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
drawing blood samples soon after an intravenous infusion of sodium chloride has been given to a client will reflect an increase of sodium on the blood drawn, thereby producing an inaccurate result
potassium level are used to evaluate cardiac, gastrointestinal, renal function and the need for iv replacement therapy
prolonged use of a tourniquet and clenching and unclenching the before venous sampling of k+ can increase its level and thereby producing inaccurate results
do not draw blood from a site where an iv infusion is in place
do not draw blood or take the blood pressure on the same arm where a client had a mastectomy
clients with elevated wbc and platelet counts may have falsely elevated k+ levels
sodium (na+), calcium (ca2+) and chloride (cl-) are electrolytes which are more abundant in the extracellular fluid (extra=outside the cell)
potassium (k+), magnesium (mg2+) and phosphorous (p-) are electrolytes which are most abundant in the intracellular fluid (intra=inside the cell)
adh (antidiuretic hormone)=vasopressin. the hypothalamus synthesizes, and stores it in the posterior pituitary gland.
adh regulates the water balance in the body
the adrenal cortex which part of the adrenal glands which sit on top of the kidneys regulate sodium by releasing aldosterone. an increase of aldosterone will increase the retention of sodium and with that water will be retained as well because water follows sodium.
if a client loses 2% of his/her body weight, then the hypotalamus would send the signal to the posterior pituitary gland to release adh, and the client will have a perception of thirst as an increased level of adh would trigger the kidneys to hold on to sodium, so the client would want water because water follows sodium.
acute sepsis patients have a microbial infection with a systemic response
bacteremia refers to patient's blood cultures being positive for any type of bacteria
symptoms of acute sepsis are:
a) fever
b) tachypnea
c) wbc count > 12,000 cell/mm (to the third power)
infection is such that even immature neurtophils (bands)
show up to help.
neutrophils are the first responders to a microbial infection. they are one of the several types of leucocyte (wbc) responsible for defending the body against bacterial or fungal infections.
Smallpox rash will start from the face first and then extend down the extremities; fever of 3-4 days before the rash.
Snakebike: elevate extremities to the level of the heart. complications of snakebite includes: hypotension, compartment syndrome, coagulation. Ask patient if any allergy to horses. As you are administering the antivenin, inject a small amount under the skin (intradermal) to see if pt is allergic (because it takes 20-30 minutes for the antivenin solution to run through your body...while you wait for the result...as you must administer the antivenin as soon as possible). Remind patient of serum sickness post 1-3 weeks after antivenin to seek medical care.
feliz I wish the posting that you just put up about the endocrine was on here yesterday. I had my final for this quarter today! What you posted is great and would have helped out a bunch! I forget who wrote about the Not Ready, Ready Now for insulin draw, However, Thanks for the fact, it was on the test and I could not remember Nancy Reagan, RN for the life of me. I got it right though! There was so many things that you all write about that was on my final exam for med-surg, I am just amazed, I was so done with studying the books and found this posting and started reading. Next quarter we will be going over Mental Health and I have already seen the posting from lucky08 and grabbed it to review for next quarter. Keep up the great work.
Diets
Ulcer-eliminate caffeine, alcohol, spicy foods, and milk is not recommended
GERD=avoid citrus, chocolate, caffeine, fried foods, garlic, onions, tomato-based foods, foods that are fatty or spicy (small meals)
colostomies/ileostomies-decrease fat and odor forming foods (broccoli's)
Liver failure-high-calorie, low-protein, low-fat, low sodium (protein restriction w/encephalopathy) (no protein during stage 3&4)
feliz I wish the posting that you just put up about the endocrine was on here yesterday. I had my final for this quarter today! What you posted is great and would have helped out a bunch! I forget who wrote about the Not Ready, Ready Now for insulin draw, However, Thanks for the fact, it was on the test and I could not remember Nancy Reagan, RN for the life of me. I got it right though! There was so many things that you all write about that was on my final exam for med-surg, I am just amazed, I was so done with studying the books and found this posting and started reading. Next quarter we will be going over Mental Health and I have already seen the posting from lucky08 and grabbed it to review for next quarter. Keep up the great work.
Thanks, I am sure you did great on that test!...these are 4u :cookies::hotchocolate: I am glad I was able to hep a bit. Congratulations on finishing the school quarter successfully. You are going to have fun on mental health. I liked that rotation a lot. In fact, I want to be a psychiatric nurse with specialization in addictions as I am a certified drug/alcohol counselor level-II. feliz3
Facts for the day while drinking coffee mocha and eating sweet tamales
If drawing blood for testing levels of Chloride ion (CL-) do not draw it from the arm that have normal saline infusing into it, and do not allow your client to clench and unclench the hand before drawing the blood.
Any condition accompanied with prolonged vomiting, diarrhea or both will alter CL- levels.
Prolonged tourniquet application before the blood increases the serum bicarbonate ion (HCO3-) level.
Do not draw blood samples from the same arm into which heparin is infusing if you are testing for aPTT. Transport sample the blood sample to the lab immediately after taking it.
The aPTT evaluation screens for deficiencies and inhibiting of all factors that contribute to normal coagulation except factor VII and factor XII
Concurrent warfarin therapy with heparin therapy can lengthen the prothrombin time (PT)for up to 5 hours after a dosis
If a client is receiving intermittent heparin therapy draw the blood sample one hour before the next scheduled dose.
The INR (international normal ratio) measures the effect of oral anticoagulants
An INR 2-3 seconds is considered normal for standard warfarin therapy
An INR 3.0-4.5seconds is considered normal fr high-dose warfarin(Coumadin) therapy
A baseline PT should be drawn before anticoagulation therapy is started, and the time of collection of the blood sample must be included on the laboratory form.
After drawing blood provide direct pressure to the venipuncture site for 3-5 minutes if there is a coagulation disorder present.
If you are drawing arterial blood sample apply pressure to the site for 10 minutes if there is a coagulation disorder present.
Diets high in green leafy vegetables (high source of Vitamin K) can increase the absortion of Vitamin K which shortens PT.
A PT longer than 30 secs. places the client at risk for bleeding . Normal PT is 9.6-11.8 secs. for an adult male, and 9.5-11.3 secs. for an adult female.
In respiratory and metabolic alkalosis more hydrogen ions (H+) move into the intracellular fluid than the H+ ions present in the extracellular fluid (normally there are more H+ ions in the extracellular fluid). In order to keep the intracellular fluid electrically neutral (homeostasis) Potassium (K+) ion which is normally in the intracellular fluid moves out to the extracellular fluid. This abnormal movement of ions results in a K+ imbalance which creates a relative hypokalemia. Thus, watch for symptoms of hypokalemia in clients with metablic or respiratory acidosis.
Clotting time is the time required for the interaction of all factors involved in the clotting process.
Normal clotting time value is 8-15 minutes
If doing clotting time studies on a client she/he should not receive heparin therapy for 3 hours before the specimen collection because heparin therapy will affect the results. The test results are falsely prolonged due to the effect of heparin and/or any other anticoagulant, such as aspirin with its anticoagulant factors. Test tube agitation or exposure of the specimen to a high temperature will have an effect on the sample.
A client with low platelet count needs to be on bleeding precautions. Normal platelet value is 150,000-400,000 cell/mm raised to the 3rd power
Thrombocytopenia=low platelet count. Nurse must monitor venipuncture site--high risk of bleeding. High altitude, chronic cold weather and exercise increase platelet count. Best, feliz3
can some one pliz recommend delegation& prioritization book for nclex review. someone in this thread had suggested Lahati prioritization book has anyone got that?
* evaluation= has goals been achieved, specific outcomes w/ expected outcomes, if progress made, learning occurred, appropriate action based on response
3. communication
*focus on client feelings, do not assume things (e.g. don’ts, in real world, that wont happen in the hospital)
2 clients at risk= only nurse assesses, unexpected/life treating (abc), distracters (is there something i can do first, before calling doc. or doing something else)
3 disasters= triage, implement disaster plan, treat victims or survivors of a disaster priority
4 multifactor= analyze and apply more than one concept, which one has the most risk factors (e.g. age, hx. of problems)
(always assume you have time and resources for care for your patient)
* common problem areas = drugs, disorders, early complications, vital signs, and lab values
here is what i have taken notes on about priority. i seen someone else recommend
101 essential questions for the rn-to-be!: nclex® rn review-including priority and delegation hope this helps! i was checking this book out and found that target has it for like $20.00 or so. good luck, sirisiri!
can some one pliz recommend delegation& prioritization book for nclex review. someone in this thread had suggested Lahati prioritization book has anyone got that?
It is good book.I bought this book which is a little bit hard then real nclex test. as a practice I used it.
feliz3
382 Posts
quick facts for the day
feliz3
a) fever
b) tachypnea
c) wbc count > 12,000 cell/mm (to the third power)
d) differencial > 10% bands=immature neutrophill cells.
infection is such that even immature neurtophils (bands)
show up to help.
good night, feliz3