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
I still don't understand the immunization schedule for infants and children. Can someone clarify for me? I checked out the chart on the CDC website, but it just confused me more.
THANKS!
LOL and I cant seems to understand the immunization schedule for adults-seriously.
As far as immunization schedule for the infants and children it goes like that the newborns get their first Hepatitis B shot at birth followed by 2 more doses.
Then the babies at 2 months recieve a couple of vaccinations which include (keep in mind that they have to be at least 6 week old) Rotavirus dose (followed by two other doses at different time),DTaP (Diphteria,Tetorifice,Pertussis,followed by 4 more doses at different time period),Haemophilus Influenza type b (followed by 3 other doses),Pneumoccocal vaccine (followed by 3 other doses) and finally Inactivated (dont confuse with ACTIVATED,the word can be used as great mislead in one of the NCLEX question,activated polio is no longer given to babies). Next it is recommended for the babies to get influenza shot,however the baby must be at least 6 month of age to get this vaccine.When the baby turn one year old it is time for MMR (Measles mumps,Rubella all- in -one,remeber that the baby must be at least ONE year old or older),also at the same time the infant can get its first varicella shot and Hepatitis A shot (for both the baby must be at least one year old)
I always have trouble with questions regarding which patient is more stable than another - ESPECIALLY with Maternity patient questions! I have been doing ok on my practice NCLEX questions, but I would like to do better.
Is there anyone that can tell me what patients are usually/always top priority. Mabye a list of some of the most unstable patients and why they are?
assess first( check the question to see if the assessment has been done)
take care of the patient first, the machines and documentation later
always choose the most complete answer with the least opportunity for error
in priority question, look for acute and unstable pt to see first
always remember your abcs
maslow's will usually work and pain is seen as a psychosocial need---not a physical need
incident or occurrence reports--never refer to them in the pt's chart
should complete for any time there is a variance from what should have happened with pt care
should not include blame or anything but just the facts
when charting, do not use the words, " error, mistake, accident or incorrect."
errors in charting are corrected by making one simple line through the words
if a rn comes from another unit, give that rn a pt who does not need to have a rn from specific unite care for him/her. ex. --post op mastectomy needs an onco nurse to take with.
delegation--if you are assigning pt care to lpn/na, rank order the pt as to the ones who have the least acute problems/changes to the most
anytime a question comes up about a procedure or diagnostic test, consider the possible complications
vital signs are a late signa of pt status change
rales=chf
rhonchi=pneumonia
wheezes=asthma
hemoptysis=lung cancer or tb
pleural pain=pssible pe
intercostal retractions=respiratory distress
role play the situation
read the question and answers out loud
safety for the pt is always first, then the family, then the nurse
never isolate a pt with alzheimer's disease
any time a pt has traction applied or a broken bone, consider:
circulation
movement
sensation
compartment syndrome
skin integrity
restlessness is often the first sign of hypoxia
if you chose an answer withthe word, why or check in it, make sure it is truly the best answer.
rarely is the right answer to call the physician--don't pass the responsibility
psychiatric pt:
--for someone with psychosis--acknoledge the hallucination or delusion and then realityorientation
--for someone with dementia--change the subject, divert the attention
medications to know: antipsychotics--haldol, thorazine, zyprexa, geodon\
antidepressants--tricyclics--typically sedating so take at bedtime, cause otthostasis, dry mouth, very dangerous with od. need to wean off.
mao-i---low tyramine diet, if they eat something high tyramine--hypertensive crisis
interact with a lot of other meds, can have hypertensive crisis with other meds
need to be off other antidepressants for at least 2 wks before starting.
ssri--can treat anxiety to. typically take in the morning because they are more likely to be stimulating. can cause diarrhea. need to wean off.serotonin serge.
anti-mania--lithium--need to have levels drawn, tend to get increased level if sweating, vomiting. know the s/s of toxicity. know normal li levels( 0.6-1.2)
anti-seizure family( depakote, tegretol, lamictal, trileptal, etc) most can lead to liver failure. should have levels of depakote/tegretol done at intervals.
anti-anxiety-benzodiazepines----addictive and lead to seizures during withdrawl. very dangerous if combined with alcohol. sedating except may have paradoxical
reaction in the elderly
safety is always first priority if someone is losing control of her/his behavior.
--must try all other interventions before using restraints/seclusion
someone must stay within arms's reach of the pt if they are restraints
need to release one restraint or do prom every 15 min.
restraint to orders need to be specific and cannot be prn and only good for 24hrs.
chemical restraints count as restraints
the pt with depression needs to increase interaction.
the pt with psychosis typically is very concrete in thinkgs and it not going to be able to process groups, etc
well pt with addictive disorders use the denail as their primary coping mechanism
manic phase pts need finger foods or calories as they burn a lot being busy
suicidal pts --look for any phrase that implies helplessness, hopelessness, worthlessness
post op eye surgery--don't bend at the waist, avoid straining
if someone has an object that has penetrated his/her body, leave it there until it is assessed as safe to remove.
Usually the hospital administrative staff transcribes from the medication order written by the physician and the nurse validates it. However, that system is no longer effective for its high probability of error. Transcribing orders means the doctor gives the handwritten or phone order to the nurse who interprets and validates what has been written. The nurse gives it to the administrative staff which writes it down on an official medical order form puts it in the computer and sends it the pharmacy. Transcribing orders is a basic competency of registered nurses and registered nurse practitioners who administer medications as part of their scope of practice. Electronic order entry systems has slowly replaced transcribing, because electronic systems allow the doctors to enter medical orders into a computer program which automatically transcribes the medical orders, thereby reducing the probability of medication error. I found this link to Power Point presentation called Medication Practice Standard: Transcribing Orders. http://www.cno.org/prac/learn/modules/medication/slides/Transcribing.pdf. feliz3
beachbutterfly
414 Posts
LOL and I cant seems to understand the immunization schedule for adults-seriously.
As far as immunization schedule for the infants and children it goes like that the newborns get their first Hepatitis B shot at birth followed by 2 more doses.
Then the babies at 2 months recieve a couple of vaccinations which include (keep in mind that they have to be at least 6 week old) Rotavirus dose (followed by two other doses at different time),DTaP (Diphteria,Tetorifice,Pertussis,followed by 4 more doses at different time period),Haemophilus Influenza type b (followed by 3 other doses),Pneumoccocal vaccine (followed by 3 other doses) and finally Inactivated (dont confuse with ACTIVATED,the word can be used as great mislead in one of the NCLEX question,activated polio is no longer given to babies). Next it is recommended for the babies to get influenza shot,however the baby must be at least 6 month of age to get this vaccine.When the baby turn one year old it is time for MMR (Measles mumps,Rubella all- in -one,remeber that the baby must be at least ONE year old or older),also at the same time the infant can get its first varicella shot and Hepatitis A shot (for both the baby must be at least one year old)