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
So I rescheduled my NCLEX for this friday in Raleigh, which is a lot closer then driving to Virginia Beach this thursday!! (Thought I'd share my excitement!)
Erb's point - 3ICS left of the sternum
Ambulatory electrocardiography - continously records cardiac activity during a 24hour period, should not use electric devices, bathe or shower, no diet changes, record everything in daily log
Demerol crosses the placenta which decreases FHR variability
Ascites management - albumin given to pull fluid back into blood vessels then diuretic given to excrete excess fluid
TB - need vitamin B6
bloody dyalasate (spelling?) - assess if patient is menstruating
placing an abductor pillow between patients legs after hip replacement prevents dislocation of the hip wihle turning, important especially when the client is confused
palpating the carotid pulses together can cause a vagal response and slow the clients heart rate
adrenal insufficiency - steroids increased prior to surgery
thyroidectomy - acess for numbness from decreased Ca
Bactrim - mild to moderate rash the most common SE
If when removing a PICC a portion of the catheter breaks - apply tournaquet to the upper arm, feel radial pulse
emptying a drainage evacuator - wash hands, don gloves, elevate bed, pour drainage itno measuring cup, compress the evacuator and replace the plug
i would maintain an airway first (anticipate intubation) then epi....if you dont have an airway then what good is giving the epi.
You right if there are no AIRWAY-make AIRWAY. REad qs carefully the client did not stop breathing, why to wait when she'll need an intubation, if we can do some relief.
we got a problem here,)))..we have to think of an actual problem, when we fix actual one then to move to possible/coming problem
(i hope they do not ask such borderline questions)
low back pain, h/a and restless...cardinal of hemolytic transfusion reaction..stop transfusion..change tubing...infuse ns.
nicole, where is it from? i am confused, i was also do "infuse ns", obvious. but today on sample sata the option "flush the line with saline" was the wrong one. the correct rn's action -(by them) stop the blood transfusion, submit tubing the bank (which means change tubing), establish saline look or parent iv, get 1st voided urine. they aslo give the reference to mosby book, p 394.
maybe im a delusional, paranoid, borderline...whatever)))
Nicole, where is it from? I am confused, I was also do "infuse NS", obvious. BUT today on sample SATA the option "flush the line with saline" was the wrong one. The correct RN's action -(by them) STOP the blood transfusion, submit tubing the bank (which means change tubing), establish saline look or parent IV, get 1st voided URINE. they aslo give the reference to mosby book, p 394.
maybe im a delusional, paranoid, borderline...whatever)))
here is my rationale for that, RN cannot infuse NS unless it's ordered, but RN can maintain patent IV line.
here is my rationale for that, RN cannot infuse NS unless it's ordered, but RN can maintain patent IV line.
Hola Ciber-1,
Allow me to jump in and give you my humble opinion.
If a pt is having an hemolytic rx, you have to stop the line. (Obvious) If you flush the line, the pt may get additional blood that remained in the IV tubing, which may contribute to additional blood reaction... You get the urine sample for lab studies.
Happy studying and good luck on test!
PS: I've been in Raleigh few times. Nice laid back city!!!
here is my rationale for that, RN cannot infuse NS unless it's ordered, but RN can maintain patent IV line.
but normal saline would be ordered before you start the blood because before you infuse the blood product you would run normal saline through the line first. for a hemolytic reaction you wouldnt flush the tubing because the bad blood is still in there..it would be flushed right into the pt (we dont want that)...you would take down the blood tubing and infuse normal saline through primary tubing. the other actions are correct like sending the blood to the lab and the urinary cath because of renal involvement possibly. as for the doctors order if it is an emergency situation you dont have time to wait on an order for saline like in cases of shock, anaphylaxis, etc. thats when the nurses judgement would come in. i hope i dont get one like that on the boards it can get confusing. in my opinion they need to make just one nclex book so all the info would be the same.
:heartbeat:heartbeat:heartbeatWell. . . here is a quick ~fact~ with a really long explanation
Most of the time restraints would start from least restrictive and progress up as needed. . . For a 3yr old (toddler/child ?) with a rash they shouldn't touch elbow restraints should be used so that the child has free use of their arms for play. This was a practice test question from a class preparing us for ati. . and the option I choose was mits for their hands WRONG!
I'll try to submit more when I think of some good one. . .THANKS SO MUCH FOR STARTING THIS :heartbeat:heartbeat:heartbeatLOVE IT
but normal saline would be ordered before you start the blood because before you infuse the blood product you would run normal saline through the line first. for a hemolytic reaction you wouldnt flush the tubing because the bad blood is still in there..it would be flushed right into the pt (we dont want that)...you would take down the blood tubing and infuse normal saline through primary tubing. the other actions are correct like sending the blood to the lab and the urinary cath because of renal involvement possibly. as for the doctors order if it is an emergency situation you dont have time to wait on an order for saline like in cases of shock, anaphylaxis, etc. thats when the nurses judgement would come in. i hope i dont get one like that on the boards it can get confusing. in my opinion they need to make just one nclex book so all the info would be the same.
umich08
15 Posts
So I rescheduled my NCLEX for this friday in Raleigh, which is a lot closer then driving to Virginia Beach this thursday!! (Thought I'd share my excitement!)
Erb's point - 3ICS left of the sternum
Ambulatory electrocardiography - continously records cardiac activity during a 24hour period, should not use electric devices, bathe or shower, no diet changes, record everything in daily log
Demerol crosses the placenta which decreases FHR variability
Ascites management - albumin given to pull fluid back into blood vessels then diuretic given to excrete excess fluid
TB - need vitamin B6
bloody dyalasate (spelling?) - assess if patient is menstruating
placing an abductor pillow between patients legs after hip replacement prevents dislocation of the hip wihle turning, important especially when the client is confused
palpating the carotid pulses together can cause a vagal response and slow the clients heart rate
adrenal insufficiency - steroids increased prior to surgery
thyroidectomy - acess for numbness from decreased Ca
Bactrim - mild to moderate rash the most common SE
If when removing a PICC a portion of the catheter breaks - apply tournaquet to the upper arm, feel radial pulse
emptying a drainage evacuator - wash hands, don gloves, elevate bed, pour drainage itno measuring cup, compress the evacuator and replace the plug
Percodan - oxycodone and aspirin
Percocet - oxycodone and acetaminophen