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
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..
good luck, and i wish you all the best. i'll be taking mine in may again! word of advice, when you get in front of the computer close your eyes and say a prayer and don't forget to inhale and exhale during your exam. may i ask what material you used to study for this exam? :) best wishes
:plsebeg: I need some help. For NCLEX purposes, what is the definitive lab result that proves an MI - A CK-MB, a flipped LDH, or troponin. Is morphine the first primary response, have been told that it is and not oxygen. Any help with cardiovascular would be a great help. Graduated in 1993 and just now sitting for boards (husband had a severe CVA and dad a CABG and cancer so i was their nurse for a while) Took a refresher course but now 2nd NCLEX is in May. Took it once to see how it was and got a score of near passing standards - does that mean I was close? PLEASE HELP - :sstrs: :thnkg:
:plsebeg: I need some help. For NCLEX purposes, what is the definitive lab result that proves an MI - A CK-MB, a flipped LDH, or troponin. Is morphine the first primary response, have been told that it is and not oxygen. Any help with cardiovascular would be a great help. Graduated in 1993 and just now sitting for boards (husband had a severe CVA and dad a CABG and cancer so i was their nurse for a while) Took a refresher course but now 2nd NCLEX is in May. Took it once to see how it was and got a score of near passing standards - does that mean I was close? PLEASE HELP - :sstrs: :thnkg:
Yes, you were near passing. I to had the same results. I'm also taking mine AGAIN in may. I'm doing Kaplan on line and saunders. So far so good.TO answer your question a CK-MB is the def. lab result for an MI. What cardio. ques. do you have? Hope your family is doing better:heartbeat
:plsebeg: I need some help. For NCLEX purposes, what is the definitive lab result that proves an MI - A CK-MB, a flipped LDH, or troponin. Is morphine the first primary response, have been told that it is and not oxygen. Any help with cardiovascular would be a great help. Graduated in 1993 and just now sitting for boards (husband had a severe CVA and dad a CABG and cancer so i was their nurse for a while) Took a refresher course but now 2nd NCLEX is in May. Took it once to see how it was and got a score of near passing standards - does that mean I was close? PLEASE HELP - :sstrs: :thnkg:
It's the troponin. Here's an interesting article about it.
:smilecoffeeilovecof ok, here we go again. help ! ! !
inotropic versus cardiac glycoside - is there a difference.
found out today the dreaded beast is on may 18th and i hate getting petty but i think nclex is full of tricky questions and just want to know my stuff. asked my pharmacist and she said "you know, has been so long i can't even tell you" = now that's scary.
ok, here goes, another tidbit i did for studying for nclex
signs
murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
cullen's sign - ecchymosis in umbilical area, seen with pancreatitis or perforated pancreas.
turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
coopernail's sign - ecchymosis on the perineum, scrotum, or labia; associated with fracture of the pelvis.
brushfield's sign - speckling of iris, associated with down syndrome.
simian crease - traverse palmar or plantar crease; associated with down syndrome.
knie's sign - unequal dilation of the pupils, associated with graves disease.
psoas sign - pain induced by hyperextension of the right thigh while lying on the left side; associated w/appendicitis.
mcburney sign: pain midway between umbilicus and right iliac crest. associated with appendicitis.
chvostek sign: tapping on the cheek over the facial nerve causes a twitch of the lip or facial muscles. seen in hypocalcemia.
trousseau sign: carpopedal spasm induced by occluding circulation in the arm with a b/p cuff.
brudzinski's sign: pain, resistance on hip and knee flexion. occurs when the neck is flexed to the chest while laying supine.
kernig's sign: pain and/or resistance occurs with flexion of the knee and hip with straightening of the knee in the supine position.
myerson's sign: tapping on the glabella (area above the nose and between the eyebrows). the patient is unable to resist blinking. usually is a symptom of parkinson's disease.
battle's sign: bruising behind the ears. consist of raccoon eyes - a purplish discoloration around the eyes. suggest fracture of the base of the skull.
gower's sign: weakness of the lower limbs. patient uses their hands and arms to walk up their body from a squatting position due to lack of hip and thigh muscle strength. seen in muscular dystrophy.
tinel's sign:assessing for tinel's sign is done to check for paresthesia of the median nerve. an abnormal result would be pain or tingling as this procedure is done. this test can also be performed by inflating a blood pressure cuff to the client's systolic pressure, resulting in pain and tingling[color=#33cccc]. indicative of partial injury of a nerve or regeneration of an injured nerve.
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 believe BP and HR first, because according to Maslow's hierarchy physiological needs are first and then safety ( prevention of infection from open wound ).
You have the knowledge, but there are some rules you need to folow when all the answers look right. This helped me a lot. Good luck :)
calcium in muscle cell affects inotropic state - positive inotropes - increase level of ca - increase myocardial contractility and support cardiac function ( im, cardiogenic shock, decompensated congestive heart failure, cardiomiopathy )
- negative i. - decrease -//- - decrease contractility and thus workload ( angina )
- positive inotropes usually! work by releasing ca, but some of them can manipulate it's level by different mechanisms. cardiac glycosides rise level of ca by inhibiting na/k pump ( leads to incr. level na and that leads to incr. level ca )
i apologize if i violated term of service and linking to unapproved site.
here are my five for today: nclex answers -
1) if you have never heard of it, nobody else probably had, so don't choose that answer.
2) if your pt. is unstable don't choose reassess in 15 min. he might be dead in 15 min - don't delay treatment. find first question that will kill or harm pt., secondly that will delay treatment and eliminate those. if there is something you can do before calling doctor, do it ( pick that question ). sometimes to call the doctor may be the only right option.
3)maslow's hierarchy : physiologic needs -
a) maintaining airways and respiration
b) maintaining circulation
c) nutrition and elimination
d) sleep
safety needs - when no physiological needs exist, safety takes priority - mainatining safe and secure enviroment for pt. and nurse
4) communication - focus on pt. feelings first
5) teaching and learning - motivation and readiness - assess if pt. had previous experiences or any information first
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:smilecoffeeilovecof ok, here we go again. help ! ! !
macrolide
25 Posts
good luck pinkgirl! we're on the same boat. ill be taking the NCLEX RN also next week for state of calif. Good Luck and God Bless :)