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
-hepatitis a (infant)= private room / contact precautions
standard precautions for:
infectious mononucleosis
legionnaire's disease
pneumococcal meningitis
localized herpes zoster
lyme disease
24 month old:
-child kicks a ball without falling
-child builds a block tower of six blocks
-child uses two-to-three-word phrases
-able to state first name (not last ,as with 30 month old)
-can run fairly well ( not able to jump with both feet yet until 2 ½ or 30 month)
(rides a tricycle = 3 years-old)
systemic lupus erytherratosus, sle:
-ask your physician to order a lipid profile & urinalysis with the yearly examination
(-proteinuria & hyperlipidemia are common with sle)
-instructing client empowers her to assume responsibility of her health
addison's disease : have,
-s/sx
hyponatremia à muscle cramps,
fatigue,
hypotension;
weakness,
dehydration.
ü decrease b/p
"external tan"
decreased resistance to physical stress
alopecia
lithium diet:
-regular sodium intake;
-adequate fluid intake
early clubbing: -seen in client with:
pallor,
fatigue,
weakness &
dyspnea on exertion
à angle between the nail plate &
proximal nail fold is straightened to 180 degrees (normal is 160 degrees)
└à indicates "early" clubbing"
- sign of hypoxia
- "nail base" is also "spongy" on palpation
- there is normally a 160 degree angle between nail plate & proximal nail fold, & nails shape is normally convex (straightening or flattening beyond 180 degrees= late clubbing)
halo vest traction-most concern if:
"it hurts when i chew"
-if pain occurs with jaw movement in halo traction,
-24-48 hours after halo traction has been applied,
-it may indicate that skull pins have slipped onto the thin temporal plate
-notify physician immediately
(halo vest its normal to have a headache)
acute pancreatitis:
-use meperidine hcl (demerol)
- is drug of choice
[contraindicated is mso4--b/c it causes spasms of sphincter of oddi]
intravenous pyelogram: x-ray taken at intervals after dye is injected;
chronic lung disease - decreased breath sounds caused by the decrease in air movement through the lung fields; increase in the a-p diameter of the chest and there is a prolonged expiratory phase
chronic lung disease - most common complication is pneumonia
pulmonary embolus - priority is to relieve chest pain and restore oxygenation.
chronic bronchitis - history of productive cough and dyspnea.
acute respiratory distress syndrome - a form of pulmonary edema that is characterized by labored respirations and low po2 in spite of a high fi02; consistent decline in the p02, regardless of the fi02
cystic fibrosis - stools are large, bulky, and foul smelling (steatorrhea)
low pressure alarm sounds - begin manual mechanical ventilation; the first priority is to ensure that the client is receiving adequate ventilation; usually, the low-pressure alarm sounds when the machine cannot deliver the tidal volume because of a leak or break in the system
important indication of how clients with cystic fibrosis are doing is appetite; poor appetite and weight loss are indications that an infectious process may be occurring
three normal breath sounds - vesicular, bronchovesicular, and bronchial
vesicular breath sounds - soft, low-pitched, gentle, rushing sounds that are heard in all of the lung areas, except the major bronchi.
bronchovesicular breath sounds - medium pitch and are heard anteriorly over the main stem bronchi on either side of the sternum and posteriorly between the scapulae.
flail chestproducesparadoxical respirations, which means the affected or flail part of the lung will be sucked in during inspiration (mediastinal shift to uninjured side) and bulge out on expiration (mediastinal shift to the injured side).
chronic bronchitis - teach client to use diagphragmatic breathing to increase lung expansion and maximize ventilation
ards - peep is used to increase pa02 without raising fi02; allows lower fio2 below 60%.
adrenalin - vasoconstriction is a primary effect; throbbing headache, tremor, and increase in blood pressure also occur.
theophylline - n is 10 to 20 mcg/ml; restlessness, tachycardia, insomnia, nausea, and vomiting are indicative of side effects of theophylline at a toxic level.
albuterol (proventil) by metered-dose inhaler - to be most effective, there needs to be a 1-minute time lapse between the two puffs of medication; the first puff will open the upper airways & will allow more effective penetration of the lower tract with the second puffof medication
Processed fruits and vegetables have a higher sodium content than fresh fruits and vegetables.
The salicylic acid contained in aspirin and ibuprofen is strong enougho irritate the gastric mucosa, especially in patients diagnosed with peptic ulcer disease.
The elderly have a decreased need for calories due to decreased activity.
After abdominal surgery, expect bowel sound to return with 12-24 hours.
Before a barium enema study, the patient's large intestine must be completely cleaned for a clear view of the colon.
During a nasogastric tube feeding the head of the bed needs to be elevated for 30 minutes for facilitation of the absorption process.
Drainage from a chest tube should not exceed 100 ml/hour, if the drainage is more than that, or if the drainage becomes bright red or increases, suddenly--call the doctor
When to call the doctor:
a) if the patient has been injured
b) if the patient suddenly experiences adverse effects or an
unexpected turn for the worse
c) when the patient experiences a negative side effect from a
medication
d) if the patient refuses a prescribed treatment
e) if the prescribed medication is not working
When urine output from urethral or nephrostomy tubes is
I want to start a new thread related to Fact Throwing, but is specific to a particular situation. I want to call it: "You call the doctor when"... and we all share our contributions about legitimate reasons to call the doctor. I want to do this because while preparing for the NCLEX some of the questions more often than not there is one alternative "call the physician" and actually that has been the wrong answer for several scenarios presented that I would have chosen to call the MD. It will work like this:
You call the doctor when...
questioning the safety of a prescription given such as prescribing
a dextrose solution to a diabetic
the prescription order is illegible or needs clarification on the
particular dosage to be given and or the route
If you agree to this please follow the format or any other you prefer.
Specializes in Medical and general practice now LTC.
Hello all...I noticed a posting talking about the HESI exam. Can someone please explain to me what this exam entails? I'm currently in my 3rd year.
Thanks
Some schools require a pass in HESI before they will graduate you and send your transcripts to the nursing board. If you search you will find much both on this forum an in the student forums on the exam
[feliz3;3262132]hi to all of you from sunny california!
i want to start a new thread related to fact throwing, but is specific to a particular situation. i want to call it: "you call the doctor when"... and we all share our contributions about legitimate reasons to call the doctor. i want to do this because while preparing for the nclex some of the questions more often than not there is one alternative "call the physician" and actually that has been the wrong answer for several scenarios presented that i would have chosen to call the md. it will work like this:
you call the doctor when...
questioning the safety of a prescription given such as prescribing
a dextrose solution to a diabetic
the prescription order is illegible or needs clarification on the
particular dosage to be given and or the route
if you agree to this please follow the format or any other you prefer.
thanks, feliz3
hi feliz3,
i think it would be difficult to figure out now when "to call the physician"...because it will all depend on the choices on the actual test (remember, in nclex we have 4 choices most of the time). your answer now may be correct if it stands on its own, but when already choosing among 4 answer choices, i think it is more confusing. you still have to consider priority here. i hope you get what i mean. :wink2:
Some schools require a pass in HESI before they will graduate you and send your transcripts to the nursing board. If you search you will find much both on this forum an in the student forums on the exam
Thank you., SD102
I will have to follow up with my School and get a better understanding of the HESI.
[feliz3;3262132]hi to all of you from sunny california!
i want to start a new thread related to fact throwing, but is specific to a particular situation. i want to call it: "you call the doctor when"... and we all share our contributions about legitimate reasons to call the doctor. i want to do this because while preparing for the nclex some of the questions more often than not there is one alternative "call the physician" and actually that has been the wrong answer for several scenarios presented that i would have chosen to call the md. it will work like this:
you call the doctor when...
questioning the safety of a prescription given such as prescribing
a dextrose solution to a diabetic
the prescription order is illegible or needs clarification on the
particular dosage to be given and or the route
if you agree to this please follow the format or any other you prefer.
thanks, feliz3
hi feliz3,
i think it would be difficult to figure out now when "to call the physician"...because it will all depend on the choices on the actual test (remember, in nclex we have 4 choices most of the time). your answer now may be correct if it stands on its own, but when already choosing among 4 answer choices, i think it is more confusing. you still have to consider priority here. i hope you get what i mean. :wink2:
SWEETDREAMERINSOCAL
64 Posts
hello... here is my share for today...
aluminum hydroxide (amphojel): take "amphojel" 1 hour after meals
(b/c it's an antacid!)
- "antacid" neutralize gastric acids, increase ph ( more alkaline/basic!) ,
- inactive pepsin ; contains sodium
- check if patient on a sodium restricted diet
- b/c amphojel has sodium in it!
private room for :
-disseminated herpes zoster (requires airborne & contact precautions)
-influenza (droplet precautions)
-hepatitis a (infant)= private room / contact precautions
standard precautions for:
infectious mononucleosis
legionnaire's disease
pneumococcal meningitis
localized herpes zoster
lyme disease
24 month old:
- child kicks a ball without falling
- child builds a block tower of six blocks
- child uses two-to-three-word phrases
- able to state first name (not last ,as with 30 month old)
- can run fairly well ( not able to jump with both feet yet until 2 ½ or 30 month)
(rides a tricycle = 3 years-old)
systemic lupus erytherratosus, sle:
-ask your physician to order a lipid profile & urinalysis with the yearly examination
(-proteinuria & hyperlipidemia are common with sle)
-instructing client empowers her to assume responsibility of her health
addison's disease : have,
-s/sx
hyponatremia à muscle cramps,
fatigue,
hypotension;
weakness,
dehydration.
ü decrease b/p
"external tan"
decreased resistance to physical stress
alopecia
lithium diet:
-regular sodium intake;
-adequate fluid intake
early clubbing: -seen in client with:
pallor,
fatigue,
weakness &
dyspnea on exertion
à angle between the nail plate &
proximal nail fold is straightened to 180 degrees (normal is 160 degrees)
└à indicates "early" clubbing"
- sign of hypoxia
- "nail base" is also "spongy" on palpation
- there is normally a 160 degree angle between nail plate & proximal nail fold, & nails shape is normally convex (straightening or flattening beyond 180 degrees= late clubbing)
halo vest traction-most concern if:
"it hurts when i chew"
-if pain occurs with jaw movement in halo traction,
-24-48 hours after halo traction has been applied,
-it may indicate that skull pins have slipped onto the thin temporal plate
-notify physician immediately
(halo vest its normal to have a headache)
acute pancreatitis:
-use meperidine hcl (demerol)
- is drug of choice
[contraindicated is mso4--b/c it causes spasms of sphincter of oddi]
intravenous pyelogram: x-ray taken at intervals after dye is injected;
-requires bowel perquisite;
-npo after mid-night;
**assess for allergies to:
-shellfish, (shrimp)
iodine,
chocolate,
eggs,
milk
(b/c potential anaphylaxis!)
studying....
sharing...:typing reading...
goal ...
:redbeathe:redpinkhes:redpinkhe:redbeathe