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
A possible complication of impetigo is posstreptococcal glomerulonephritis and periorbital edema is indicative of postreptocccal glomerulonephritis.
client should weight themselves daily when taking lithium-- and after the first dose, client should have his/her levels checked within 8-12 hours and two times a week for the first month. Lithium also causes polyuria and dehydration. S&S of toxicity are, ataxia, vomiting, diarrhea, muscular weakness and drowsiness.
Gurie blood test helps determine PKU for neonate.
child can return to school with Hep A, a week after onset of jaundice
bulge test is a test for confirming fluid in the knee
it's important not to touch the bed when using defibrilator in order to prevent accidental countershock!!
Extrusion reflex means is the same meaning as tongue thrust which disappears between 3- 4mos of age.
Administer oral steroids in the morning with food to prevent ulcerogenic effects!
Increased abdominal distention, nausea and vomiting are signs of paralytic ileus that should be reported to the physician!
It's important for a client with an internal radium implant to be on a low residue diet in order to prevent many bowel movements because stool can dislodge it.
Heparin is not transmitted to infant from breastfeeding.
Haldol is effective for reducing assaultive behavior, for example, a pt threatening to hurt another.
Narcotic analgesics are contraindicated for pt's with ICP because it can mask symptoms.
Pt's with SLE(lupus) should be in remission for 5 months before becoming pregnant.
Fixed and DIALATED pupil are signs of ICP and should be reported, it is an emergency.
For stabismus, the brain receives two images.
Vomiting is contraindicated for a pt/child who swallows lighter fluid(hydrocarbons) because there's a risk of aspiration.
Change IV tubing every 48-72hourse(every time I want to choose every 24 hours!)
Extreme tearing and redness are signs of viral conjunctivits and if there is a worker with these signs, make sure they are sent home because it is contagous!
For amputations after wound has healed..., assess for skin breakdown, wash, rinse and dry stump daily, alcohol dries so don't apply DARN IT!, no lotion. Elevate stump 24-48 hours after surgery, discourage semi fowler's position to prevent contractures of the hip.
Flush NG tube with 30ml of air before aspirating fluid.
Turp(transurethral resection of the prostate)--hemorrhage is a complication, bleeding should gradually decrease to light pink in 24 hrs.
DVT: tx with compression stockings, low dose heparin, discourage sitting for prolonged periods.
Hot and dry=sugar high(symp of hyperglycemia)
cold and clammy=need some candy(hypoglycemia)
Type one diabetes is diagnosed usually before age 15. NO insulin produced
Type 2 diabetes--INSUFFICIENT insulin production. Keto acidosis not common. Affects adults over 40 mostly.
Diabetes insipidus--history of head injury or pituitary tumor or craniotomy...HYPOsecretion of ADH. Polyruria,
For sterile field--never turn your back, avoid talking:p, moisture barriers carries bacteria, open pack away from field, do not reach over sterile field.
In regards to surgery, aspirin, antidepressants, steroids, nsaids are drugs that put clients at risk!
The consent for surgery--Dr. gives client explanation, consent signed by Dr., client and witness. Signed prior to pre op meds, remains a permanent part of client chart.
Non steroidal(NSAIDS) TYLENOL, IBPROFEN, NAPROSYN, INDOCIN.
Clozapine(Clozaril) is used for schizophrenic patient's who don't respond to other antipsychotic drugs.
(Benztropin)Congentin is used for the extrapyramidal effects associated with antipsychotic agents.
Chlorpromazine (Thorazine) is used to treat hallucinations, agitation, and thought disorders.
Adenosine(Adenocard) is an antiarrhythmic drug, this drug is good for paroxysmal atrial tachycardia...it slows conduction from av node.
Atropine for symptomatic bradycardia.
Digoxin for atrial fibrillation.
Lidocaine for ventricular ectopy.
For assessing the abdomen, correct order is INSPECTION, AUSCUTATION, PERCUSSION, PALPATION "I Am Peed PAAAAA!":p:chuckle)
Cheyne strokes respirations are periods of apnea for 10-60 seconds then slowly increasing rate and depth... occur typically with heart failure and cerebral depression.
Bulls eye rash is classic in lymes disease.
To relieve breast engorgement, pt should pump each breast for 10 minutes every 3-4 hours and during the night if she's awake.
Anticholinergic effects(drugs that block acetylcholine) cause dry mouth, constipation, urine retention.
5 rights of delegation
Right task
Right circumstance
Right communication
Right person
Right feed back
Cystic fibrosis is a recesssive trait, there is a one in four chance that each offspring will have the trait or disorder.
Cushings triad is something to look out for in patient's with increased ICP which is decreased heart rate, decreased respiratory rate BUT increased blood pressure.
just a heads up on how to study meds, DON'T STRESS over it because NCLEX will give you meds you have never heard of. i encountered TONS of drugs and i noticed for the most part, they are drugs you see on TV COMMERCIALS. so i suggest during downtime watch TV even for 15-30 minutes and write down drugs that comes up during commercials and take notes. side effects for most drugs are always nausea, vomiting, diarrhea or constipation.make sure u know the therapeutic ranges for the other stuff. for example, DIGOXIN, LITHIUM, anticoagulant, ACETAMINOPHEN, DILANTIN...any drugs that gives you a therapeutic range, you better know it. also, know when to check the peak and trough for antibiotics.
NCLEX is base on KEEPING PEOPLE ALIVE. anything that will harm the patient, toss it out and no matter how weird your answer will sound, that is the right answer. remember, nclex is base on critical thinking so used your basic knowledge and always go back to pathophysiology. always ask yourself, WHAT CAN I DO TO RELIEVE THE CAUSE.
GOOD LUCK TO EVERYONE.....THIS IS JUST THE BEGINNING OF OUR JOURNEY!!!!
BTW, I know some of the facts I've posted were already mentioned, but I'm basing most of it on what I REALLY want to engrain into my brain and hopefully all of yours too! Mostly the stuff I post is what I tend to be weak on(which is a lot eh, hahahah:chuckle) So hope it's not annoying anyone. There is something about posting facts on this thread ...I swear when I quiz myself after typing it out I remember basically everything.. I typed out facts last night and quizzed myself on what I wrote in my head this morning and remembered most of it word for word! Cool eh? :chuckle I can't stand those times when I get to a question and think "darn I JUST read this, and still forget." When your brain starts to react like that, it's time to take some deep breaths, relax, and take a break.
, no lotion. Elevate stump 24-48 hours after surgery, discourage semi fowler's position to prevent contractures of the hip.
CrystalClear75, BSN, RN
624 Posts
:chuckle:chuckle:chuckle