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
Phenelzine sulfate is in the monoamine oxidase inhibitor (MAOI) class of antidepressant medications. An individual on an MAOI must avoid aged cheeses, alcoholic beverages, avocados, bananas, and caffeine drinks. There are also other food items to avoid, including chocolate, meat tenderizers, pickled herring, raisins, sour cream, yogurt, and soy sauce. Medications that should be avoided include amphetamines, antiasthmatics, and certain antidepressants. The client should also avoid antihistamines, antihypertensive medications, levodopa (L-Dopa), and meperidine (Demerol).
Incentive spirometry is not effective if the client breathes through the nose. The client should exhale, form a tight seal around the mouthpiece, inhale slowly, hold to the count of three, and remove the mouthpiece to exhale. The client should repeat the exercise approximately 10 times every hour for best results.
Lovastatin (Mevacor) is a reductase inhibitor. It results in an increase in the high-density lipoprotein (HDL) cholesterol and a decrease in the triglycerides and low-density lipoprotein (LDL) cholesterol. This medication is converted by the liver to active metabolites, and therefore is not used in clients with active hepatic disease or elevated transaminase levels. For this reason, clients are recommended to have periodic liver function studies. Periodic cholesterol levels are also needed to monitor the effectiveness of therapy.
Clients with chronic venous insufficiency are advised to avoid crossing the legs, sitting in chairs where the feet don’t touch the floor, and wearing garters or sources of pressure above the legs (such as girdles). The client should wear elastic hose for 6 to 8 weeks, and in some situations for life. The client should sleep with the foot of the bed elevated to promote venous return during sleep. Venous problems are characterized by insufficient drainage of blood from the legs returning to the heart. Thus, interventions need to be aimed at promoting flow of blood out of the legs and back to the heart.
The client taking sublingual nitroglycerin should lie down upon taking the medication because lightheadedness and dizziness may occur as a result of postural hypotension. The client should use up to three tablets at 5-minute intervals before seeking medical attention.
With a uric acid stone, the client should limit intake of foods high in purines. Organ meats, sardines, herring, and other high-purine foods are eliminated from the diet. Foods with moderate levels of purines, such as red and white meats and some seafood, are also limited.
Asterixis is an abnormal muscle tremor often associated with hepatic encephalopathy. Asterixis is sometimes called “liver flap.” Asterixis (also called the flapping tremor) is a tremor of the wrist when the wrist is extended (dorsiflexion), sometimes said to resemble a bird flapping its wings.
The nurse should be alert to the fact that the client taking spironolactone (Aldactone) may experience body image changes resulting from threatened sexual identity. These are related to decreased libido, gynecomastia in males, and hirsutism in females.
Bell’s palsy is an inflammatory condition involving the facial nerve (cranial nerve VII). Although it results in facial paralysis, it is not the same as a stroke or cerebrovascular accident (CVA).
Digoxin may be withheld for up to 48 hours before cardioversion because it increases ventricular irritability and may cause ventricular dysrhythmias post countershock. The client typically receives a dose of an intravenous sedative or antianxiety agent. The defibrillator is switched to synchronizer mode to time the delivery of the electrical impulse to coincide with the QRS and avoid the T wave, which could cause ventricular fibrillation. Energy level is typically set at 50 to 100 joules. During the procedure, any oxygen is removed temporarily, because oxygen supports combustion, and a fire could result from electrical arcing.
Toxic effects of magnesium sulfate may cause loss of deep tendon reflexes, heart block, respiratory paralysis, and cardiac arrest. The antidote for magnesium sulfate is calcium gluconate and should be available at the client’s bedside.
Nurses are advised not to document the filing of an incident report in the nurses’ notes for legal reasons. Incident reports inform the facility administration of the incident so that risk management personnel can consider changes that might prevent similar occurrences in the future. Incident reports also alert the facility insurance company to a potential claim and the need for further investigation.
Glycosylated hemoglobin is a measure of glucose control during the past 6 to 8 weeks before the test. It is a reliable measure to determine the degree of glucose control in diabetic clients over a period of time and is not influenced by good glucose or dietary management a day or two before the test is done. The HbA1c should be 7.5% or less, with elevated levels indicating poor glucose control.
Allopurinol (Zyloprim) helps prevent an attack of gouty arthritis, but it does not relieve the pain. Therefore, another medication such as colchicine or an NSAID must be added if an acute attack occurs.
Pseudoparkinsonism is a common extrapyramidal side effect of antipsychotic medications. This condition is characterized by a stooped posture, shuffling gait, masklike facial appearance, drooling, tremors, and pill-rolling motions of the fingers. Hyperpyrexia is characteristic of another extrapyramidal side effect, neuroleptic malignant syndrome (NMS). Aphasia is not characteristic of pseudoparkinsonism.
Treatment for Raynaud’s disease includes avoidance of precipitating factors such as cold or damp weather, stress, and cigarettes. The client should get sufficient rest and sleep, protect the extremities by wearing protective clothing, and stop activity during vasospasm.
The size of the opening for the appliance is generally cut 1/8 inch larger than the size of the client’s stoma. This minimizes the amount of exposed skin, but does not cause pressure on the stoma.
Sinus tachycardia is often caused by fever, physical and emotional stress, heart failure, hypovolemia, certain medications, nicotine, caffeine, and exercise.
Valproic acid (Depakene) is an anticonvulsant that causes central nervous system (CNS) depression. For this reason, the side effects include sedation, dizziness, ataxia, and confusion. When the client is taking this medication as a single daily dose, administering it at bedtime negates the risk of injury from sedation and enhances client safe
Am I allowed to leave pneumonics my friend shared with me? A good way to remember hypoglycemia vs hyperglycemia signs and symptoms...remember TWITCHINGS for hypoglycemia. Stands for tremors, weakness, irritable, tachycardia, cool skin, hunger bec he's hypo, increased pulse, nervous, gradual loss of vision, sweating moist clammy skin. For Hyperglycemia remember HANDTOWELS. It stands for headache, air hunger, nausea and vomiting, drowsy and dry skin, thirst, osmotic diuresis(polyuria), weak rapid pulse, eyes blurry, lethargy, sweet fruity breath odor.
Hey everyone!! I just have a question I think someone might be able to clear up for me! All through school, I was told that in NCLEX land you have everything you need, including doctor's orders. During my studying I have came across different rationales in different books! On some different questions it says notify doctor because you need an order for like oxygen or to do a culture, while on differnent rationales it goes with the oxygen or culture answers! So I dont know which way it is for the NCLEX. Do I always call physican or do I assume I have the order?
Hey everyone!! I just have a question I think someone might be able to clear up for me! All through school, I was told that in NCLEX land you have everything you need, including doctor's orders. During my studying I have came across different rationales in different books! On some different questions it says notify doctor because you need an order for like oxygen or to do a culture, while on differnent rationales it goes with the oxygen or culture answers! So I dont know which way it is for the NCLEX. Do I always call physican or do I assume I have the order?
Assume that you already have an order for the option choices that NCLEX gives you.
bezeley
1 Post
Hello All!
Take my NCLEX on 10/5....love this thread! Here's some random triads:
DVT - Virchow's Triad - Venous Stasis, Altered Coagulability, Intimal Changes
ICP - Cushing's Triad - Decreased Respirations, Decreased HR, Increased BP
Cardiac Tamponade - Beck's Triad - Decreased BP, JVD, Muffled heart sounds
Mulitple Sclerosis - Charcot's Triad - Nystagmus, Intention Tremor, Staccato speech
Fat Emboli - Bergman's Triad: Mental Status Changes, Petehiae - esp chest and axilla, dyspnea
That's it for now....back to reading threads....only on page 52! Thanks for everyone's hard work and for sharing your pearls of wisdom!
Bezeley