Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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

OK your turn....

[HOLLYMH84]

Thank you to EVERYONE on here! I took my NCLEX for the 2nd time on Tuesday and I PASSED!!!

[littlestar97]

Here is what I got from the app called "NurseNotes"

1/ Kawasaki Disease: diagnostic criteria:

CHILD

5 letters = 5 days, >5 years old, 5 criteria for dx:

Conjuctivitis (bilateral)

Hyperthemia (fever) > 5 days

Idiopathic polymorphic rash

Lymphoadenopathy (cervical)

Dryness & redness of lips & palms & soles

2/ MI: sequence of elevated enzymes after MI

"Time to CALL 911"

From first to appear to last:

Troponin

CK-MB

AST

LDH1

3/ Pericarditis: findings

PERICarditis

Pulsus paradoxus

ECG changes

Rub

Increased JVP

Chest pain (worse on inspiration, better when lean forward)

4/ Thrombotic thrombocytopenic purpura: signs

FAT RN

Fever

Anemia

Thrombocytopenia

Renal problems

Neurologic dysfunction

5/ Gallstones: risk factors

5 F's

Fat

Female

Family history

Fertile

Forty

(to be continued..)

[Latric3]

These are from ATI.

1. NEVER use heat on a patient w/ appendicitis bc it can cause a rupture, only use cold packs.

2. Frequent swallowing after a tonsillectomoy is always an EMERGENCY bc it is a sign of bleeding.

3. Speech therapy is more important than PT and OT after a cerebrovascular Accident.

4. Pallor= infiltration of IV.

5. If a Trach becomes dislodged

1. secure airway

2. insert obutrader

3. insert trach tube

4. remove obutrator

6. No vaccines for a patient with Bronchitis

7. Brown pigmentation around ankles indicates Peripheral Vascular Disease

8. No fiber, sedatives or opioids with Cirrhosis.

9. Do not use accoridion style gates with toddlers.

10. Hepatitis B vaccine is given at birth.

[littlestar97]

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.

[littlestar97]

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.

[littlestar97]

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

[littlestar97]

tonometry: normal (10-21 mm hg)

pr interval: normal (0.12-0.20 seconds)

serum amylase: normal (25-151 units/dl)

serum ammonia: normal (35 to 65 mcg/dl)

calcium: adult (8.6-10 mg/dl)

child (8 to 10.5 mg/dl)

term11 mm hg = too much fluid

potassium: 3.5-5.0 meq/l

sodium: 135-145 meq/l

calcium: 4.5-5.2 meq/l or 8.6-10 mg/dl

magnesium: 1.5-2.5 meq/l

chloride: 96-107 meq/l

phosphorus: 2.7 to 4.5 mg/dl

pr measurements: normal (0.12 to 0.20 second)

qrs measurements: normal (0.04 to 0.10 second)

ammonia: 35 to 65 ug/dl

amylase:25 to 151 iv/l

lipase: 10 to 140 u/l

cholesterol: 140 to 199 mg/dl

ldl: 0.1 to 0.2 ng/ml = mi

erythrocyte studies: 0-30 mm/hour

serum iron: male 65-175 ug/dl

female 50-170 ug/dl

rbc: male 4.5 to 6.2 m/ul

female 4.0 to 5.5 m/ul

theophylline levels normal (10 to 20 mcg/dl)

motor development

chin up

1 month

chest up

2 month

knee push and “swim”

6 month

sits alone/stands with help

7 month

crawls on stomach

8 month

stands holding on furniture

10 month

walks when led

11 month

stands alone

14 month

walks alone

15 month

at the play ground

* stranger anxiety: 0 -1 year

* separation anxiety: 1 - 3 years

* solitary play: 0 – 1 year

* parallel play: 2 – 3 years

* group play: 3 – 4 years

psychological development

age

erikson

freud

piaget

infant

0 – 1.5

trust vs. mistrust oral (trust & dependence

sensorimotor

toddler

1.5 -3

autonomy vs. shame anal (holding vs. letting out)

preoperational

pre-school

3 - 6

initiative vs. guilt phallic (oedipus complex)

preoperational

school age

6 - 11 industry vs. inferiority

latency

concrete operational

11 - 20 identity vs. role confusion

genital

formal operational

20 – 25

intimacy vs. isolation

25 – 50 generativity vs. stagnation

50 - ?

integrity vs.despair

laboratory values

electrolytes

sodium (na+): 135 – 145 meq/l

(increase-dehydration; decrease overhydration)

potassium (k+): 3.5 - 5.0 meq/l

magnesium (mg++): 1.5 – 2.5 meq/l

calcium (ca++): 4.5 – 5.8 meq/l

neonate : 7.0 to 12 mg/dl

child: 8.0 to 10.5 mg/dl

phosphorus (po4): 1.7 – 2.6 meq/l

chloride (cl-): 96 – 106 meq/l

coagulation studies

activated partial thromboplastin time(aptt): 20 – 36 seconds depending on the type of activator used

prothrombin time(pt): male: 9.6 – 11.8 seconds

female: 9.5 – 11.3 seconds

international normalized ratio(inr): 2.0 - 3.0 for standard coumadin therapy

3.0 – 4.5 for high-dose coumadin therapy

clotting time: 8 – 15 minutes

platelet count: 150,000 to 400,000 cells/ul

bleeding time: 2.5 to 8 minutes

serum gastrointestinal studies

albumin: 3.4 to 5 g/dl

alkaline phosphatase: 4.5 to 13 king-armstrong units/dl

ammonia: 15 to 45 ug/dl

amylase: 50 – 180 somogyi u/dl in adult

20 – 160 somogyi u/dl in the older adult

bilirubin: direct: 0 - 0.3 mg/dl

indirect: 0.1 – 1.0 mg/dl

total: less than 1.5 mg/dl

cholesterol: 120 – 200mg/dl

lipase: 31 -186 u/l

lipids: 400 – 800 mg/dl

triclycerides: normal range: 10 – 190 mg/dl

borderline high: 200 – 400 mg/dl

high: 400 – 1000mg/dl

very high: greater than 1000mg.dl

protien: 6.0 – 8.0 g/l

uric acid: male: 4.5 – 8 ng/dl

female: 2.5 – 6.2 ng/dl

glucose studies

fasting blood sugar: 70 – 105 mg/dl

glucose monitoring (capillary blood): 60 – 110 mg/dl

renal function test

creatinine: 0.6 – 1.3 mg/dl

blood urea nitrogen (bun): 5 – 20 mg/dl

erytrocytes studies

erytrocyte sedimentation rate(esr): 0 – 30 mm/hr depending on age

hemoglobin: male: 14 – 16.5 g/dl

female: 12 – 15 g/dl

hematocrit: male: 42% - 52% (increased in hemoconcentration, fluid loss and dehydration)

female: 35% - 47% ( decreased in fluid retention)

red blood cell (rbc): male: 4.5 to 6.2 million/ul

female: 4 to 5.5 million/ul

white blood cell (wbc): 4500 to 11,000/ul

erytrocyte protoporthyrin (ep) : 25 mg/dl

cranial nerves

major functions

I. olfactory (s)

smell

ii. optic (s)

vision

iii. oculomotor (m)

iv. trochlear (m)

eye movement

v. trigeminal (s-m) facial sensation

jaw movement

vi. abducent (m)

eye movement

vii. facial (s-m) taste

facial expression

viii. acoustic (s)

hearing and balance

ix. glossopharyngeal (s-m) taste

throat sensation

gag and swallow

x. vagus (s-m) gag and swallow

parasympathetic activity

xi. spinal accessory (m) neck and back muscles

xii. hypoglossal (m)

tongue movement

on old olympus’ towering tops, a finn and german viewed some hops

some says marry money, but my brother says bad business marry money

arterial blood gas (abg)

ph: 7.35 – 7.45

pco2: 35 - 45 mmhg

po2: 80 - 100 mmhg

hco3: 22 - 27 meq/l

o2 saturation: 96% - 100%

acid-base “rams”(respiratory alternate, metabolic same)

glasgow coma scale

eye opening response

motor response

verbal response

autonomic nervous system

sympathetic/

adrenergic parasympathetic/

cholinergic

heart increased heart rate

increased conduction

increased force

decreased heart rate

bronchi

dilation

constriction

gi tract

reduced motility

increased motility

rectum

allows filling empties rectum

relaxes internal sphincter

bladder

allows filling empties bladder

relaxes internal sphincter

erection

maintains erection

ejaculation

triggers ejaculation

pupils of eye

big (mydriasis)

small (miosis)

salivary glands

secretion

blood vessels depends on receptors

-a contrict

-b dilates

[miaelaine]

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.

[savinglives33]

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?

[SugarPlumRN]

\ said:

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.

[idreamtobeaNURSE]

Cushing's triad = htn (widening pulse pressure, systolic rises), bradycardia, irregular resp.

2. tx of dic = heparin

3. assessment for cancer =

? change in bowel or bladder habits

a: a sore that doesn't heal

u: unusual bleeding or discharge

t: thickening or lump

I: indigestion or difficulty swallowing

o: obvious changes in a wart or mole

n: nagging cough or hoorificeness.

[idreamtobeaNURSE]

Avoid these assignments for new/float/lvn/lpn/traveling

-new onset/sudden/acute

-new admission

-transfer

-newly diagnosed

-discharge

-require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit)

- unstable (ie. high risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances)

give:

- chronic

- routine meds/procedures

- stable