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
Here there are some random facts, friends... feliz3
An endotracheal tube cuff should not be inflated > 20 mmHg
fluid oscillation in the tubing of a chest drainage system indicates that the system is working properly
a positive tuberculin skin test is an induration of 10mm or greater at the injection site, if the patient is HIV+ it is less than 10mm.
Intermittent claudication (pain during ambulation or other movement that is relieved by rest) is a classic symptom of arterial insufficiency in the leg.
Passive immunization is the administration of antibodies that were preformed outside the body.
Active immunization is the formation of antibodies within the body in response to vaccination or exposure to a disease, and the length of immunity is longer than at passive immunity.
When a patient is having bleeding esophageal varices, pressure against the esophageal veins must be applied in order to control the bleeding.
If the client has ulcerations in the esophagus, necrosis or has had previous esophageal surgery, then pressure against the esophageal veins is contraindicated.
A client who has a Sengstaken-Blakemore tube (a triple lumen gastric tube with an inflatable gastric balloon) should be placed on Fowler's position (upright) in preparation for the incertion of the tube. The gastric balloon compressess the esophageal varices, and the balloon should be inflated to 25-45mmHg.
I have some more facts as I am reviewing Acid-Base Balance:
Metabolic Acidosis occurs in conditions such as
1) diabetes mellitus
2) diabetic ketoacidosis
3) Excessive ingestion of aspirin(ASA)
4) high fat diet
5) insufficient metabolism of carbohydrates
6) malnutrion
7) renal insufficiency or renal failure
8) severe diarrhea
Metabolic Alkalosis occurs in conditions such as:
1) diuretics
2) excessive vomiting
3) excessive gastrointestinal suctioning
4) hyperaldosteronism
5) excessive ingestion of bicarbonate
6) excessive infusion of bicarbonate (HCO3)
7) massive transfusion of whole blood
Respiratory Acidosis occurs in diseases that cause obstruction of the airway or a defect in the lung function such as:
1) asthma (spasm resulting fr)om allergens, irritants or emotions)
2) atelectasis (collapsed alveolar sacs)
3) brain trauma
4) bronchiectasis(dilated bronchi as a result of inflammation)
5) CNS depressants (opioids, sedatives and anesthetics)
6) emphysema (loss of elasticity of alveolar sacks)
7) hypoventilation (retention of CO2)
8) pulmonary edema( extracellular fluid accumulated in pulmonary tissue)
9) pneumonia( excess mucus production and lung congestion)
10) pulmonary emboli (undissolved material that causes an obstruction in the lungs)
Respiratory Alkalosis occurs in conditions that cause overstimulation of the respiratory system such as:
1) fever
2) hyperventilation
3) hypoxia
4) hysteria
5) pain
6) overventilation by mechanical ventilators
Allen's Test is done prior to the collection of an arterial blood gas specimen for determining the presence of collateral circulation and the adequacy of the ulnar artery. Failure to determine the presence of adequate collateral circulation could result in severe ischemic injury to the client's hand if damage to the radial artery occurs with the arterial pucture.
A nurse who fails to perform the Allen's test and as result of that action the client develops tissue necrosis... is an example of negligence or malpractice? You tell me...felix3
Before performing the Allen's test assess the factors that may affect the accuracy of the results such as:
1) changes in the Oxygen settings
2) suctioning within the last 20 minutes
3) client's activities
Usually is the Respiratory Therapists who draws the arterial blood, but the nurse performs the Allen's test and assists with the specimen draw by preparing a heparinized syringe. After the blood is taken must applypressure to the puncture site for 5 minutes if the client is on anticoagulants, then it must be for 10 minutes.
Allen's Test:
1) Apply direct over the client's ulnar (directcly below the last finger) and radial ( directly below the first finger) arteries simultaneously.
2) While applying pressure ask the client ask the client to open and close the hand repeatedly. The hand should blanch.
3) Release pressure from the ulnar artery while compressing the radial artery and assess the color of the extremity distal to the pressure point.
4) If pinkness fails to return within 6 seconds, the ulnar artery is insufficient, indicating that the radial artery should not be used for obtaining an arterial blood specimen. Best, feliz3
This is to publicly salute and congratulate sweetdreamerinsocal for she told me in a private message that she passed the NCLEX. Today, she found out the good news. I am so glad for her for she generously shared her knowledge and resources with all of us. There was no doubt that she was going to pass the NCLEX, and I am happier for her than words can describe for I knew she was going to be doing well. May sweetdreamerinsocal be an inspiration for all of us who still working hard for achieveing our own personal goals. Once again, congratulations, Sweetdreamerinsocal! May you have a long and successful career as a registered nurse. feliz3
Here there are some random facts, friends... feliz3
the esophageal balloon should not be inflated > 20 mmHg
fluid oscillation in the tubing of a chest drainage system indicates that the system is working properly
a positive tuberculin skin test is an induration of 10mm or greater at the injection site, if the patient is HIV+ it is less than 10mm.
Intermittent claudication (pain during ambulation or other movement that is relieved by rest) is a classic symptom of arterial insufficiency in the leg.
Passive immunization is the administration of antibodies that were preformed outside the body.
Active immunization is the formation of antibodies within the body in response to vaccination or exposure to a disease, and the length of immunity is longer than at passive immunity.
im sorry but i need clarification with the esophageal balloon you indicated, according to the saunders it should be inflated 25-45mmhg and greater than that is avoided.
first of all i would like to congratulate sweetdreamerinsocal for passing the nclex:yeah: well done girl:heartbeat... hope we can share the same great feeling in the future :loveya:
im sorry but i need clarification with the esophageal balloon you indicated, according to the saunders it should be inflated 25-45mmhg and greater than that is avoided.
Dear mesmerizex,
Thank you for addressing the information contradiction. I have Saunders 3rd and 4th editions, and indeed Silvestri says on page 237 in the 3rd edition and on page 255 in the 4th edition that the esophageal balloon should be inflated to 25-45 mmHg.
My mistake was to write down the pressure in the cuff of an endotracheal tube instead of the pressure in the balloon of an endotracheal tamponade. The endotracheal tube is for providing ventilation while the endotracheal balloon tamponade is for treating bleeding esophageal varices, sorry about that.
If you go to Saunders 4th edition, chapter 21 and page 257, under the subject of Interventions it says: " Monitor cuff pressures at least every 8 hours per agency procedure to ensure that they (referring to endotracheal tube cuff pressure) do not exceed 20 mmHg."
I apologize for my mistake and thank you for pointing it out.
I just bought the saunders book 4th edition. I just started reading it. I took my NCLEX on November 12 and didnt pass. I want to make sure I'm ready when I sit for the 2nd time. I have not re-registered yet as Im still waiting for the 45 days waiting rule.
I would like to ask you when is the best time for me to join suzannes plan? I plan on retaking the test sometime in April 2009...
I'm a little bit confused as to how much time I need before I can join suzannes plan.
Thanking you in advance.....:heartbeat:D:heartbeat
I just bought the saunders book 4th edition. I just started reading it. I took my NCLEX on November 12 and didnt pass. I want to make sure I'm ready when I sit for the 2nd time. I have not re-registered yet as Im still waiting for the 45 days waiting rule.
I would like to ask you when is the best time for me to join suzannes plan? I plan on retaking the test sometime in April 2009...
I'm a little bit confused as to how much time I need before I can join suzannes plan.
Thanking you in advance.....:heartbeat:D:heartbeat
Good afternoon,
The best time to join Suzanne's plan is a soon you finish her First Tip which is to complete the review quiz at the end of the 76 chapters on Saunder's 4th edition book. You must not read the chapter first...just do the quiz and if you get 75% or better, go on the next chapter. If you get less than 75% on the quiz read chapter and redo the quiz. You should see an improvement and a score of 90% or better. In past posts the super moderator Silverdragon 102 gave us the link to Suzanne's First Tip do a print out of it for it is valuable information. Best, feliz3
Specializes in Medical and general practice now LTC.
hi Feliz3,
I just bought the saunders book 4th edition. I just started reading it. I took my NCLEX on November 12 and didnt pass. I want to make sure I'm ready when I sit for the 2nd time. I have not re-registered yet as Im still waiting for the 45 days waiting rule.
I would like to ask you when is the best time for me to join suzannes plan? I plan on retaking the test sometime in April 2009...
I'm a little bit confused as to how much time I need before I can join suzannes plan.
Thanking you in advance.....:heartbeat:D:heartbeat
Suzanne will not send her plan to you before there is 2 months to your test date. For example if you pick 7th April as a date then she will not send it until at least beginning of Feb
Suzanne will not send her plan to you before there is 2 months to your test date. For example if you pick 7th April as a date then she will not send it until at least beginning of Feb
Dear Silverdragon102,
Thank you for the clarification!...I thought a person could join Suzanne's Plan as soon as her First Tip was completed. feliz3
feliz3
:hrnsmlys:
lucky08
26 Posts
thank you for everyone!
i love this thread. here are some of mine to you:
the adverse effects of anti-phschotics can be remembered using this: shance
s-sunlight sensitivity(use hat and sunscreen)
h-hepatotoxicity(monitor lft)
a-agranulocytosis(characterised by fever and sore throat)
n-neuroleptic malignant syndrome(characterised by fever and musclar rigidity)
c-circulatory problems(leukopenia and orthostatic hypotension)
e-extra pyramidal symptoms(administer anticholinergics and antiparkinsonian agents)
:typing