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
*Atopic dermatitis is an inflammatory condition involving a skin reaction to irritants or allergens.
*Clinical features of SLE involve multiple body systems.When the musculoskeletal system is involved, the client has joint tenderness, edema, and morning stiffness.
*Eyes that are red,burning,or tearing are commonly associated with allergic rhinitis ( hay fever ).
*Psoriasis is marked by profuse,erythmatous scales or plaques, often covering large areas of the body. The client may complain of itching, pain and possibly of arthritic symptoms such as joint stiffness.
*Restasis is for dry eyes. ( as seen on tv )
*Boniva is for osteoporosis ( taken once a month )
Does anyone remember the side effects of Boniva? If you do could you please list them? I have not seen the commercial in a while. Thanks!
Hey guys how are you preparing for the test? I hope everybody is getting ready and my hope and wish is that all of us will do well.
Thanks to everyone who contribute to this thread. It is a very nice additional study tool.
I am testing this Thursday (6 days to go...) I am wrapping up my studies and I have to admit that there is a SLIGHT level of anxiety...
Here are few quick facts...
UAP (Unlincensed Assisitive Personnel) should be able to perform "routine" trach care
Only RN & PN can delegate to UAPs. One UAP can not delegate task to another UAP
Antihistamines can aggravate urinary incontinence. Teach pt accordingly
Atropine is contraindicated for a client with angle-closure glaucoma b/c it can cause pupillary dilation with an increase in acqueous humor, leading to a resultant increase in optic pressure
Warn asthma pt about using aspirin. It can induce an asthma attack
Assess mood change in pt taking Aldomet for HTN
It is critical to assess weight of a 10 years old starting heparin therapy
Demerol is contraindicated in clients with sickle cell disease. It may cause seizures
Silvadene (used for severe burns) may cause a transient neutropenia as well as renal fct changes with sulfa crystals production & kernicterus
A pt with C4 spinal cord injury may still have an erection (reflex rx)
Normal serum albumin in elderey (3.0-5.0 g.dl)
Pt taking ACE inhibitors (Lisinopril, Captopril,...) may avoid foods high in K and salt substitutes (risk of hyperkalemia)
Malignant hypertheremia is a rare potentially fatal adverse rx to inhalated anesthetics. There is a great genetic predisposition to this disorder
Anticholinergics may exacerbate symptoms of GERD
The eldery are at risk for developing confusion when taking Cimetidine (Tagamet)
Jack5801, good luck next Thursday. With all the wonderful facts you have thrown out for us all, I know you will do well.I test in August myself. YIKES! I wish it was sooner though.
*Thiazide diuretics increase blood sugar.
*Diabetics need food high in potassium like oranges, bananas, and broccoli.
*Vitamin K is a natural coagulant, so should be avoided if using blood thinners.
*ACE-Inhibitors are the primary drug of choice for vasodilation in heart failure.
*Vitamin B12 is essential for nervous system function. Neurological manifestations of B12 deficiency can include paresthesias.
*Immobility can cause stores of calcium in the bone to enter the bloodstream which can result in hypercalcemia.
*Aldosterone conserves sodium and promotes potassium excretion which helps to control sodium and water balance.
*Low blood volumes stimulates the pituitary to secrete antidiuretic hormone.
:typingTyping all this in is a big help for me in studying for the NCLEX-RN. Helps it to stay in my head. I also enjoy knowing that someone else may benefit from reading this thread.
placing the patient on the left side blocks air away from the right ventricle--which in turn takes blood back to the circulatory system...and thats a no no...am i right?
This thread is fantastic and thanks to you guys, I am now an official RN!!! Good luck to the others who will be taking the NCLEX and I can truly say that this thread was a huge help! I hope this gets made a sticky to be passed on to others!
I test in August myself. YIKES! I wish it was sooner though.
NY2008
101 Posts
You have to know these common disease in NCLEX:
hypertension
provide for physical and emotional rest
provide for special safety needs
health teaching (client and family)
dysrhythmias
provide for emotional and safety needs
prevent thromboemboli
prepare for cardioversion with atrial fibrillation if indiated
provide for physical and emotional needs with pacemaker insertion
cardiac arrest
prevent irreversible cerebral anoxic damage
establish effective circulation, respiration
angina pectoris
provide relief from pain
provide emotional support
health teaching
myocardial infarction
reduce pain, discomfort
maintain adequate circulation, stabilize heart rhythm
decrease oxygen demand/promote oxygenation, reduce cardiac workload
maintain fluid electrolyte, nutritional status
facilitate fecal elimination
provide emotional support
promote sexual functioning
health teaching
cardiac valvular defects
reduce cardiac workload
promote physical comfort and psychological support
prevent complications
prepare for surgery
cardiac catheterization & percutaneous transluminal coronary angioplasty
precatheterization:
provide for safety, comfort
health teaching
postcatheterization:
prevent complications
provide emotional support
health teaching
cardiac surgery
cardiopulmonary bypass
preoperative:
provide emotional and spiritual support
health teaching
postoperative:
provide constant monitoring to prevent complications
promote comfort, pain relief
maintain fluid, electrolyte, nutritional balance
promote emotional adjustment
promote early mobilization
health teaching
heart failure (HF)
provide physical rest / reduce emotional stimuli
provide for relief of respiratory distress; reduce cardiac workload
provide for special safety needs
maintain fluid and electrolyte balance, nutritional status
health teaching
pulmonary edema
promote physical, psychological relaxation measures to relieve anxiety
improve cardiac function, reduce venous return, relieve hypoxia
health teaching (include family or significant other)
shock
promote venous return, circulatory perfusion
disseminated intravascular coagulation (DIC)
prevent and detect further bleeding
pericarditis
promote physical and emotionl comfort
maintain fluid, electrolyte balance
chronic arterial occlusive disease
promote circulation; decrease discomfort
prevent infection, injury
aneurysms
provide emergency care before surgery for dissection or rupture
prevent complications postoperatively
promote comfort
health teaching
Raynaud’s phenomenon
Maintain warmth in extremities
Increase hydrostatic pressure, and therefore circulation
Health teaching
Varicose veins
Promote venous return from lower extremities
Provide for safety
Health teaching
Vein ligation and stripping
Prevent complications after discharge
Health teaching to prevent recurrence
Deep vein thrombosis (thrombophlebitis)
Provide rest, comfort, and relief from pain
Prevent complications
Health teaching
Iron deficiency anemia & Hemolytic anemia
Promote physical and mental equilibrium
Health teaching
Pernicious anemia
Promote physical and emotional comfort
Health teaching
Polycythemia vera
promote comfort and prevent complications
health teaching
leukemia (acute and chronic)
prevent, control, and treat infection
assess and control bleeding, anemia
provide rest, comfort, nutrition
reduce side effects from therapeutic regimen
provide emotional/spiritual support
health teaching
idiopathic thrombocytopenic purpura (ITP)
prevent complications from bleeding tendencies
health teaching
splenectomy
prepare for surgery
prevent postoperative complications
health teaching
fluid volume deficit
restore fluid and electrolyte balance-increase fluid intake to hydrate client
promote comfort
prevent physical injury
fluid volume excess
maintain oxygen to all cells
promote excretion of excess fluid
obtain/ maintain fluid balance
prevent tissue injury
health teaching
common electrolyte imbalances
hyponatremia
obtain normal sodium level
prevent further sodium loss
prevent injury
hypernatremia
obtain normal sodium level
hypokalemia
replace lost potassium: increase potassium in diet
prevent injury to tissues
prevent potassium loss
hyperkalemia
decrease amount of potassium in body
hypocalcemia
prevent tetany
prevent tissue injury
prevent injury related to mediction administration
in less acute condition
hypercalcemia
reduce calcium intake: decrease foods high in calcium
prevent injury
hypomagnesemia
provide safety
health teaching
hypermagnesemia
obtain normal magnesium level
respiratory adidosis
assist with normal breathing
protect from injury
health teaching
metabolic acidosis
restore normal metabolism
prevent complications
health teaching
respiratory alkalosis
increase carbon dioxide level
prevent injury
health teaching
metabolic alkalosis
obtain, maintin acid-base blance
prevent physical injury
health teaching
pneumonia
promote adequate ventilation
control infection
provide rest and comfort
prevent potential complications
health teaching
severe acute respiratory syndrome (SARS)
infection control
supportive care
atelectasis
relieve hypoxia
prevent complications
health teaching
pulmonary embolism
monitor for signs of respiratory distress
health teaching
histoplasmosis
relieve symptoms of the disease
health teaching
tuberculosis
reduce spread of disease
promote nutrition
promote increased self-esteem
health teaching
emphysema
promote optimal ventilation
employ comfort measures and support other body systems
improve nutritional intake
provide emotional support for client and fmily
health teaching
asthma
promote pulmonary ventilation
facilite expectoration
health teaching to prevent further attacks
bronchitis
assist in optimal respirations
minimize bronchial irritation
improve nutritional status
acute adult respiratory distress syndrome (ARDS)
assist in respirations
prevent complications
health teaching
pneumothorax & hemothorax
prevent damage until medical intervention available
protect against injury during thoracentesis
promote respirations
prepare client for closed chest drainage, physically and psychologically
prevent complications with chest tubes
health teaching
chest trauma
Flail chest
restore adequate ventilation and prevent further air from entering pleural cavity
thoracic surgery
preoperative care:
minimize pulmonary secretions
preoperative teaching
postoperative care:
maintain patent airway
promote gas exchange
reduce incisional stress and discomfort
prevent complications related to respiratory function
maintain fluid and electrolyte balance
postoperative teaching
tracheostomy
preoperative care
relieve anxitety and fear
postoperative care
maintain patent airway
alleviate apprehension
improve nutritional status
health teaching
burns
alleviate pain, relieve shock, and maintain fluid and electrolyte balance
prevent physicl complications
promote emotional adjustment and provide supportive therapy
promote wound healing – wound care
health teaching
rheumatoid arthritis
prevent or correct deformities
health teaching
lupus erythematosus
minimize or limit immune response and complications
health teaching
infectious diseases
Lyme disease
minimize irreversible tissue damage and complications
alleviate pin, promote comfort
maintain physical and psychological well-being
health teaching
acquired immunodeficiency syndrome (AIDS)
reduce risk of infection; slow disease progression
prevent the spread of disease
provide physical and psychological support
health teaching
The perioperative experience
Preoperative preparation
reduce preoperative and intraoperative anxiety and prevent postoperative complications
instruct in exercises to reduce complications
reduce the number of bacteria on the skin to eliminate incision contamination
reduce the risk of vomiting and aspiration during anesthesia; prevent contamination of abdominal operative sites by fecal material
promote rest and facilitate reduction of apprehension
protect from injury;ensure final preparation for surgery
intraoperative preparation
prevent complications
promote comfort
observe for indications of malignant hyperthermia
postoperative experience
promote a safe, quiet, nonstressful environment
promote lung expansion and gss exchange
prevent aspiration and atelectasis
promote and maintain cardiovascular function
promote psychological equilibrium
maintain proper function of tubes and appatatus
general postoperative nursing care
promote lung expansion
provide relief of pain
promote adequate nutrition and fluid and electrolyte balance
assist client with elimination
facilitate wound and prevent infection
promote comfort and rest
encourage early movement and ambulation to prevent complications of immobilization
general nutritional deficiencies
prevent complications of specific deficiency
health teaching
celiac disease
altered nutrition, less than body requirements
diarrhea
fluid volume deficit related to loss through excessive diarrhea
knowledge deficit
hepatitis
prevent spread of infection to others
promote comfort
pancreatitis
control pain
rest injured pancreas
prevent fluid and electrolyte imbalance
prevent respirtory and metabolic complications
provide adequate nutrition
prevent complications
health teaching
cirrhosis
provide for special safety needs
relieve discomfort caused by complications
improve fluid and electrolyte balance
promote optimum nutrition within dietary restrictions
provide emotional support
health teaching
esophageal varices: life-threatening hemorrhage
provide safety measures related to hemorrhage
promote fluid balance
prevent complications of hepatic coma
provide emotional support
health teaching
diaphragmatic (hiatal) hernia
presurgical: promote relief of symptoms
postsurgical:
provide for postoperative safety needs
promote comfort and maintain nutrition
health teaching
gastroesophgel reflux disease(GERD)
promote comfort and reduce reflux episodes
health teaching
peptic ulcer disease
promote comfort
prevent/ recognize signs of complications
provide emotional support
health teaching
gastric surgery
promote comfort in the postoperative period
promote wound healing
promote adequate nutrition and hydration
prevent complications
dumping syndrome
health teaching
total parenteral nutrition
prevent infection
preent fluid and eclectrolyte imbalance
prevent complications
diabetes
obtain and maintain normal sugar balance
health teaching
nonketotic hyperglycemic hyperosolar coma (NKHHC)
promote fluid and electrolyte balance
cholecystits/ cholelithiasis
nonsurgical interventions:promote comfort
preoperative: prevent injury
postoperative:promote comfort
prevent complications
health teaching
obesity
decrease weight, initially 10% from baseline
appendicitis
promote comfort
hernia
prevent postoperative complications
health teaching
diverticulosis
bowel rest during acute episodes
promote normal bowel elimination
health teaching
ulcerative colitis & Crohn’s disease
prevent disease progression and complications
reduce psychological stress
health teaching
intestinal obstruction
obtain and maintain fluid balance
relieve pain and nausea
prevent respiratory complications
postoperative nursing care
fecal diversion-stomas
preoperative period:
prepare bowel for surgery
relieve anxiety and assist in adjustment to surgery
postoperative period:
maintain fluid balance
prevent other postoperative complications
initiate ostomy care
promote psychological comfort
hemorrhoids
reduce anal discomfort
prevent complications related to surgery
health teaching-avoid constipation
pyelonephritis (PN)
combat infection, prevent recurrence, alleviate symptoms
promote physical and emotional rest
acute glomerulonephritis
monitor fluid balance, observing carefully for complications
provide adequate nutrition
provide reasonable measure of comfort
prevent further infection & health teaching
acute renal failure (ARF)
maintain fluid and electrolyte balance and nutrition
use assessment and comfort measures to reduce occurrence of complications
maintain continual emotional support
health teaching
chronic renal failure
maintain fluid/ electrolyte balance and nutrition
employ comfort measures that reduce distress and support physical function
health teaching
dialysis
reduce level of nitrogenous waste
correct acidosis, reverse electrolyte imbalances, remove excess fluid
kidney transplantation
preoperative:
promoe physical and emotional adjustment
encourage expression of feelings
health teching
postoperative:
promote uncomplicated recovery of recipient
observe for signs of rejection-most dangerous complication
maintain immunosuppressive therapy
nephrectomy
preoperative:optimize physical and psychological functioning
postoperative
promote comfort and prevent complications
renal calculi (urolithiasis)
reduce pain and prevent complications
health teaching
lithotripsy
enourage ambulation and promote diuresis through forcing fluids
benign prostatic hyperplasia
relieve urinary retention
health teaching
prostatectomy
promote optimal bladder function and comfort
assist in rehabilitation
urinary diversion
prevent complications and promote comfort
health teaching
laryngectomy
preoperative care: provide emotional support and optimal physical preparation
health teaching
postoperative care
maintain patent airway and prevent aspiration
promote optimal physical and psychological function
health teaching
aphasia
assist with communication
Meniere’s disease
provide safety and comfort during attacks
minimize occurrence of attacks
health teaching
otosclerosis & stapedectomy
preoperative health teaching
postoperative
promote physical and psychological equilibrium
health teaching
deafnessmaximize hearing ability and provide emotional support.health teaching
glaucoma
reduce intraocular pressure
provide emotional support
health teaching
cataract & cataract removal
preoperative
prepare for surgery
postoperative
reduce stress on the sutures and prevent hemorrhage
promote psychological well-being
health teaching
retinal detachment
preoperative:
reduce anxiety and prevent further detachment
health teaching
postoperative
reduce intraocular stress and prevent hemorrhage
support coping mechanisms
health teaching
blindness
promote independence and provide emotional support
health teaching
traumatic injuries to the brain
sustain vital functions and minimize or prevent complications
provide emotional support and use comfort measures
increased inrcranial pressure
promote adequate oxygenation and limit further impairment
craniotomy
preoperative:obtain baseline measures
provide psychological support
prepare for surgery
postoperative
prevent complications and limit further impairment
epilepsy
prevent injury during seizure
postseizure care
prevent or reduce recurrences of seizure activity
health teaching
transient ischemic attacks
reduce cerebral anoxia
promote cerebrovascular function and maintain cerebral perfusion
provide for emotional relaxation
client safety
health teaching
pain
immobility
complications of fractures
types of traction
teaching crutch walking
compartment syndrome
recognizes early indications of ischemia
prevent complications
osteoarthritis
promote comfort: reduce pain, spasms, inflammation, swelling
health teaching to promote independence
total hip replacement
preoperative:
prevent deep vein thrombosis or pulmonary emboli
prevent infection: antibiotics
health teaching
postoperative
prevent respiratory complications
prevent complications of shock or infection
prevent contractures, muscle atrophy
promote early ambulation and movement
prevent constipation
prevent dislocation of prosthesis
promote comfort
health teaching
total knee replacement
achieve active flexion beyond 70 degrees
amputation
prepare for surgery,physically and emotionlly
promote healing postoperatively
gout
decrease discomfort
prevent kidney damage
health teaching
primary hip arthroplasty
herniated/ reptured disk
relieve pain and promote comfort
health teaching
laminectomy
relieve anxiety
prevent injury postoperatively
promote comfort
prepare for early discharge
health teaching
spinal cord injuries
maintain patent airway
prevent further damage
relieve edema:anti-inflammatory medications,corticosteroids
relieve discomfort,analgesics,sedatives,muscle relaxants
promote comfort
prevent complications
health teaching
posterior spinal fusion (PSF)
spinal shock
prevent injury related to shock
autonomic dysreflexia
decrease symptoms to prevent serious side effects
maintain patency of catheter
promote regular bowel elimination
prevent decubitus ulcers
hyperthyroidism
protect from stress
promote physical and emotional equilibrium
prevent complications
health teaching
thyroid storm
thyroidectomy
promote physical and emotional equilibrium
prevent complications of hypocalcemia and tetany
promote comfort measures
hypothyroidism
provide for comfort and safety
health teaching
cushing’s disease
promote comfort
prevent complications
health teaching
pheochromocytoma
prevent paroxysmal hypertension
prepare for surgical removal of tumor
adrenalectomy
preoperative:reduce risk of postoperative complications
postoperative promoe hormonal balance
prevent postoperative complications
health teaching
Addison’s disease
decrease stress
promote adequate nutrition
Health teaching
Multiple sclerosis
maintain normal routine as long as possible
decrease symptoms-medications as ordered
Myasthenia gravis
promote comfort
decrease symptoms
prevent complications
promote increased self-concept
health teaching
Parkinson’s disease
promote maintenance of daily activities
protect from injury
Amyotrophic lateral sclerosis (ALS)
maintain independence as long as possible
health teaching
Guillain-Barre syndrome
prevent complications during recovery from paralysis
monitor for signs of autoimmune dysfunction
prevent tachycardia
assess cranial nerve function
maintain adequate ventilation
in acute phase:check for progression of muscular weakness
maintain nutrition
prevent injury and complications
support communication
Chemotherapy
assist with treatment of specific side effect
health teaching
Radiationtherapy
External radiation:
prevent tissue breakdown
decrease side effects of therapy
health teaching
internal radiation : sealed
assist with cervical radium implantation
health teaching
internal radiation: unsealed
reduce radiation exposure of others
Immunotherapy
decrease discomfort associated with side effects of therapy
health teaching
Palliative care
make client as comfortable as possible
assist client to maintain self-esteem and identity
assist client with psychological adjustment
Types of cancer:
Lung cancer
Make client aware of diagnosis and treatment options
Prevent complications related to surgery
Assist client to cope with alternative therapies
colon and rectal cancer
assist through treatment protocol
surgery:preoperative
preparefor surgery
promote comfort
postoperative :
facilitate healing
prevent complications
facilitate rehabilitation
health teaching
breast cancer
assist client through treatment protocol
prepare client for surgery
reduce anxiety and depression
prevent postoperative complications
support coping mechanisms
health teaching
uterine cancer
prostate cancer
assist client through treatment protocol
prepare client for surgery
assist with acceptance diagnosis and treatment
prevent complication during postoperative period
bladder cancer
laryngeal cancer
additional typers of cancer,etc.