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
i just took the nclex this morning and it's gonna be a long wait for me since i tested for CA..i didnt know how i did when i stopped at 75 questions..if i have to do it again and i really pray that i won't, i'll focus more on CONTENT..thanks for everyone who posted here..read the infection control thread, it helped me a lot.. please include me in your prayers...goodluck to everyone!
:wshgrt: nursy2008 and december2905 i wish you both all the best and thank you for all your posts to this thread. keep your faith and stay positive. let us know how you did. good luck!! :up:
OK soooo what is the deal with infection control and a nurse going into the room...
AIRBORNE - When a nurse goes into the room she/he must have respirator (N95) mask. Pt wears (surgical ) mask when leaves the room. Door closed, 6-12 exchanges, hepa, blah blah blah..Got it...my question is does the nurse WEAR GLOVES if she's going to touch the patient? (I ask b/c standard precautions for everyone right?) I understand that if you're going to deal with something that could spalsh, wear a gown. Can someone please clarify what ABSOLUTELY must be worn into the room and then the "situational extras"
Oh and don't forget. RSV is CONTACT precautions NOT DROPLET !
3) PTU, used to tx hyperthy causes leukopenia, agranulocytosis - watch out for sore throat and other signs of dec. immune sys
4) Addison's pts may need more glucocorticoids (sugar) in times of stress: ie before dental surgery/oral procedure / surgery
5) Excessive Prolactin causes galactorrhea (excessive milk flow), decreased libido in men, impotence. Hypophysectomy can help.
6) Incision in a transphenoidal hypophysectomy is made between the gingival mucosa of the upper teeth and upper lip area. (So btw upper gum and upper lip)
OK soooo what is the deal with infection control and a nurse going into the room...
AIRBORNE - When a nurse goes into the room she/he must have respirator (N95) mask. Pt wears (surgical ) mask when leaves the room. Door closed, 6-12 exchanges, hepa, blah blah blah..Got it...my question is does the nurse WEAR GLOVES if she's going to touch the patient? (I ask b/c standard precautions for everyone right?) I understand that if you're going to deal with something that could spalsh, wear a gown. Can someone please clarify what ABSOLUTELY must be worn into the room and then the "situational extras"
Oh and don't forget. RSV is CONTACT precautions NOT DROPLET !
3) PTU, used to tx hyperthy causes leukopenia, agranulocytosis - watch out for sore throat and other signs of dec. immune sys
4) Addison's pts may need more glucocorticoids (sugar) in times of stress: ie before dental surgery/oral procedure / surgery
5) Excessive Prolactin causes galactorrhea (excessive milk flow), decreased libido in men, impotence. Hypophysectomy can help.
6) Incision in a transphenoidal hypophysectomy is made between the gingival mucosa of the upper teeth and upper lip area. (So btw upper gum and upper lip)
8) It is the OCULOMOTOR (CN III) not OPTIC that causes the pupillary changes in increased ICP.
9) Loss of central vision is a sign of macular degeneration
According to CDC, when you are dealing with airborne, contact or droplet precautions, they assume that universal (standard) precautions should be used on top of other precautions...
Ex: If you have a diapered pt infected with Shigella (contact precautions according to CDC website), you would use glove and gown. BUT if you have to do oral suctioning on that pt, because there is a risk of splashing fluids in the face, goggles will be required, possibly a mask may also be used...
So even if contact precautions require gloves and gown, in this case you would add goggles even a mask because of the pt condition.
I think that one should use his/her own judgment and use specific precautions based on the pt condition/situation...
PS: This is my personal opinion. Any additional input will be appreciated.
I have a number of friends who've taken the NCLEX recently.
They all seem to have the same response after the test: complete devastation, feelings that they didn't pass the test, and most importantly (to me) needing to guess for most of the questions. Mind you these people did pass and did very well in school and we all did Kaplan together. Most didn't find that Kaplan helped and could not remember any of the questions given.
I'm curious: to those who have taken the NCLEX what do you think of the above? Did you feel the same way??
I'm super jealous my friends are done. I'm totally not ready yet. I'm really doing the Kaplan "recipe" by reviewing all the material first, will then do question trainers and etc. I find the online streaming videos helpfull cuz the teachers are emphasizing what NCLEX wants with each topic.
I love this random fact throwing and also want: those who've passed on this thread how did the fact throwing help? Did you happen to remember a fact cuz they way it was presented or put in your brains??
Specializes in MEDICAL, SURGICAL, OB-GYNE, SCRUB NURSE.
posting without checking is confusing
Patient 110 lb
7mg Dopamine in 700ml NS
they want to know how much they get mcg/kg/min.
(Note-mcg!, so you have to convert mg to mcg)
you have to know:
-that 1kg=2.2lb
- to convert (mg to mcg) larger to smaller multiply by 1000
(smaller to larger divide by 1000, say mcg to mg)
Thus;
110 lb/2.2= 50kg
7mg=7000mcg
7000mcg/50kg=140mcg/kg(!)
now 140mcg/kg*60min=8400
8400
------
500ml (volume of dilutent)
=16.8
why did you multiply 140mcg/kg to 60 min? isn't it division? coz, the final unit should be mcg/kg/min... the bars in the unit signify division. i just need clarification... i think there's something missing in the given.
Acute pancreatitis is a disorder where there is leakage of digestive enzymes into pancreatic tissue, where they become activated and begin the process of autodigestion, inflammation, and destruction of tissues. Release of pancreatic enzymes into the bloodstream or abdominal cavity causes damage to other organs.
Chronic pancreatitis results from structural or functional impairment of the pancreas. It causes recurrent abdominal pain and digestive disorders.
Cholelithiasis ( formation of gallstones ) is common. Galstones form in the bile as a result of the aggregation of cholesterol crystals or precipitates of unconjugated bilirubin. Gallstones that fill the gallbladder or obstruct the cystic or common bile duct cause abdominal pain & jaundice.
* Macrocytic/megaloblastic anemias are most commonly caused by vitamin B12 deficiency. Pernicious anemia can be fatal unless vitamin B12 replacement is given.
* Microcytic-hypochromic anemias are characterized by small red cells with insufficient hemoglobin content. The most common cause is iron-deficiency.
:up:
Melinurse
2,040 Posts
Ok, I have a few more to bump this thread back up.......
* Onchyomycosis is a fungal infection of the nail plate.
* Hirsutism is a male pattern of hair growth in women that may be normal or the result of excessive secretion of androgenic hormones.
* Psoriasis is a chronic skin disease with thickening of both the epidermis and dermis, with scaly, pruritic, erythmatous plaques.
* A furnucle is an infection of the hair follicle that extends to the surrounding tissue.
* A carbuncle is a collection of infected hair follicles that forms a draining abcess.
* Cellulitis is a diffuse infection of the dermis and subcutaneous tissue.
I still think this is a great way to suppliment my studies. Thanks for all the great contributions to this thread.