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
Has any taken the Kaplan-Nclex Course in San Francisco? How are the instructors? Was it worth the $499.00 fee. Is it a difference in taking online program than the classroom program?
omg i really can't stop reading all of the posts in here. they are really informative. i'm already in page 122, hope i can finish reading them all before i take my test which is 6 days from now
ok, my turn to give some random facts..
1. barium swallow for 3 month old infant - npo for three hours
2. temporary pacemaker for mi client - increase cardiac output is the primary purpose
3. plasma cholesterol screening - only sips of water for 12 hours
4. reminiscing group - primary goal is to review and share their life experience with the group member
5. miller-abbott tube - removes fluid and gas in the small intestine; provides intestinal decompression
6. levin or salem stump - decompresses the stomach; prevent fluid and gas accumulation in the stomach
7. promethazine hcl (phenergan) - check patency of the patient's vein before admin of drug, extravasation will cause necrosis
8. insulin dependent diabetic, unable to urinate -- autonomic neuropathy
9. overdose of aspirin will produce parkinsons dse type sx
10. do not admin erythromycin to multiple sclerosis pt
will try to add more quick facts some other time. need to study again..if you could, please pray for me, my exam is on march 26, 9 am.
infant with hiv should not receive chickenpox or oral polio vaccine. can give inactivated polio vaccine though.
haart - haart stands for highly active antiretroviral therapy. it is the combination of at least three arv drugs that attack different parts of hiv or stop the virus from entering blood cells.
a. the standard of haart is to take a minimum of 3 different drugs from at least two different drug classifications.
nucleoside reverse transcriptase inhibitors - medication used 1st for hiv.
nonnucleoside reverse transcriptase inhibitors
protease inhibitors - advise patient not to eat grapefruit juice.
entry inhibitors
b. haart refers to any medication regimen that interferes with hiv viral activity and ideally suppress vial activity.
c. advise patient that if they stop taking the antiviral medications at the same time, they must stop all antiviral meds. taking only some antiviral meds will create a resistance to hiv and lead to a loss of effective treatment options for this patient in the future. successful haart requires 90% adherence to program.
d. never assume the family or loved ones know the patient is hiv positive. always ask patient who knows in order to keep patient confidentiality. tell client that you would be glad to stay with them if they choose to inform someone of their condition.
e. follow universal precautions
a positive antibody test for hiv means you have been infected with the hiv virus & your body has produced antibodies.
* azt ( zidovudine ) works to fight against aids by inhibiting new virus production.
hope this helps you some and good luck with nclex. studying for my 2nd time.
situation: wound edges are open and loops of intestine are protruding. which action should you take First?
cover wound with saline-soaked dressing? or
check BP and HR?
The book answerd Check BP and HR coz client may be in shock, so the first action is to assess clients BP and HR
but my answer is cover wound with saline dressing first coz this would prevent further shock thru evaporation whic might lead to hypovolemia and then check BP and HR next.. what do you think?
situation: wound edges are open and loops of intestine are protruding. which action should you take First?
cover wound with saline-soaked dressing? or
check BP and HR?
The book answerd Check BP and HR coz client may be in shock, so the first action is to assess clients BP and HR
but my answer is cover wound with saline dressing first coz this would prevent further shock thru evaporation whic might lead to hypovolemia and then check BP and HR next.. what do you think?
I would do the same as you but after doing kaplan ASSESS COMES FIRST. Thats a good situation. Any more..:typing
Oh.. i think its not all the time that we have to answer assessment coz in this case, by looking at the patient with protruding loops of intestine is already an assessment so we need to intervene next which directs me to covering with soak sterile dressing.. :)
i think what the book meant was that it isnt enough to just assess by inspection coz it doesnt have enough info to know whether the pt is stable or not so i need to assess further which is to assess for shock?
yikes i think im gnna fail next week... im starting to freak out:crying2:
wow after so many days, i have finished reading all of the posts in this wonderful thread.. let me just say thank you to everyone who posted in this forum, you don't know how many people you are helping by doing such (which of course include me :wink2:). i am getting more anxious by the minute because i will be taking the test tomorrow
i hope i can "slay the beast". i will try my best in the exam and right now, all i can do is leave everything up to god i will give all of you an update on how my test went as well as the results (maybe a month from tomorrow.. i'm taking the ca nclex rn). if i have time, i will also try to put some more information in this thread.. goodbye for now and good luck to everyone who will also be taking the exam. god be with us..
i'm already in page 122, hope i can finish reading them all before i take my test which is 6 days from now 
:typing
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Don't combine aspirin with glipizide (Glucotrol) therapy or
alcohol with insulin; both can cause hypoglycemia.