Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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

OK your turn....

[feliz3]

good morning to you all for it is six in the morning in soggy california (raining a lot )...it might be noon in other places. facts of the day are combination of case scenarios, pharmacology. feliz3

anticoagulants mnemonic aid in this order: lab report to be monitored--medication--antidote

• pt ---coumadin (warfarin)---vitamin k
  

• ptt ---heparin---protamine sulfate
  

the three fs: causes of autonomic dysreflexia (spinal cord injuries at t-6 level and above)

causes:

full bladder

fecal impaction

funny feeling with the skin (paresthesia)

assessment:

1) flushing and diaphoresis

2) headache

3) hypertension

4) bradycardia

priority intervention: remove the 3 fs immediately

antidepressant medications: tricyclic antidepressants

• instruct the client should not operate heavy machinery when starting on these type of meds
  
• may need to take these meds at night for they cause sleepiness
  
• instruct the client that it will take three weeks to achieve therapeutic level
  
• instruct that must not stop taking these meds suddenly therapeutic level must be maintained
  
• instruct that some herbs such as st. john's wort may cause drug-drug interaction
  
• most important: must not take mao inhibitors while taking antidepressant trycyclics
  

undesirable side effect of tricyclic antidepressants = hats

hypotension

anticholinergic: blurred vision, dry mouth, constipation, decreased lacrimation (dry eyes), mydriasis (dilated pupils)

tachycardia

sedation

tricycle antidepressants: tina

trimipramine

imipramine

nortriptyline

amitriptyline

case scenatio 1

one hour after extubation, the doctors orders arterial blood gases and wants to be called if the lab results are abnormal. the abgs are: po2=90, pco2= 40, ph=7.36

would you call the doctor? please, tell us why you would or not call the doctor. thanks

case scenario 2

a homeless client complains of night sweats, fever, cough, hemoptysis, pleuritic chest pain and had a positive skin test. what conclusions can you draw from the information given and how would you confirm your initial diagnostic impression?

case scenario 3

following a stapendectomy it is a priority to the nurse to assess which cranial nerves? explain the rationale for your choice, please.

a) i, xii and iv

b) x, v and vi

c) ii, iii and ix

d) vii, viii and x

have a wonderful day feliz3

[acissej]

good morning to you all for it is six in the morning in soggy california (raining a lot )...it might be noon in other places. facts of the day are combination of case scenarios, pharmacology. feliz3

anticoagulants mnemonic aid in this order: lab report to be monitored--medication--antidote

• pt ---coumadin (warfarin)---vitamin k
  

• ptt ---heparin---protamine sulfate
  

hi feliz3! :)

good morning! for it is almost 3am here in my country ^__^

i have an alternative for the heparin and warfarin and their antidotes.

in heaven there is peace heparin : protamine

in war there is killing warfarin : k (vitamin)

thanks!

[feliz3]

answers to the case scenarios:

case 1

abgs are normal---no need to call the doctor

case 2

first conclusion: client has been exposed to mycobacterium tuberculosis per positive skin test.

second conclusion: actual diagnostic impression must be confirmed by a chest x-ray and sputum samples

case 3: answer d

when taking the nclex if you encounter in a question a term you have no idea what it means, do not panic, divide the word to its roots for example stapedectomy. stapes is a small bone in the middle ear and ectomy means excision (surgical removal). stapedectomy= surgical removal of the stapes

the surgical removal of the stapes may result in damage to the cranial nerve vii (facial) acustic (viii) and

vagus (x). the nurse must ask the client by to smile for assessing cranial nerve (vii). vagus nerve (gag reflex check) may is affected because its fibers run parallel pass through the skull and descend to the neck region.

note: it is imperative to check cranial nerve viii (acustic) function because it controls balance following a stapedectomy the client experiences vertigo and is at risk of falling, meaning fall precautions and walking assistance all the time for this type of client is a priority. feliz3

[acissej]

Thanks Feliz3 for the scenarios. I answered them in my mind before I slept. I wasn't able to type it here because I was so sleepy already. :)

Anyway, thanks for posting the answers. :)

[aVoMeJeT]

. i just think it's useful. :)

droplet precautions

healthcare personnel wear

a mask (a respirator is not necessary) for close contact with infectious patient;

the mask is generally donned upon room entry.

just wanna know when to discard the mask,inside the room or upon exit the room?

airborne precautions

healthcare personnel caring for patients on airborne precautions

wear a mask or respirator, depending on the disease-specific recommendations

(respiratory protection ii.e.4, table 2, and appendix a), that is donned prior to

room entry. whenever possible, non-immune hcws should not care for patients

with vaccine-preventable airborne diseases (e.g., measles, chickenpox, and

smallpox).

same here,just wanna know when to remove the mask or respirator of health care personnel caring for the pt.

[love2banurse]

I would say after you leave the room. Both droplet and airborn. I could be wrong but thats what i did when i had a pt in both droplet and airborn. That's a good question:yeah::typing

[acissej]

.

just wanna know when to discard the mask,inside the room or upon exit the room?

standard precaution:

assume that every person is potentially infected or colonized with an organism that could be transmitted in the healthcare setting and apply the following infection control practices during the delivery of health care.

personal protective equipment (ppe)

*before leaving the patient’s room or cubicle, remove and discard ppe. perform hand hygiene immediately after removing all ppe!

gowns

*remove gown and perform hand hygiene before leaving the patient’s environment

*do not reuse gowns, even for repeated contacts with the same patient.

from: http://www.cdc.gov/ncidod/dhqp/gl_isolation.html

[imalilteapott]

Anyoone up for random FACT THROWING??

Lets seee

1) Hyperaldostroneism = Hypokalemia and hypertension

2) Before an EEG= patient can eat but can not have any coffee, tea, caffinated beverages.

3) Left sided Heart Failure is more serious that Right sided.

4) Right sided will eventually turn into left side heart failure.

5) Never give babies/toddlers hot dogs.

6)Beets have potassium

7) Bananas are contraindicted if you have a latex allergy

Thats all I can think of for now!

[love2banurse]

I have a psy. question? When a pt. looks himself in the mirror and dosen't see himself what phys. disorder is that. I want to say Dissociative Disorder. Does any one else think other wise?:typing:D

[carbaminohemoglobin]

Basics that are easy to forget!

- Can't take Lasix if allergic to Sulfa drugs.

- Don't rub injection site after injecting an anticoagulant.

- Clear before cloudy to prevent insulin contamination.

- Anterior fontanel closes before 3 months of age.

- Dilantin toxicity s/sx: lethargy, rapid eye movements, slurred speech

[carbaminohemoglobin]

Oh oh! And people with Celiac disease can't drink beer, but can have Rice Krispies!

[jadu1106]

Hi~

I am sorry, but it is the posterior fontanel that closes at 2-3 months and the anterior fontanel that closes at 15-18 months...I always remembered as "A" in anterior is after...so that comes after the longer period.

Good luck!

jadu1106