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
digoxin is effective within a narrow therapeutic range (1.0 to 2.0 ng/ml). safety in dosing is achieved by double-checking the dose and counting the apical heart rate for 1 full minute. if the heart rate is less than 100 beats/min in an infant, the nurse would withhold the dose and contact the physician.
After amputations the nurse should ensure that a surgical tourniquet is in the client's room as one of the priority items. The wound and any drains are monitored closely for excessive bleeding because hemorrhage is the primary immediate complication of amputation. Therefore, a surgical tourniquet is kept at the bedside in case of acute bleeding.
They may increase the serum level of methylxanthines eg theophyllines causing methylxanthines toxicity.
For CIPROFLOXACIN,use with caution on patients with renal disease,CNS,and seizure disoders,even those taking theophylline.It can cause nausea, vomiting, diarrhrea, constipation, dizziness, flatulence, headache and confusion.Watch out for toxic effect which can cause superinfecton .GOODLUCK.
a nurse is preparing to administer digoxin (lanoxin) to an infant with congestive heart failure (chf). before administering the medication, the nurse double-checks the dose, counts the apical heart rate for 1 full min. and obtains a heart rate of 88beats/min. based on this finding, what is the appropirate nursing action?
hi, based on the assessmnt given. 88 beats for min is beow the normal cardiac rate for infant.. a normal infant cardiac rate is 130-150 beats/min.. in this case the nurse should withold the medicine and inform the doctor.
Ventricular tachycardia is characterized by the absence of P waves on ECG and there are wide QRS complexes (longer than 0.12 second), and typically a rate between 140 and 180 impulses/min. The rhythm is regular.
What to do when a patient comes to an ER with an insect in the ear?
-- Insects are killed before removal unless they can be coaxed out by a flashlight or by a humming noise.
-- Mineral oil or diluted alcohol may be instilled into the ear to suffocate the insect, which is then removed by using ear forceps.
-- When the foreign object is vegetable matter, irrigation is not used because such material may expand with hydration, thereby worsening the impaction.
How to communicate with a patient who has a hearing impairment?
-- speaking in a normal tone; avoiding shouting
-- talking directly to the client while facing the client; and speaking clearly.
-- If the client does not seem to understand what is said, the statement should be expressed differently. Moving closer to the client and toward the better ear may facilitate communication, but talking directly into the impaired ear should be avoided.
-- In the Weber tuning fork test, the nurse places the vibrating tuning fork in the middle of the client's head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard equally in both ears by bone conduction.
-- If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear.
-- If the client has a conductive hearing loss in one ear, the sound is heard in that ear.
How to conduct an otoscopic examination on an adult patient?
In the otoscopic examination;
--the nurse tilts the client's head slightly away and holds the otoscope upside down as if it were a large pen.
--The pinna is pulled up and back and the nurse visualizes the external canal while slowly inserting the speculum.
--A small speculum is used in pediatric clients. The nurse may not be able to adequately visualize the ear canal if a small speculum is used in the adult client.
The mastoid bone is a bone located behind the ear (felt as a hard bump behind the ear). Inside it looks like a honeycomb, with the spaces filled with air. These air cells are connected to the middle ear through an air filled cavity called the mastoid antrum. Although the mastoid bone serves as a reserve air supply to allow normal movement of the eardrum, its connection to the middle ear may also result in the spread of middle ear infections to the mastoid bone (mastoiditis).
What is a mastoidectomy?
A mastoidectomy is a surgical procedure designed to remove infection or growths in the bone behind the ear (mastoid bone). Its purpose is to create a "safe" ear and prevent further damage to the hearing apparatus.
After mastoidectomy,
-- the nurse should monitor vital signs and inspect the dressing for drainage or bleeding.
-- The nurse also should assess for signs of facial nerve injury (cranial nerve VII).
-- The nurse also should monitor for signs of pain, dizziness, or nausea.
-- The head of the bed should be elevated at least 30 degrees, and the client should be instructed to lie on the unaffected side.
-- The client probably will have sutures, an outer ear packing, and a bulky dressing, which is removed on approximately the sixth day postoperatively.
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.
istanbul
66 Posts
digoxin is effective within a narrow therapeutic range (1.0 to 2.0 ng/ml). safety in dosing is achieved by double-checking the dose and counting the apical heart rate for 1 full minute. if the heart rate is less than 100 beats/min in an infant, the nurse would withhold the dose and contact the physician.