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
Look up the value in one of your textbooks or an NCLEX review book, lab book, etc. If you look around on the Web alone, you will find TONS of different answers with different values and ranges.
1) Metrizamide is a water-soluble dye. Meds that lower the seizure threshold, MAOIs, tricyclic antidepressants, CNS stimulants, & psychoactive drugs should be held 48h before & 24h after a test involving metrizamide.
2) Morphine toxicity = pinpoint pupils &/or resp
3) Neomycin acts a bowel sterilizer; used to prevent wound & abd infections, particularly after abd surgery.
4) SIADH is the opposite of DI = syndrome of increased ADH. It results in hyponatremia & a less commonly known symptom is decreased DTRs.
5) The frontal cortex of the brain is responsible for reasoning, planning, parts of speech, movement, emotion, & problem solving.
Lugol's solution, strong iodine, given preop thyroid surgery to reduce bleeding (all endocrine glands are highly vascular) given in milk or juice and use a straw.
Strong iodine may cause salivary swelling or tenderness, burning of mouth or throat, metallic taste, soreness of teeth and gums, and unusual increase in salivation.
I am having a hard time putting steps together/in order. The nclex books are all different. Do you always wash your hands then explain a procedure or wash your hands, gether supplies then explain procedure?
Does anyone know the correct steps to take when suctioing from ET and NG? Also INSULIN administration!! I understand you draw clear before cloudy but then when it comes to putting air into the other omg I get so confused. I would hate to get this wrong on the nclex.
Found these on a website. Your nclex book may have the steps in simpler terms.
Nasotracheal suctioning
(1) Open suction kit or catheter using aseptic technique. If sterile drape is available, place it across the patient's chest. Do not allow the suction catheter to touch any nonsterile surfaces
(2) Unwrap or open a sterile basin and place on the bedside table. Be careful not touch the inside of the sterile basin. Fill the basin with approximately 100 cc of sterile Normal Saline (NS).
(3) Apply one sterile glove to each hand, or apply nonsterile glove to nondominant hand and sterile glove to dominant hand. Attach nonsterile suction tubing to sterile catheter, keeping hand holding catheter sterile.
(4) Secure catheter to tubing aseptically. Coat distal 2-3 inches of catheter with water-soluble lubricant (K-Y Jelly/Lubricant).
(5) Remove oxygen delivery device, if present, with nondominant hand. Withoutapplying suction and using the dominant thumb and forefinger, gently, but quickly insert the sterile catheter into either naris during inhalation with a slight downward slant. Do not force the catheter. Try the other naris if insertion meets resistance or is difficult to insert.
NOTE: Never apply suction during insertion. Application of suction pressure while introducing the catheter into the trachea increases risk of damage to the mucosa and increases the risk of hypoxia because the removal of oxygen present in the airway. Remember that the epiglottis is open during inspiration and facilitates insertion of the catheter into the trachea.
(6) Insert the catheter approximately 16-20 cm (6 ½-8 inches) in the adult patient. One method of measuring the correct length of catheter to insert is to use the distance from the patient's nose to the base of the earlobe as a guide.
(7) Apply intermittent suction by placing and releasing nondominant thumb over the vent of catheter. Slowly withdraw the catheter while rotating it back and forth with suction on for as long as 10-15 seconds.
(8) Assess the need to repeat suctioning procedure. Allow adequate time between suction passes for ventilation and oxygenation. Ask the patient to deep breathe and cough. Keep oxygen readily available in case the patient exhibits signs of hypoxemia. Administer oxygen to the patient between suctioning attempts
(9) When the pharynx and trachea are cleared of secretions, perform oral suctioning to clear the mouth of secretions. Do not suction the nose or trachea after suctioning the mouth.
(14) Rinse the catheter and connecting tubing by suctioning NS from the basin until the tubing is clear. Dispose of equipment as per facility policy. Turn off suction device
Endotracheal or tracheostomy tube suctioning
(1) Performed through an artificial airway (endotracheal/nasotracheal or tracheostomy). Artificial airways are indicated for patients with deceased level of consciousness, airway obstruction, mechanical ventilation and for removal of tracheal bronchial secretions. Artificial airways allow easy access to the patient's trachea for deep tracheal suctioning.
(2) Prepare suction equipment, suction catheter using sterile technique and don sterile gloves as previously described for nasotracheal suctioning
(3) Hyperoxygenate the patient before suctioning, using manual resuscitation Ambu-bag connected to an oxygen source.
(4) Open swivel adapter or if necessary remove the oxygen delivery device (ventilator tubing) with your nondominant hand.
(5) Without applying suction, gently, but quickly insert the sterile catheter using the dominant thumb and forefinger into the artificial airway until resistance is met, or the patient coughs and them pull back the catheter approximately ½ inch.
(6) Apply intermittent suction by placing and releasing nondominant thumb over the vent of the catheter while rotating it back and forth between the dominant thumb and forefinger. Encourage the patient to cough, if possible. Observe continuously for respiratory distress.
NOTE: If the patent develops respiratory distress during the suctioning procedure, immediately withdraw the catheter and administer additional oxygen and breaths as needed.
(7) Close the swivel adapter, or replace the oxygen delivery device (ventilator tubing).
(8) Rinse catheter and tubing with NS
(9) Assess for secretion clearance. Repeat suctioning procedure 1-2 times more to clear secretions if necessary. Allow adequate time between suction passes (at least one full minute) for ventilation and oxygenation.
(10) Perform oropharyngeal suctioning as needed. Catheter is now contaminated. Do not reinsert into the artificial airway.
(11) Dispose of suctioning equipment per policy. Turn off suction device
(15) Reposition the patient as indicated by condition
LoneWolfRN2010
87 Posts
Look up the value in one of your textbooks or an NCLEX review book, lab book, etc. If you look around on the Web alone, you will find TONS of different answers with different values and ranges.