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
Could we get some tips on disaster-planning and safety? My notes from school seem to be lacking on those topics.( i.e. I may have thrown them out , opps )
The secondary stage of syphilis is when the rash appears.
The medication of choice for syphilis is penicillin G benzathine.
Staphylococcous is the organism responsible for most skin infections.
The drug of choice for MRSA is vancomycin.
When assessing a pt. with diarrhea, the nurse should first determine hydration status.
Legionaire's disease is treated most often with ethromycin.
Signs & symptoms of wound sepsis include elevated pulse and temperature, elevated WBCs , swelling, warmth, and tenderness.
Lesions at the midbrain result in decerebrate posturing.
The motor cortex governs voluntary motion.
Upper motor neurons refer to motor pathways from the brain to the spinal cord.
Destruction or dysfunction of the basal ganglia leads to muscle rigidity.
Most important indicator of increased ICP is a change in LOC.
In adults, most brain tumors origionate from glial cells.
* Tensilon is used in myesthenia gravis to confirm the diagnosis.
* Myesthenia gravis is caused by a disorder in the transmission of impulses from nerve to muscle cell.
* Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
* The trend in tx of rheumatoid arthritis is with COX-2 that acts as an anti-inflammatory.
* Paget's disease is characterized by excessive bone destruction, skeletal deformities, and cortical thickening.
Diptheria-tx with diptheria antitoxin, penicillin; erythromycin
Lyme Disease-tx with tetracycline;penicillin
Typhoid Fever-tx with chloramphenicol; ampicillin; sulphatrimethoprim
Expected patient outcomes for a patient with osteoporosis include: has positive self-esteem, experiences no new fractures, understands factors that contribute to potential injury.
Read on another thread about maple syrup syndrome in a 2 day old infant? Anybody with a random fact on that one? I honestly do not remember ever hearing of that one. How is tx? What are signs & symptoms?
which part of the nursing process: assessment; analysis; planning; implementation or evaluation?
next, decide the order of priority first you must decide what part of the nursing process the question is connected with:
analysis--is the process of identifying potential and actual health problems. most identify pertinent assessment information and assimilate it into the nursing diagnosis. prioritize the needs that have been identified during analysis. some common words that are associated with analysis questions: diagnose; contrast; compare; analyze; order; prioritize; define; classify; catagorize; synthesize; sort; arrange;
assessment--consists of a collection of data. baseline information for pre and post procedures is included. also included the recognition of pertinent signs and symptoms of health problems both present and potential. verification of data and confirmation of findings are also included. assess a situation before doing an intervention. some common words that are associated with assessment questions: observe; gather; collect; differentiate; assess; recognize; detect; distinguish; identify; display; indicate; describe; planning--involves formulating goals and outcomes. it also involves various members of the health care team and the patient's family. all outcome criteria must be able to be evaluated with a specific time frame. be sure to establish priorities and modify according to question. some common words that are associated with.
implementation--addresses the actual/direct care of a patient. direct care entails pre, intra and postoperative management, preforming procedures, treatments, activities of daily living. also includes the coordination of care and referral on discharge. it involves documentation and therapeutic response to intervention and patient teaching for health promotion and helping the patient maintain proper health. some common words that are associated with implementation questions: document; explain; give; inform; administer; implement; encourage; advise; provide; perform;
evaluation--determines if the interventions were effective. were goals met? was the care delivered properly? are modification plans needed. addresses the effectiveness of patient teaching and understands and determines in proper care was offered. evaluation can involve documentation, reporting issues, evaluates care given and determine the appropriateness of delegating to others. most significantly, it finds out the response of the patient to care and the extent to which the goals we met. some common words that are associated with evaluation questions: monitor; expand; evaluate; synthesize; determine; consider; question; repeat; outcomes; demonstrate; reestablish; after determining what part of the nursing process the question is concerned with, next focus your attention on determining the category of priority: safe and effective care environment is always first. patient safety is related to the proper preparation and delivery of nursing techniques and procedures as part of the nursing practice. it relates to every aspect of the delivery of care. physiologic integrity is the ability to provide competent care information that may be described as traditionally medical- surgical and pediatric nursing falls into this category. specific questions in this area can be related to many direct-care aspects of nursing practice. the importance of this area is highlighted because it is one in which planning, implementation and evaluation of care needs can easily be identified and tested. physiologic integrity is always a slight lower priority than safety unless it involves airway, breathing and circulation. "abc's" always comes first! psychosocial integrity tests the knowledge about a patients response to a disease or disorder. an understanding of stress, anxiety and ways to cope are essential. this is a lower priority the physiological integrity. health maintenance deals with health promotion, health teaching, disease prevention and assessment of risk factors for health problems. normal growth and development is a major theme in this category. this however, is a low priority.
in summary, when choosing the right answer for you nclex exam question: 1) ask yourself, "what part of the nursing process is this question dealing with: analysis, assessment, planning, implantation or evaluation? and 2) remember to prioritize your choices: safety always being first, second physiological integrity, third,psychosocial integrity and health maintenance always has the lowest priority when choosing an answer.
other tidbits: avoid choices with the answers "all" "always" "never" or "none". nothing is ever a definite in science. look for answers that are different. if three answers say the same thing but in different words, choose the answer that is different. when given choices that are pharmacologically based or non pharmacologically based, choose the non pharmacological intervention. it is more often then not, the correct answer.
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!
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)
Thank you so much for all of your wonderful posts, and bet wishes for a successful NCLEX on Thursday.....no-doubt you will do wonderfully!!
How is tx? What are signs & symptoms?
Melinurse
2,040 Posts
So Many Wonderful Tips! Thanks to all who have contributed to this thread!!!!!:bowingpur
* Active aquired immunity consists of immunologic responses that develop as the body is being defended.
* Rheumatic endocarditis results from rheumatic fever caused by group A streptococcal infection.
* People with type O blood are more susecptible to peptic ulcers.
* Tagamet is used in tx of peptic ulcers because it inhibits acid secretion.
* Diverticulitis is most often tx with diet and meds.
*The ideal tx for UTI is an antibacterial agent such as trimethoprim-sulfamethoxazole.
* A positive antibody test for HIV means you have been infected with the HIV virus & your body has produced antibodies.
* AZT ( Zidovudine ) works to fight against AIDS by inhibiting new virus production.
* Herpes Simplex Type I is the virus that causes cold sores on the lips.
* Signs of meningitis include a positive Kernig's sign, a positive Brudzinski's sign , headache , fever and nuchal rigidity.
* Varicella Zoster is transmitted by airborne contact.
* Ceftriaxone and doxycycline are used to tx gonorrhea.
* Wear gloves when in contact with excretions, secretions, blood, or any other body fluids.
* Complications of chlamydial infections significantly contributes to the incidence of ectopic pregnancy.
:typingMore later...........