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
In clients diagnosed with gouty arthritis, encourage intake of large amounts of water (2,500-3,000) to prevent the precipitation of ureate(uric acid salts) in the kidneys.
validation is the process of double checking questionable findings during assessment, for example double-checking an unusually high blood pressure before writing it down on the progress notes.
Compartment syndrome results from accumulation of fluid within a muscle compartment, which decreases the blood flow to tissues and can lead to neuromuscular deficiency and tisue death. It is usually seen in long bone fractures.
HgbAIc provides useful information about how well diabetes has being controlled for the past3 months. The normal valueof Hgb A1c is 7.5 or less.
A mild transient fever is expected after a surgery. A high sustained fever indicates complications such as atelectasis(collapse of a lung area) within the first 48 hours after surgery; infection of the wound withing 1 week; urinary tract infection within 5 days and thrombophlebitis within the first week. What to do? insentive spirometry 5-10 every hour--atelectasis; carefull assessment of wound and strict handwashing--infection and for thrombophlebitis support stockings. Best, feliz3
otoscopic examination in a client with mastoiditis reveals a red, dull, thick, and immobile tympanic membrane, with or without perforation
from 24-34 weeks gestation, fundal height correlates with # of weeks of gestation. example: at 26 weeks gestation, fundal height measures approximately 26 cm.
if an immunocompromised child who has not had chickenpox is exposed to someone with varicella, the child should receive varicella zoster immune globulin within 96 hours of exposure.
psoriasis - occurs equally among women and men, although the incidence is lower in darker skinned races and ethnic groups
epididymitis from urinary tract infection should decrease intake of acidic foods and increase fluid intake to flush the urinary system. because organisms can be forced into the vas deferens and epididymis from strain or pressure during voiding, the client should limit the force of the stream
blurred central visionoccurs with macular degeneration; changes in peripheral visual acuity most often occurs with glaucoma; glare from bright lights is a common complaint in the client with a cataract
post pneumonectomy - client should be instructed to perform arm and shoulder exercises two or three times a day; should expect soreness in the chest and shoulder and an altered feeling of sensation around the incision site for several weeks
black cohosh produces estrogen-like effects.
zinc stimulates the immune system and is used for its antiviral properties.
echinacea stimulates the immune system and ginger is used for nausea and vomiting.
total nutrient admixture (tna) is a solution that combines dextrose, amino acids, and lipids in one solution; 1.2-µm filter or larger filter should be used because the lipid particles are too large to pass through a smaller (0.22- or 0.10-µm) filter; 0.22-µm filter is used for 2-in-1 solutions containing only dextrose and amino acids
parenteral nutrition solution should be changed every 24 hours because the pn solution is a high-concentrate glucose solution and is a medium for bacterial growth. infection control is also aided by use of aseptic technique with bag and tubing changes. most agencies recommend that tubing be changed every 24 hours along with the bag
optimal weight gain on pn is 1 to 2 lb/week
if the client has a temperature higher than 100° f, the unit of blood should not be hung until the physician is notified and has the opportunity to give further orders.
post surgery - temperature higher than 37.7°c (100°f) or lower than 36.1°c (97°f) and a falling systolic blood pressure, lower than 90 mm hg, are usually considered reportable immediately
aka - amputated limb is supported on pillows for the first 24 hours following surgery to promote venous return and decrease edema; after the first 24 hours, the amputated limb usually is placed flat on the bed to reduce hip contracture
residual amounts more than 100 ml require holding the feeding
obturator and a kelly clamp are kept at the bedside of a client with a tracheostomy.
pitocin - goal of labor augmentation is to achieve three good-quality contractions (appropriate intensity and duration) in a 10-minute period; uterus should return to resting tone between contractions, and there should be no evidence of fetal distress
hydrocephalus - if the infant is not repositioned frequently, pressure ulcers can occur on the back and side of the head. an egg crate mattress under the head is also a nursing intervention that can help prevent skin breakdown
acute otitis media -child is positioned on his or her affected side to facilitate drainage; a soft diet is recommended during the acute stage to avoid pain that can occur with chewing.
status asthmaticus - inhaled aerosolized short-acting β2 agonists are quick reliefmedications and recommended for clients with status asthmaticus after epinephrine has been administered
aortic stenosis - shows signs of exercise intolerance, chest pain, and dizziness when standing for long periods of time
early signs of congestive heart failure (chf) - include tachycardia, tachypnea, profuse scalp sweating, fatigue and irritability, sudden weight gain, and respiratory distress
intussusception - sausage-shaped mass at ruq
complication after surgical treatment of scoliosis is superior mesenteric artery syndrome - is caused by mechanical changes in the position of the child’s abdominal contents, resulting from lengthening of the child’s body; results in a syndrome of emesis and abdominal distention similar to that which occurs with intestinal obstruction or paralytic ileus
during painful episodes of juvenile idiopathic arthritis, hot or cold packs and splinting and positioning the affected joint in a neutral position help reduce the pain; although resting the extremity is appropriate, beginning simple isometric or tensing exercises as soon as the child is able is important; these exercises do not involve joint movement
petechial red, pinpoint spots occurring on the soft palate are characteristic of rubella (german measles).
coal tar - used to treat psoriasis and other chronic disorders of the skin; suppresses dna synthesis, mitotic activity, and cell proliferation; has an unpleasant odor, frequently stains the skin and hair, and can cause phototoxicity
mafenide acetate[color=#3333cc] - a carbonic anhydrase inhibitor and can suppress renal excretion of acid, thereby causing acidosis;clients receiving this treatment should be monitored for signs of an acid-base imbalance (hyperventilation); if this occurs, the medication should be discontinued for 1 to 2 days
a side effect specific to etoposide is orthostatic hypotension; should be administered slowly over 30 to 60 minutes to avoid hypotension; blood pressure is monitored during the infusion
water intoxication (overhydration) or hyponatremia is an adverse reaction to desmopressin; early signs include drowsiness, listlessness, and headache
oral doses of levothyroxine (synthroid) should be taken on an empty stomach to enhance absorption; dosing should be done in the morning before breakfast
the client who is taking an antihypocalcemic medication should be instructed to avoid eating too much spinach, rhubarb, bran, or whole-grain cereals because they decrease calcium absorption
foods that help thicken the stool of the client with an ileostomy include pasta, boiled rice, and low-fat cheese
propantheline bromide - antimuscarinic anticholinergic medication that decreases gastrointestinal secretions; should be administered 30 minutes before meal
magnesium citrate - available as an oral solution and is used commonly as a laxative in preparation for or after certain studies of the gastrointestinal tract. magnesium citrate should be served chilled and not be allowed to stand for prolonged periods, which would reduce the carbonation and make the solution even less palatable
prochlorperazine is a phenothiazine - type antiemetic and antipsychotic; assess the client for blurred vision as a frequent side effect of prochlorperazine; other frequent side effects include dry eyes, dry mouth, and constipation
tb - one of the first pulmonary symptoms is a slight cough with the expectoration of mucoid sputum
carbon dioxide narcosis - condition that results from extreme hypercapnia, with carbon dioxide levels in excess of 70 mm hg
with a rapid drop in carbon dioxide levels, the kidneys are unable to excrete bicarbonate ions at the same rate. the client can experience rebound metabolic alkalosis, with resulting seizure activity
pulmonary sarcoidosis - can lead to cor pulmonale (or failure of the right side of the heart), characterized by distended neck veins, elevated central venous pressure, full bounding pulse, weight gain, engorged liver, and peripheral edema
terbutaline (brethine) - bronchodilator and is contraindicated in clients with hypersensitivity to sympathomimetics; should be used with caution in clients with impaired cardiac function, diabetes mellitus, hypertension, or hyperthyroidism, and a history of seizures; may increase blood glucose levels
zafirlukast - used with caution in clients with impaired hepatic function; liver function laboratory tests should be performed
client taking adrenergic bronchodilators may experience paradoxical bronchospasm, which is evidenced by the client’s wheezing; this can occur with excessive use of inhalers; further medication should be withheld, and the physician should be notified
thiazide diuretics such as hydrochlorothiazide - sulfa-based medications, and a client with a sulfa allergy is at risk for an allergic reaction; wof risk for hypokalemia, hyperglycemia, hypercalcemia, hyperlipidemia, and hyperuricemia
post renal biopsy - if pain originates at the biopsy site and begins to radiate to the flank area and around the front of the abdomen, bleeding should be suspected
trimethoprim (tmp)-sulfamethoxazole (smz) (bactrim) - should be informed about early signs of blood disorders that can occur from this medication such as sore throat, fever, and pallor, and the client should be instructed to notify the physician if these symptoms occur
bethanecol cl (urecholine) - toxicity (overdose) produces manifestations of excessive muscarinic stimulation such as salivation, sweating, involuntary urination and defecation, bradycardia, and severe hypotension
amphotericin b deoxycholate, erythromycin, and ketoconazole can elevate cyclosporine levels; when any of these medications is combined with cyclosporine, the dosage of cyclosporine must be reduced to prevent accumulation to toxic levels
epoetin alfa (epogen, procrit) - client should be instructed not to shake the bottle; should be refrigerated at all times; should not be frozen
parkinson’s disease - should exercise in the morning when energy levels are highest; should avoid sitting in soft deep chairs because they are difficult to get up from; can rock back and forth to initiate movement; should buy clothes with velcro fasteners and slide-locking buckles to support the ability to dress self
stress ulcer - can be detected by hematest-positive nasogastric tube aspirate or stool
baclofen - a skeletal muscle relaxant and frequently causes drowsiness, dizziness, weakness, and fatigue; also can cause nausea, constipation, and urinary retention
pentam 300 - frequent side effects of this medication include leukopenia, thrombocytopenia, and anemia; should be monitored routinely for signs and symptoms of infection
adverse effect of ptu - agranulocytosis; needs to be informed of the early signs of this adverse effect, which include fever and sore throat
post cervical radiation - foul-smelling lady partsl discharge is expected and will occur for some time following removal of a cervical radiation implant
Hello everyone...I took my exam last Wednesday (Nov.19)...I got 75 questions only and the computer shut down..When I got the results after the "48 longest hours of waiting"...I PASSED!!!!! PRAISE THE LORD!!! TO HIM ALL THE GLORY!!!
Guys, you really have to concentrate on infection control and prioritization...it took half of my 75 questions...God bless to those who are still waiting...and congrats to all who have passed!!! :yeah:
meningitis is an inflammation of the membranes (meninges) and cerebrospinal fluid surrounding ur brain and spinal cord, usually due to the spread of an infection. the swelling associated with meningitis often triggers the "hallmark" symptoms of this condition, including headache, fever and a stiff neck.
Hello everyone...I took my exam last Wednesday (Nov.19)...I got 75 questions only and the computer shut down..When I got the results after the "48 longest hours of waiting"...I PASSED!!!!! PRAISE THE LORD!!! TO HIM ALL THE GLORY!!!
Guys, you really have to concentrate on infection control and prioritization...it took half of my 75 questions...God bless to those who are still waiting...and congrats to all who have passed!!! :yeah:
CONGRATUATIONS to you and thanks for the advise. feliz3
:yeah:
goldendragon
40 Posts
I'm not sure is there anybody post this site for review Nclex yet? Let me to remind this site http://www.caring4you.net/tests.html.