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
If chest tubes are not required what do you do to drain the excess fluid? I'd think that there may be some kind of fluid buildup after surgery...
Thanks!
Someone clarify this if I'm wrong but from what I remember, you want the build up with a total pneumonectomy because it will take up the space where the lung was. I think with a partial, they'd have a chest tube. This is from memory from nursing school so please correct me if I'm wrong. I'll try and look it up in my med-surg book tonight.
P.S. Thanks for all the tips. I'll have to post some later too! xoxo! :)
Someone clarify this if I'm wrong but from what I remember, you want the build up with a total pneumonectomy because it will take up the space where the lung was. I think with a partial, they'd have a chest tube. This is from memory from nursing school so please correct me if I'm wrong. I'll try and look it up in my med-surg book tonight.
P.S. Thanks for all the tips. I'll have to post some later too! xoxo! :)
I think that you may be right. I remember from one of the rationales of the questions I've been doing lately sth close to that, but I have a hard time to locate that question.
If you can get the rationale from your med/surg book I'd appreciate. I'll try to do the same sometimes this afternoon.
oAmicar is antidote for thrombolytic (tpa, streptokinase, etc)
oErthy. Sed. Rate (up to 20) , indicative of inflammation (ie: Rheu Arth)
oCreatinine Clearance 100 – 125
oCan UAP #1 tell UAP #2 to do a blood pressure for her cause she’s late to lunch? NO. UAP may NOT delegate to another UAP.
oWhen presented with a “roommate” questions..always look for active infectious processes (upper respiratory infection), things that may have be precipitated by infection (sickle cell crisis) or clients who are on immunosuppressive therapy ( SLE, Nephrotic Synd, Psoriasis, Transplant, etc)
oDon’t you ever think about PIN CARE with Bucks and Russell’s traction. Think about skin! They are skin traction , not skeletal.
oOften times patients on traction are viewed as stable clients with expected outcomes. So when in absolute doubt and there is a float nurse, consider assigning the traction patient if all other choices are complex.
oIrrigate colostomy in toilet if pt ambulatory, hold irritant about shoulder height
oYogurt, buttermilk and beets often reduce the smell of colostomies
oHeart is located 2nd – 5th intercoastal space on LEFT but spans from right margin of the sternum to midclavicular on the left.
oS1 closing of mitral/tricuspid (AV) valves heard at the beginning of systole and heard best in the mitral region
oS2 closing of aortic/pulmonic (semi lunar) valves heard best over aortic region at the end of systole
oS3 ventricular gallop – start of diastole, ventricles filing
oS4 atrial gallop – end of diastole
oHOT HEMATOMA BABY (elevated temp and decreased hematocrit)
oHOT FAT EMBOLISM BABY (elevated temp)
oProzac the Insomniac (give to patient before noon cuz it causes insomnia)
oAssess hard palate and sclera for jaundice in dark skinned individuals, nail beds for pallor and FLEXOR surfaces for FLUSHING
oHep B – transmitted via blood body fluids + saliva
oHep C – transfusions / blood
oHep A – fecal / oral
oHep E – water borne, fecal oral too
oMurphy’s sign – pain with palpation of gall bladder area seen with cholecystitis
oCullen’s sign – ecchymosis in umbilical area, seen with pancreatitis
oTurner’s sign – flank grayish blue (turn around to see your flanks) pancreatitis
oMcBurney’s Point – pain in RLQ indicative of appendicitis
oLLQ – diverticulitis , low residue, no seeds, nuts, peas
oRLQ – appendicitis, watch for peritonitis
oGuthrie Test – Tests for PKU, baby should have eaten source of protein first
oShilling Test – test for pernicious anemia/ how well one absorbs Vit b12
oAllen’s test – occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up, ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
oIt’s ok to have abdominal craps, blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.
oAmniotic fluid yellow with particles = meconium stained
oHyper reflexes (upper motor neuron issue “your reflexes are over the top”)
oAbsent reflexes (lower motor neuron issue)
oRhogam : given at 28 weeks, 72 hours post partum, IM. Only given to Rh NEGATIVE mother. Also if indirect Coomb’s test is positive, don’t need to give Rhogam cuz she has antibody only give if negative coombs
oEgophony – E is heard as A over areas of consolidation
oWhisperedPectoriloquy - whispered words (usu 1,2,3) are auscultated as distint, usually should hear them as faint
oTactile fremitus – vibration increased in areas of consolidation
oPERCUSSION: dull (thud) in liver/heard, tympany (drum like) in stomach, resonant in lungs, hyperresonant in emphysemous lung ( emphysemous: not a real word, I just like the sound of it…emphysemous …I digress).
oVit K is to coumadin as Protamine Sulfate is to Heparin as Ca Glu is to MgSo4 as Mucomyst is to Acetominophen as Amicar is to TPA…get it? Antidotes/treatments for overdose
o2-3 fingerbreaths between axillae and top of crutch. Don’t damage your brachial plexus people!
oOrder of assessment: Inspection, Palpation, Percussion and Ausculation. EXCEPT with abdomen cuz you don’t wanna mess with the bowels and their sounds so you Inspect, Auscultate, Percuss then Palpate (same with kids, I suppose since you wanna go from least invasive to most invasive sine they will cry BLOOD MURDER ! Gotta love them kids !)
oVarieDPictureSOf ARancH – Tetraology of Fallot. Ventricular Defect, Pulm Stenosis, Overriding Aorta, Right Hypertropy. This is a CYANOTIC condition.
oBlurred Vision is indiciative of Hyperglycemia
oDouble vision is indicative of Hypoglycemia
oPrecose and Glycet are oral antidiabetics that must be taken with the first bite of good.
oMETFORMIN – contraindicated if you have liver/renal disease, Heart failure, copd, Hold for 2 days after a procedure with dye !
I think that you may be right. I remember from one of the rationales of the questions I've been doing lately sth close to that, but I have a hard time to locate that question.
If you can get the rationale from your med/surg book I'd appreciate. I'll try to do the same sometimes this afternoon.
Thanks for your help!
Ok the rationale says pt from OR following left pneumonectomy for adenocarcionama no chest tube is required because after removal of lung there is no pleural space to put chest tube. I was also confused about this rationale and answer like you guys. so if you guys could give more insight and find info about this in medsurg book that would be great.
can we get a comprehensive list of s/s of cushings and addisions going? with every book i read i see different, new s/s...
i'm glad this thread is still up and running!
hey gatornurse,
i was searching on this website and came across some posts about cushings and addison's diseases. i started reading them and i was like wow! i hope it answers your questions. good luck! i am also posting a thread i found that is similar to this random facts thread, just not as long, but just as good.
Specializes in Rural Nursing = Med/Surg, ER, OB, ICU.
Keep posting the facts, they are great! I read them everyday! They helped me so much. I tested on Thursday and found out today I passed!! You all sharing your knowledge was a wonderful help to me!
Keep posting the facts, they are great! I read them everyday! They helped me so much. I tested on Thursday and found out today I passed!! You all sharing your knowledge was a wonderful help to me!
Keep posting the facts, they are great! I read them everyday! They helped me so much. I tested on Thursday and found out today I passed!! You all sharing your knowledge was a wonderful help to me!
Jack_ICU
288 Posts
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