CD & the NCLEX 3500 site
30 minutes studying medications
30 minutes (minimum) going over the Facts Throwing site
This is what worked for me. And I was lucky to have gotten 3 hours of sleep the night before. So much for my plan to stay cool, calm & RELAXED!!!
Good luck to all of you who are studying, and have a HAPPY THANKSGIVING!
Now, for those of us who have passed, Let's go bless the world!
P.S. I've told my kids that they can call me Momrn now!
Wanted to let all of you know who are contributors to this site that this was VERY helpful for me in my studying. I spent quite a bit of time putting info together in a more organized way and combining it with my notes.
My test cut off after 75 questions, and I did not have the medication calculations that I thought I would have & did not have OB, child development, etc. However, each test is different, so I would make sure I knew that info.
What I ended up doing was: (I was not working at the time)
Suzanne's plan
30 minutes studying Infection Control (from this site, the CDC web site, and another site listed on this forum, also the You Tube flash card review on Infection Control
75 questions on the NCLEX 3500 site -- quite different than my other NCLEX review CD
Several pages in my Delegating, Prioritization & Assigning book
30 minutes studying rationales that I had copied & pasted from NCLEX review-type questions from a CD & the NCLEX 3500 site
30 minutes studying medications
30 minutes (minimum) going over the Facts Throwing site
This is what worked for me. And I was lucky to have gotten 3 hours of sleep the night before. So much for my plan to stay cool, calm & RELAXED!!!
Good luck to all of you who are studying, and have a HAPPY THANKSGIVING!
Now, for those of us who have passed, Let's go bless the world!
P.S. I've told my kids that they can call me Momrn now!
Dearest roadrunner14,
I want to personally thank you for kindly posting this advice. In addition to thanking you, I want to congratulate you on becoming a registered nurse. I am intrigued by a book you mentioned: Delegating, Prioritizing & Assignment book. Where could I get this book, what's the author and its publisher for I want to order this book at Amazon. Thanks once again and congratulations. feliz3
In case others don't know about this book also, it is called "Prioritization, Delegation & Assignment," and it is by LaCharity, Kumagai & Bartz. Lots of practice exercises and a great study tool. I did have these types of questions on my exam.
I am going to be putting your names on my calendar so I can personally pray for you when you are taking your tests through the end of November -- we're all in this together!
Good luck again, and keep studying. I found that it was easier to study if you reward yourself with little breaks in which to reward yourself -- even 10 or 20 minutes an hour -- get outside & get some fresh air to keep those brain cells oxygenated, etc.
In case others don't know about this book also, it is called "Prioritization, Delegation & Assignment," and it is by LaCharity, Kumagai & Bartz. Lots of practice exercises and a great study tool. I did have these types of questions on my exam.
I am going to be putting your names on my calendar so I can personally pray for you when you are taking your tests through the end of November -- we're all in this together!
Good luck again, and keep studying. I found that it was easier to study if you reward yourself with little breaks in which to reward yourself -- even 10 or 20 minutes an hour -- get outside & get some fresh air to keep those brain cells oxygenated, etc.
Dear roadrunner14,
Thanks a lot...you are amazing! I am so glad you reached your goal! Even when running the risk of sounding like an old record, I have to congratulate you, again! Sincerely, feliz3
Congrats To U Roadrunner14 I Will Be Testing The First Week In Dec. Thanks For The Studing Tips. Was The Nclex 3500 Site Helpful. You Said It Was Quite Different Than Other Nclex Review Cd. Different In A Good Way? Sometimes I Feel I Have To Many Things To Study From And Dont No The 1st Thing To Do. Again Congrats
feliz3
SWEETDREAMERINSOCAL
64 Posts
hello all this is my last send for today... :typing
fall prevention:
exercise, tai-chi,
-prevents falls or decrease chances of falling
-tai-chi improves balance & coordination
-avoid shoes with thin, nonslip soles are safest
-avoid slippers
-avoid athletic shoes with deep treads!!
-go to eye doctor
-have vision checked
-buy new, bight lamps/ lights for home
-remove throw rugs
[color=white]q bank # 15
tb skin testing with ppd:
**10 mm in duration: positive ppd in otherwise healthy patient.
**5 mm in duration: positive ppd in hiv positive client and other immunocompromised clients
allergies to sulfa drugs/sulfonamides: if *skin develops a yellow crust* (jaundice is a sign of liver involvement (may signal metastasis- of cancer cells)
morphine sulfate (ms04) à will decrease blood return to right side of heart, and decrease peripheral resistance
-decreases preload & after load pressures and cardiac workload
- vasodialtes; provides anxiety relief too.
-sq or im - wow! even sq! even continuous iv morphine infusion ..esp if on hospice.
captopril (capoten) (ace inhibitor): take 1 hour before or 2 hours after meals
(never with meals for captopril always separate!)
-take captopril at same time every day
-ace inhibitor treatment for htn
-change position slowly to prevent orthostatic hypotension
-s/e: dry hacking cough
- hypotension
-taste disturbances (metallic)
-protienuria
-do not increase potassium
-do not use salt substitute
-do not double dose if missed dose
-avoid potassium foods
-no apricots
-no bananas on captopril
decreased variability: this fhr pattern:..
-will occur if meperidine (demerol) 50mg iv is given to client in labor
-irregular fluctuations in the baseline of fhr;
-demerol crosses the placenta &
-is a cns depressant; fhr variability is affected by narcotic administration.
early decelerations = occur before peak of contraction
-result from fetal head compression (normal)
late decelerations = occur [color=#33cccc]after peak of contraction
-from uteroplacental insufficiency (abnormal)
variable declarations = occur [color=#cc99ff]any time during [color=#cc99ff]uterine contraction
-result from cord compression (abnormal)
"casts" in urine = "renal disease"
specific gravity = 1.010 to 1.030 (normal)
blood urea nitrogen (bun) = 10 to 30 mg/ml (normal)
serum creatinine = 0.5-1.5 mg/dl (normal)
permanent pacemaker: most important "take your pulse every day"
-a change in heart rhythm or rate can signal a malfunction of the pacemaker
-take pulse x 1 full minute
-same time each day & record it in a journal;
-also, take pulse if feeling any symptoms!!
acute glomerulonephritis:
-c/o of sore throat,
-fever
culture
-group a beta-hemolytic streptococcus infection
urinalysis
-large amount of protein and
-large # of red blood cells will be found in urinalysis
-instruct client to make an appointment
-before leaving the country to determine client's renal status
anorexia nervosa:
-best indicator that goal of balanced nutrition has been met to meet metabolic demand;
"menstrual period" has returned and is regular" = balanced nutrition
-not ideal body weight has been attained...
-b/c no guarantee that underlying metabolism disturbances been corrected.
postpartum hemorrhage: greatest risk hemorrhage is with:
-disteneded bladder can cause hemorrhage
-this distended bladder will likely displace the uterus to the:
left or right & interferes with uterine contraction
*-episiotomy is not a risk for hemorrhage! but can cause discomfort.
abusing spouse: most appropriate therapy=group therapy
uti's : -repeated uti's and incontinent -uninhibited bladder:
-perform an intermittent catheterization for residual urine volume
-bladder may not empty completely
"residual urine can cause uti"
b/c it sits in there and causes infection!
first stage of labor (3 phases)
latent phase:
= 0-3 cm;
[color=#ff6600]contractions :
10-30 secs &
contractions 5-30 minutes apart
-mild to moderate
active phase:
=4-7 cm;
[color=#ff6600]contractions:
40-60 secs &
contractions 3-5 mins apart
-moderate to strong
***transition phase: 8-10 cm
contractions:
45-90 secs &
1 ½ to 2 mins apart
strong ***intense desire to urinate***
-[color=#00ccff]in this phase even ask for help to go to the bathroom!
40 year-old:
-client compares life's accomplishments
-against goals
(potential mid-life-crisis at 40 yr-old)
**enteral line gets disconnected:
-patient restless, c/o difficulty breathing
-nurse locks the central catheter
position patient
* on left side in trendelenberg;
-institute oxygen therapy &
-notify physician
** s/sx:
-air embolism do not place in high fowlers
-may go to brain
battery acid to the eyes:
-continue to irrigate his eyes until the ph is within normal limits
-removal of acid is imperative
-checking ph helps verify if chemical/acid has been removed
-this falls within the l.v.n.'s scope of practice!
-do not interrupt rinsing of eyes
older client with emphysema:
-becomes restless &
-confused
-encourage client do "pursed-lip breathing"
-b/c prevents collapse of lungs-
-helps patient control rate/depth of breathing
term infant
extremities flexed at rest
lanugo (fine-hair over body)
lanugo greatest @ 28 wk gestation
elbow creases contain vernix
nipple bud measures 0.5 to 1 cm
pre-term infant
extremities are in extension (preterm)
restraints:
-reevaluate the need for restraints every 4 hours
-order for restraints are time-limited to 4 hours
prednisone (cortisone)-
-long-term use ( 3 yrs. or more)
-leads to osteoporosis
s/sx
-weakness
-muscle wasting
-depression,
-alopecia
-buffalo hump (cushing syndrome)
-obesity
-mood swings
-slow wound healing
phobia:
-e.g. fear of elevators:
first allow patient to avoid elevator
(not encourage to discuss his fear)
nasal decongestant spray:
-close one nostril while you breathe in and squeeze the spray into the other
-be seated with head erect or
-head slightly tilted backward
-tip of spray bottle should actually be inserted into the nostril!
-do not blow nose after spraying medication into nose!
-b/c need to retain the nasal medication!
*never label iv bags directly onto plastic with a permanent marking pens
-best on label instead!
-b/c ink can penetrate into iv solution bad
:bowingpurstudying ... daily:typing ... sharing:typing goal....
..
:redbeathe:heartbeat:redpinkhes:redpinkhe:heartbeat:redbeathe