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
hip dysplasia - help stabilize the hip, a pavlik harness is used
denis browne - splint is used to correct talipes equinovarus
harrington rods - surgically inserted to treat scoliosis
post lumbar laminectomy -bladder dysfunction may occur after surgery because of impaired innervation to the bladder from the lumbar area; client should be checked every 2 to 4 hours for bladder distention.
menopausal or post menopausal women, prolonged steroid intake and hyperthyroid intake have all been associated with the development of osteoporosis
pickup walker use - arms are flexed 30° when standing in the walker, the walker is advanced and the client steps into the walker with the affected leg first, bearing weight on the walker as the client moves forward
acetylsalicylic acid (aspirin) - doc and is the most effective in the early treatment of rheumatoid arthritis
h2 blockers - like zantac, are not effective in preventing ulcerations caused by nonsteroidal antiinflammatory drugs (nsaids); if the client is using nsaids to control the pain from arthritis, the nurse should notify the health care provider to consider changing the medications
first sign oftoxic shock syndrome-rapid onset of high fever
tx for wernicke's encephalopathy-thiamine iv
pap smear classification of cin grade iii -highly suggestive of malignancy
post abdominal hysterectomy - observe for decreased uo; low back pain and decreased urine output are serious symptoms that may indicate accidental intraoperative cutting of the ureter
gonorrhea in men -urethritis, dysuria, and purulent drainage
fluorescent treponemal antibody absorption test - identifies the spirochete treponema pallidum, which causes syphilis
up to 100 ml of serosanguineous fluid would be an acceptable amount of drainage over a 24-hour period in a client who has had a mastectomy.
bph complication -flank pain and hematuria may be indicative of an infection or a ureteral obstruction causing increased pressure on the renal pelvis
postcoital bleeding - common symptom of cervical cancer
depo provera -irregular menses and edema are common; administered by im injection every 3 months
tetracyclines and ampicillins - may decrease the effectiveness of the oral contraceptives
serious side effects of ocs -thromboembolic problems; increased risk for a stroke, an mi, or a pulmonary embolism
rapid instillation and removal of dialysate fluid along with accumulation of the fluid under the diaphragm can lead to pain and discomfort
indications for dialysis - volume overload, weight gain, hyperkalemia, metabolic acidosis, and rising bun (normal is 8-25 mg/dl) and serum creatinine (normal is 0.6-1.3 mg/dl) levels, along with decreased urinary creatinine clearance
disequilibrium syndrome -decrease in blood pressure, confusion, and sometimes seizures
ohas -not usually recommended for breast-feeding mothers
rhod - given to all rh-negative women in the twenty-eighth week of gestation
negative rubella titer (serologically a titer of 1:8 or enzyme immunoassay [eia] level of 0.8) - indication that the woman needs to be vaccinated; women must understand that they must practice contraception to avoid pregnancy for 2 to 3 months after being vaccinated because of risks associated with side effects and teratogenic effects of the live vaccine
ruptured fallopian tube - causes a sharp, sudden, stabbing pain. symptoms of shock (decreased bp, increased pulse, and respirations) occur as the client's condition quickly becomes a surgical emergency
board-like abdominal rigidity is often noted with abruptio placentae.
in the last two trimesters of pregnancy, the insulin needs should steadily increase as a result of the insulin antagonism from the placenta and the fetus; lack of an increased need for insulin may be a sign of placental insufficiency
women over 35 years old - routinely scheduled for amniocentesis to determine presence of fetal genetic defects
post amniocentesis - damage to the membranes is a possibility and a high-priority situation; without the protective barrier of the amniotic membrane, the mother and the baby are susceptible to infection; should refrain from sexual intercourse because of the possibility of introduction of pathogens; bathing would also be a hazard because of the possibility of contracting an infection from the bath water
diaphragm - predisposes many women to utis; some women are sensitive to the contraceptive cream or jelly; has been associated with toxic shock syndrome; hence, its use should be avoided during menses, and it should not be left in place longer than 6-8 hours
depo-provera - frequently associated with menstrual cycle changes; irregular bleeding is the most commonly cited reason for discontinuation
rhogam or rhod - given with and after each pregnancy, including an abortion of an rh positive fetus
chorionic villi sampling - performed at 8 to 12 weeks' gestation to detect genetic disease; performed early to give the client the option of terminating the pregnancy if genetic defects are present
hegar's sign - (softening of the lower uterine isthmus) may be present at 6 to 8 weeks' gestation, along with chadwick's sign, a bluish-purple discoloration of the lady partsl walls
when a laboring client is at +3, delivery is imminent
priority nursing measure to correct a variable deceleration - to change the mother's position; problem may be caused by pressure on the umbilical cord, and a position change will help to relieve it
abruptio placentae - prone to the development of disseminated intravascular coagulation after delivery, which is characterized by abnormal fibrinogen and coagulation studies
epidural anesth- left lateral (sims') position with legs flexed and shoulders parallel to readily expose the lumbar spaces; or the client may be in a sitting position with her shoulders resting on the bedside table
urine retention - common cause of uterine atony and can lead to postpartum hemorrhage; urine retention causes a distended bladder to displace the uterus above the umbilicus and to the side, which prevents the uterus from contracting
nurse should assess an episiotomy for presence of edema and approximation of the incision; swelling in the perineal area causes more tension on the suture line and increases pain; although the perineal sutures may be difficult to visualize, the suture line should be intact
contraction of 60 seconds in duration and occurring every 2 minutes is too strong and too frequent; pitocin infusion must be either stopped or slowed to prevent uterine rupture
before the administration of magnesium sulfate, the total urine output should be above 30 ml per hour, respiratory rate should be >12 breaths/min, and deep tendon reflexes should be 2+
close monitoring of frequency (q15mins) and length of contractions is critical for a client receiving oxytocin before delivery; fhr should be monitored on an almost a continuous basis in clients receiving oxytocin
within 12 hours, the fundus may be approximately 1 cm above the level of the umbilicus
post cleft lip repair -supine head turned to side; it is important that the child be positioned in such a manner that he does not traumatize the incisional area and that the airway is maintained
it is not necessary to cover the neonate's eyes with use of the fiberoptic blanket; feedings and fluids should be encouraged to promote excretion of the bilirubin
post circumcision -whitish-yellowish exudate around the glans member is granulation tissue and is normal; it will usually disappear within 2 to 3 days; it is not an infection
grunting creates a "back-pressure" in an attempt to keep alveoli from collapsing; if the alveoli are kept open, the functional residual capacity will increase, the lungs will be better ventilated, and the po2 will increase
post cicumcision -petroleum jelly should be applied as a moisture barrier to the head of the member; this should be done after each diaper change; a dry dressing should not be used
For rooming, sometimes it will not give you the same disease. For example, a pt with hip surgery who will your room it with.... a patient with a.
hepatitis A, b. Hepatitis C, c. tuberculosis.
I used the books: 101 Essential questions for the RN-to-be andPrioritization, Delegation anfd assignment on top of the other books and it helped me passed my test.
Know who will you pair with clean patient (no infection) with any patient that cannot spread any infection or disease to your patient.
Hope this help. Anybody, please correct me if I am wrong.
I read Suzanne plan first tip, I have to post 15 times. I am little bit confused anyone help me, which forum, where I have to post. Pleas any one explain for me how this form going on.
Specializes in Medical and general practice now LTC.
Hi all
I read Suzanne plan first tip, I have to post 15 times. I am little bit confused anyone help me, which forum, where I have to post. Pleas any one explain for me how this form going on.
Thank you
:nuke:
You can post in any of the forums and any posts. We just ask that posts are meaningful
I just found out that on the third try, I did not pass the nclex-rn. I have been sooo down since because I did everything. I spend hours at the library, went over labs...... but I dont know why!
Now I dont know where to start. Well not totally true I did buy the ncsbn course and have started, but I just am so not over why I didnt pass. Someone please help. Also I think this is a great thread.
You can post in any of the forums and any posts. We just ask that posts are meaningful
Dear Silverdragon102,
I do not want to be perceived as difficult or anything of the like, and I do apologize to you in advance if I cause aggravation which is not my intention at all. Perhaps, this person who is asking what is she doing wrong, that her efforts to contact Suzanne have been unsuccessful, does not understand what do you mean by a meaningful post. What is considered a meaningful post, Silverdragon102?
By presenting a clear cut criteria about that subject for this person and everybody else who may have the same question would give an idea what a person must say on 15 posts in order to be able to reach the objective to communicate with Suzanne.
I want to do an "aside" on this post to apologize to Suzanne for I have been spelling her name wrong all this time until I caught my own mistake, recently. I am so sorry about that Suzanne, please, kindly accept my apology.
Dear Silverdragon102, thanks for your time and consideration. Sincerely, feliz3
Specializes in Medical and general practice now LTC.
When we ask for meaningful post it has to be a bit more than posting every minute saying Thanks/Congratulations just to boost post count up to be able to use the pm system. We have seen it with a few members and was then decided that members couldn't post like that. Posts must be useful or asking appropriate questions.
I just found out that on the third try, I did not pass the nclex-rn. I have been sooo down since because I did everything. I spend hours at the library, went over labs...... but I dont know why!
Now I dont know where to start. Well not totally true I did buy the ncsbn course and have started, but I just am so not over why I didnt pass. Someone please help. Also I think this is a great thread.
Dear friend,
First at all, if you have taken the NCLEX three times there must be something you are doing consistently wrong every time you take it, and you want to find out what is it. This is not an accusation or anything of the like...I have to reTAKE the NCLEX, too.
You need to analyze the test performance explanation you received with the letter telling you did not pass the NCLEX. Read the test performance carefully for that is telling you the areas you need to be stronger on in order to pass the NCLEX the next time you take it.
I am working on the first tip of Suzanne's plan for after observing the way is designed, I think it will help me to be stronger on the areas I need to improve in order to pass the next time I take the NCLEX. If you look previous posts the supermoderator Silverdragon102 who is an excellent resource of information, by the way, posted the link to Suzanne's plan first tip. Print out the pages and work on the things you need to do in order to join Suzanne's NCLEX study plan.
I personally think it is generous from Suzanne to do this free of charge. I am grateful to her and to the adminstrators of this post for their efforts to help us pass the NCLEX.
I have given you the starting point of what you are going to do next: study the three Test Performance analysis you've received every time the nursing board told informed you did not pass. Compare the three notices and see if there is a pattern that consistenly show an area you need to work on. Your next step is to find the page where the Silverdragon102 gives the link to Suzanne's Plan first tip, and you go from there. Best, feliz3
When we ask for meaningful post it has to be a bit more than posting every minute saying Thanks/Congratulations just to boost post count up to be able to use the pm system. We have seen it with a few members and was then decided that members couldn't post like that. Posts must be useful or asking appropriate questions.
Dear Silverdragon102,
This is very good. Thanks for the information...you are awesome Silverdragon102! feliz3
feliz3
isobelle5287
59 Posts
ra - bilateral and symmetric
osteoarthritis and gouty arthritis - unilateral
crepitus - associated with osteoarthritis.
hip dysplasia - help stabilize the hip, a pavlik harness is used
denis browne - splint is used to correct talipes equinovarus
harrington rods - surgically inserted to treat scoliosis
post lumbar laminectomy - bladder dysfunction may occur after surgery because of impaired innervation to the bladder from the lumbar area; client should be checked every 2 to 4 hours for bladder distention.
menopausal or post menopausal women, prolonged steroid intake and hyperthyroid intake have all been associated with the development of osteoporosis
pickup walker use - arms are flexed 30° when standing in the walker, the walker is advanced and the client steps into the walker with the affected leg first, bearing weight on the walker as the client moves forward
acetylsalicylic acid (aspirin) - doc and is the most effective in the early treatment of rheumatoid arthritis
h2 blockers - like zantac, are not effective in preventing ulcerations caused by nonsteroidal antiinflammatory drugs (nsaids); if the client is using nsaids to control the pain from arthritis, the nurse should notify the health care provider to consider changing the medications
first sign of toxic shock syndrome - rapid onset of high fever
tx for wernicke's encephalopathy - thiamine iv
pap smear classification of cin grade iii - highly suggestive of malignancy
post abdominal hysterectomy - observe for decreased uo; low back pain and decreased urine output are serious symptoms that may indicate accidental intraoperative cutting of the ureter
gonorrhea in men - urethritis, dysuria, and purulent drainage
fluorescent treponemal antibody absorption test - identifies the spirochete treponema pallidum, which causes syphilis
up to 100 ml of serosanguineous fluid would be an acceptable amount of drainage over a 24-hour period in a client who has had a mastectomy.
bph complication - flank pain and hematuria may be indicative of an infection or a ureteral obstruction causing increased pressure on the renal pelvis
postcoital bleeding - common symptom of cervical cancer
depo provera - irregular menses and edema are common; administered by im injection every 3 months
tetracyclines and ampicillins - may decrease the effectiveness of the oral contraceptives
serious side effects of ocs - thromboembolic problems; increased risk for a stroke, an mi, or a pulmonary embolism
rapid instillation and removal of dialysate fluid along with accumulation of the fluid under the diaphragm can lead to pain and discomfort
indications for dialysis - volume overload, weight gain, hyperkalemia, metabolic acidosis, and rising bun (normal is 8-25 mg/dl) and serum creatinine (normal is 0.6-1.3 mg/dl) levels, along with decreased urinary creatinine clearance
disequilibrium syndrome - decrease in blood pressure, confusion, and sometimes seizures
ohas - not usually recommended for breast-feeding mothers
rhod - given to all rh-negative women in the twenty-eighth week of gestation
negative rubella titer (serologically a titer of 1:8 or enzyme immunoassay [eia] level of 0.8) - indication that the woman needs to be vaccinated; women must understand that they must practice contraception to avoid pregnancy for 2 to 3 months after being vaccinated because of risks associated with side effects and teratogenic effects of the live vaccine
ruptured fallopian tube - causes a sharp, sudden, stabbing pain. symptoms of shock (decreased bp, increased pulse, and respirations) occur as the client's condition quickly becomes a surgical emergency
board-like abdominal rigidity is often noted with abruptio placentae.
in the last two trimesters of pregnancy, the insulin needs should steadily increase as a result of the insulin antagonism from the placenta and the fetus; lack of an increased need for insulin may be a sign of placental insufficiency
women over 35 years old - routinely scheduled for amniocentesis to determine presence of fetal genetic defects
post amniocentesis - damage to the membranes is a possibility and a high-priority situation; without the protective barrier of the amniotic membrane, the mother and the baby are susceptible to infection; should refrain from sexual intercourse because of the possibility of introduction of pathogens; bathing would also be a hazard because of the possibility of contracting an infection from the bath water
diaphragm - predisposes many women to utis; some women are sensitive to the contraceptive cream or jelly; has been associated with toxic shock syndrome; hence, its use should be avoided during menses, and it should not be left in place longer than 6-8 hours
depo-provera - frequently associated with menstrual cycle changes; irregular bleeding is the most commonly cited reason for discontinuation
rhogam or rhod - given with and after each pregnancy, including an abortion of an rh positive fetus
chorionic villi sampling - performed at 8 to 12 weeks' gestation to detect genetic disease; performed early to give the client the option of terminating the pregnancy if genetic defects are present
:typing ... 2 days to go ...