Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc.
Updated:
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....
Could anybody answer my question please? Why do we ensure that child has voided before IV administration of potassium? thanks
Potassium should be administered only after adequate urine flow has been established. potassium is primarily excreted by the kidneys;therefore when oliguria occurs, potassium administration can cause the serum potassium concentration to rise dangerously.
Hi everyone,
I need some advice. I'm taking the neclex RN for the third time:cry:. I did the suzzanes plan part 1 and 2. Did the ncsbn. Now I'.m doing Kaplan on line. I take my exam May 18 2009:banghead: I'm thinking about moving it up to a sooner date. I'm not to sure if I should or not:bluecry1: Everyone thus far has been great with the fact throwing:yeah:
:typing Please help me,
Hi love2banurse, it is hard to say. It depends on how you feel. You are lucky to feel prepared sooner than your exam date. May is not too far though, so if I were in your shoes I would spend it doing some more questions. Just to make sure to pass this time. It also depends on what is your score when you make test. I've heard the actual NCLEX test is more difficult than tests from review books. But you've already gone through it, you know better than me ( I am waiting for CGFNS report to be sent to board, have no idea when I take exam. hopefully this year:rolleyes: ) Whatever your decision will be I hope for you. Good luck
1. Most reliable sings of infection in elderly:Tachycardia,Tachypnea,COnfusion.
2. External otitis-pain when the pinna is pulled up.
3. Lidocaine toxicity:(SAMS)=S-lurred speech A-ltered CNS M-uscle twitching S-eizures.
4.Hypoxia-RAT-BED
Early: Late
Restlessness Bradycardia
Anxiety Extreme Restlessness
Tachycardia Dyspnea
5. Acid Ash Diet- Alkaline Stones
3 P's and C's
Prunes Cheese
Plums Cranberry
Pastries Corn
Hi love2banurse, it is hard to say. It depends on how you feel. You are lucky to feel prepared sooner than your exam date. May is not too far though, so if I were in your shoes I would spend it doing some more questions. Just to make sure to pass this time. It also depends on what is your score when you make test. I've heard the actual NCLEX test is more difficult than tests from review books. But you've already gone through it, you know better than me ( I am waiting for CGFNS report to be sent to board, have no idea when I take exam. hopefully this year:rolleyes: ) Whatever your decision will be I hope for you. Good luck
Thank you:) Your right, May is not to far away and i'll focus on doing my questions. I took the the first to exams while i was taking care of my newborn baby. BAD MOVE:banghead: Overall the exam itself is really not that bad. Being sleep deprived is VERY BAD. I thought i could do it. I was near passing in all of my areas the last time i took the neclex. I should of waited but I thought I knew better. :anbd: There are a few of my classmates that had a really hard time in nursing school. Meaning that they failed two semesters and they passed the neclex rn the first time with 75q. I'm brushing up with my meds with kaplan flash cards. Expect lots of meds:yawn:. Go with what you know and you'll do just fine
I group diseases/meds when i study. here are some of them that has helped me retain infos:
* Alcoholism - needs Vit B1 (Thiamine)
Tuberculosis (takig INH) - needs Vit B6 (Pyridoxine)
Pregnant Woman - needs Vit B9 (Folic acid)
Pernicious Anemia - needs Vit B12 (Cyanocobalamin)
* INH - must increase Vit B6 in diet
Levodopa - avoid Vit B6
* Glaucoma - decreased peripheral vision
Macular degeneration - decreased central vision
* Dwarfism - occurs before maturity, normal body proportions
Acromegaly - occurs after maturity, uneven enlargement of some body parts
* Amniocentesis - patient's bladder must be emptied prior
Ultrasound - client must drink water prior
* Diverticulosis - diet: high fiber
Diverticulitis - diet : low fiber
* Craniotomy (post-op):
Supratentorial surgery - ELEVATE HOB at 30 degrees to promote venous outflow through the jugular veins
Infratentorial surgery - FLAT
* MAOI - avoid TYRAMINE
Korsakoff Psychosis - increase Vit B1 (THIAMINE) in diet
*Fourth Disease (Duke's Disease) - generalized vascular & sometimes petechial rash
Fifth Disease - "slapped cheek" appearance of rashes
* Appendicitis - signs/symptoms: pain, then nausea and vomiting
Gastroenteritis - nausea and vomiting, then pain
* Percodan - oxycodone with aspirin
Percolet - oxycodone with acetaminophen
* Syphilis - papule then painless ulcer (chancre)
Genital Herpes - painful blisters
* Tonometry - measures pressure in the eye
Fluorescein angiography - measures circulation in the retina
* Multiple Sclerosis - cognitive changes (decreased short term memory)
Amyotrophic Lateral Sclerosis - no cognitive changes
Good luck everyone! I took the exam last march 31 and had 75 questions. I got the result after 3 days. thanks to all who contributed to this thread!! God bless us all!
I group diseases/meds when i study. here are some of them that has helped me retain infos:* Alcoholism - needs Vit B1 (Thiamine)
Tuberculosis (takig INH) - needs Vit B6 (Pyridoxine)
Pregnant Woman - needs Vit B9 (Folic acid)
Pernicious Anemia - needs Vit B12 (Cyanocobalamin)
* INH - must increase Vit B6 in diet
Levodopa - avoid Vit B6
* Glaucoma - decreased peripheral vision
Macular degeneration - decreased central vision
* Dwarfism - occurs before maturity, normal body proportions
Acromegaly - occurs after maturity, uneven enlargement of some body parts
* Amniocentesis - patient's bladder must be emptied prior
Ultrasound - client must drink water prior
* Diverticulosis - diet: high fiber
Diverticulitis - diet : low fiber
* Craniotomy (post-op):
Supratentorial surgery - ELEVATE HOB at 30 degrees to promote venous outflow through the jugular veins
Infratentorial surgery - FLAT
* MAOI - avoid TYRAMINE
Korsakoff Psychosis - increase Vit B1 (THIAMINE) in diet
*Fourth Disease (Duke's Disease) - generalized vascular & sometimes petechial rash
Fifth Disease - "slapped cheek" appearance of rashes
* Appendicitis - signs/symptoms: pain, then nausea and vomiting
Gastroenteritis - nausea and vomiting, then pain
* Percodan - oxycodone with aspirin
Percolet - oxycodone with acetaminophen
* Syphilis - papule then painless ulcer (chancre)
Genital Herpes - painful blisters
* Tonometry - measures pressure in the eye
Fluorescein angiography - measures circulation in the retina
* Multiple Sclerosis - cognitive changes (decreased short term memory)
Amyotrophic Lateral Sclerosis - no cognitive changes
Good luck everyone! I took the exam last march 31 and had 75 questions. I got the result after 3 days. thanks to all who contributed to this thread!! God bless us all!
oops, typo, its PERCOCET instead of PERCOLET. sorry
glucose tolerance test
- 3 days before test pt. has diet with at least 150g carbohydrates
- fasting 10-12h before test
- withold morning insulin or oral hypogl. ( for pt. with dm )
- sample is drawn for baseline - normal 70 - 110 mg/dl
- high-glucose drink - blood samples a30 min.
- 30min ( fasting ) 110-170 mg/dl
- 60min 120-170
- 90min 100-140
-120min 70-120
-2h postprandial
-2h after igestion or injection of glucose >200 confirms dg.
( saunders 4th edition )
How to Determine Whether to Delegate or Not
UAP= unlicensed assistive personnel
Ask yourself:
1) Are the and rules in place which support the delegation?
a) yes---go to step 2
b) no--- do not delegate
2) Is the task to be delegated within the scope of practice of the RN/LPN?
a) yes---got to step 3
b) no---do not delegate
3) Is the RN/LPN has the knowledge and experience to make delegation decisions?
a) yes---go to step 4
b) no---do not delegate. Action to take: provide education and document education provided
4) Has there been assessment of the client's needs?
a) yes---move to step 5
b) no---assess client's needs first, then proceed with considerations to delegations
5) Is the UAP competent, has the experience to accept the delegation?
a) yes---move to step 6
b) no---do not delegate. Action to take: Provide education and document the education given to the UAP
6) Does the ability of the care giver match the care needs of the client?
a) yes---go to step 7
b) no---do not delegate
7) Can the task to be delegated be performed without requiring nursing judgment?
a) yes---move to step 8
b) no---do not delegate
8) Are the results of the task reasonably predictable?
a) yes---move to step 9
b) no---do not delegate
9) Can the task be safely performed according to exact, unchanging directions?
a) yes---move to step 10
b) no---do not delegate
10) Can the task be safely performed without complex observations or decisions based on critical thinking?
a) yes---move to step 11
b) no---do not delegate
11) Can the task be performed without repeated nursing assessments?
a) yes---move to step 12
b) no---do not delegate
12) Is appropriate supervision available?
a) yes--- all other steps met, it is safe to delegate
b) no---do not delegate
Delegation= Transferring a selected nursing task in a situation to an individual who posses the knowledge, experience that makes the person competent to perform that specific task.
The Nurse Practice Act and any practice limitation, such as been unfamiliar with the particular task which needs to be delegated, define which aspects of care can be delegated and which must be performed by the registered nurse.
Only the task not the ultimate accountability may be delegated to another. The nurse who delegates maintains accountability for the overall nursing care of the client. The nurse must know what are her clients preferred outcomes in terms of health care delivery goals, so that the process of delegation is geared toward achieving desirable outcomes.
The RN must match the task to be delegated based on the Nurse Practice Act and appropriate position descriptions.
Task that which are the responsibility of the RN only:
a) unstable patients with the least predictable medical outcomes
b) central line care
c) any tasks involving teaching, observation, discharge of a patient, assessment and critical thinking based decisions
d) blood transfusions
e) parenteral nutrition
f) patient controlled analgesia
g) development of a plan of care
h) taking a medical history
i) taking phone doctor's orders for prescription and treatment
j) doing an admission assessment
K) initiate a Care Plan
Task that can be delegated to LPN/LVN only
a) patients who are stable and with predictable outcomes and common, well-defined health problems
b) give meds, oral, topical and inhalants, can administer treatments such as sterile wound care, blood sugar testing, nasogastric tube insertion, tube feedings and charting
c) LPN/LVN can start an IV of saline and superimpose IV fluids with vitamins, nutrients and electrolytes by primary or secondary infusion lines, infuse blood and blood products with IV Certification
d) give injections
e) monitor running IV
f) give enemas
g) monitor a urinary catheter
h) do simple wound dressing change
i) any task which does not require nursing judgment or complex observation, nurse can delegate to the LPN. RN must inform the parameters of what to report as abnormal
j) use sterile technique procedures such as putting a urinary catheter
K) can give intra muscular injections, subcutaneous, intradermal
l) cannot give IV Push, infuse antibiotics or other medications via secondary IV line
m) can initiate teaching and a care plan
n) cannot infuse IV fluids such as TPN or other fluids via a central line and cannot do blood withdrawal via central line
o) can do blood withdrawal via venipuncture or peripheral line with blood withdrawal certification
sources: http://www.vocationalnursingdirectorsofca.org
http://www.bvnpt.ca.gov/pdf/vnregs.pdf
UAP
a) bathing patient
b) ambulation
c) making beds
d) routine vital signs feeding patients
e) transferring patients
That is all for today...good night to you all. feliz3
cdb6c
52 Posts
thank u sooo much. really appreciate it.