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
Great thread. Check all these for accuracy before committing them to memory of course and feel free to correct me if needed. ?
1. Dilantin can cause gingival hypoplasia, advise good oral hygiene and freq. dental visits, IVP 25-50 mg/min ...taking you at your word,LOL....it is gingival hyperplasia, not hypo
Hi! Am new here but want to join in the fun...so here goes....
1) immunizations
before 1 years old:
hep b:(3x):only one that is given at birth and one month (3rd dose at 6 months)
ipv(4x), dtap(5x), hib(4x), pcv(4x): all given at 2, 4, & 6 months
hib, pcv: again at 12-15month
dtap: again at 12-18months
dtap, ipv: last doses are given 4-6yrs
1yrs old and older:
mmr: (2x) 12-15months, then at 4-6 years* *if dose not given from 4-6 give from 11-12yrs old
varicella zoster: (1x) 12-18months
td: (1x): 11-12yrs old
2)fundal height: pt supine, measure from symphysis pubis to top of fundus, if patients is 18+ wks pregnant the height in cm will be same as weeks pregnant give or take 2 cm
3)isolation**:
strict contact: use universal precautions, gown when contact with pt., single pt. room in most situations
used with: any colonizing infections, msrv, fifths disease, rsv, infected wounds, skin, or eyes
stricter droplet: include all universal precautions, gown, goggles, masks on you, on pt. if leaving room, single pt. rooms
used with: majority of infectious diseases
strictest airborne: include all universal precautions and negative pressure single patient rooms, gown, goggles, mask on you, mask on pt. if leaving room which should only be done if absolutely necessary
used with:
measles
varicella
disseminated varicella zoster
tuberculosis
**always check facilities policies when following isolation precautions/procedures
4) self breast exams: do monthly, 7-10 days after menses
5) pt's taking monoamine oxidase inhibitors (for depression usually) should avoid foods containing tyramine which include
avocados, bananas
beef/chicken liver
caffeine
red wine, beer
cheese (except cottage cheese)
raisins
sausages, pepperoni
yogurt, sour cream
sorry it's so long-winded!! I used to study with a group of people throwing at facts like this too but having failed the NCLEX-RN twice now I am too embarrassed to contact any of them!! so it is nice to have found this community...
1. dumping syndrome-tx no fluids with meals /no high carbs /lie down after eating. they need a high fat high protien diet
2. multiple sclerosis- avoid hot showers and baths
3. parial thickness burns=blisters...... full thickness-charred, waxy
4 pku- no nuts, meats, dry beans, eggs, dairy (basically no protein stuff) give specially prepared formula to baby because they can digest this protein well
5. introduce rice cereal to infant at 6 mos and strained veggies one at a time
6. pt must keep taking prescribed insulin on sick days, drink plenty of fluids and notify doctor. also insulin is also given when pt comes from surgery on npo status because trauma and infection makes sugar go up!
So, this thread gave me an idea. I decided to message some of my nursing friends on facebook & play an NCLEX fact tag game. I message them a fact & they shoot one right back @ me. So far, I've asked about 5 friends. I'll see how it goes. Hey, it definitely can't hurt!
also, calcium gluconate is only one available form. hope this helps!
I don't know diddly with unusual tracings, but as an aside calcium glugonate comes in at least four forms..iv, plus a gel, rinse, and as a nebulized med. latter three are the antidote for hydroflouric acid exposure (nasty stuff used in some manufacturing plants!)
Specializes in ER/ OR/ PACU and now Occupational Health.
In an infant of a diabetic mom, hypoglycemia 30-90 min after birth...then look for them to also have hypocalcemia after 24 hours
Non Stress Test on a preggo....should be REACTIVE (rise of 15 bpm above baseline for 15 sec) if it's NOT reactive they need a contraction stress test and the result that you want from it is NEGATIVE
With Diabetic Ketoacidosis don't give K+ until the patient has been hydrated and urine output is adequate.
Post-op Total Hip replacement-- abduction (toes pointing in) or patient laying on non-operative hip. Avoid adduction (letting the foot turn out)
1. rh negative mom gets rhogam if baby rh positive. mom also gets rhogam after aminocentesis, ectopic preganancy, or miscarriages.
2. fetus l/s ratio less than 2= immature lungs......2-3=borderline....greater than 3=good lung maturity dude!! may give dexamethasone to speed up maturity if baby needs to be delivered soon.
3. prolasped cord position knee chest or trend..call for help!! get that bottom off the cord! support cord with ya hand:eek:
4. decelerations early vs late----always good to be early but dont ever show up late. early mirrors the contraction, late comes after the contraction
5. lochia sequence...lochia rubra- red, clotty....lochia serosa...pink, brown....lochia alba..white.........should never have a foul odor!
I'mANurse!
62 Posts
1) A subarachnoid (spinal block) for labor may cause a headache, a lumbar epidrual will not since the dura mater is not penetrated
2) Tracheoesophageal fistula: 3 C's: coughing, choking, & cyanosis
3) Hypothyroidism: Decreased T3 +T4, but increased TSH
Hypertyroidism: Increased T3 + T4, but decreased TSH
4) NO tyramine containing foods if taking and MAO inhibitor ( smoked meat, brewer's yeast, aged cheese, red wine)
5)Regular insulin is the only type that can be given IV