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
Modifiable risk factors for coronary artery disease are those that can be modified or reduced by treatment. These include cigarette smoking, hypertension, elevated serum cholesterol level, diabetes mellitus, physical inactivity, and obesity.
Non-modifiable risk factors are those that cannot be modified or reduced by treatment and include such factors as heredity including race, age, and gender. Those whose parents had coronary heart disease are at higher risk. Increasing age influences both the risk and severity of the disease. Although men are at higher risk for heart attacks at a younger age, the risk for women increases significantly at menopause. The incidence of coronary heart disease is more prevalent in African American women.
Tonometry is an effective screen for the early detection of glaucoma. The normal intraocular pressure is 12 to 22 mm Hg. An intraocular pressure of 20 mm Hg is a normal finding.
Miotics are used to lower the intraocular pressure, thereby increasing blood flow to the retina and decreasing retinal damage and loss of vision. Miotics cause a contraction of the ciliary muscle and a widening of trabecular meshwork.
Complaints of a sudden burst of black spots or floaters indicate that bleeding has occurred as a result of the retinal detachment.
The three characteristic symptoms of Ménière's disease are tinnitus, sensorineural hearing loss on the involved side, and severe vertigo accompanied by nausea and vomiting.
Otoscopic examination in a client with mastoiditis reveals a red, dull, thick, and immobile tympanic membrane with or without perforation. Postauricular lymph nodes are tender and enlarged. Clients also have a low-grade fever, malaise, anorexia, swelling behind the ear, and pain with minimal movement of the head.
Tinnitus is the most common complaint of clients with otological disorders, especially those involving the inner ear. This symptom can range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client's thinking process and attention span.
Presbycusis is a type of hearing loss that occurs with aging. It is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.
The normal serum ammonia level is 15 to 45 mcg/dL.
The MM band reflects CPK from skeletal muscle. This band would be elevated in skeletal muscle disease.
The MB band reflects CPK from cardiac muscle.
The BB band reflects CPK from the brain.
The normal serum creatinine level for the adult male is 0.5 to 1.5 mg/dL.
The normal value for women is 0.5 to 1.0 mg/dL.
The normal therapeutic serum range for digoxin is 0.5 to 2.0 ng/mL.
A normal platelet count ranges from 150,000 to 400,000 cells mcg/L.
The normal range for the total serum protein level in the adult client is 6.0 to 8.0 g/dL.
The normal serum lipase level is 20 to 180 IU/L.
The normal hemoglobin level for an adult female client is 12 to 15 g/dL.
The normal hematocrit level for an adult male is 40 to 54%.
The normal level for glycosylated hemoglobin A1C is 4.5 to 7.5%.
The normal range for urine for specific gravity is between 1.015 and 1.024 in an individual with normal fluid intake.
The normal WBC counts ranges from 4500 to 10,000 mcg/L.
The client should be counseled to keep the total cholesterol level under 200 mg/dL.
The normal BUN ranges from 5 to 25 mg/dL.
The normal fibrinogen level is 200 to 400 mg/dL in the adult.
Digoxin (Lanoxin) is a cardiac glycoside that improves cardiac contraction, slows the heart rate, promotes diuresis, and increases cardiac output.
During menstrual period, woman loses about 40 mL of blood.
Montgomery's tubercles are sebaceous glands in the areola.
Before conception, the uterus is a small pear-shaped organ entirely contained in the pelvic cavity.
Before pregnancy, the uterus weighs approximately 60 grams (2 oz) and has a capacity of about 10 mL (one third of an ounce).
At the end of pregnancy, the uterus weighs approximately 1000 grams (2.2 pounds) and has a sufficient capacity for the fetus, placenta, and amniotic fluid, a total of about 5000 mL.
The ovaries are the endocrine glands that produce estrogen and progesterone.
FSH and LH are produced by the anterior pituitary gland.
Oxytocin is produced by the posterior pituitary gland and stimulates the uterus to produce contractions during labor and birth.
Mittelschmerz (middle pain) refers to pelvic pain that occurs midway between menstrual periods or at the time of ovulation. The pain is fairly sharp and is felt on the right or left side of the pelvis. It generally lasts a few hours to 2 days, and slight lady partsl bleeding may accompany the discomfort.
Ovulation ceases during pregnancy because the circulating levels of estrogen and progesterone are high, inhibiting the release of the follicle stimulating hormone (FSH) and the luteinizing hormone (LH), which are necessary for ovulation.
The ovarian cycle consists of three phases, the follicular, ovulatory, and luteal phases.
The proliferative phase is a phase of the endometrial cycle.
Dont discontinue corticosteroids when the MD orders NPO after midnight for a pt scheduled for the next am surgery.Patients who are on prolonged corticosteroid use often experience adrenal athropy and the body does stops producing corticosteroids,and during such stress as surgery,illness our body needs corticosteroids the most,always clarify,question such order!!!
As a nurse you will be responsible for preparing a pt for the surgery.You must check the following tests and make sure the results are WNL; kidney test;creatine levels (0.6-1.3), CBC;hemoglobin (normal ranges 12-18),electrolyte levels,coagulation studies;platelets (150000-450000).If any of those values are abnormal the surgery will be rescheduled
Dont discontinue corticosteroids when the MD orders NPO after midnight for a pt scheduled for the next am surgery.Patients who are on prolonged corticosteroid use often experience adrenal athropy and the body does stops producing corticosteroids,and during such stress as surgery,illness our body needs corticosteroids the most,always clarify,question such order!!!
I agree with you, such an order requires clarification because when a doctor orders to discontinue a corticosteroid or a mineralocorticosteroid the nurse must to taper down the dose to discontinue gradually. Never discontinue those type of drugs abruptly if the patient has been on prolonged steroid use. When the doctor d/c's a steroid he/she is assuming the nurse knows she/he has to gradually decrease the dose until discontinued. feliz3
I agree with you, such an order requires clarification because when a doctor orders to discontinue a corticosteroid or a mineralocorticosteroid the nurse must to taper down the dose to discontinue gradually. Never discontinue those type of drugs abruptly if the patient has been on prolonged steroid use. When the doctor d/c's a steroid he/she is assuming the nurse knows she/he has to gradually decrease the dose until discontinued. feliz3
I know but sometimes even the well-educated docs make mistakes so we nurses must always focus and be on top of things not to mention that the us new graduate nurses are at the most risk of making med error since we are new and lack experience.
littleangels0511
21 Posts
Congrat Sonia41.