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
i clicked on the link and started doing the pretest.i just took the pretest on NCLEX-RN 3500 and finished up to 75 questions but it didn't even give me a result. do you have to download it?if so how do i download it from the link?i really want to take the pretest so i know my areas of weakness. please help!!!
Yeah that was my problem too. I am doing the review>nursing topics right now though and they have the rationales but no results either. On the plus side, it has lots of practice questions and it's a good review.
I don't know about anyone elses test but let me give you a little insight on mine. NOTHING on my test was extremely specific. What I mean is there was no question about what specific level the fractured spine was at. They know that you already made it through school so I think they are mainly trying to test your nursing skills/ critical thinking. Most of it was general nursing stuff like ...what would you tell the patient if..... what statement by the patient would you question....... And I had a TONS of patient teaching questions....TONS!!!! What is the most important thing to teach your patient when........ (meds, procedures, post op)
All of the stuff was really general. I would brush up on all things CARDIAC, & cancer and chemo stuff (I say that because my school taught us NOTHING at all about Cancer or it's treatments). Sauders 4th ed is a really great review book!
Does anyone know how to go by studying for medications for the nclex, or what book to use to study? How did you do it, Meds are my weakest area, please give some advice.
Specializes in Pediatrics, Lactation, Women's Health, Obstetrics.
Positioning Facts:
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> turn pt to left side and lower the head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decreased LOC --> position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
4. During Epidural Puncture --> side-lying
5. After Lumbar Puncture (and also oil-based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
7. During Continuous Bladder Irrigation (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
8. After Myringotomy --> position on side of affected ear after surgery (allows drainage of secretions)
9. After Cataract Surgery --> pt will sleep on unaffected side with a night shield for 1-4 weeks.
10. After Thyroidectomy --> low or semi-Fowler's, support head, neck and shoulders.
11. Infant w/ Spina Bifida --> position prone (on abdomen) so that sac does not rupture
12. Buck's Traction (skin traction) --> elevate foot of bed for counter-traction
13. After Total Hip Replacement --> don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
14. Prolapsed Cord --> knee-chest position or Trendelenburg
15. Infant w/ Cleft Lip --> position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position.
16. To Prevent Dumping Syndrome (post-operative ulcer/stomach surgeries) --> eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals)
17. Above Knee Amputation --> elevate for first 24 hours on pillow, position prone daily to provide for hip extension.
18. Below Knee Amputation --> foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.
19. Detached Retina --> area of detachment should be in the dependent position
20. Administration of Enema --> position pt in left side-lying (Sim's) with knee flexed
21. After Supratentorial Surgery (incision behind hairline) --> elevate HOB 30-45 degrees
22. After Infratentorial Surgery (incision at nape of neck)--> position pt flat and lateral on either side.
23. During Internal Radiation --> on bedrest while implant in place
24. Autonomic Dysreflexia/Hyperreflexia (S&S: pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
25. Shock --> bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg)
26. Head Injury --> elevate HOB 30 degrees to decrease intracranial pressure
If you can come up with some more "need to know" positions, I'd love to see them here.
Symptothermal method of birth control - combines cervical mucus evaluation and basal body temperature evaluation, non-prescription/drug
percipitus/rapid labor - risk factor for early postpartum hemmorhage and amniotic fluid embolism
In elderly, change in mental status and confusion are often the presenting symptoms of infection
antiseizure meds - notify anesthesia prior to surgery, may need to decrease the amount of anesthetic given
neuroleptic malignant syndrome - increased temp, severe rigidity, oculogyric crises, HTN, complication of antipsychotic meds, notify MD
Dilantin - pregnancy risk category D, should investigate possibility of pregnancy (LMP) prior to administering
Transcutaneous electrical nerve stimulation (TENS) - used for localized pain (back pain, sciatica) - use gel, place electrodes over, above or below painful area, adjust voltage until pain relief/prickly "pins and needles"
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> turn pt to left side and lower the head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decreased LOC --> position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
4. During Epidural Puncture --> side-lying
5. After Lumbar Puncture (and also oil-based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
7. During Continuous Bladder Irrigation (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
8. After Myringotomy --> position on side of affected ear after surgery (allows drainage of secretions)
9. After Cataract Surgery --> pt will sleep on unaffected side with a night shield for 1-4 weeks.
10. After Thyroidectomy --> low or semi-Fowler's, support head, neck and shoulders.
11. Infant w/ Spina Bifida --> position prone (on abdomen) so that sac does not rupture
12. Buck's Traction (skin traction) --> elevate foot of bed for counter-traction
13. After Total Hip Replacement --> don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
14. Prolapsed Cord --> knee-chest position or Trendelenburg
15. Infant w/ Cleft Lip --> position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position.
16. To Prevent Dumping Syndrome (post-operative ulcer/stomach surgeries) --> eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals)
17. Above Knee Amputation --> elevate for first 24 hours on pillow, position prone daily to provide for hip extension.
18. Below Knee Amputation --> foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.
19. Detached Retina --> area of detachment should be in the dependent position
20. Administration of Enema --> position pt in left side-lying (Sim's) with knee flexed
21. After Supratentorial Surgery (incision behind hairline) --> elevate HOB 30-45 degrees
22. After Infratentorial Surgery (incision at nape of neck)--> position pt flat and lateral on either side.
23. During Internal Radiation --> on bedrest while implant in place
24. Autonomic Dysreflexia/Hyperreflexia (S&S: pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
25. Shock --> bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg)
26. Head Injury --> elevate HOB 30 degrees to decrease intracranial pressure
If you can come up with some more "need to know" positions, I'd love to see them here.
Thanks to everyone who has contributed!
Excellent work! You put really some time into this stuff! When are you taking your test? Best wishes!
s/s delusional thought patterns => suspiciousness and resistance to therapy
use of neologism (new word self invented by a person and not readily understood by another) =>associated with thought disorders
age and weight are very important to know after a child has ingested a toxic substance
child with celiac disease can eat corn, rice, soybeans and patatoes (gluten free)
anaphylactic rx => administer epinephrine first, then maintain an open airway. (not the other way around:no:)
client with asthma => monitor peak of airflow volumes daily. pulse ox after!!!!
dka pt => a hct of 60 (way high...) (extreme dehydration) would be more critical than a ph less than 3! (fluids first...)
assess for abdominal distention after placement of a vp shunt! (you know why right?)
gfr is decreased in the initial response to severe burns, with fluid shift occuring. kidney fct must be monitored closely or renal failure may follow in a few days
vomiting => metabolic alkalosis (loss of stomach acid content)
diarrhea => metabolic acidosis (loss of bicarbonate)
copd => respiratory acidosis (co2 retention)
anxious client => hyperventilation can cause respiratory alkalosis. a paper bag will help. (increase co2) right?
client with low h&h after splenectomy => the initial priority is rest due to the inability of rbcs to carry o2
mild to moderate diarrhea in a child => maintain a normal diet with fluids to rehydrate the poor child
Nagmamahal, RN
30 Posts
Yeah that was my problem too. I am doing the review>nursing topics right now though and they have the rationales but no results either. On the plus side, it has lots of practice questions and it's a good review.