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
Rubella- rash on face goes down to neck and arms then trunk and legs
pregnant women should avoid contact with any child who has Rubella or just recieved the vaccine. if she does she has to get vaccine after she has delivered
Specializes in ER/ OR/ PACU and now Occupational Health.
PMI for heart sounds on an adult= Left 5th ICS lateral to the Left nipple. If you get the diagram don't put the X on a rib.
Angle of Louis- manubrial-sternal junction at the 2nd inter costal space.
Don't forget>>> if you are adding up I&O and it says the patient had 8 oz of water.....multiply 8 by 30 to get ML.
before checking or measuring fundal height have the patient empty her bladder! A full bladder can throw off the measurement by 3cm.
Fetal Fibronectin (FFN) Test helps determine >>pre-term labor
Draw regular CLEAR insulin FIRST.
Meniers disease= ringing in the ears and hearing damage cause from HIGH sodium levels. Need diuretics. Avoid caffeine, nicotine, and ETOH
Meningitis= look for nuchal rigidity, Kernigs sign(can't extend knee when hip is flexed) and Brudinskis sign (flex neck and knee flexes too) petichial rash. People who have been in close contact may need Rifampin as a prevention. Vaccine for meningitis after 65 years of age and every 5 years
Wow what a great thread! I think ya'll touched up on some really good concepts! I may have some to throw in here....however I'm taking today off...I think.
Some useful comments to help understand things deeper:
Courtney1202 said:
3. Hyperkalemia presents on an EKG as tall peaked T-waves
This is only true if the tall peaked T-waves are universal (ie, on every lead). If you see tall, peaked T-waves on one subset of leads, such as the inferior leads (II, III, and AVF), it could actually indicate the onset of an acute MI.
Also, hyperkalemia doesn't always produce T wave changes. I routinely have patients with K+ levels above 6 with no noticable EKG changes.
Quote
4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
Calcium isn't an antidote for hypermagnesemia. Renal filtration is how excess Mg is removed-- that or of course dialysis.
Instead, calcium helps to stabilize the electrical gradients of muscle and nerve cells, which helps to prevent dysryhthmias.
Also, Calcium gluconate is only one available form. Calcium chloride is much more potent.
1. dont give beta blockers to anyone with respiratory problems I.e asthma, copd.
Actually, don't give non-selective beta blockers to anyone with respiratory problems. The B1 selective blockers such as metoprolol don't cause respiratory complications, as they don't antagonize the B2 receptors in the smooth muscle of the respiratory tree.
Specializes in ER/ OR/ PACU and now Occupational Health.
Methylene DUDE!!!! We are just trying to scratch the surface here not take the MCAT!!!! AAGGGHHHH info overload! Thanks for the corrections but, we are concentrating on the NCLEX...ya know, what ANY new RN would know. Bring it down to the kindergarten level or else my brain is gonna explode!!!
Specializes in ER/ OR/ PACU and now Occupational Health.
OH and by the way....that Mag toxicity tidbit has to do with OB nursing and PIH in which the mother is getting Mag and the treatment IS Calcium Guconate 10ml of 10% solution given SLOW IV push (usually by the Doc) over 3 minutes to avoid arrythmias, bradycardia, and v-fib.
*I guess I should have said that it was a preggo. I just assumed when we students here Mag we automatically think OB> preterm labor, or PIH.
Methylene DUDE!! We are just trying to scratch the surface here not take the MCAT!! AAGGGHHHH info overload! Thanks for the corrections but, we are concentrating on the NCLEX...ya know, what ANY new RN would know. Bring it down to the kindergarten level or else my brain is gonna explode!
/shrug I just finished my first year and that's the level of stuff we were expected to know on our tests.
I don't expect us to be held to the same level of knowledge as doctors, but I think it would be important to know what the Calcium actually does versus "It's an antidote," which it isn't.
I think ya'll touched up on some really good concepts! I may have some to throw in here....however I'm taking today off...I think.
Surgical_RN08
177 Posts
1. priority unstable pt- words to look for: cyanotic, sudden, increasing pain, hypoxic, restlessness
2. when left with two choices pick the one thing you can do to make pt. comfortable, safe, and more stable
3. no narcotics to any head injury..won't be able to accurately assess loc. so pick the narcotic if you have an order to question.
4. fluid resus. burn formula: kg x 4ml/kg x %(burn area)= total
give half of total in first 8 hours
5. after thyroid surgery-maintain airway-keep emergency trach set nearby, check for blood at sides and back of dressing, teach pt to support neck
6. bucks traction-no pins tongs. skin traction
7. should not hear a bruit over anything except dialysis shunts. if so this is the unstable pt
8. dvt- elevate extremity:up:, bed rest, warm (not hot) compresses
nicole