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
If your doing Pre-op care for a client about to have abdominal surgery, and this patient is severely malnourished, what kind of pre-op bowel prep would you have for this patient?
If your doing Pre-op care for a client about to have abdominal surgery, and this patient is severely malnourished, what kind of pre-op bowel prep would you have for this patient?
Is this an NCLEX question? If it is I would love to see what are the choices available to you for answering this question. For a client who is to receive abdominal surgery the standard pre-op procedure is to give that patient an enema the night before the surgery and immediately before having the surgery the client has to void, so the nurse may have to catheterize the patient. The patient is on clear liquids or NPO for 6-8 hours before the surgery. However, since the patient is severely malnourished that means the albumin is going to be low, by the way, albumin, CBC, clotting studies are labs values in this particular patient the nurse has to watch like a hawk. In severly malnourished patients albumin and hemoglobin go down which is definitely no good for a person who is having surgery. It is possible that the doctor would order TPN for increasing the albumin and improving the nutritional state before surgery. In order to heal a person needs to be able to replenish protein and hemoglobin to provide oxygenation to tissue. Those lab values are critical the nurse to know how low is the albumin, hgb and clotting factors. There are several things involved when throwing the complication of a malnourished patient so I want to see what the NCLEX makers are looking for... that is why I would love to see what are your choices if this is indeed an NCLEX question. I hope this helps. Best, feliz3
jadzcare
9 Posts
isoniazid (inh)-anti-tuberculosis
s.e.: peripheral neuropathy-watch out for signs:numbness, tingling or weakness
liver damage-watch out for signs of hepatitis:yellow eyes or skin, nv, anorexia, dark urine, unusual tiredness, or weakness
aminoglycosides: anti-infective
amikacin(amikin) gentamicin,(garamycin) tobramycin (tobrax)
s.e.ototoxicity(cn viii)-immediately report hearing or balance problems
nephrotoxicity -teaching:encourage fluids 8-10 glasses daily
antihistamine
loratadine (claritin),fexofenadine (allegra),cetirizine hci (zyrtec)
s.e. drowsiness/dizziness -teach pt:caution in potentially hazardous activities..
-avoid use of alchohol,& other cns depressants
dry mouth
-*generic name ends with "zine"*
cyclizine, trimeprazine, methdilazine, meclizine, and promethazine
an antihistamine preventing or countering motion sickness as well as
nasea and vomiting.
heparin /-anticoagulant
s.e.: hemorrhage- watch out for:bleeding gums, nose, unusual, black tarry stools, hematuria, fall in hemacrit or bl. pressure, guaiac-positive stools
teach pt:avoid asa & nsaids
-antidote: protamine sulfate w/in 30 min
-injec.=deep sq-onset 2-6- min, dur. 8-12 hrs
-iv: pk 5 min, dur. 2-6 hrs/never give im
-check -therapeutic ppt (20-36) @1.5-2.5 x the control
warfarin (coumadin)/anticoagulant
s.e.: hemorrhage-
caution:if pt said "i love to eat vegetable in the garden)
teach:-avoid foods high in vit k, green leafy vegs
-antidote: vit. k
-therapeutic pt (9.6-11.8)@1.5-2.5 x control, inr @ 2.0=3.0
-onset: 12-24 hrs, pk 1-1/2 to 3 days, dur: 3-5 days
anti-malarials
hydrozychloroquine (plaquenil),quinine sulfate
s.e.: eye disturbances, nv, anorexia
teach:take at same time each day to maintain blood levels
anti-protozoals:
metronidazole (flagyl, flagyl er)
s.e.-cns symptoms, abd cramps, metallic taste,
teach pt:do not drink alcohol in any form, during and 48 hrs after use,
disulfiram-like reaction can occur.
-avoid hazardous activities
-dark-reddish brown urine
opioid analgesic-
methadone, hydromorphone (dilaudid) , propoxyphene (darvon, darvocet-n (propoxyphene with acetominophen),
oxycodone (oxy contin; with aspirin percodan, with acetaminophen percoset)
codeine,meperidine(demerol),hydrocodone bitartrate & acetaminophen
(lortabs)
s.e.-drowsiness, sedation,nausea, vomiting, anorexia,respiratory depression
constipation, cramps,orthostatic hypotension,confusion, headache,rash
-do not give if rr less than 12 per min
cephalosporins(generic name begins with "cef/cep")
cefadroxil (duricef) ,cephalexin (keflex, keflet) ,cephapirin (cefadyl)
cephradine (velosef) ,cefaclor (ceclor, ceclor cd) ,cefamandole (mandol)
cefonicid (monocid) ,cefotetan (cefotan)
s.e. diarrhea
*generic name ends with "phylline"*
xanthine bronchodilator -
aminophylline, dyphylline, oxtriphylline, theophylline
s.e.- nausea,vomiting,anorexia,gasstrointestinal reflux,tachycardia
indication:acute asthma, chronic bronchitis, emphysema, copd
contraindicated:peptic ulcer,hyperthyroidism,cardiac dysrhythmias