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
what it is: comes from bordetella pertussis has an incubation period of 5-21 days with an average of 10 days. source of infection is from the respiratory tract of infected person. it is transmitted by direct contact or droplette spread from infected person; indirect contact from freshly comtaminated articles.
what to do? isolation during the catarrhal stage, institute respiratory precautions.
give antimicrobial therapy as ordered. give pertussis-immune globulin as ordered. reduce environmental factors that promote coughing, such as dust, smoke, and sudden temperature changes. use a humidifier or tent to increase humidity.
remember, the cough is severe. during the convalescent phase, resiratory precautions are no longer needed.
I am taking my exam next wed. I felt like I do not remember most of the stuff I studied and worried that I really did not retain any information. Please keep this thread going. Some lab values does not match with the one I have,.... I am having anxiety. Do you think it is a good idea to take anxiety med during the day of your test?:confused:
Hikari, meds on day of exam is a bad idea. Go in with a clear head. Instead of trying to feed your head with more info, take a break, an hour or two just for you. During your break, you are not allowed to think about boards, nursing or money. Destress!!! That is why you are having a hard time. You don't need to memorize all these facts either, they are just a tool to spark a memory, to jostle the brain cells. Of course, I am following this same advise( YEAH, and pigs fly ). Truth is, I am freaking out too. I find adding facts of my own from class notes, then looking it up for accuracy is helping me to study better. Take care of yourself. Good luck on your test.
Week 20 : approx. 19 cm long & weighing in at 465 grams
Week 32 : 30 cm long
Estrogen stimulates uterine development to provide a environment for the fetus, and stimulates the breasts to prepare for lactation.
Measure Fundal Height:
Step 1 - place client in supine position
2 - place end of tape measure at level of symphysis pubis
3 - stretch tape to top of uterine fundus
4 - note and record the measurement
:typing Ok, so they say laughter relieves stress right.....................................................
So there were 5 surgeons taking a lunch break. The first surgeon says," Accountants are the best to operate on because when you open them up, everything inside is numbered."
The second surgoen says, " Nah, librarians are the best. Everything inside them is numbered."
The third surgeon says, " Try electricians, man!! Everything inside is color coded."
The fourth surgeon says, " I prefer lawyers! They're heartless, spineless, gutless, and their heads and butts are interchangeable."
The fifth surgeon, who has been quiet this whole time says," I like engineers....they are always understanding when you have a few parts left over in the end.":chuckle
NURSY2008, OMG!!!! Wonderful, I am soooooo happy for you. Great job!
:bowingpur:bowingpur:prdnrs::bowingpur:bowingpur
For those who have been asking, did this thread help any at all? Just yes or no and what other study methods did you use?
Meli I thought this thread was helpful in preparing me for the exam like I didn't know some of facts mentioned in this thread and drugs seen on TV. Also shortcut patterns to memorise infection precaution and remember abt hyponatremia. I used MRS WEE, my chicken hez TB during my exam to remember infection control . I used saunders, kaplan, and one of my fren who took his test last year gave me cd for hurst review. I practiced questions from prioritization,delegation and assignment by Linda Lacharity,Candice kumagai from barnes and nobels with a cup of americano :smilecoffeecup: . I graduated on May but started studying for boards from June. I used to do atleast 50-100 questions a day. Hope this helps a bit. We all made it though dreading nursing school and can surely rock this test.
Hi there - I have been reading this thread for the past few days, and its been great! I have ONE more day to test - I test on Friday, and I am freaking out. I took the Kaplan course, and their exit exam indicated that I had a 99 % chance of passing, and yet I still feel sick. I was wondering - I just read about a neumonic about infection control - something about a chicken and TB, and I was wondering if someone could explain it again? Anyway - good luck to everyone!
[color=#17365d]- [color=#17365d]safe to take with albuterol (proventil) for a ct with cardio disease [color=#17365d]à[color=#17365d] spironolactone (aldactone) =>k+ sparing diuretic that decreases risk of hypokalemia & ecg changes)
[color=#17365d]- [color=#17365d]supplemental thyroid hormone (levothyroxine) for hypothyroidism will be required throughout the child's lifetime.
[color=#17365d]- [color=#17365d]severe allergic rxn to cephalosporins [color=#17365d]à[color=#17365d] ct have high incidence of allergic rxns to penicillins (avoid penicillins)
[color=#17365d]- [color=#17365d]ct receiving phenobarbital iv for anticonvulsant therapy, interventions include:
[color=#17365d] [color=#17365d]observing the ct for rr depression
[color=#17365d] [color=#17365d]monitoring the ct for excessive sedation
[color=#17365d] [color=#17365d]avoiding extravasation of the parental solt'n
[color=#17365d]- [color=#17365d]sumatriptan (imitrex) sq therapy [color=#17365d]à[color=#17365d] take medication as soon as migraine sxs appear/attack
[color=#17365d]- [color=#17365d]intravenous [color=#17365d]à[color=#17365d] fastest, most effective route; deliver the medication directly into the bloodstream, allowing rapid distribution throughout the body
[color=#17365d]- [color=#17365d]baclofen [color=#17365d]à[color=#17365d] improved ability to perform adls in spinal cord injury pts (decreases frequency & severity of muscle spasms)
[color=#17365d]- [color=#17365d]erythromycin (erythrocin) [color=#17365d]à[color=#17365d] contraindicated with chronic alcoholism & cirrhosis who has resp infection (liver toxicity)
[color=#17365d]- [color=#17365d]review insulin drawing in syrine (units)
[color=#17365d]- [color=#17365d]cts taking k+-sparing diuretics should avoid consuming foods that contain high levels of k+. salt substitutes are high in k+ chloride content.
[color=#17365d]- [color=#17365d]a ct dx with acute mi is tx in an emergency dep't with alteplase (activase) which has a short half-life [color=#17365d]à[color=#17365d] must administer drug concurrently with alteplase => heparin (short half-life opens an occluded artery quicky, reduce risk of reocclusion with heparin)
[color=#17365d]- [color=#17365d]17 yr old ct receiving testosterone (depo-testosterone) injections monthly to correct delayed puberty, monitor use [color=#17365d]à[color=#17365d] x-rays of the hand & wrist q 6 mos. (determine rate of bone maturation, drug can help bone mature w/o producing a compensating gain in liner growth)
[color=#17365d]- [color=#17365d]with renal impairment, there is decreased elimination of atropine => [color=#17365d]↑[color=#17365d] anticholinergic effects of atropine = confusion
[color=#17365d]- [color=#17365d]a diuretic acetazolamide (diamox) [color=#17365d]à[color=#17365d] contraindicated with sulfonamides
[color=#17365d]- [color=#17365d]hold metoprolol (lopressor) dose if client develops dyspnea (sign of exacerbation of congestive heart failure, might precipitate it)
[color=#17365d]- [color=#17365d]progestins (oral contraceptive) [color=#17365d]à[color=#17365d] can cause wt gain [color=#17365d]à[color=#17365d] can increase appetite
[color=#17365d]- [color=#17365d]how to use a metered-dose inhaler to administer albuterol (proventil)
[color=#17365d] [color=#17365d]hold the inhaler so that drug's metal canister is inverted
[color=#17365d] [color=#17365d]release 1 or more test sprays into the air if it's a new inhaler
[color=#17365d] [color=#17365d]shake the inhaler before administering a dose
[color=#17365d] [color=#17365d]rinse mouth with water p the last inhalation
[color=#17365d]- [color=#17365d]a pplying a cool, damp cloth to person's forehead, neck, wrists [color=#17365d]à[color=#17365d] helps promote comfort for pts who are n & v
[color=#17365d]- [color=#17365d]ct taking allopurinal (zyloprim) to reduce uric acid level for secretion, must avoid corn [color=#17365d]à[color=#17365d] tends to acidify urine and might increase the risk of uric acid stone formation.
[color=#17365d]- [color=#17365d]dry persistent cough [color=#17365d]à[color=#17365d] common during 1st wk of ace inhibitor therapy d/t accumulation of bradykinin from inhibition of angiotension-converting enzymes
[color=#17365d]- [color=#17365d]giving 2 antihtns together [color=#17365d]à[color=#17365d] interact synergistically (potentiation) => the effect of giving both drugs should be greater than that of either administered alone
[color=#17365d]- [color=#17365d]lasix/furosemide [color=#17365d]à[color=#17365d] check bp (can cause a substantial drop in bp by decreasing circulatory volume and by relaxing venous smooth muscle => reduce venous bld return to the heart)
[color=#17365d]- [color=#17365d]collagenase (santyl) to tx leg ulcers [color=#17365d]à[color=#17365d] within about a week, this ointment will remove dead tissue so that ulcers can heal
[color=#17365d]- [color=#17365d]immunizations with live vaccines [color=#17365d]à[color=#17365d] long-lasting active immunity
[color=#17365d]- [color=#17365d]ct receiving epoetin (procrit) to tx anemia, rxn r/t this drug [color=#17365d]à[color=#17365d] ha (if hct rises too quickly, htn & seizure can result [color=#17365d]à[color=#17365d] ha is early sign)
[color=#17365d]- [color=#17365d]2nd cycle of fertinex for fertility txment [color=#17365d]à[color=#17365d] verifies that today's dose is based on the ct's response in the preceding cycle
[color=#17365d]- [color=#17365d]bronchospasm [color=#17365d]à[color=#17365d] sob and hypoxia
[color=#17365d]- [color=#17365d]interaction between reglan & morphine [color=#17365d]à[color=#17365d] increased sedation
[color=#17365d]- [color=#17365d]mannitol [color=#17365d]à[color=#17365d] must be used with extreme caution in cts who have heart disease => chf and pulmonary edema
[color=#17365d]- [color=#17365d]benadryl [color=#17365d]à[color=#17365d] don't use sleeping pill (avoid cns depressants to could increase sedation)
[color=#17365d]- [color=#17365d]cyclosporine (neoral) [color=#17365d]à[color=#17365d] mix the drug with milk/juice to increase taste/palatability
[color=#17365d]- [color=#17365d]hexachlorophene (phisohex) [color=#17365d]à[color=#17365d] harmful for breastfeeding
[color=#17365d]- [color=#17365d]review peds calculations (with kg)
[color=#17365d]- [color=#17365d]gold salt therapy on rheumatoid arthritis [color=#17365d]à[color=#17365d] slows progression of disease
[color=#17365d]- [color=#17365d]uric acid [color=#17365d]à[color=#17365d] should be monitored prior to and periodically throughout therapy with thiazides and related diuretics (hyperuricemia is one or more common se of thiazides)
[color=#17365d]- [color=#17365d]simvastatin (zocor) required lab test during therapy [color=#17365d]à[color=#17365d] creatine kinase
good luck to us!!!!!!!!! i have 2 more weeks left before the judgment day!!!
-Ct who has most risk factors for depression à 35 yr old single FEMALE (living alone, ages: 25-44)
-The public health nurse provides health care to a single population of ppl. The primary difference between PHN & Occupational & School health nsg is that O&S are limited to one geographic setting and one subpopulation (type) of ct
-Adult day care centers à provide temporary care for elders who live at home with family/friends, but need supervision & help during workday
-LBW Baby consumed cow's milk before 6 months of age à iron deficiency anemia => get hgb level
-To achieve complete eradication of Hepatitis B à required immunization of all infants & children
-Family à 1 or more individuals possess some common emotional bond
-Ethnicity à group of ppl who share common, distinctive characteristics such as race, ancestry, nationality, language, religion, food preferences, hx
-Medicaid à administration falls to STATE govt's
-Healthy ppl 2010 à set of health goals for aggregates; rationale is that our society can little afford the cost of tx preventable diseases and injuries
-Early crisis à w/c can last from moments to days, rxn is primarily emotional;cts express shock, disbelief, numb, panicky, cant cope
-Public Health Dep't à PHN focus is the health of the community. During a home visit, will provide education & referrals for specified problems that impact the health of the community
-Occupational health nurse à work for businesses & industries to support employee health (eg; job related injury)
-Breast self-exam à 14-19yrs (must begin in high school)
-The most basic and important action for nurses in providing culturally competent care à confront own racism & ethnocentrism (if the nurse isn't aware of his/her own culture, biases and prejudices, it's not possible to competently assess and communicate with indiv of other cultures)
-When designing maternal-infant programs and services in a community, most important consideration à developmental level of the groups being served (to identify needs of specific aggregates for whom services are intended (adolescents, career women, migrants).
-Understanding of the developmental tasks & psychosocial issues of each population should be the cornerstone of a well-developed program.
-Compared to younger ppl, it is even more important for interventions targeted to the elderly to promote physical exercise (People aged 65yrs and older are less likely than younger ppl to exercise)
-A female student comes to the school nurse's office to express concern about a "friend" who induces vomiting in the BR p lunch q day. à nurse must continue to assess for other signs that might indicate a mental disorder.
-The best way to evaluate the success of a campaign to increase the # of immunizations in a school district is to à compare the # of children in the district who were immunized during the past year to the # immunized in the preceding year.
-Common aspect of both elder abuse & child abuse à victims are usually dependent on the abuser
-Rural American group à have an uninsured or underinsured status
-Single most prevalent health problem among the homeless à ALCOHOLISM
-Denver II test à overall dev't status can be appropriately screened during bith to 6 yrs (revision of the classic Denver Devt'al Screening Test)
-Highest risk of dying from severe burn injury à toddlers (1-9yrs)
-An intervention to address alcohol/drug abuse at the level of subgroups within a community would be to à provide a support group for employees who are recovering from alcohol or drug abuse (the support group constitutes a sub-group within the community; the intervention is targeted for just those ppl)
-EMPOWERMENT à CITIZEN PARTICIPATION
-Women expected to live 6yrs longer than men b/c à Men are less likely than women to obtain preventive physical exam (women more likely to engage in health maintenance)
-OSHA à regulation of potential hazards in the workplace
-Salmonella à properly store & thoroughly cook eggs and poultry
Here's some more Community Facts: (sorry if they're too long.....)
- Erikson's Generativity vs. Stagnation à middle adults (>40y) guide and care for the younger generation and assist the older one
- Neonate should gain 0.5-1 oz (15-30g/day)
- Serum lead [c] = 16mg/dL and been above 10mg/dL for several months à investigate the child's environment
- (+) reaction to tuberculin skin test à induration (hardening) larger or equal to 15mm in a person >4yrs who has not risk factors for TB
- Pertussis à vaccine composed of INACTIVATED bacteria
- Disaster à cannot be relieved without assistance (that's why disaster preparedness is important)
o OUTSIDE AREA à area not directly affected by the disaster but can offer assistance
- Community competence à parts of community (org, groups, aggregates) collaborate effectively in identifying the problems & needs of a community, achieving similar goals and priorities
- Behavior or lifestyle à greatest effect on the health of a community as a whole. This underscores the importance of primary prevention.
- Nursing strategy for HOMELESS:
o Using reflective statements that convey an understanding of situation
o Accepting the political commitments essential for advocacy for homeless cts
o Focus on primary prevention (identify other educational, placement, and legal services that they can't access)
- Hospice à focus of care is COMFORT for individual facing death
- Evaluation in community assessment barrier à setting goals that are unrealistic or inappropriate tend to break down progress rapidly
- Morbidity stats à reflect the extent and distribution of illness and disability in the community
- Prevalence rate à # of old & new cases of specified disease
- Incidence rate à # of NEW cases of a specified disease within a pop
- Older smokers who try to quit smoking are MORE LIKELY to stay off cigarettes.
- Older adults might be at risk for POOR NUTRITION à loss of dentition (or poor fitting dentures interfere with biting/chewing)
- Nurse refers client to inappropriate health care provider à making negligent referral
- Secondary prevention à working with person in affected pop (ppl experiencing effects of violence and ensuring safety)
- Providing doc of physical evidence in a case of suspected physical/sexual abuse à use body mapping & photographs in addition to written doc
- Boy fell forward in the ground à Fracture of the forearm
- Physical exercise à greater energy reserve
o Does NOT change person's perception of stress
- Immunization in order:
o Hepatitis B
o DTaP, Hib, IPV, PCV
o Influenza
o MMR and varicella
- HIPAA à to protect workers from losing health care coverage with a job change or loss
- Nicotine à GATEWAY for substance abuse
- SIDS à "back to sleep"
- Tertiary prevention à helping a ct with asthma use an inhaler (long-term & chronic)
- Secondary prevention à giving first aid for injuries sustained during activities
- Enviro-mechanical hazards in the workplace:
o Inadequate lifting device (risk for injury)
o Excessively cluttered work areas
o Slippery floors
o Poor workstation-worker fit
- Ethnocentrism à belief that one's own ways are the best, most superior
Those are some wonderful facts guys, keep them coming..................
Rubella [ German Measles ]
Has an incubation period of 14-21 days
Can be spread ( contageous ) from 7 days before symptoms appear to 5 days after the rash appears.
Transmission: airborne or direct contact with infectious droplettes or indirectly by articles freshly contaminated with nasopharengeal secretions, feces, or urine. Can also cross the placenta!
Rubeola is transmitted via airborne particles or direct contact. Respiratory precautions are required which includes handwashing before & after gloving, and wearing a mask.
:confused:
Go in with a clear head. Instead of trying to feed your head with more info, take a break, an hour or two just for you. During your break, you are not allowed to think about boards, nursing or money.
Destress!!! That is why you are having a hard time. You don't need to memorize all these facts either, they are just a tool to spark a memory, to jostle the brain cells.
Of course, I am following this same advise( YEAH, and pigs fly ). Truth is, I am freaking out too. I find adding facts of my own from class notes, then looking it up for accuracy is helping me to study better. Take care of yourself. Good luck on your test.
Melinurse
2,040 Posts
pertussis [ whooping cough ]
what it is: comes from bordetella pertussis has an incubation period of 5-21 days with an average of 10 days. source of infection is from the respiratory tract of infected person. it is transmitted by direct contact or droplette spread from infected person; indirect contact from freshly comtaminated articles.
what to do? isolation during the catarrhal stage, institute respiratory precautions.
give antimicrobial therapy as ordered. give pertussis-immune globulin as ordered. reduce environmental factors that promote coughing, such as dust, smoke, and sudden temperature changes. use a humidifier or tent to increase humidity.
remember, the cough is severe. during the convalescent phase, resiratory precautions are no longer needed.